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Medication errors and error chains involving high-alert medications in a paediatric hospital setting: a qualitative analysis of self-reported medication safety incidents. | PSNet

psnet.ahrq.gov/issue/medication-errors-and-error-chains-involving-high-alert-medications-paediatric-hospital

March 27, 2024 - June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.

Anticoagulation-associated adverse drug events. | PSNet

psnet.ahrq.gov/issue/anticoagulation-associated-adverse-drug-events

July 26, 2023 - June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.

A Thematic Analysis of HSIB's First 22 Investigations. | PSNet

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October 28, 2020 - Book/Report A Thematic Analysis of HSIB's First 22 Investigations. … Citation Text: A Thematic Analysis of HSIB's First 22 Investigations. … Copy URL Cite Citation Citation Text: A Thematic Analysis … June 9, 2021 Never Events Analysis of HSIB's National Investigations Report.

A framework for the analysis of communication errors in health care. | PSNet

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October 21, 2020 - Commentary A framework for the analysis of communication errors in health care. … A framework for the analysis of communication errors in health care. … A framework for the analysis of communication errors in health care. … December 11, 2024 Wrong-side thoracentesis: lessons learned from root cause analysis. … of patient safety and root cause analysis reports in the Veterans Health Administration.

Analysis of malpractice claims in mammography: a complex issue. | PSNet

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October 19, 2022 - Study Analysis of malpractice claims in mammography: a complex issue. … Analysis of malpractice claims in mammography: a complex issue. … Analysis of malpractice claims in mammography: a complex issue. … July 7, 2021 Analysis of lawsuits related to diagnostic errors from point-of-care ultrasound … June 24, 2020 Radiologist-initiated double reading of abdominal CT: retrospective analysis

Descriptive analysis on disproportionate medication errors and associated patient characteristics in the Food and Drug Administration's adverse event reporting system. | PSNet

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February 14, 2024 - June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.

Management of the difficult airway: a closed claims analysis. | PSNet

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July 13, 2010 - Study Management of the difficult airway: a closed claims analysis. … Management of the difficult airway: a closed claims analysis. Anesthesiology. 2005;103(1):33-39. … Management of the difficult airway: a closed claims analysis. … June 8, 2010 Cause and effect analysis of closed claims in obstetrics and gynecology. … with administrative claims data using Symptom-Disease Pair Analysis of Diagnostic Error methodology

Applying Lean Sigma solutions to mistake-proof the chemotherapy preparation process. | PSNet

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September 02, 2015 - June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.

Sensemaking of patient safety risks and hazards. | PSNet

psnet.ahrq.gov/issue/sensemaking-patient-safety-risks-and-hazards

March 03, 2011 - ) and prospective (eg, failure mode and effect analysis ) tools that can be employed within organizations … , failure mode and effects analysis, and structured communications skills. … December 21, 2011 Drill down with root cause analysis. … July 29, 2010 Random safety auditing, root cause analysis, failure mode and effects analysis … Failure Mode Effects Analysis

Impact of CancelRx on discontinuation of controlled substance prescriptions: an interrupted time series analysis. | PSNet

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September 01, 2021 - June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.

Enhanced free-text search for aggregated medication error report analysis and risk detection. | PSNet

psnet.ahrq.gov/issue/enhanced-free-text-search-aggregated-medication-error-report-analysis-and-risk-detection

April 12, 2019 - June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.

Patient safety and legal regulations: a total-scale analysis of the scientific literature. | PSNet

psnet.ahrq.gov/issue/patient-safety-and-legal-regulations-total-scale-analysis-scientific-literature

November 16, 2022 - Review Patient safety and legal regulations: a total-scale analysis of the scientific … Patient safety and legal regulations: a total-scale analysis of the scientific literature. … Patient safety and legal regulations: a total-scale analysis of the scientific literature. … for monitoring and analysis method in healthcare facilities: a systematic literature review. … of patient safety and root cause analysis reports in the Veterans Health Administration.

