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Showing results for "analyze".

2521. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39101/psn-pdf
      March 05, 2010 - Interventions to improve team effectiveness: a systematic review. March 5, 2010 Buljac-Samardzic M, van Doorn CMD-, van Wijngaarden JDH, et al. Interventions to improve team effectiveness: a systematic review. Health Policy (New York). 2010;94(3):183-95. doi:10.1016/j.healthpol.2009.09.015. https://psnet.ahrq.gov…

2522. Medical errors: mandatory reporting, voluntary reporting, or both? | PSNet
      psnet.ahrq.gov/issue/medical-errors-mandatory-reporting-voluntary-reporting-or-both
      February 28, 2024 - Commentary Medical errors: mandatory reporting, voluntary reporting, or both? Citation Text: Grepperud S. Medical Errors: Mandatory Reporting, Voluntary Reporting, or Both? European Journal of Law and Economics. 2005;20(1). doi:10.1007/s10657-005-1019-8. Copy Citation Format: …

2523. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33612/psn-pdf
      May 01, 2005 - We embedded in our practice a robust root cause analysis system to analyze critical incidents, report

2524. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45190/psn-pdf
      February 15, 2017 - Biases in detection of apparent "weekend effect" on outcome with administrative coding data: population based study of stroke. February 15, 2017 Li L, Rothwell PM, Study OV. Biases in detection of apparent "weekend effect" on outcome with administrative coding data: population based study of stroke. BMJ. 2016;353:…

2525. The Evolution of Root Cause Analysis | PSNet
      psnet.ahrq.gov/perspective/evolution-root-cause-analysis
      February 26, 2025 - By setting clear criteria for which events to analyze in-depth, RCA 2 helps healthcare organizations

2526. Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care Transitions | PSNet
      psnet.ahrq.gov/perspective/using-human-factors-engineering-and-seips-model-advance-patient-safety-care-transitions
      November 16, 2022 - as a new prescription or deprescribing of an existing prescription. 12 Other PSLLs have used HFE to analyze

2527. In Conversation with Jessica Behrhorst about The Evolution of Root Cause Analysis | PSNet
      psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evolution-root-cause-analysis
      February 26, 2025 - By setting clear criteria for which events to analyze in-depth, RCA 2 helps healthcare organizations

2528. Discontinuity and disaster: gaps and the negotiation of culpability in medication delivery. | PSNet
      psnet.ahrq.gov/issue/discontinuity-and-disaster-gaps-and-negotiation-culpability-medication-delivery
      June 24, 2020 - Commentary Discontinuity and disaster: gaps and the negotiation of culpability in medication delivery. Citation Text: Dekker SWA. Discontinuity and disaster: gaps and the negotiation of culpability in medication delivery. J Law Med Ethics. 2007;35(3):463-70. Copy Citation Format:…

2529. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851870/psn-pdf
      July 31, 2023 - In Conversation with... Regina Hoffman about Building Capacity for Patient Safety July 31, 2023 In Conversation with.. Regina Hoffman about Building Capacity for Patient Safety. PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/conversation-regina-hoffman-about-building-capacity-patient-safety Editor’s no…

2530. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33765/psn-pdf
      April 01, 2014 - In Conversation With… Leah Binder, MA, MGA April 1, 2014 In Conversation With… Leah Binder, MA, MGA. PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/conversation-leah-binder-ma-mga Editor's note: Leah Binder is President and CEO of The Leapfrog Group, a national nonprofit representing employers and oth…

2531. Strategies for learning from failure. | PSNet
      psnet.ahrq.gov/issue/strategies-learning-failure
      September 25, 2024 - Commentary Classic Strategies for learning from failure. Citation Text: Edmondson A. Strategies of learning from failure. Harv Bus Rev. 2011;89(4):48-55, 137. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnot…

2532. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40725/psn-pdf
      October 16, 2012 - Association of ICU or hospital admission with unintentional discontinuation of medications for chronic diseases. October 16, 2012 Bell CM, Brener SS, Gunraj N, et al. Association of ICU or hospital admission with unintentional discontinuation of medications for chronic diseases. JAMA. 2011;306(8):840-7. doi:10.10…

2533. Patient Safety. | PSNet
      psnet.ahrq.gov/issue/patient-safety-7
      November 16, 2015 - Book/Report Patient Safety. Citation Text: Patient Safety. Sixth Report of Session 2008–09. House of Commons Health Committee. London, England: The Stationery Office; July 3, 2009. Publication HC 151-I. Copy Citation Save Save to your library Print …

2534. Multifactorial Medication Mishap | PSNet
      psnet.ahrq.gov/web-mm/multifactorial-medication-mishap
      September 01, 2016 - Table 1 ).( 4 ) Although other categorizations also exist, this commentary will use ISMP's model to analyze … Readers who also wish to analyze errors in this manner can use a worksheet available on ISMP's Web site

2535. Nurses' role in patient safety. | PSNet
      psnet.ahrq.gov/issue/nurses-role-patient-safety
      June 09, 2011 - Commentary Nurses' role in patient safety. Citation Text: Hughes RG, Clancy CM. Nurses' role in patient safety. J Nurs Care Qual. 2009;24(1):1-4. doi:10.1097/NCQ.0b013e31818f55c7. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote …

2536. Systematic review of the incidence and characteristics of preventable adverse drug events in ambulatory care. | PSNet
      psnet.ahrq.gov/issue/systematic-review-incidence-and-characteristics-preventable-adverse-drug-events-ambulatory
      July 15, 2010 - Review Systematic review of the incidence and characteristics of preventable adverse drug events in ambulatory care. Citation Text: Thomsen LA, Winterstein AG, S⊘ndergaard B, et al. Systematic Review of the Incidence and Characteristics of Preventable Adverse Drug Events in Ambulatory …

2537. Nursing student errors and near misses: three years of data. | PSNet
      psnet.ahrq.gov/issue/nursing-student-errors-and-near-misses-three-years-data
      October 20, 2021 - Study Nursing student errors and near misses: three years of data. Citation Text: Silvestre JH, Spector ND. Nursing student errors and near misses: three years of data. J Nurs Educ. 2023;62(1):12-19. doi:10.3928/01484834-20221109-05. Copy Citation Format: DOI Google Scholar…

2538. Ambulance stretcher adverse events. | PSNet
      psnet.ahrq.gov/issue/ambulance-stretcher-adverse-events
      March 23, 2011 - Study Ambulance stretcher adverse events. Citation Text: Wang HE, Weaver MD, Abo BN, et al. Ambulance stretcher adverse events. Qual Saf Health Care. 2009;18(3):213-216. doi:10.1136/qshc.2007.024562. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…

2539. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.72_slideshow.ppt
      September 01, 2004 - Spotlight Case [MONTH] 2003 Spotlight Case September 2004 Poor Prognosis? Source and Credits This presentation is based on the September 2004 AHRQ WebM&M Spotlight Case in Surgery See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Elizabeth B. Lamont, M…

2540. Complication rates on weekends and weekdays in US hospitals. | PSNet
      psnet.ahrq.gov/issue/complication-rates-weekends-and-weekdays-us-hospitals
      August 31, 2011 - Study Complication rates on weekends and weekdays in US hospitals. Citation Text: Bendavid E, Kaganova Y, Needleman J, et al. Complication rates on weekends and weekdays in US hospitals. Am J Med. 2007;120(5):422-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNo…