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psnet.ahrq.gov/node/46155/psn-pdf
December 21, 2017 - In adjusted analyses, this effort led to a significant
decrease in catheter-associated urinary tract
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psnet.ahrq.gov/issue/patient-handoffs-0
November 23, 2024 - November 28, 2018
Meta-analyses of the effects of standardized handoff protocols on patient
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psnet.ahrq.gov/node/35572/psn-pdf
February 03, 2011 - administration and
safety procedures, error reporting processes, prevention policies, and root cause analyses
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psnet.ahrq.gov/node/45207/psn-pdf
August 17, 2016 - unit-based-incident-reporting-and-root-cause-analysis-variation-three-hospital-
unit-types
Incident reporting systems and root cause analyses
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psnet.ahrq.gov/node/46545/psn-pdf
March 27, 2018 - ://psnet.ahrq.gov/issue/relationship-between-safety-culture-and-patient-outcomes-results-pilot-meta-analyses
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psnet.ahrq.gov/issue/aware-care
April 15, 2020 - July 12, 2017
RCA2: Improving Root Cause Analyses and Actions to Prevent Harm.
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psnet.ahrq.gov/node/43917/psn-pdf
November 03, 2015 - Lucian Leape notes that analyses of these surgical complications can serve as "treasures" for providing
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psnet.ahrq.gov/node/43301/psn-pdf
May 01, 2015 - have shown that walkrounds can improve safety culture, but both randomized trials
and qualitative analyses
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psnet.ahrq.gov/node/37484/psn-pdf
April 01, 2010 - provide detailed comparisons of their findings to
those of a previous study that conducted similar analyses
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psnet.ahrq.gov/issue/medical-error-reduction-effect-employee-satisfaction-organizational-support
November 06, 2024 - February 29, 2012
AHRQ's Hospital Survey on Patient Safety Culture: psychometric analyses
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psnet.ahrq.gov/node/44845/psn-pdf
July 01, 2016 - single-room-hospital-accommodation-associated-differences-healthcare-
associated-infection
This study expands on analyses
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psnet.ahrq.gov/issue/vha-national-patient-safety-improvement-handbook
April 12, 2019 - October 21, 2015
VA Health Care: Actions Needed to Assess Decrease in Root Cause Analyses
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psnet.ahrq.gov/node/42590/psn-pdf
August 02, 2015 - intervention-decrease-catheter-related-bloodstream-infections-icu
https://psnet.ahrq.gov/issue/comparative-economic-analyses-patient-safety-improvement-strategies-acute-care-systematic
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psnet.ahrq.gov/issue/case-studies-medication-reconciliation
February 15, 2023 - following two policies in North Carolina, 2012-2018 - controlled and single-series interrupted time series analyses
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psnet.ahrq.gov/issue/operating-room-hazards-and-approaches-improve-patient-safety
September 13, 2023 - September 20, 2023
Longitudinal analyses of nurse staffing and patient outcomes: more
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psnet.ahrq.gov/glossary/swiss-cheese-model
September 13, 2021 - 13, 2021
Anonymous (not verified)
Reason developed the "Swiss cheese model" to illustrate how analyses
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psnet.ahrq.gov/issue/safety-skills-clinicians-essential-component-patient-safety
June 01, 2012 - Review
Safety skills for clinicians: an essential component of patient safety.
Citation Text:
Taylor-Adams S, Brodie A, Vincent CA. Safety Skills for Clinicians. J Patient Saf. 2008;4(3):141-147. doi:10.1097/pts.0b013e3181809631.
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psnet.ahrq.gov/node/42510/psn-pdf
August 21, 2013 - By analyzing 111 root cause analyses of diagnostic error cases in the outpatient
setting, the authors
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psnet.ahrq.gov/node/37418/psn-pdf
October 01, 2024 - Systems Analysis of Critical Incidents: the London
Protocol.
October 1, 2024
Taylor-Adams S, Vincent C. London, UK: NIHR North West London Patient Safety Research Collaboration,
Imperial College London; 2024.
https://psnet.ahrq.gov/issue/systems-analysis-critical-incidents-london-protocol
This revised report docu…
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psnet.ahrq.gov/issue/sterile-cockpit-effective-approach-reducing-medication-errors
April 24, 2018 - Commentary
The sterile cockpit: an effective approach to reducing medication errors?
Citation Text:
Federwisch M, Ramos H, Adams S' C. The sterile cockpit: an effective approach to reducing medication errors? Am J Nurs. 2014;114(2):47-55. doi:10.1097/01.NAJ.0000443777.80999.5c.
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