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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…
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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/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.
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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…
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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
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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.…
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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
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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
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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…
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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…
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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.
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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…
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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
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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…
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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
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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…
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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
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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:…
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psnet.ahrq.gov/primer/systems-approach
June 15, 2024 - There are many specific techniques that can be used to analyze errors, including retrospective methods
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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.
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