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psnet.ahrq.gov/node/60614/psn-pdf
June 24, 2020 - A systems approach to analyzing and preventing hospital
adverse events.
June 24, 2020
Leveson N, Samost A, Dekker SWA, et al. A systems approach to analyzing and preventing hospital
adverse events. J Patient Saf. 2020;16(2):162-167. doi:10.1097/pts.0000000000000263.
https://psnet.ahrq.gov/issue/systems-approach-an…
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psnet.ahrq.gov/node/46237/psn-pdf
June 21, 2017 - Identifying and analyzing diagnostic paths: a new
approach for studying diagnostic practices.
June 21, 2017
Rao G, Epner P, Bauer V, et al. Identifying and analyzing diagnostic paths: a new approach for studying
diagnostic practices. Diagnosis (Berl). 2017;4(2):67-72. doi:10.1515/dx-2016-0049.
https://psnet.ahrq.g…
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psnet.ahrq.gov/issue/complexity-bullying-and-stress-analyzing-and-mitigating-challenging-work-environment-nurses
June 09, 2011 - Commentary
Complexity, bullying, and stress: analyzing and mitigating a challenging work environment for nurses.
Citation Text:
Hughes RG, Clancy CM. Complexity, bullying, and stress: analyzing and mitigating a challenging work environment for nurses. J Nurs Care Qual. 2009;24(3):180-18…
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psnet.ahrq.gov/node/49793/psn-pdf
May 01, 2017 - hemolysis on the potassium
level of the patient, the laboratory's only recourse was to request and analyze
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psnet.ahrq.gov/node/42302/psn-pdf
May 29, 2013 - Analyzing communication errors in an air medical
transport service.
May 29, 2013
Dalto JD, Weir C, Thomas F. Analyzing communication errors in an air medical transport service. Air Med
J. 2013;32(3):129-37. doi:10.1016/j.amj.2012.10.019.
https://psnet.ahrq.gov/issue/analyzing-communication-errors-air-medical-trans…
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psnet.ahrq.gov/issue/fast-does-not-imply-flawed-analyzing-emergency-physician-productivity-and-medical-errors
January 25, 2023 - Study
Fast does not imply flawed: analyzing emergency physician productivity and medical errors.
Citation Text:
Hoot NR, Barbosa TJ, Chan HK, et al. Fast does not imply flawed: analyzing emergency physician productivity and medical errors. J Am Coll Emerg Physicians Open. 2022;3(6):e1284…
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psnet.ahrq.gov/primer/checklists
September 15, 2024 - used, engage leadership in rolling out and emphasizing the importance of the checklist, and rigorously analyze
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psnet.ahrq.gov/web-mm/spinal-epidural-abscess
November 13, 2019 - Use of a novel, modified fishbone diagram to analyze diagnostic errors. … February 1, 2023
Use of a novel, modified fishbone diagram to analyze diagnostic errors
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psnet.ahrq.gov/web-mm/diagnosing-missed-diagnosis
October 26, 2022 - Cognitive errors are usually multifactorial, highly subjective, imprecise, and difficult to analyze without … July 3, 2016
Use of a novel, modified fishbone diagram to analyze diagnostic errors.
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psnet.ahrq.gov/perspective/conversation-richard-platt-md-msc
October 01, 2016 - challenge is that well-meaning organizations are looking for data in standardized ways that allow them to analyze … I had assumed that knowing when and how to order a medication were sufficient to analyze the data on … ability to extract data from large electronic stores, and thorough understanding of how to rigorously analyze
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psnet.ahrq.gov/node/39929/psn-pdf
July 31, 2012 - The Gift of Failure: New Approaches to Analyzing and
Learning from Events and Near-Misses.
July 31, 2012
Fahlbruch B, Carroll JS, eds. Safety Sci. 2011;49(1):1-106
https://psnet.ahrq.gov/issue/gift-failure-new-approaches-analyzing-and-learning-events-and-near-misses
This special issue discusses how concepts…
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psnet.ahrq.gov/node/33639/psn-pdf
September 01, 2006 - First, I felt that we needed to have people who could analyze
problems and come up with feasible solutions … In addition to these efforts
to support the local site, we roll it up centrally and analyze that information
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psnet.ahrq.gov/node/33642/psn-pdf
November 01, 2006 - They analyze the problem, they analyze the possible
solutions, and they design a solution.
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psnet.ahrq.gov/node/852746/psn-pdf
August 23, 2023 - Common contributing factors of diagnostic error: a
retrospective analysis of 109 serious adverse event
reports from Dutch hospitals.
August 23, 2023
Hooftman J, Dijkstra AC, Suurmeijer I, et al. Common contributing factors of diagnostic error: a
retrospective analysis of 109 serious adverse event reports from Dutc…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.218_slideshow.ppt
May 01, 2010 - participants should be able to:
Describe the just culture approach to investigating errors in health care
Analyze
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psnet.ahrq.gov/perspective/conversation-withalbert-wu-md-mph
February 26, 2025 - the country of England and large states like Pennsylvania have discovered is that it is difficult to analyze … an organization exist today that could receive all of these root cause analyses, sift through them, analyze
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psnet.ahrq.gov/node/33578/psn-pdf
September 15, 2024 - long been used to improve safety in many industries outside of health
care—it has been employed to analyze
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psnet.ahrq.gov/perspective/measuring-and-responding-deaths-medical-errors
April 01, 2008 - The above strategies are almost exclusively used to analyze deaths while patients are hospitalized, or
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.254_slideshow.ppt
November 01, 2011 - Points (2)
Patient safety reporting systems (incident reporting systems) are necessary to record and analyze
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psnet.ahrq.gov/web-mm/hemolysis-holdup
July 03, 2016 - hemolysis on the potassium level of the patient, the laboratory's only recourse was to request and analyze