Results

Total Results: over 10,000 records

Showing results for "analysis".
Users also searched for: heart failure

441. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35703/psn-pdf
     July 13, 2010 - Injury and liability associated with monitored anesthesia care: a closed claims analysis. … Injury and liability associated with monitored anesthesia care: a closed claims analysis. … https://psnet.ahrq.gov/issue/injury-and-liability-associated-monitored-anesthesia-care-closed-claims- analysis … Investigators performed a detailed analysis of more than 120 MAC claims, compared them with those of … https://psnet.ahrq.gov/issue/adverse-respiratory-events-anesthesia-closed-claims-analysis

442. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38861/psn-pdf
     August 26, 2009 - Survey evaluation of the National Patient Safety Agency’s Root Cause Analysis training programme in … Survey evaluation of the National Patient Safety Agency's Root Cause Analysis training programme in … https://psnet.ahrq.gov/issue/survey-evaluation-national-patient-safety-agencys-root-cause-analysis- … training-programme Formal root cause analysis (RCA) training conducted by the United Kingdom's National … https://psnet.ahrq.gov/primer/root-cause-analysis https://psnet.ahrq.gov/issue/national-patient-safety-agency-npsa

443. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38697/psn-pdf
     June 10, 2009 - A report card system using error profile analysis and concurrent morbidity and mortality review: surgical … outcome analysis, part II. … A report card system using error profile analysis and concurrent morbidity and mortality review: surgical … outcome analysis, part II. … https://psnet.ahrq.gov/issue/report-card-system-using-error-profile-analysis-and-concurrent-morbidity-and

444. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45827/psn-pdf
     January 24, 2018 - Using failure mode and effects analysis to reduce patient safety risks related to the dispensing process … Using Failure mode and Effects Analysis to reduce patient safety risks related to the dispensing process … https://psnet.ahrq.gov/issue/using-failure-mode-and-effects-analysis-reduce-patient-safety-risks-related … - dispensing Failure mode and effect analysis is a tool commonly used to proactively assess the reliability … The authors describe the application of failure mode and effect analysis to identify failure modes in

445. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34803/psn-pdf
     January 05, 2017 - Systematic root cause analysis of adverse drug events in a tertiary referral hospital. … Systematic Root Cause Analysis of Adverse Drug Events in a Tertiary Referral Hospital. … This study examines the utility of root cause analysis (RCA) to identify, investigate, and address … The authors conclude that systematic application of root cause analysis, coupled with implementation … https://psnet.ahrq.gov/primer/root-cause-analysis https://psnet.ahrq.gov//#adversedrugevent

446. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42590/psn-pdf
     August 02, 2015 - Health care-associated infections: a meta-analysis of costs and financial impact on the US health care … Health care-associated infections: a meta-analysis of costs and financial impact on the US health care … https://psnet.ahrq.gov/issue/health-care-associated-infections-meta-analysis-costs-and-financial-impact-us … This economic analysis combined a systematic review of estimates of costs attributable to HAIs with … https://psnet.ahrq.gov/issue/business-case-quality-case-studies-and-analysis

447. Impact of a standard medication chart on prescribing errors: a before-and-after audit. | PSNet
     psnet.ahrq.gov/issue/impact-standard-medication-chart-prescribing-errors-and-after-audit
     May 02, 2012 - 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.

448. Predictors of warfarin-associated adverse events in hospitalized patients: opportunities to prevent patient harm. | PSNet
     psnet.ahrq.gov/issue/predictors-warfarin-associated-adverse-events-hospitalized-patients-opportunities-prevent
     August 03, 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.

449. Labeling morphine milligram equivalents on opioid packaging: a potential patient safety intervention. | PSNet
     psnet.ahrq.gov/issue/labeling-morphine-milligram-equivalents-opioid-packaging-potential-patient-safety
     March 06, 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.

450. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43595/psn-pdf
     November 19, 2014 - Patient safety in external beam radiotherapy—guidelines on risk assessment and analysis of adverse error-events … Patient safety in external beam radiotherapy - guidelines on risk assessment and analysis of adverse … https://psnet.ahrq.gov/issue/patient-safety-external-beam-radiotherapy-guidelines-risk-assessment-and- analysis-adverse … other safety concerns, adverse events are under-reported to voluntary reporting systems and root cause analysis … https://psnet.ahrq.gov/primer/reporting-patient-safety-events https://psnet.ahrq.gov/primer/root-cause-analysis

451. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44754/psn-pdf
     March 23, 2016 - Use of failure mode and effects analysis to improve emergency department handoff processes. … Use of Failure Mode and Effects Analysis to Improve Emergency Department Handoff Processes. … https://psnet.ahrq.gov/issue/use-failure-mode-and-effects-analysis-improve-emergency-department- handoff-processes … This commentary describes a project that used failure mode and effects analysis to identify weaknesses … https://psnet.ahrq.gov/issue/use-failure-mode-and-effects-analysis-improve-emergency-department-handoff-processes

452. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37784/psn-pdf
     May 27, 2011 - A risk analysis method to evaluate the impact of a Computerized Provider Order Entry system on patient … A risk analysis method to evaluate the impact of a computerized provider order entry system on patient … https://psnet.ahrq.gov/issue/risk-analysis-method-evaluate-impact-computerized-provider-order-entry- … This study conducted a detailed quantitative analysis, following a failure mode and effect analysis … https://psnet.ahrq.gov/issue/risk-analysis-method-evaluate-impact-computerized-provider-order-entry-system-patient-safety

453. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46188/psn-pdf
     June 21, 2017 - Death by suicide within 1 week of hospital discharge: a retrospective study of root cause analysis reports … Death by Suicide Within 1 Week of Hospital Discharge: A Retrospective Study of Root Cause Analysis Reports … psnet.ahrq.gov/issue/death-suicide-within-1-week-hospital-discharge-retrospective-study-root- cause-analysis … This review of root cause analysis reports about suicide within 7 days of discharge from inpatient … /psnet.ahrq.gov/issue/death-suicide-within-1-week-hospital-discharge-retrospective-study-root-cause-analysis

454. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35435/psn-pdf
     June 14, 2011 - Drill down with root cause analysis. June 14, 2011 McDonald A, Leyhane T. … Drill down with root cause analysis. Nurs Manage. 2005;36(10):26-32. … https://psnet.ahrq.gov/issue/drill-down-root-cause-analysis The authors outline a six-step process for … root cause analysis and highlight the importance of understanding state disclosure and discovery laws … https://psnet.ahrq.gov/issue/drill-down-root-cause-analysis https://psnet.ahrq.gov/primer/root-cause-analysis

455. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38383/psn-pdf
     June 30, 2011 - A system analysis of a suboptimal surgical experience. … A system analysis of a suboptimal surgical experience. … https://psnet.ahrq.gov/issue/system-analysis-suboptimal-surgical-experience A post-surgical complication … https://psnet.ahrq.gov/issue/system-analysis-suboptimal-surgical-experience https://psnet.ahrq.gov/primer … /root-cause-analysis

456. Preventing harm from high-alert medications. | PSNet
     psnet.ahrq.gov/issue/preventing-harm-high-alert-medications
     August 14, 2017 - 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.

457. National Patient Safety Goals. | PSNet
     psnet.ahrq.gov/issue/national-patient-safety-goals
     May 30, 2012 - 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.

458. ISMP Targeted Medication Safety Best Practices for Community Pharmacy. | PSNet
     psnet.ahrq.gov/issue/ismp-targeted-medication-safety-best-practices-community-pharmacy
     March 21, 2012 - 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.

459. Implementing a bar-code medication administration system. | PSNet
     psnet.ahrq.gov/issue/implementing-bar-code-medication-administration-system
     May 11, 2014 - 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.

460. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40898/psn-pdf
     February 06, 2012 - Creating a web-based incident analysis and communication system. … Creating a web-based incident analysis and communication system. … https://psnet.ahrq.gov/issue/creating-web-based-incident-analysis-and-communication-system This study … reports on the development of a system for standardizing root cause analysis of sentinel events. … /primer/root-cause-analysis https://psnet.ahrq.gov/primer/never-events