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  1. 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
  2. psnet.ahrq.gov/issue/studying-organisational-cultures-and-their-effects-safety
    April 20, 2014 - The author shares examples of cultural analyses and provides suggestions for effective research on safety
  3. psnet.ahrq.gov/issue/investigation-and-analysis-critical-incidents-and-adverse-events-healthcare
    March 05, 2014 - Study Classic The investigation and analysis of critical incidents and adverse events in healthcare. Citation Text: Woloshynowych M, Rogers S, Taylor-Adams S, et al. The investigation and analysis of critical incidents and adverse events in healthcare. Health …
  4. psnet.ahrq.gov/issue/conducting-safety-research-safely-policy-based-approach-conducting-research-peer-review
    June 15, 2022 - for the use of peer review protected information (such as  voluntary event reports  and  root causes analyses
  5. psnet.ahrq.gov/issue/factors-associated-potentially-missed-diagnosis-appendicitis-emergency-department
    December 16, 2020 - Stratified analyses based on undifferentiated symptoms found that women and patients with comorbidities
  6. psnet.ahrq.gov/issue/value-assessment-deprescribing-interventions-suggestions-improvement
    August 04, 2021 - This article outlines several recommendations for improved cost-effectiveness analyses of deprescribing
  7. psnet.ahrq.gov/issue/diagnostic-reliability-teledermatology-systematic-review-and-meta-analysis
    September 23, 2020 - The overall average diagnostic agreement was 68.9%, but subgroup analyses identified significantly higher
  8. psnet.ahrq.gov/issue/evidence-based-toolkit-development-effective-and-sustainable-root-cause-analysis-system
    June 01, 2019 - The authors reviewed 334 root cause analyses (RCA) using systems science principles to create a toolkit
  9. psnet.ahrq.gov/issue/qualitative-exploration-impact-distressed-family-member-pediatric-resuscitation-teams
    March 25, 2020 - Thematic analyses identified five key factors that are influenced by the presence of a parent during
  10. 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
  11. 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),
  12. 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
  13. 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
  14. 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
  15. 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
  16. 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
  17. 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
  18. 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
  19. 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
  20. 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

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