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psnet.ahrq.gov/node/862608/psn-pdf
February 14, 2024 - Thematic analyses identified
three priority areas to improve patient experience and safety during preterm
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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
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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 …
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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
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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
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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
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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
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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
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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
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psnet.ahrq.gov/node/60643/psn-pdf
July 01, 2020 - Analyses also found an association between PPE discomfort and
situational awareness, but this association
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psnet.ahrq.gov/node/72719/psn-pdf
February 10, 2021 - The quality improvement (QI) project used five domains (autopsy reports, root
cause analyses (RCAs),
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psnet.ahrq.gov/node/60208/psn-pdf
April 08, 2020 - Stratified analyses based on undifferentiated symptoms found that women and
patients with comorbidities
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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
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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
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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
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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
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psnet.ahrq.gov/node/50892/psn-pdf
February 12, 2020 - Logistical
regression analyses, controlling for error severity, suggests that open communication can
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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
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psnet.ahrq.gov/node/841152/psn-pdf
December 07, 2022 - Qualitative analyses identified several
themes underscoring the impact of the debriefing program – the
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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