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psnet.ahrq.gov/issue/patient-safety-toolkit-general-practice
April 25, 2018 - general practitioners in the United Kingdom that provides various instruments to help prevent and analyze
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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/approaches-reducing-most-important-patient-errors-primary-health-care-patient-and
April 12, 2011 - This study used focus groups to analyze how health care professionals may minimize the risk of patient
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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/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/computerized-physician-order-entry-factor-medication-errors-descriptive-analysis-events
July 14, 2010 - In this AHRQ-funded study, the authors analyze a computerized provider order entry (CPOE) system implemented
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psnet.ahrq.gov/issue/nurses-behaviors-and-visual-scanning-patterns-may-reduce-patient-identification-errors
December 12, 2012 - This study used behavioral psychology techniques to analyze how nurses' bedside behaviors influenced
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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/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
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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/problems-and-solutions-arising-during-study-visual-semantics-medical-emergency-team-system
January 15, 2009 - This article describes the process of and barriers in collecting audiovisual data to analyze the effectiveness
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psnet.ahrq.gov/issue/reasons-accident-causation-model-application-adverse-events-acute-care
October 29, 2014 - This commentary discusses how Reason's accident causation model is used to analyze adverse events and
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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/teaching-smart-people-learn
September 05, 2012 - As individuals, they effectively analyze and problem solve within the organization but become defensive
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psnet.ahrq.gov/issue/ihi-skilled-nursing-facility-trigger-tool-measuring-adverse-events
February 15, 2017 - nursing facilities, reviews types of events that take place in this setting, and discusses how to analyze
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psnet.ahrq.gov/issue/pediatric-safety-incidents-intensive-care-reporting-system
May 27, 2011 - Care Unit Safety Reporting System (ICUSRS) is a model incident reporting system that has been used to analyze
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psnet.ahrq.gov/issue/patients-low-health-literacy-make-more-errors-interpreting-instructions-and-warnings
May 03, 2023 - October 4, 2023
Pump up the volume: how to prioritize events and analyze error data.
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psnet.ahrq.gov/issue/pump-volume-tips-increasing-error-reporting
March 14, 2023 - March 26, 2014
Pump up the volume: how to prioritize events and analyze error data.
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psnet.ahrq.gov/issue/thinking-about-our-thinking-physicians
August 24, 2016 - October 13, 2018
Use of a novel, modified fishbone diagram to analyze diagnostic errors
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psnet.ahrq.gov/issue/root-cause-analysis-using-prevention-and-recovery-information-system-monitoring-and-analysis
May 18, 2022 - This review identified 25 studies that used the PRISMA method to analyze UEs.