-
psnet.ahrq.gov/node/39790/psn-pdf
March 21, 2017 - Prior research
confirms the need to use multiple data sources to realistically analyze safety at the
-
psnet.ahrq.gov/node/41257/psn-pdf
April 22, 2012 - development-evidence-based-framework-factors-contributing-patient-safety-
incidents-hospital
Early efforts to understand and analyze
-
psnet.ahrq.gov/node/40786/psn-pdf
December 30, 2014 - The authors found that applying the SA framework to
analyze such errors provided deeper insight into
-
psnet.ahrq.gov/node/39239/psn-pdf
September 27, 2017 - This study used data from
MEDMARX, a voluntary reporting system for medication errors, to analyze the
-
psnet.ahrq.gov/node/44476/psn-pdf
September 26, 2016 - Recognizing
this, commentators have called for research to analyze the causes and effects of interruptions
-
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
-
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
-
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
-
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
-
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
-
psnet.ahrq.gov/issue/us-emergency-department-visits-attributed-medication-harms-2017-2019
December 15, 2021 - Electronic Injury Surveillance System-Cooperative Adverse Drug Event Surveillance Project (NEISS) to analyze
-
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
-
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,
-
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
-
psnet.ahrq.gov/issue/development-swarm-model-high-reliability-rapid-problem-solving-and-institutional-learning
November 16, 2022 - discusses the development and implementation of the SWARM tool—a unit-based mechanism to rapidly analyze
-
psnet.ahrq.gov/issue/preventing-medication-errors-during-codes
February 22, 2023 - Related Resources From the Same Author(s)
Pump up the volume: how to prioritize events and analyze
-
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
-
psnet.ahrq.gov/issue/when-doctors-make-mistakes
September 28, 2017 - Gawande outlines the steps taken by the field of anesthesia to analyze errors and find remedies for system
-
psnet.ahrq.gov/issue/work-system-barriers-and-facilitators-inpatient-care-transitions-pediatric-trauma-patients
September 11, 2019 - This study used the Systems Engineer Initiative for Patient Safety approach to analyze care transitions
-
psnet.ahrq.gov/issue/why-nurses-make-medication-errors-simulation-study
March 02, 2011 - The investigators used a simulated scenario to analyze communication problems among nursing teams that