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psnet.ahrq.gov/training-catalog/learning-errors-analysis-medication-error
Learning from Errors: Analysis of a Medication Error
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psnet.ahrq.gov/issue/analysis-australian-newspaper-coverage-medication-errors
February 15, 2012 - Study
Analysis of Australian newspaper coverage of medication errors. … Analysis of Australian newspaper coverage of medication errors. … Analysis of Australian newspaper coverage of medication errors.
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psnet.ahrq.gov/issue/medication-reconciliation-qualitative-analysis-clinicians-perceptions
October 10, 2015 - Study
Medication reconciliation: a qualitative analysis of clinicians' perceptions … Medication reconciliation: A qualitative analysis of clinicians' perceptions. … Medication reconciliation: A qualitative analysis of clinicians' perceptions. … October 9, 2024
A cognitive task analysis of information management strategies in a computerized
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psnet.ahrq.gov/issue/rapid-response-teams-qualitative-analysis-their-effectiveness
November 02, 2010 - Study
Rapid response teams: qualitative analysis of their effectiveness. … Rapid response teams: qualitative analysis of their effectiveness. … Rapid response teams: qualitative analysis of their effectiveness. … November 4, 2012
Defining attributes of patient safety through a concept analysis.
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psnet.ahrq.gov/issue/resident-duty-hours-and-resident-and-patient-outcomes-systematic-review-and-meta-analysis
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.
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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.
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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/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.