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Showing results for "analyses".
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141. Safer Together Annual Report. | PSNet
     psnet.ahrq.gov/issue/perfecting-detection-understanding-source-harm
     May 27, 2020 - This annual publication provides common cause analyses of incidents submitted to a pediatric patient

142. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36574/psn-pdf
     March 09, 2009 - issue/studying-organisational-cultures-and-their-effects-safety The author shares examples of cultural analyses

143. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/862608/psn-pdf
     February 14, 2024 - Thematic analyses identified three priority areas to improve patient experience and safety during preterm

144. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867596/psn-pdf
     January 22, 2025 - implementing-root-cause-analysis-and-action-integrating-human-factors-create-strong https://psnet.ahrq.gov/issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm

145. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836966/psn-pdf
     April 20, 2022 - The authors suggest that explicitly addressing performance variability in sentinel event analyses can

146. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73634/psn-pdf
     August 25, 2021 - Analyses show that the e-trigger identified missed diagnoses of stroke with a modest positive predictive

147. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74200/psn-pdf
     January 01, 2022 - Subgroup analyses indicate that this relationship is driven by worse outcomes among female patients

148. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838077/psn-pdf
     September 14, 2022 - Analyses showed that patients were designated as “alternate level of care” (ALC) for an average of 56

149. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50432/psn-pdf
     September 04, 2019 - inpatient-suicide-mental-health-units-veterans-affairs-va-hospitals-avoiding-environmental https://psnet.ahrq.gov/issue/root-cause-analyses-suicides-mental-health-clients

150. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72814/psn-pdf
     March 10, 2021 - implementing-human-factors-approach-rca2-tools-processes-and-strategies https://psnet.ahrq.gov/issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm

151. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73610/psn-pdf
     January 01, 2022 - Analyses suggest that atypical presentation was often characterized by functional decline or altered

152. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837794/psn-pdf
     August 10, 2022 - Analyses identified limited improvement in quality and patient safety indicators.

153. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/854825/psn-pdf
     October 25, 2023 - beyond-corrective-action-hierarchy-systems-approach-organizational-change https://psnet.ahrq.gov/issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm

154. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33820/psn-pdf
     December 01, 2016 - the 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 … conversation-james-p-bagian-md-pe http://www.ihi.org/resources/Pages/Tools/RCA2-Improving-Root-Cause-Analyses-and-Actions-to-Prevent-Harm.aspx … So, the first recommendation is that the analyses need to be risk, not harm, based. … oversight committees, The Joint Commission, the https://psnet.ahrq.gov/issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm

155. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44583/psn-pdf
     February 17, 2016 - psnet.ahrq.gov/issue/root-cause-analysis-playbook https://psnet.ahrq.gov/issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm

156. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60867/psn-pdf
     September 02, 2020 - diagnostic or interventional radiology at one children’s hospital and used data from the root cause analyses

157. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/841152/psn-pdf
     December 07, 2022 - Qualitative analyses identified several themes underscoring the impact of the debriefing program – the

158. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50892/psn-pdf
     February 12, 2020 - Logistical regression analyses, controlling for error severity, suggests that open communication can

159. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60680/psn-pdf
     July 15, 2020 - Building upon previous work, this study used root cause analyses to identify the failure points and

160. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60707/psn-pdf
     July 22, 2020 - devil-detail-how-closed-loop-documentation-system-iv-infusion-administration-contributes-and https://psnet.ahrq.gov/issue/provider-risk-factors-medication-administration-error-alerts-analyses-large-scale-closed-loop