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psnet.ahrq.gov/node/39123/psn-pdf
April 30, 2014 - This study used Veterans Administration data to analyze the
broader concept of "incorrect" surgical
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psnet.ahrq.gov/issue/registered-nurses-judgments-classification-and-risk-level-patient-care-errors
August 24, 2022 - Low interrater agreement when attempting to retrospectively analyze adverse events is a well-documented
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psnet.ahrq.gov/issue/understanding-cognitive-work-nursing-acute-care-environment
July 20, 2022 - AHRQ-funded study applied techniques from human factors engineering and observational research to analyze
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psnet.ahrq.gov/issue/medical-error-and-systems-signaling-conceptual-and-linguistic-definition
July 12, 2019 - between individual and system causes for medical errors, this commentary relates methods to identify and analyze
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psnet.ahrq.gov/issue/root-cause-analysis-cases-involving-diagnosis
August 28, 2019 - Root cause analysis (RCA) is a widely used approach to retrospectively analyze safety events like surgical
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psnet.ahrq.gov/issue/patient-safety-what-how-and-when
June 23, 2021 - safety concepts , including safety culture , incident reporting, and various approaches to detect and analyze
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psnet.ahrq.gov/issue/role-intraoperative-cholangiography-avoiding-bile-duct-injury
December 13, 2023 - The authors analyze existing evidence on using intraoperative cholangiography (IOC) to minimize patient
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psnet.ahrq.gov/issue/description-inpatient-medication-management-using-cognitive-work-analysis
October 19, 2022 - This study used cognitive engineering techniques to analyze the process of medication prescribing,
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005
March 29, 2023 - federal government has developed and maintains the voluntary reporting system, working with PSOs to analyze
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psnet.ahrq.gov/issue/social-dimensions-safety-incident-reporting-maternity-care-influence-working-relationships
September 18, 2024 - This study used an ethnographic approach to analyze the process of voluntary error reporting in maternity
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psnet.ahrq.gov/issue/evaluation-measure-dx-resource-accelerate-diagnostic-safety-learning-and-improvement
February 07, 2024 - AHRQ’s Measure Dx: A Resource to Identify, Analyze, and Learn from Diagnostic Safety Events supports
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psnet.ahrq.gov/node/39583/psn-pdf
October 30, 2010 - In this study, the authors developed a statistical model to analyze incident
reporting data to identify
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psnet.ahrq.gov/node/41031/psn-pdf
February 10, 2012 - This study,
which used the AHRQ Patient Safety Indicators (PSIs) to analyze safety events in 69 million
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psnet.ahrq.gov/node/44056/psn-pdf
May 19, 2018 - financial models, including a novel approach that accounts for various diagnosis-related groups, to
analyze
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psnet.ahrq.gov/node/41816/psn-pdf
September 26, 2016 - preserving a patient-centered
environment, this study used a human factors engineering approach to analyze
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psnet.ahrq.gov/node/44831/psn-pdf
January 27, 2016 - nursing facilities, reviews types of
events that take place in this setting, and discusses how to analyze
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psnet.ahrq.gov/node/38308/psn-pdf
April 21, 2010 - proportion of hospitals have a safety culture that encourages reporting or
promptly disseminate and analyze
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psnet.ahrq.gov/issue/patient-safety-risk-management-playbook
February 17, 2016 - and enterprise risk management, this publication discusses how to develop a process to collect and analyze
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psnet.ahrq.gov/issue/warning-health-it-may-be-hazardous-your-healthcare
July 30, 2008 - article relates the development of a taxonomy that hospitals and vendors can use to detect, sort, and analyze
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psnet.ahrq.gov/issue/hospital-report-card-ontario-2009
December 17, 2014 - Designed to help patients choose hospitals, this report utilized AHRQ quality indicators to analyze the