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Showing results for "analyses".
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141. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34871/psn-pdf
     February 09, 2011 - examines the relationship between nursing educational levels and patient outcomes using cross-sectional analyses

142. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41723/psn-pdf
     December 30, 2014 - primer/readmissions-and-adverse-events-after-discharge https://psnet.ahrq.gov/issue/comparative-economic-analyses-patient-safety-improvement-strategies-acute-care-systematic

143. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867179/psn-pdf
     January 01, 2025 - implementation-standardized-tool-root-cause-analysis-selection https://psnet.ahrq.gov/issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm

144. Reducing the disruptive effects of interruption: a cognitive framework for analysing the costs and benefits of intervention strategies. | PSNet
     psnet.ahrq.gov/issue/reducing-disruptive-effects-interruption-cognitive-framework-analysing-costs-and-benefits
     September 11, 2013 - Commentary Reducing the disruptive effects of interruption: a cognitive framework for analysing the costs and benefits of intervention strategies. Citation Text: Boehm-Davis DA, Remington R. Reducing the disruptive effects of interruption: a cognitive framework for analysing the costs an…

145. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46287/psn-pdf
     April 12, 2019 - anesthesia-adverse-events-voluntarily-reported-veterans-health- administration-and-lessons This study examined root cause analyses

146. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46597/psn-pdf
     November 01, 2017 - /novel-process-audit-standardized-perioperative-handoff-protocols https://psnet.ahrq.gov/issue/meta-analyses-effects-standardized-handoff-protocols-patient-provider-and-organizational

147. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39480/psn-pdf
     November 02, 2010 - surveys-patient-safety-culture https://psnet.ahrq.gov/issue/ahrqs-hospital-survey-patient-safety-culture-psychometric-analyses

148. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41241/psn-pdf
     June 15, 2012 - issue/using-root-cause-analysis-reduce-falls-injury-psychiatric-unit This study reviewed 75 root cause analyses

149. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44858/psn-pdf
     February 10, 2016 - This study includes detailed examples and analyses of these errors, providing useful insights into lapses

150. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45173/psn-pdf
     November 18, 2016 - Prior analyses have suggested that HACs lead to nearly $150 million per year in excess Medicare costs

151. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35598/psn-pdf
     July 10, 2008 - resident involvement in data acquisition to complement existing methods of chart review for adverse event analyses

152. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34113/psn-pdf
     December 24, 2008 - than 235,000 records submitted by 570 participating facilities to Medmarx and also provides trend analyses

153. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43997/psn-pdf
     August 02, 2015 - sentinel-events-serious-reportable-events-and-root-cause-analysis This commentary describes the importance of performing root cause analyses

154. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39841/psn-pdf
     December 18, 2014 - The authors provide additional detailed analyses, including the most frequently affected body parts

155. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39303/psn-pdf
     February 17, 2010 - patient-misidentification-laboratory-medicine-qualitative-analysis-227-root- cause-analysis Data from root cause analyses

156. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40736/psn-pdf
     January 04, 2012 - several episodes of incorrect surgical procedures, a medical center conducted individual root cause analyses

157. In Conversation With... James P. Bagian, MD, PE | PSNet
     psnet.ahrq.gov/perspective/conversation-james-p-bagian-md-pe
     February 26, 2025 - influential National Patient Safety Foundation (NPSF) report entitled RCA2: Improving Root Cause Analyses … Wachter : Given your aviation and astronautics background, when you began thinking about root cause analyses … So, the first recommendation is that the analyses need to be risk, not harm, based.

158. A review of significant events analysed in general practice: implications for the quality and safety of patient care. | PSNet
     psnet.ahrq.gov/issue/review-significant-events-analysed-general-practice-implications-quality-and-safety-patient
     October 29, 2008 - Study A review of significant events analysed in general practice: implications for the quality and safety of patient care. Citation Text: McKay J, Bradley N, Lough M, et al. A review of significant events analysed in general practice: implications for the quality and safety of patient…

159. Seven hundred and fifty-nine (759) chances to learn: a 3-year pilot project to analyse transfusion-related near-miss events in the Republic of Ireland. | PSNet
     psnet.ahrq.gov/issue/seven-hundred-and-fifty-nine-759-chances-learn-3-year-pilot-project-analyse-transfusion
     September 25, 2008 - Study Seven hundred and fifty-nine (759) chances to learn: a 3-year pilot project to analyse transfusion-related near-miss events in the Republic of Ireland. Citation Text: Lundy D, Laspina S, Kaplan H, et al. Seven hundred and fifty-nine (759) chances to learn: a 3-year pilot project …

160. Patient identification error among prostate needle core biopsy specimens—are we ready for a DNA time-out? | PSNet
     psnet.ahrq.gov/issue/patient-identification-error-among-prostate-needle-core-biopsy-specimens-are-we-ready-dna
     March 12, 2025 - This study summarizes the findings from three root cause analyses to highlight the challenges in preventing