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psnet.ahrq.gov/issue/comprehensive-analysis-medication-dosing-error-related-cpoe
June 01, 2005 - Commentary
Comprehensive analysis of a medication dosing error related to CPOE. … Comprehensive Analysis of a Medication Dosing Error Related to CPOE: Table 1. … Comprehensive Analysis of a Medication Dosing Error Related to CPOE: Table 1.
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psnet.ahrq.gov/issue/analysis-prescribers-notes-electronic-prescriptions-ambulatory-practice
July 23, 2018 - Study
Analysis of prescribers' notes in electronic prescriptions in ambulatory practice … Analysis of Prescribers' Notes in Electronic Prescriptions in Ambulatory Practice. … Analysis of Prescribers' Notes in Electronic Prescriptions in Ambulatory Practice. … July 23, 2018
Analysis of medication therapy discontinuation orders in new electronic … Cases
A Mistaken Dose of Naloxone
December 18, 2019
Analysis
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psnet.ahrq.gov/issue/patterns-unexpected-hospital-deaths-root-cause-analysis
March 13, 2019 - Review
Patterns of unexpected in-hospital deaths: a root cause analysis. … Patterns of unexpected in-hospital deaths: a root cause analysis. … Patterns of unexpected in-hospital deaths: a root cause analysis.
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psnet.ahrq.gov/issue/cost-benefit-analysis-support-program-nursing-staff
October 26, 2016 - Study
Classic
Cost–benefit analysis of a support program … Cost-Benefit Analysis of a Support Program for Nursing Staff. … Cost-Benefit Analysis of a Support Program for Nursing Staff. … An analysis of associations with safety climate and working conditions. … October 21, 2010
Implementing a fatigue countermeasures program for nurses: a focus group analysis
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psnet.ahrq.gov/issue/content-analysis-team-communication-obstetric-emergency-scenario
July 13, 2009 - Study
Content analysis of team communication in an obstetric emergency scenario. … Content analysis of team communication in an obstetric emergency scenario. … Content analysis of team communication in an obstetric emergency scenario.
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psnet.ahrq.gov/issue/depth-analysis-medication-errors-hospitalized-patients-hiv
July 15, 2010 - Study
An in-depth analysis of medication errors in hospitalized patients with HIV … An in-depth analysis of medication errors in hospitalized patients with HIV. … An in-depth analysis of medication errors in hospitalized patients with HIV. … Department of Veterans Affairs: a qualitative analysis. … Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis
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psnet.ahrq.gov/issue/analysis-medication-safety-intervention-pediatric-emergency-department
August 02, 2012 - Study
Analysis of a medication safety intervention in the pediatric emergency department … Analysis of a medication safety intervention in the pediatric emergency department. … Analysis of a medication safety intervention in the pediatric emergency department.
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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.
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psnet.ahrq.gov/issue/integration-prospective-and-retrospective-methods-risk-analysis-hospitals
June 23, 2010 - Study
Integration of prospective and retrospective methods for risk analysis in hospitals … Integration of prospective and retrospective methods for risk analysis in hospitals. … Integration of prospective and retrospective methods for risk analysis in hospitals. … June 23, 2010
Prospective risk analysis of health care processes: a systematic evaluation … October 30, 2010
Analysis of 23,364 patient-generated, physician-reviewed malpractice
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psnet.ahrq.gov/issue/impact-adverse-events-prescribing-warfarin-patients-atrial-fibrillation-matched-pair-analysis
August 15, 2018 - July 12, 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/perspective/soil-not-seed-real-problem-root-cause-analysis
March 01, 2007 - The Soil, Not the Seed: The Real Problem with Root Cause Analysis
Patrice Spath, BA, RHIT, and William … The Soil, Not the Seed: The Real Problem with Root Cause Analysis. PSNet [internet]. … The Soil, Not the Seed: The Real Problem with Root Cause Analysis. PSNet [internet]. … Effectiveness and efficiency of root cause analysis in medicine. JAMA. 2008;299:685-687. … The Soil, Not the Seed: The Real Problem with Root Cause Analysis. PSNet [internet].
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psnet.ahrq.gov/issue/teamwork-and-error-operating-room-analysis-skills-and-roles
April 15, 2009 - Study
Teamwork and error in the operating room: analysis of skills and roles. … Teamwork and error in the operating room: analysis of skills and roles. … Teamwork and error in the operating room: analysis of skills and roles.
