-
psnet.ahrq.gov/node/43273/psn-pdf
April 25, 2016 - This observational study sought to analyze the incidence of inpatient cardiopulmonary arrest and related
-
psnet.ahrq.gov/node/38454/psn-pdf
January 02, 2017 - reporting-two-hospitals
Incident reporting (IR) systems serve as an important mechanism to understand, analyze
-
psnet.ahrq.gov/innovation/combined-proactive-risk-assessment-cpra-4-step-technique-innovation-summary
February 26, 2025 - Center for Patient Safety (NCPS) created the Combined Proactive Risk Assessment (CPRA) technique to analyze … The objective of CPRA is to utilize institutional databases to analyze patient safety data, proactively … traditional proactive risk assessment techniques to capitalize on data from the VHA data repositories and analyze
-
psnet.ahrq.gov/issue/critical-incident-monitoring-anaesthesia
September 04, 2024 - This article discusses how critical incident monitoring is used to analyze errors in anesthesia and
-
psnet.ahrq.gov/issue/ismp-quarterwatch-reports
June 07, 2017 - This website provides quarterly reports that identify and analyze new risks related to medications and
-
psnet.ahrq.gov/issue/panel-set-study-safety-electronic-patient-data
March 06, 2005 - This article reports on a committee created by the Institute of Medicine to analyze the potential impact
-
psnet.ahrq.gov/issue/still-not-safe-patient-safety-and-middle-managing-american-medicine
June 26, 2019 - The authors analyze the experience through social, legal, market, psychological and medical practice
-
psnet.ahrq.gov/issue/data-consistency-voluntary-medical-incident-reporting-system
August 21, 2024 - that nearly one quarter of incident reports lacked sufficient information to accurately classify and analyze
-
psnet.ahrq.gov/issue/multi-level-strategies-achieve-resilience-organisation-operating-capacity-case-study-trauma
November 20, 2024 - The authors identify and analyze strategies used by surgical unit staff to adapt to high demand and overcrowding
-
psnet.ahrq.gov/issue/bearing-witness-ethics-practice-storying-physicians-medical-mistake-narratives
July 17, 2024 - This study used in-depth interviews with physicians to analyze how they discussed the practical and emotional
-
psnet.ahrq.gov/node/41858/psn-pdf
November 21, 2012 - This study
applied the systems approach to analyze cases presented at surgical M&M conferences over
-
psnet.ahrq.gov/node/39123/psn-pdf
April 30, 2014 - This study used Veterans Administration data to analyze the
broader concept of "incorrect" surgical
-
psnet.ahrq.gov/node/41298/psn-pdf
November 27, 2012 - many nursing homes, and this study used the AHRQ Nursing Home Survey on Patient Safety Culture to
analyze
-
psnet.ahrq.gov/node/35434/psn-pdf
June 14, 2011 - This
discussion is illustrated with actual excerpts from an RCA, after which the authors analyze the
-
psnet.ahrq.gov/node/38570/psn-pdf
April 22, 2009 - to consume tremendous energy for providers who submit incidents
and for hospital safety leaders who analyze
-
psnet.ahrq.gov/node/36384/psn-pdf
January 05, 2017 - Robert
Wachter and Peter Pronovost critically analyze the campaign, the interventions promoted, and
-
psnet.ahrq.gov/node/44644/psn-pdf
February 14, 2017 - Quebec that required physicians to enter the reason for prescribing or
discontinuing medications to analyze
-
psnet.ahrq.gov/issue/follow-markedly-elevated-serum-potassium-results-ambulatory-setting-implications-patient
September 29, 2021 - The investigators reviewed medical records to analyze follow-up procedures for episodes of hyperkalemia
-
psnet.ahrq.gov/issue/hsmr-new-approach-measuring-hospital-mortality-trends-canada
June 22, 2015 - This report describes a new metric used to analyze mortality rates in Canadian health care and also includes
-
psnet.ahrq.gov/issue/exploring-performance-obstacles-intensive-care-nurses
March 11, 2020 - This qualitative study used in-depth interviews with nurses to analyze factors contributing to suboptimal