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psnet.ahrq.gov/node/36180/psn-pdf
September 29, 2010 - /why-nurses-make-medication-errors-simulation-study
The investigators used a simulated scenario to analyze
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psnet.ahrq.gov/node/35096/psn-pdf
June 22, 2009 - https://psnet.ahrq.gov/issue/paediatric-adverse-drug-reactions-reported-sweden-1987-2001
The authors analyze
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pso.ahrq.gov/taxonomy/term/2
PSOs analyze data voluntarily reported by providers and provide feedback aimed at promoting learning
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/strategic-planning
January 01, 2023 - ANALYZE THE SITUATION.
2. ESTABLISH STRATEGIC DIRECTION.
3.
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/observation
January 01, 2023 - COLLECT INFORMATION; ANALYZE IT.
5. PRESENT RESULTS IN MOST EFFICIENT FASHION (e.g.
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psnet.ahrq.gov/node/60199/psn-pdf
April 08, 2020 - using-safety-ii-and-resilient-healthcare-principles-learn-never-events
Using a Safety-II framework, the authors used a mixed-methods approach to retrospectively analyze
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psnet.ahrq.gov/node/836915/psn-pdf
April 13, 2022 - teams (e.g. leadership, providers, EHR developers) can now
use the refined SEWA framework to identify, analyze
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psnet.ahrq.gov/node/47952/psn-pdf
January 01, 2020 - cvc-placement-speak-now-or-do-not-use-line
https://psnet.ahrq.gov/issue/use-novel-modified-fishbone-diagram-analyze-diagnostic-errors
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psnet.ahrq.gov/node/60022/psn-pdf
March 11, 2020 - This study used the Systems Engineer Initiative for Patient Safety approach to analyze care transitions
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psnet.ahrq.gov/node/50852/psn-pdf
January 29, 2020 - This study used a failure mode and effects analysis (FMEA) to prospectively analyze
various steps in
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psnet.ahrq.gov/node/72856/psn-pdf
March 17, 2021 - radiation oncology incident learning system with a simplified
failure mode and effects analysis (FMEA) to analyze
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psnet.ahrq.gov/node/838074/psn-pdf
January 01, 2023 - This study used automated language analysis to analyze more than 140,000 reports submitted
by patients
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psnet.ahrq.gov/node/74035/psn-pdf
January 01, 2022 - measuring the severity of patient complaints – the Healthcare Complaints Analysis Tool
– can effectively analyze
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psnet.ahrq.gov/node/867845/psn-pdf
February 26, 2025 - Center for Patient Safety (NCPS) created the Combined Proactive Risk
Assessment (CPRA) technique to analyze … psnet.ahrq.gov//#2
https://psnet.ahrq.gov//#2
objective of CPRA is to utilize institutional databases to analyze … traditional proactive risk assessment techniques to capitalize on data from the VHA
data repositories and analyze
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www.ahrq.gov/patient-safety/reports/issue-briefs/state-of-science-2b.html
June 01, 2020 - few facilities or organizations allocate “protected time” that is essential for clinicians to report, analyze … report events briefly and allowing organizational safety teams (which include other clinicians) to analyze … NLP and machine-learning techniques could help analyze and interpret large volumes of unstructured textual
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digital.ahrq.gov/ahrq-funded-projects/modeling-and-analysis-clinical-care-health-information-technology-improvement/annual-summary/2012
January 01, 2012 - clinical work, including constraints of context and information resources, is actually accomplished and analyze … discover and document the workflow of how clinical care is actually done for multiple sclerosis, and analyze
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-portfolios-summary-profile-2014.pdf
January 01, 2014 - PSOs can analyze
provider data and assist with root-cause analysis of
individual events, thus identifying … PSOs collect and analyze patient safety work product
(PSWP) from providers in a standardized manner … The NPSD will
analyze these data in order to better understand the
underlying causes of patient harm … creation of PSOs, PSQIA
requires AHRQ to administer a Network of Patient
Safety Databases (NPSD) to analyze … standardized RCA
process, which requires that three anesthesiologists who
were not involved in the event analyze
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/WhyCareAboutWorkflow.ppt
January 01, 2010 - None of these are efficient workflows
Won’t the vendor analyze my
workflow and tell me what is best … Some vendors may analyze parts of your workflow. … Won’t the vendor analyze my workflow and tell me what is best (cont.)?
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psnet.ahrq.gov/node/39785/psn-pdf
October 13, 2010 - teams-through
This study used both ethnographic approaches and a structured observation technique to analyze
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psnet.ahrq.gov/training-catalog/learning-errors-analysis-medication-error
Event Description: This recorded one-hour session from NTI 2023 uses a case study approach to analyze