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Showing results for "analyses".
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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34089/psn-pdf
    December 23, 2008 - Investigators present their analyses and findings by sharing rates of potential patient safety events

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34657/psn-pdf
    June 14, 2011 - discussed include the role of the patient and family, the need for executive leadership, root cause analyses

  3. Recognizing and managing errors of cognitive underspecification. | PSNet

    psnet.ahrq.gov/issue/recognizing-and-managing-errors-cognitive-underspecification
    November 14, 2018 - This commentary uses case analyses to illustrate how such incomplete discussions often contribute to

  4. Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis. | PSNet

    psnet.ahrq.gov/issue/identifying-causes-adverse-events-detected-automated-trigger-tool-through-depth-analysis
    October 05, 2011 - possible medication errors using trigger tools , and a multidisciplinary team conducted real-time analyses

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844537/psn-pdf
    February 15, 2023 - two policies in North Carolina, 2012-2018 - controlled and single-series interrupted time series analyses

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44818/psn-pdf
    February 24, 2018 - This systematic review examined economic analyses of interventions to prevent hospital-acquired infections

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38334/psn-pdf
    January 14, 2009 - Care Act of 2006 mandated that the Office of Inspector General (OIG) report to Congress a series of analyses

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37784/psn-pdf
    May 27, 2011 - quantitative analysis, following a failure mode and effect analysis (FMEA), and concluded that such analyses

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46583/psn-pdf
    December 18, 2017 - Although this study design cannot control for secular trends, few crew resource management analyses

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45510/psn-pdf
    October 19, 2016 - diagramming-patients-views-root-causes-adverse-drug-events-ambulatory-care-online-tool https://psnet.ahrq.gov/issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35497/psn-pdf
    June 30, 2011 - Investigators performed their analyses after reengineering of the medication administration process

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35328/psn-pdf
    May 19, 2015 - conclude that HFMEA may allow systems to uncover latent errors  beyond those discovered with root cause analyses

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45967/psn-pdf
    July 05, 2017 - ://psnet.ahrq.gov/primer/root-cause-analysis https://psnet.ahrq.gov/issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44483/psn-pdf
    September 09, 2015 - psnet.ahrq.gov/issue/learning-not-blaming The National Health Service (NHS) has a history of sharing analyses

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61037/psn-pdf
    January 01, 2021 - Analyses found that 5.9% of events resulted in severe harm and 1.9% resulted in patient death.

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38798/psn-pdf
    May 18, 2019 - This study builds on past analyses of these relationships from the same investigative team.

  17. Emergency department visits for medical device–associated adverse events among children. | PSNet

    psnet.ahrq.gov/issue/emergency-department-visits-medical-device-associated-adverse-events-among-children
    March 03, 2019 - The authors provide additional detailed analyses, including the most frequently affected body parts and

  18. Implementation of standardized dosing units for I.V. medications. | PSNet

    psnet.ahrq.gov/issue/implementation-standardized-dosing-units-iv-medications
    May 11, 2014 - Following multiple stakeholder meetings and analyses, a strategy for standardization was adopted which

  19. Sentinel events, serious reportable events, and root cause analysis. | PSNet

    psnet.ahrq.gov/issue/sentinel-events-serious-reportable-events-and-root-cause-analysis
    February 26, 2014 - This commentary describes the importance of performing root cause analyses following sentinel events

  20. Root cause analysis of ambulatory adverse drug events that present to the emergency department. | PSNet

    psnet.ahrq.gov/issue/root-cause-analysis-ambulatory-adverse-drug-events-present-emergency-department
    April 25, 2016 - This study used root cause analyses —which incorporated patient perspectives —of ED visits for ADEs
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