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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35226/psn-pdf
    June 16, 2010 - Medical errors: mandatory reporting, voluntary reporting, or both? June 16, 2010 Grepperud S. Medical Errors: Mandatory Reporting, Voluntary Reporting, or Both? European Journal of Law and Economics. 2005;20(1). doi:10.1007/s10657-005-1019-8. https://psnet.ahrq.gov/issue/medical-errors-mandatory-reporting-voluntar…
  2. 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
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866278/psn-pdf
    July 10, 2024 - Automating detection of diagnostic error of infectious diseases using machine learning. July 10, 2024 Peterson KS, Chapman AB, Widanagamaachchi W, et al. Automating detection of diagnostic error of infectious diseases using machine learning. PLOS Digit Health. 2024;3(6):e0000528. doi:10.1371/journal.pdig.0000528. …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36204/psn-pdf
    September 30, 2010 - Automated medication error studies with audit supplementation were effectively designed and analyzed by time series. September 30, 2010 Shuster JJ, Winterstein AG. Automated medication error studies with audit supplementation were effectively designed and analyzed by time series. J Clin Epidemiol. 2006;59(9). doi…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33579/psn-pdf
    September 15, 2024 - There are many specific techniques that can be used to analyze errors, including retrospective methods
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40857/psn-pdf
    October 19, 2011 - Novel analysis of clinically relevant diagnostic errors in point-of-care devices. October 19, 2011 Shermock KM, Streiff MB, Pinto BL, et al. Novel analysis of clinically relevant diagnostic errors in point-of- care devices. J Thromb Haemost. 2011;9(9):1769-1775. doi:10.1111/j.1538-7836.2011.04439.x. https://psnet.…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49699/psn-pdf
    February 01, 2014 - (Table 1).(4) Although other categorizations also exist, this commentary will use ISMP's model to analyze … Readers who also wish to analyze errors in this manner can use a worksheet available on ISMP's Web site
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33821/psn-pdf
    December 01, 2016 - A range of sophisticated methods have been developed to analyze the structure and causes of error and
  9. psnet.ahrq.gov/issue/bariatric-surgery-operating-room-teams-stayed-fixed-during-day-multicenter-study-analyzing
    December 21, 2014 - Study Bariatric surgery with operating room teams that stayed fixed during the day: a multicenter study analyzing the effects on patient outcomes, teamwork and safety climate, and procedure duration. Citation Text: Stepaniak PS, Heij C, Buise MP, et al. Bariatric surgery with operating r…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40365/psn-pdf
    February 12, 2014 - Strategies for learning from failure. February 12, 2014 Edmondson A. Strategies of learning from failure. Harv Bus Rev. 2011;89(4):48-55, 137. https://psnet.ahrq.gov/issue/strategies-learning-failure Failures are inevitable in any industry, especially in one as complex as health care. The ability to learn from fai…
  11. psnet.ahrq.gov/web-mm/hypoxic-gas-supply-cross-connected-pipelines
    February 05, 2020 - Hypoxic Gas Supply from Cross-Connected Pipelines Citation Text: Bohringer C, Guemidjian A, Utter G. Hypoxic Gas Supply from Cross-Connected Pipelines. PSNet [internet]. Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024. Copy Citation Format: Google S…
  12. psnet.ahrq.gov/issue/enhancing-patient-safety-prehospital-environment-analyzing-patient-perspectives-non-transport
    September 20, 2017 - Study Enhancing patient safety in prehospital environment: analyzing patient perspectives on non-transport decisions with natural language processing and machine learning. Citation Text: Farhat H, Alinier G, Tluli R, et al. Enhancing patient safety in prehospital environment: analyzing p…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33670/psn-pdf
    July 01, 2008 - 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
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36544/psn-pdf
    July 14, 2010 - Targeted chart review of pediatric patient safety events identified by the Agency for Healthcare Research and Quality's Patient Safety Indicators methodology. July 14, 2010 Scanlon M, Miller MR, Harris JM, et al. Targeted Chart Review of Pediatric Patient Safety Events Identified by the Agency for Healthcare Resea…
  15. psnet.ahrq.gov/perspective/errors-and-near-misses-what-health-care-could-learn-aviation
    September 01, 2006 - A range of sophisticated methods have been developed to analyze the structure and causes of error and … 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
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39101/psn-pdf
    March 05, 2010 - Interventions to improve team effectiveness: a systematic review. March 5, 2010 Buljac-Samardzic M, van Doorn CMD-, van Wijngaarden JDH, et al. Interventions to improve team effectiveness: a systematic review. Health Policy (New York). 2010;94(3):183-95. doi:10.1016/j.healthpol.2009.09.015. https://psnet.ahrq.gov…
  17. psnet.ahrq.gov/perspective/health-care-data-science-quality-improvement-and-patient-safety
    October 01, 2016 - 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 … challenge is that well-meaning organizations are looking for data in standardized ways that allow them to analyze
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45190/psn-pdf
    February 15, 2017 - Biases in detection of apparent "weekend effect" on outcome with administrative coding data: population based study of stroke. February 15, 2017 Li L, Rothwell PM, Study OV. Biases in detection of apparent "weekend effect" on outcome with administrative coding data: population based study of stroke. BMJ. 2016;353:…
  19. psnet.ahrq.gov/primer/systems-approach
    June 15, 2024 - There are many specific techniques that can be used to analyze errors, including retrospective methods
  20. psnet.ahrq.gov/issue/medical-errors-mandatory-reporting-voluntary-reporting-or-both
    February 28, 2024 - Commentary Medical errors: mandatory reporting, voluntary reporting, or both? Citation Text: Grepperud S. Medical Errors: Mandatory Reporting, Voluntary Reporting, or Both? European Journal of Law and Economics. 2005;20(1). doi:10.1007/s10657-005-1019-8. Copy Citation Format: …

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