Differences between methods of detecting medication errors: a secondary analysis of medication administration errors using incident reports, the Global Trigger Tool method, and observations. | PSNet

psnet.ahrq.gov/issue/differences-between-methods-detecting-medication-errors-secondary-analysis-medication

December 18, 2019 - Emerging Classic Differences between methods of detecting medication errors: a secondary analysis … Differences between methods of detecting medication errors: a secondary analysis of medication administration … for monitoring and analysis method in healthcare facilities: a systematic literature review. … of patient safety and root cause analysis reports in the Veterans Health Administration. … June 24, 2020 Implementing root cause analysis and action: integrating human factors

Resident duty hours and resident and patient outcomes: systematic review and meta-analysis. | PSNet

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July 14, 2021 - Resident duty hours and resident and patient outcomes: systematic review and meta-analysis … Resident duty hours and resident and patient outcomes: systematic review and meta‐analysis. … Resident duty hours and resident and patient outcomes: systematic review and meta‐analysis. … and patient outcomes on transition from adult intensive care settings: a systematic review and meta-analysis … A systematic review and meta-analysis.

Analysis of intervention employability in pharmacy-related medication safety reports at a tertiary medical center. | PSNet

psnet.ahrq.gov/issue/analysis-intervention-employability-pharmacy-related-medication-safety-reports-tertiary

November 21, 2021 - June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … December 30, 2014 ISMP medication error report analysis.

Symptom–Disease Pair Analysis of Diagnostic Error (SPADE): a conceptual framework and methodological approach for unearthing misdiagnosis-related harms using big data. | PSNet

psnet.ahrq.gov/issue/symptom-disease-pair-analysis-diagnostic-error-spade-conceptual-framework-and-methodological

October 23, 2019 - Review Classic Symptom–Disease Pair Analysis of Diagnostic … Symptom-Disease Pair Analysis of Diagnostic Error (SPADE): a conceptual framework and methodological … Symptom-Disease Pair Analysis of Diagnostic Error (SPADE): a conceptual framework and methodological … with administrative claims data using Symptom-Disease Pair Analysis of Diagnostic Error methodology … January 23, 2017 Analysis of clinical decision support system malfunctions: a case series

Long-term care healthcare-associated infections in 2023: an analysis of 23,970 reports. | PSNet

psnet.ahrq.gov/issue/long-term-care-healthcare-associated-infections-2023-analysis-23970-reports

July 08, 2020 - Study Long-term care healthcare-associated infections in 2023: an analysis of 23,970 … Long-term care healthcare-associated infections in 2023: an analysis of 23,970 reports. … Long-term care healthcare-associated infections in 2023: an analysis of 23,970 reports. … July 8, 2020 Long-term care healthcare-associated infections in 2022: an analysis of … May 24, 2023 Long-term care healthcare-associated infections in 2021: an analysis of

Using the Generic Analysis Method to analyze sentinel event reports across hospitals: a retrospective cross-sectional study. | PSNet

psnet.ahrq.gov/issue/using-generic-analysis-method-analyze-sentinel-event-reports-across-hospitals-retrospective

May 18, 2022 - Study Using the Generic Analysis Method to analyze sentinel event reports across … Using the Generic Analysis Method to analyze sentinel event reports across hospitals: a retrospective … for monitoring and analysis method in healthcare facilities: a systematic literature review. … Analysis of incident reports from a patient safety organization. … April 8, 2020 Medical Device Use Error: Root Cause Analysis.

An evidence-based toolkit for the development of effective and sustainable root cause analysis system safety solutions. | PSNet

psnet.ahrq.gov/issue/evidence-based-toolkit-development-effective-and-sustainable-root-cause-analysis-system

June 01, 2019 - An evidence-based toolkit for the development of effective and sustainable root cause analysis … An evidence-based toolkit for the development of effective and sustainable root cause analysis system … An evidence-based toolkit for the development of effective and sustainable root cause analysis system … September 19, 2016 Unit-based incident reporting and root cause analysis: variation at … July 20, 2011 Analysis of unintended events in hospitals: inter-rater reliability of

Learning from Errors: Analysis of a Medication Error | PSNet

psnet.ahrq.gov/training-catalog/learning-errors-analysis-medication-error

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