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psnet.ahrq.gov/node/33830/psn-pdf
March 22, 2016 - The above strategies are almost exclusively used to analyze deaths while patients are hospitalized, or
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psnet.ahrq.gov/periodic-issue/periodic-issue-471
December 31, 2024 - AHRQ’s Measure Dx: A Resource to Identify, Analyze, and Learn from Diagnostic Safety Events supports … AHRQ’s Measure Dx: A Resource to Identify, Analyze, and Learn from Diagnostic Safety Events supports
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psnet.ahrq.gov/node/865374/psn-pdf
March 27, 2024 - AI can analyze a vast amount of data from
various sources, optimize workflows, and offer evidence-based … medical imaging,
however, AI-powered algorithms have demonstrated a remarkable ability to read and 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/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/node/836812/psn-pdf
March 30, 2022 - root-cause-analysis
https://psnet.ahrq.gov//#1
https://psnet.ahrq.gov/issue/use-novel-modified-fishbone-diagram-analyze-diagnostic-errors
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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/hemolysis-holdup
July 03, 2016 - 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/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/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/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/issue/analyzing-and-mitigating-risks-patient-harm-during-operating-room-intensive-care-unit-patient
October 05, 2022 - Commentary
Analyzing and mitigating the risks of patient harm during operating room to intensive care unit patient handoffs.
Citation Text:
Martins NRS, Martinez EZ, Simões CM, et al. Analyzing and mitigating the risks of patient harm during operating room to intensive care unit patient …
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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/node/38794/psn-pdf
July 15, 2009 - Patient Safety.
July 15, 2009
Sixth Report of Session 2008–09. House of Commons Health Committee. London, England: The Stationery
Office; July 3, 2009. Publication HC 151-I.
https://psnet.ahrq.gov/issue/patient-safety-7
This government report analyzes the National Health Service's efforts to enhance patient safety…
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psnet.ahrq.gov/issue/automated-medication-error-studies-audit-supplementation-were-effectively-designed-and
May 18, 2011 - Study
Automated medication error studies with audit supplementation were effectively designed and analyzed by time series.
Citation Text:
Shuster JJ, Winterstein AG. Automated medication error studies with audit supplementation were effectively designed and analyzed by time series. J C…
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psnet.ahrq.gov/issue/analyzing-and-discussing-human-factors-affecting-surgical-patient-safety-using-innovative
August 25, 2021 - Study
Analyzing and discussing human factors affecting surgical patient safety using innovative technology: creating a safer operating culture.
Citation Text:
van Dalen ASHM, Jung JJ, Nieveen van Dijkum EJM, et al. Analyzing and discussing human factors affecting surgical patient safety …
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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/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/866826/psn-pdf
September 25, 2024 - Hypoxic Gas Supply from Cross-Connected Pipelines
September 25, 2024
Bohringer C, Guemidjian A, Utter G. Hypoxic Gas Supply from Cross-Connected Pipelines. PSNet
[internet]. 2024.
https://psnet.ahrq.gov/web-mm/hypoxic-gas-supply-cross-connected-pipelines
The Case
An 8-year-old boy with no significant past medical…