-
psnet.ahrq.gov/issue/interprofessional-staff-perspectives-adoption-or-black-box-technology-and-simulations-improve
May 21, 2009 - room black boxes are a way to capture video, audio, and other data in real time to prevent and analyze
-
psnet.ahrq.gov/issue/adverse-event-reporting-practices-us-hospitals-results-national-survey
December 30, 2014 - proportion of hospitals have a safety culture that encourages reporting or promptly disseminate and analyze
-
psnet.ahrq.gov/issue/many-faces-error-disclosure-common-set-elements-and-definition
December 16, 2009 - qualitative study used focus groups of administrators, resident and attending physicians, and nurses to analyze
-
psnet.ahrq.gov/issue/designing-distractions-human-factors-approach-decreasing-interruptions-centralised-medication
July 27, 2018 - preserving a patient-centered environment, this study used a human factors engineering approach to analyze
-
psnet.ahrq.gov/issue/exploring-situational-awareness-diagnostic-errors-primary-care
September 20, 2011 - The authors found that applying the SA framework to analyze such errors provided deeper insight into
-
psnet.ahrq.gov/issue/determinants-adverse-events-vascular-surgery
March 21, 2012 - This study used Patient Safety Indicators (PSIs) to analyze more than 1.4 million patients who underwent
-
psnet.ahrq.gov/issue/cardiopulmonary-arrest-and-mortality-trends-and-their-association-rapid-response-system
January 15, 2009 - This observational study sought to analyze the incidence of inpatient cardiopulmonary arrest and related
-
psnet.ahrq.gov/issue/medical-injuries-among-hospitalized-children
February 15, 2017 - Investigators used the Wisconsin Medical Injury Prevention Program (WMIPP) screening method to analyze
-
psnet.ahrq.gov/issue/inpatient-suicide-and-suicide-attempts-veterans-affairs-hospitals
January 02, 2017 - This study reports on the use of this technique to analyze inpatient suicide attempts at VA hospitals
-
psnet.ahrq.gov/issue/toward-improving-patient-safety-through-voluntary-peer-peer-assessment
August 25, 2015 - To detect and analyze errors, health care has traditionally relied on retrospective methods such as
-
psnet.ahrq.gov/issue/laboratory-safety-monitoring-chronic-medications-ambulatory-care-settings
January 06, 2017 - plans, the investigators selected 11 drugs and their recommended lab testing intervals to capture and analyze
-
psnet.ahrq.gov/issue/sensemaking-safety-and-cooperative-work-intensive-care-unit
September 29, 2010 - The investigators used direct observation of ICU teams on rounds, in order to analyze how clinicians
-
psnet.ahrq.gov/issue/adoption-health-information-technology-medication-safety-us-hospitals-2006
August 07, 2013 - This study used a national survey database to analyze the extent of HIT adoption specifically for medication
-
psnet.ahrq.gov/issue/ambulatory-prescribing-errors-among-community-based-providers-two-states
July 10, 2008 - This study, one of the first to analyze prescribing errors in community primary care practices, found
-
psnet.ahrq.gov/issue/using-safety-ii-and-resilient-healthcare-principles-learn-never-events
February 20, 2019 - Using a Safety-II framework, the authors used a mixed-methods approach to retrospectively analyze
-
psnet.ahrq.gov/issue/comparing-process-and-outcome-oriented-approaches-voluntary-incident-reporting-two-hospitals
June 15, 2011 - Incident reporting (IR) systems serve as an important mechanism to understand, analyze, and potentially
-
psnet.ahrq.gov/issue/forum-100000-lives-campaign-scientific-and-policy-review-ihi-response
March 13, 2013 - Robert Wachter and Peter Pronovost critically analyze the campaign, the interventions promoted, and the
-
psnet.ahrq.gov/issue/factors-influencing-incident-reporting-surgical-care
March 03, 2011 - to consume tremendous energy for providers who submit incidents and for hospital safety leaders who analyze
-
psnet.ahrq.gov/issue/real-malady-marcel-proust-and-what-it-reveals-about-diagnostic-errors-medicine
September 27, 2022 - October 13, 2018
Use of a novel, modified fishbone diagram to analyze diagnostic errors
-
psnet.ahrq.gov/issue/debriefing-emergency-department-after-clinical-events-practical-guide
November 16, 2022 - qualitative study of a hospital-wide clinical event debriefing program and a novel qualitative model to analyze