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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60643/psn-pdf
    July 01, 2020 - Analyses also found an association between PPE discomfort and situational awareness, but this association
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72719/psn-pdf
    February 10, 2021 - The quality improvement (QI) project used five domains (autopsy reports, root cause analyses (RCAs),
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60208/psn-pdf
    April 08, 2020 - Stratified analyses based on undifferentiated symptoms found that women and patients with comorbidities
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764391/psn-pdf
    March 02, 2022 - Analyses revealed that anesthesia handovers were associated with poorer outcomes (i.e., higher 30-day
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854626/psn-pdf
    October 18, 2023 - role-clinical-learning-environments-preparing-new-clinicians-engage-patient-safety https://psnet.ahrq.gov/issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60029/psn-pdf
    March 11, 2020 - Analyses found that administration route, medication class and time of medication administration rounds
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61042/psn-pdf
    January 01, 2022 - Researchers used patient safety reports and root cause analyses (RCA) to characterize patient misidentification
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72546/psn-pdf
    December 09, 2020 - learning-incident-reporting-analysis-incidents-resulting-patient-injuries-web- based-system Incident reporting systems and root cause analyses
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61099/psn-pdf
    November 04, 2020 - Analyses indicate that incorrect medication and wrong dose selections account for approximately 22%
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849596/psn-pdf
    May 31, 2023 - Multivariable analyses identified several predictors of in-hospital death (e.g., older age, higher number
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846158/psn-pdf
    March 15, 2023 - Analyses indicated that free-text orders did include symbols and abbreviations discouraged by the Institute
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849319/psn-pdf
    May 24, 2023 - Qualitative analyses revealed four themes regarding attitudes towards induction- the importance of timing
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45462/psn-pdf
    August 31, 2016 - /psnet.ahrq.gov/issue/learning-mistakes The National Health Service (NHS) has a history of sharing analyses
  14. psnet.ahrq.gov/issue/complaints-about-acute-trusts-2016-2017
    April 17, 2024 - The National Health Service broadly reports the results of system-level analyses and investigations
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42981/psn-pdf
    March 19, 2014 - This commentary uses case analyses to illustrate how such incomplete discussions often contribute to
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847042/psn-pdf
    April 05, 2023 - Qualitative analyses highlight the role that personnel/physical/mental overload, poor departmental organization
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60246/psn-pdf
    April 22, 2020 - programs with (n=46) and without (n=91) surgical count technology and analyzed the resulting root cause analyses
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46192/psn-pdf
    June 07, 2017 - use-human-factors-classification-framework-identify-causal-factors-medication-and-medical https://psnet.ahrq.gov/issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39934/psn-pdf
    October 30, 2010 - identified possible medication errors using trigger tools, and a multidisciplinary team conducted real-time analyses
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35770/psn-pdf
    January 02, 2017 - actions-and-implementation-strategies-reduce-suicidal-events-veterans-health- administration The investigators examined root cause analyses

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