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Showing results for "analyses".
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  1. 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

  2. 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

  3. 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

  4. 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%

  5. 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

  6. 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

  7. 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

  8. The Field Guide to Human Error Investigations, Third Edition. | PSNet

    psnet.ahrq.gov/issue/field-guide-human-error-investigations-third-edition
    April 13, 2018 - This view of human error has led to the application of root cause analyses and human factors engineering

  9. Learning Not Blaming. | PSNet

    psnet.ahrq.gov/issue/learning-not-blaming
    March 28, 2018 - The National Health Service (NHS) has a history of sharing analyses of problems in its system.

  10. 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

  11. 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

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867653/psn-pdf
    February 26, 2025 - Jim Bagian, one of the authors ofRCA2: Improving Root Causes Analyses and Actions to Prevent Harm, to … conversation-jessica-behrhorst-about-evolution-root-cause-analysis https://www.ihi.org/education/training/redesigning-event-review-root-cause-analyses-and-actions-rca2 … https://www.ihi.org/education/training/redesigning-event-review-root-cause-analyses-and-actions-rca2 … https://psnet.ahrq.gov/issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm https://psnet.ahrq.gov … /issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm When I joined IHI full-time, I had

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43154/psn-pdf
    August 22, 2016 - This study used root cause analyses—which incorporated patient perspectives—of ED visits for ADEs to

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47508/psn-pdf
    October 24, 2018 - root-cause-analysis-reported-patient-falls-ors-veterans-health-administration https://psnet.ahrq.gov/issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43281/psn-pdf
    May 28, 2015 - effectiveness-and-efficiency-root-cause-analysis-medicine https://psnet.ahrq.gov/issue/recasting-rca-improved-model-performing-root-cause-analyses

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37310/psn-pdf
    January 05, 2012 - patient-identification-error-among-prostate-needle-core-biopsy-specimens-are- we-ready-dna This study summarizes the findings from three root cause analyses

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35418/psn-pdf
    June 14, 2011 - Subsequent root cause analyses identified system factors that contributed to the errors, and the authors

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45859/psn-pdf
    August 03, 2017 - patient-safety-orthopedic-surgery-prioritizing-key-areas-iatrogenic-harm-through-analysis https://psnet.ahrq.gov/issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34803/psn-pdf
    January 05, 2017 - examples of events analyzed, and an informative table sharing systematic changes resulting from the analyses

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840490/psn-pdf
    February 14, 2006 - This review identified 31 meta-analyses with 487 studies of test evaluation.
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