Results

Total Results: 2,647 records

Showing results for "analyze".

281. To tell the truth: ethical and practical issues in disclosing medical mistakes to patients. | PSNet
     psnet.ahrq.gov/issue/tell-truth-ethical-and-practical-issues-disclosing-medical-mistakes-patients
     April 19, 2011 - The authors analyze various ethical arguments for and against disclosure, outlining the potential risks

282. Computerized Prescriber Order Entry Medication Safety (CPOEMS): Uncovering and Learning From Issues and Errors. | PSNet
     psnet.ahrq.gov/issue/computerized-prescriber-order-entry-medication-safety-cpoems-uncovering-and-learning-issues
     February 05, 2014 - paper discusses the results of a multi-hospital effort to develop a process and tools to collect and analyze

283. The role of error in organizing behaviour. | PSNet
     psnet.ahrq.gov/issue/role-error-organizing-behaviour
     April 21, 2011 - He presents three cases to analyze human–system interactions, including traditional task analysis and

284. Hospital board checklist to improve culture and reduce central line–associated bloodstream infections. | PSNet
     psnet.ahrq.gov/issue/hospital-board-checklist-improve-culture-and-reduce-central-line-associated-bloodstream
     May 24, 2012 - which challenged hospital executives and boards to establish a culture of safety and systematically analyze

285. Skin-deep diagnosis: affective bias and zebra retreat complicating the diagnosis of systemic sclerosis. | PSNet
     psnet.ahrq.gov/issue/skin-deep-diagnosis-affective-bias-and-zebra-retreat-complicating-diagnosis-systemic
     July 29, 2020 - October 13, 2018 Use of a novel, modified fishbone diagram to analyze diagnostic errors

286. Patient Safety 101 | PSNet
     psnet.ahrq.gov/patient-safety-101
     March 26, 2025 - methods to prospectively identify safety hazards before errors have occurred and to retrospectively analyze

287. Updated guidance needed for longstanding large volume parenteral (LVP) labeling and packaging problems. | PSNet
     psnet.ahrq.gov/issue/updated-guidance-needed-longstanding-large-volume-parenteral-lvp-labeling-and-packaging
     March 10, 2021 - February 24, 2016 Pump up the volume: how to prioritize events and analyze error data

288. Implement strategies to prevent persistent medication errors and hazards. | PSNet
     psnet.ahrq.gov/issue/implement-strategies-prevent-persistent-medication-errors-and-hazards
     March 14, 2023 - July 12, 2023 Pump up the volume: how to prioritize events and analyze error data.

289. Latent and active failures perfectly align to allow a preventable adverse event to reach a patient. | PSNet
     psnet.ahrq.gov/issue/latent-and-active-failures-perfectly-align-allow-preventable-adverse-event-reach-patient
     March 14, 2023 - July 12, 2023 Pump up the volume: how to prioritize events and analyze error data.

290. Patient death tied to lack of proper escalation process for barcode scanning failures. | PSNet
     psnet.ahrq.gov/issue/patient-death-tied-lack-proper-escalation-process-barcode-scanning-failures
     November 01, 2023 - May 3, 2023 Pump up the volume: how to prioritize events and analyze error data.

291. Using information from external errors to signal a "clear and present danger." | PSNet
     psnet.ahrq.gov/issue/using-information-external-errors-signal-clear-and-present-danger
     March 14, 2023 - March 15, 2022 Pump up the volume: how to prioritize events and analyze error data.

292. Intravenous (IV) push medications – bridging the gap between education and clinical practice. | PSNet
     psnet.ahrq.gov/issue/intravenous-iv-push-medications-bridging-gap-between-education-and-clinical-practice
     November 17, 2021 - July 12, 2023 Pump up the volume: how to prioritize events and analyze error data.

293. Results of ISMP survey on high-alert medications: differences between nursing, pharmacy, and risk/quality/safety perspectives. | PSNet
     psnet.ahrq.gov/issue/results-ismp-survey-high-alert-medications-differences-between-nursing-pharmacy-and
     March 14, 2023 - June 12, 2018 Pump up the volume: how to prioritize events and analyze error data.

294. Identifying risks areas related to medication administrations - text mining analysis using free-text descriptions of incident reports. | PSNet
     psnet.ahrq.gov/issue/identifying-risks-areas-related-medication-administrations-text-mining-analysis-using-free
     December 18, 2019 - This retrospective study used text mining to analyze the free text descriptions in 72,390 medication

295. Association of primary care clinic appointment time with opioid prescribing. | PSNet
     psnet.ahrq.gov/issue/association-primary-care-clinic-appointment-time-opioid-prescribing
     September 01, 2021 - This cross-sectional study used data from 5603 primary care physicians for acute painful conditions to analyze

296. Does root cause analysis improve patient safety? A systematic review at the Department of Veterans Affairs. | PSNet
     psnet.ahrq.gov/issue/does-root-cause-analysis-improve-patient-safety-systematic-review-department-veterans-affairs
     March 24, 2021 - Root cause analysis (RCA) is a tool commonly used by organizations to analyze safety errors.

297. The contribution of staffing to medication administration errors: a text mining analysis of incident report data. | PSNet
     psnet.ahrq.gov/issue/contribution-staffing-medication-administration-errors-text-mining-analysis-incident-report
     December 21, 2022 - The key importance of this article is the use of an automated system to analyze incident reports.

298. Disorganized care: the findings of an iterative, in-depth analysis of surgical morbidity and mortality. | PSNet
     psnet.ahrq.gov/issue/disorganized-care-findings-iterative-depth-analysis-surgical-morbidity-and-mortality
     October 19, 2022 - This study applied the systems approach to analyze cases presented at surgical M&M conferences over

299. National Aeronautics and Space Administration "threat and error" model applied to pediatric cardiac surgery: error cycles precede ∼85% of patient deaths. | PSNet
     psnet.ahrq.gov/issue/national-aeronautics-and-space-administration-threat-and-error-model-applied-pediatric
     March 07, 2018 - In this study, the National Aeronautics and Space Administration's error detection model was used to analyze

300. A review of healthcare failure mode and effects analysis (HFMEA) in radiotherapy. | PSNet
     psnet.ahrq.gov/issue/review-healthcare-failure-mode-and-effects-analysis-hfmea-radiotherapy
     June 13, 2011 - developed by the Veterans Affairs health system to prospectively identify risks in an organization, analyze