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psnet.ahrq.gov/issue/graduate-medical-educations-new-focus-resident-engagement-quality-and-safety-will-it
July 14, 2021 - January 9, 2019
Use of a novel, modified fishbone diagram to analyze diagnostic errors
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psnet.ahrq.gov/issue/controlled-substance-drug-diversion-healthcare-workers-threat-patient-safety
April 05, 2023 - April 5, 2023
Pump up the volume: how to prioritize events and analyze error data.
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psnet.ahrq.gov/issue/system-weaknesses-contributing-causes-accidents-health-care
August 31, 2022 - June 21, 2023
Using the Generic Analysis Method to analyze sentinel event reports across
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psnet.ahrq.gov/issue/variations-gps-decisions-investigate-suspected-lung-cancer-factorial-experiment-using
August 03, 2022 - This study used detailed, video-based clinical vignettes to analyze how primary care physicians in the
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psnet.ahrq.gov/issue/clinical-reminder-about-safe-use-insulin-vials
June 10, 2018 - May 7, 2018
Pump up the volume: how to prioritize events and analyze error data.
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psnet.ahrq.gov/issue/patient-safety-improving-national-trends-patient-safety-indicators-1998-2007
March 21, 2012 - This study, which used the AHRQ Patient Safety Indicators (PSIs) to analyze safety events in 69 million
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psnet.ahrq.gov/primer/detection-safety-hazards
March 30, 2022 - datasets for evidence of preventable adverse events that merit further investigation, and (2) those that analyze … Standardized mortality reviews may be used to analyze specific cases for systematic harm or to estimate
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psnet.ahrq.gov/issue/experience-feedback-committees-way-implementing-root-cause-analysis-practice-hospital-medical
October 30, 2024 - View More
Related Resources
Using the Generic Analysis Method to analyze
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psnet.ahrq.gov/issue/simulation-based-clinical-systems-testing-healthcare-spaces-intake-through-implementation
April 10, 2024 - qualitative study of a hospital-wide clinical event debriefing program and a novel qualitative model to analyze
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psnet.ahrq.gov/issue/thinking-fast-and-slow-medicine
June 21, 2017 - Medication Safety
March 31, 2022
Use of a novel, modified fishbone diagram to analyze
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psnet.ahrq.gov/issue/ding-ling-ling-ambulances-can-be-dangerous-places
September 20, 2017 - qualitative study of a hospital-wide clinical event debriefing program and a novel qualitative model to analyze
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psnet.ahrq.gov/issue/funding-announcement-projects-targeting-reduction-healthcare-associated-infections
August 01, 2012 - November 30, 2018
Measure Dx: A Resource to Identify, Analyze, and Learn from Diagnostic
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psnet.ahrq.gov/issue/healthcare-professionals-views-feedback-patient-safety-culture-assessment
October 25, 2023 - May 18, 2022
Using the Generic Analysis Method to analyze sentinel event reports across
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psnet.ahrq.gov/issue/using-health-care-failure-mode-and-effect-analysis-va-national-center-patient-safetys
January 17, 2012 - The system includes tools to prospectively identify process risks in an organization, analyze the ways
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psnet.ahrq.gov/issue/patient-record-review-incidence-consequences-and-causes-diagnostic-adverse-events
July 02, 2014 - This Dutch study used trigger methodology (based on the classic Harvard Medical Practice Study ) to analyze
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psnet.ahrq.gov/issue/supplemental-nurse-staffing-hospitals-and-quality-care
February 09, 2011 - In this study, researchers sought to characterize the qualifications of temporary nurses and analyze
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psnet.ahrq.gov/issue/turning-medical-gaze-upon-itself-root-cause-analysis-and-investigation-clinical-error
June 14, 2011 - This discussion is illustrated with actual excerpts from an RCA, after which the authors analyze the
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psnet.ahrq.gov/issue/fda-drug-prescribing-warnings-black-box-half-empty-or-half-full
December 19, 2011 - Using a retrospective method to analyze nearly 1 million automated claims data, investigators determined
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psnet.ahrq.gov/issue/nicu-medication-errors-identifying-risk-profile-medication-errors-neonatal-intensive-care
September 21, 2008 - This study used data from MEDMARX , a voluntary reporting system for medication errors, to analyze
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psnet.ahrq.gov/issue/beating-weekend-trend-increased-mortality-older-adult-traumatic-brain-injury-tbi-patients
December 21, 2014 - A limitation of this study is that the authors were not able to analyze outcomes for patients cared for