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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/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
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psnet.ahrq.gov/node/43308/psn-pdf
May 01, 2015 - framework that takes into account both technical aspects and human factors
engineering principles to analyze
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psnet.ahrq.gov/node/42788/psn-pdf
January 19, 2014 - They also employed the Lean framework of
define-measure-analyze-improve-control to help teams systematically
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psnet.ahrq.gov/node/39970/psn-pdf
January 22, 2017 - which challenged hospital executives and boards to establish a culture of
safety and systematically analyze
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psnet.ahrq.gov/node/39662/psn-pdf
April 30, 2014 - This
Dutch study used trigger methodology (based on the classic Harvard Medical Practice Study) to analyze
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psnet.ahrq.gov/node/45555/psn-pdf
June 15, 2017 - This study used detailed, video-based clinical vignettes to analyze how primary care physicians in the
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psnet.ahrq.gov/node/41609/psn-pdf
October 11, 2012 - A limitation of this study is that
the authors were not able to analyze outcomes for patients cared
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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
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psnet.ahrq.gov/issue/medication-errors-involving-pediatric-patients
January 02, 2017 - Using Medmarx data from 2001 through 2003, the authors analyze pediatric medication errors and provide
-
psnet.ahrq.gov/issue/detecting-adverse-drug-events-through-data-mining
February 17, 2009 - This article discusses using automated algorithms to analyze medical records and uncover adverse drug
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psnet.ahrq.gov/issue/fatal-errors-nitrous-oxide-delivery
March 02, 2011 - This review assessed published evidence along with media reports to analyze incidents of nitrous oxide–related
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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
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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
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psnet.ahrq.gov/issue/fusion-incident-learning-and-failure-mode-and-effects-analysis-data-driven-patient-safety
November 17, 2021 - oncology incident learning system with a simplified failure mode and effects analysis (FMEA) to analyze
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psnet.ahrq.gov/issue/online-patient-feedback-safety-valve-automated-language-analysis-unnoticed-and-unresolved
August 05, 2020 - This study used automated language analysis to analyze more than 140,000 reports submitted by patients
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psnet.ahrq.gov/issue/child-health-pso-10-years-emerging-learning-network
July 28, 2021 - Patient safety organizations (PSOs) collect and analyze protected safety incident data from across the
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psnet.ahrq.gov/issue/using-risk-assessment-approach-determine-which-factors-influence-whether-partially-bilingual
March 22, 2023 - This study used failure mode and effect analysis to analyze the potential hazards of this decision and
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psnet.ahrq.gov/issue/video-registration-trauma-team-performance-emergency-department-results-2-year-analysis-level
November 16, 2022 - This study used video as a tool to analyze the role of the leader in team function and to evaluate
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psnet.ahrq.gov/issue/toward-translation-systems-thinking-methods-patient-safety-practice-assessing-validity-net
April 21, 2021 - risks associated with patient medication administration and an accident analysis method (AcciMap) to analyze