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psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-reduce-risk-heparin-use
July 19, 2023 - This study used a failure mode and effects analysis (FMEA) to prospectively analyze various steps in
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psnet.ahrq.gov/issue/reducing-failures-daily-medical-practice-healthcare-failure-mode-and-effect-analysis-combined
August 10, 2022 - Use of HFMEA-CS to analyze medication processes during admission and discharge for patients with a rare
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psnet.ahrq.gov/issue/err-system-comparison-methodologies-investigation-adverse-outcomes-healthcare
January 26, 2022 - AcciMap (which places emphasis on multiple levels of decision making important to risk management) – to analyze
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psnet.ahrq.gov/issue/adoption-national-quality-forum-safe-practices-magnet-hospitals
May 15, 2019 - a group of hospitals enrolled in the Leapfrog Group's safety initiative, the authors were able to analyze
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psnet.ahrq.gov/issue/use-prospective-risk-analysis-method-improve-safety-cancer-chemotherapy-process
May 29, 2019 - The study provides a nice example of how FMEA techniques analyze high-risk care processes while prioritizing
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psnet.ahrq.gov/issue/longitudinal-analysis-culture-patient-safety-survey-results-surgical-departments
October 12, 2022 - This study uses an innovative approach to analyze Hospital SOPS results longitudinally by calculating
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psnet.ahrq.gov/issue/how-often-are-potential-patient-safety-events-present-admission
January 26, 2022 - This study combined POA data collected from two statewide discharge databases and used them to analyze
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psnet.ahrq.gov/issue/utilizing-pharmacogenomic-testing-can-improve-medication-safety-and-prevent-harm
April 17, 2024 - May 19, 2021
Pump up the volume: how to prioritize events and analyze error data.
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psnet.ahrq.gov/node/43865/psn-pdf
May 01, 2015 - computerised-physician-order-entry-related-medication-errors-analysis-
reported-errors-and
This study used a two-stage approach to analyze
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psnet.ahrq.gov/issue/patient-safetys-missing-link-using-clinical-expertise-recognize-respond-and-reduce-risks
May 08, 2017 - This commentary provides a framework to use incident reporting to identify , analyze, and address risks
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psnet.ahrq.gov/issue/improving-end-life-care-information-systems-approach-reducing-medical-errors
November 04, 2015 - The authors discuss and analyze preliminary results from two palliative care information systems.
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psnet.ahrq.gov/issue/comprehensive-analysis-medication-dosing-error-related-cpoe
June 01, 2005 - They use their findings to suggest improvements in their hospital’s CPOE system and to analyze CPOE system–related
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psnet.ahrq.gov/issue/impact-care-quality-commission-provider-performance-room-improvement
November 18, 2015 - This report provides a framework developed to analyze the quality improvement inspection process in the
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psnet.ahrq.gov/issue/using-root-cause-analysis-reduce-falls-injury-community-settings
April 25, 2016 - While RCA has traditionally been used to analyze adverse events in the inpatient setting, the authors
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psnet.ahrq.gov/issue/evaluation-safety-radiation-oncology-setting-using-failure-mode-and-effects-analysis
January 22, 2017 - Failure mode and effects analysis was used to prospectively analyze an external beam radiation therapy
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psnet.ahrq.gov/issue/safeguarding-medication-administration-understanding-pre-registration-nursing-students-survey
June 27, 2012 - This qualitative study used simulated scenarios to analyze nursing students' perceptions of their responsibilities
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psnet.ahrq.gov/issue/how-do-physicians-conduct-medication-reviews
September 02, 2010 - This study analyzed audiotaped discussions of primary care clinic visits to analyze how physicians discuss
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psnet.ahrq.gov/issue/nature-causes-and-consequences-unintended-events-surgical-units
September 07, 2016 - Voluntary error reporting combined with root cause analysis was used to analyze adverse events at
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psnet.ahrq.gov/issue/paediatric-adverse-drug-reactions-reported-sweden-1987-2001
June 17, 2014 - The authors analyze adverse drug reaction (ADR) reports from a national system.
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psnet.ahrq.gov/issue/persistence-unsafe-practice-everyday-work-exploration-organizational-and-psychological
April 06, 2011 - The authors used three theoretical models to analyze ways in which unsafe behaviors become accepted by