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psnet.ahrq.gov/issue/management-difficult-airway-closed-claims-analysis
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
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psnet.ahrq.gov/issue/applying-lean-sigma-solutions-mistake-proof-chemotherapy-preparation-process
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.
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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
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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
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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.
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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
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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
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psnet.ahrq.gov/issue/using-smart-pumps-understand-and-evaluate-clinician-practice-patterns-ensure-patient-safety
September 01, 2016 - 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.
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psnet.ahrq.gov/issue/ambulatory-medication-errors-and-adverse-events-involved-medicine-related-malpractice-cases
November 18, 2016 - May 31, 2023
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.
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psnet.ahrq.gov/issue/incidence-and-characteristics-adverse-events-paediatric-inpatient-care-systematic-review-and
September 21, 2022 - Incidence and characteristics of adverse events in paediatric inpatient care: a systematic review and meta-analysis … Incidence and characteristics of adverse events in paediatric inpatient care: a systematic review and meta-analysis … Variation in detected adverse events using trigger tools: a systematic review and meta-analysis … and patient outcomes on transition from adult intensive care settings: a systematic review and meta-analysis … July 8, 2020
Systematic review and meta-analysis of interventions for operating room
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psnet.ahrq.gov/issue/medication-error-reporting-nursing-homes-identifying-targets-patient-safety-improvement
March 24, 2011 - 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.
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psnet.ahrq.gov/issue/recasting-rca-improved-model-performing-root-cause-analyses
November 10, 2010 - January 11, 2023
Implementing root cause analysis and action: integrating human factors … July 20, 2022
Retrospective analysis of reported suicide deaths and attempts on Veterans … January 29, 2020
Root Cause Analysis: The Core of Problem Solving and Corrective Action … April 13, 2019
Missed nursing care: a concept analysis. … September 27, 2017
The problem with root cause analysis.
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psnet.ahrq.gov/issue/what-can-we-learn-depth-analysis-human-errors-resulting-diagnostic-errors-emergency
June 08, 2022 - Study
What can we learn from in-depth analysis of human errors resulting in diagnostic … errors in the emergency department: an analysis of serious adverse event reports. … department: an analysis of serious adverse event reports. … department: an analysis of serious adverse event reports. … Analysis of incident reports from a patient safety organization.
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psnet.ahrq.gov/issue/systems-approach-health-service-design-delivery-and-improvement-systematic-review-and-meta
February 02, 2022 - Systems approach to health service design, delivery and improvement: a systematic review and meta-analysis … Systems approach to health service design, delivery and improvement: a systematic review and meta-analysis … Systems approach to health service design, delivery and improvement: a systematic review and meta-analysis … and patient outcomes on transition from adult intensive care settings: a systematic review and meta-analysis … October 27, 2021
Systematic review and meta-analysis of interventions for operating room
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psnet.ahrq.gov/issue/analysis-risk-factors-patient-safety-events-occurring-emergency-department
January 26, 2022 - Study
Analysis of risk factors for patient safety events occurring in the emergency … Analysis of risk factors for patient safety events occurring in the emergency department. … Analysis of risk factors for patient safety events occurring in the emergency department. … Analysis of incident reports from a patient safety organization. … errors in the emergency department: an analysis of serious adverse event reports.
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psnet.ahrq.gov/issue/patient-safety-trends-2021-analysis-288882-serious-events-and-incidents-nations-largest-event
May 19, 2021 - Study
Patient safety trends in 2021: an analysis of 288,882 serious events and incidents … Patient safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s … Patient safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s … May 19, 2021
Long-term care healthcare-associated infections in 2021: an analysis of … of patient safety and root cause analysis reports in the Veterans Health Administration.
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psnet.ahrq.gov/issue/prevalence-contributory-factors-and-severity-medication-errors-associated-direct-acting-oral
December 22, 2021 - August 7, 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.
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psnet.ahrq.gov/issue/iatrogenesis-context-residential-dementia-care-concept-analysis
August 17, 2022 - Commentary
Iatrogenesis in the context of residential dementia care: a concept analysis … Iatrogenesis in the context of residential dementia care: a concept analysis. … Iatrogenesis in the context of residential dementia care: a concept analysis. … A concept analysis of undergraduate nursing students speaking up for patient safety in the patient … A systematic review and meta-analysis.
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psnet.ahrq.gov/issue/leapfrog-safety-grades-california-hospitals-data-analysis
November 16, 2022 - Study
Leapfrog safety grades in California hospitals: a data analysis. … Leapfrog safety grades in California hospitals: a data analysis. … Leapfrog safety grades in California hospitals: a data analysis. … October 23, 2024
New Analysis Shows Hospitals Improving Performance on Key Patient Safety … September 18, 2024
Hospital rating organizations' quality and patient safety scores: analysis
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psnet.ahrq.gov/issue/feeling-safe-during-inpatient-hospitalization-concept-analysis
May 20, 2020 - Commentary
Feeling safe during an inpatient hospitalization: a concept analysis. … Feeling safe during an inpatient hospitalization: a concept analysis. … Feeling safe during an inpatient hospitalization: a concept analysis.