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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
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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
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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
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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/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/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/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/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/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/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/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/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/fatal-errors-nitrous-oxide-delivery
March 02, 2011 - This review assessed published evidence along with media reports to analyze incidents of nitrous oxide–related
-
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
-
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/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/41257/psn-pdf
April 22, 2012 - development-evidence-based-framework-factors-contributing-patient-safety-
incidents-hospital
Early efforts to understand and analyze
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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