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psnet.ahrq.gov/issue/young-surgeons-speaking-when-and-how-surgical-trainees-voice-concerns-about-supervisors
April 13, 2017 - This study included semistructured interviews with 18 surgical residents, providing qualitative analyses
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psnet.ahrq.gov/issue/preventing-medication-errors-community-pharmacy-root-cause-analysis-transcription-errors
March 24, 2011 - This study reports the results of root-cause analyses of medication errors reported by Danish pharmacies
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psnet.ahrq.gov/issue/preventing-wrong-site-procedure-and-patient-events-using-common-cause-analysis
October 03, 2017 - several episodes of incorrect surgical procedures , a medical center conducted individual root cause analyses
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psnet.ahrq.gov/issue/medmarx-5th-anniversary-data-report-chartbook-2003-findings-and-trends-1999-2003
August 24, 2015 - more than 235,000 records submitted by 570 participating facilities to Medmarx and also provides trend analyses
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psnet.ahrq.gov/issue/discrepant-advanced-directives-and-code-status-orders-preventable-medical-error
October 31, 2018 - Root cause analyses for these cases found that haste, inadequate communication, EMR discrepancies, knowledge
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psnet.ahrq.gov/issue/adverse-events-hospitals-medicares-responses-alleged-serious-events
February 18, 2009 - The Office of the Inspector General (OIG) has conducted a series of analyses of adverse event incidence
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psnet.ahrq.gov/issue/adverse-events-hospitals-state-reporting-systems
January 14, 2009 - Care Act of 2006 mandated that the Office of Inspector General (OIG) report to Congress a series of analyses
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psnet.ahrq.gov/issue/impact-hospital-acquired-conditions-financial-liabilities-medicare-patients
November 26, 2014 - Prior analyses have suggested that HACs lead to nearly $150 million per year in excess Medicare costs
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psnet.ahrq.gov/node/44248/psn-pdf
May 26, 2016 - There were many causes and contributing factors to these errors, but root cause analyses commonly called
-
psnet.ahrq.gov/node/38255/psn-pdf
December 03, 2008 - including evaluation of diagnostic errors, is often examined by conducting case
reviews or root cause analyses
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psnet.ahrq.gov/node/40921/psn-pdf
November 16, 2011 - adverse-events-hospitals-medicares-responses-alleged-serious-events
The Office of the Inspector General (OIG) has conducted a series of analyses
-
psnet.ahrq.gov/node/38176/psn-pdf
October 29, 2008 - human-error-not-communication-and-systems-underlies-surgical-complications
Individual and system factors have been implicated in past analyses
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psnet.ahrq.gov/node/46031/psn-pdf
April 12, 2017 - improvement, including quarterly hospital-wide morbidity and mortality conferences,
mock root cause analyses
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psnet.ahrq.gov/node/43488/psn-pdf
September 10, 2014 - In exploratory analyses
this was correlated with several types of adverse events.
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psnet.ahrq.gov/node/35448/psn-pdf
September 18, 2009 - Discussion includes detailed
analyses illustrating the relationships, or lack thereof, between the different
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psnet.ahrq.gov/node/39197/psn-pdf
January 06, 2010 - In this study, investigators
performed root cause analyses on more than 100 cases of sentinel events
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psnet.ahrq.gov/node/45710/psn-pdf
December 22, 2017 - psnet.ahrq.gov/issue/problem-root-cause-analysis
https://psnet.ahrq.gov/issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm
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psnet.ahrq.gov/node/42882/psn-pdf
November 23, 2016 - adverse events, they are rarely asked to participate in
medical error investigations, such as root cause analyses
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psnet.ahrq.gov/node/42816/psn-pdf
October 31, 2014 - In the uncontrolled, before-and-after analyses, medical errors and
preventable adverse events decreased
-
psnet.ahrq.gov/node/40636/psn-pdf
November 21, 2011 - Root cause analyses of errors revealed that lack of standardization and human factors
issues were major