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psnet.ahrq.gov/issue/using-near-misses-analysis-prevent-wrong-site-surgery
April 24, 2018 - Study
Using "near misses" analysis to prevent wrong-site surgery. … Using "near misses" analysis to prevent wrong-site surgery. … Using "near misses" analysis to prevent wrong-site surgery. … October 22, 2014
Risk factors for retained surgical items: a meta-analysis and proposed … April 30, 2014
Application of human error theory in case analysis of wrong procedures
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psnet.ahrq.gov/issue/radiological-error-analysis-standard-setting-targeted-instruction-and-teamworking
December 12, 2018 - Commentary
Radiological error: analysis, standard setting, targeted instruction and … Radiological error: analysis, standard setting, targeted instruction and teamworking. … Radiological error: analysis, standard setting, targeted instruction and teamworking. … April 13, 2017
Radiologist-initiated double reading of abdominal CT: retrospective analysis … October 4, 2011
CT for suspected appendicitis in children: an analysis of diagnostic
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psnet.ahrq.gov/issue/association-between-physician-burnout-and-self-reported-errors-meta-analysis
July 19, 2017 - Review
Association between physician burnout and self-reported errors: meta-analysis … Association between physician burnout and self-reported errors: meta-analysis. … Association between physician burnout and self-reported errors: meta-analysis. … for monitoring and analysis method in healthcare facilities: a systematic literature review. … October 29, 2017
The weekend effect in hospitalized patients: a meta-analysis.
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psnet.ahrq.gov/issue/serious-incidents-after-death-content-analysis-incidents-reported-national-database
October 03, 2018 - Study
Serious incidents after death: content analysis of incidents reported to a … Serious incidents after death: content analysis of incidents reported to a national database. … Serious incidents after death: content analysis of incidents reported to a national database. … August 25, 2021
A mixed-methods analysis of patient safety incidents involving opioid … July 18, 2016
Harms from discharge to primary care: mixed methods analysis of incident
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psnet.ahrq.gov/issue/learning-litigation-role-claims-analysis-patient-safety
November 21, 2018 - The role of claims analysis in patient safety. … The role of claims analysis in patient safety. J Eval Clin Pract. 2006;12(6):665-74. … The role of claims analysis in patient safety. J Eval Clin Pract. 2006;12(6):665-74. … Sequential content and reflexive thematic analysis of national statutory reporting within the NHS in … October 21, 2010
Litigation related to drug errors in anaesthesia: an analysis of claims
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psnet.ahrq.gov/issue/nature-blame-patient-safety-incident-reports-mixed-methods-analysis-national-database
October 12, 2016 - Study
Nature of blame in patient safety incident reports: mixed methods analysis … Nature of Blame in Patient Safety Incident Reports: Mixed Methods Analysis of a National Database. … Nature of Blame in Patient Safety Incident Reports: Mixed Methods Analysis of a National Database. … April 1, 2020
Sources of unsafe primary care for older adults: a mixed-methods analysis … September 24, 2017
A mixed-methods analysis of patient safety incidents involving opioid
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psnet.ahrq.gov/issue/missed-diagnosis-stroke-emergency-department-cross-sectional-analysis-large-population-based
April 08, 2018 - Study
Missed diagnosis of stroke in the emergency department: a cross-sectional analysis … Missed diagnosis of stroke in the emergency department: a cross-sectional analysis of a large population-based … Missed diagnosis of stroke in the emergency department: a cross-sectional analysis of a large population-based … with administrative claims data using Symptom-Disease Pair Analysis of Diagnostic Error methodology … June 19, 2018
Symptom–Disease Pair Analysis of Diagnostic Error (SPADE): a conceptual
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psnet.ahrq.gov/issue/quality-improvement-priorities-safer-out-hours-palliative-care-lessons-mixed-methods-analysis
July 03, 2016 - Quality improvement priorities for safer out-of-hours palliative care: lessons from a mixed-methods analysis … Quality improvement priorities for safer out-of-hours palliative care: Lessons from a mixed-methods analysis … Quality improvement priorities for safer out-of-hours palliative care: Lessons from a mixed-methods analysis … October 12, 2016
Harms from discharge to primary care: mixed methods analysis of incident … December 16, 2015
Sources of unsafe primary care for older adults: a mixed-methods analysis