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psnet.ahrq.gov/issue/development-swarm-model-high-reliability-rapid-problem-solving-and-institutional-learning
November 16, 2022 - discusses the development and implementation of the SWARM tool—a unit-based mechanism to rapidly analyze
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psnet.ahrq.gov/issue/us-emergency-department-visits-attributed-medication-harms-2017-2019
December 15, 2021 - Electronic Injury Surveillance System-Cooperative Adverse Drug Event Surveillance Project (NEISS) to analyze
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psnet.ahrq.gov/issue/work-system-barriers-and-facilitators-inpatient-care-transitions-pediatric-trauma-patients
September 11, 2019 - This study used the Systems Engineer Initiative for Patient Safety approach to analyze care transitions
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psnet.ahrq.gov/node/39239/psn-pdf
September 27, 2017 - This study used data from
MEDMARX, a voluntary reporting system for medication errors, to analyze the
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psnet.ahrq.gov/node/44476/psn-pdf
September 26, 2016 - Recognizing
this, commentators have called for research to analyze the causes and effects of interruptions
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psnet.ahrq.gov/node/41257/psn-pdf
April 22, 2012 - development-evidence-based-framework-factors-contributing-patient-safety-
incidents-hospital
Early efforts to understand and analyze
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pso.ahrq.gov/
Patient Safety Organizations (PSOs) collect and analyze data voluntarily reported by healthcare providers
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psnet.ahrq.gov/node/39790/psn-pdf
March 21, 2017 - Prior research
confirms the need to use multiple data sources to realistically analyze safety at the
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psnet.ahrq.gov/node/40786/psn-pdf
December 30, 2014 - The authors found that applying the SA framework to
analyze such errors provided deeper insight into
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/nyp-webinar-servati-phase-two-plan.pdf
December 01, 2018 - Theme Details
49
Full Narrative Drill Down
50
Phase 2 Next Steps (July-December 2018)
Analyze
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hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/mn4.jsp
August 01, 2014 - Data
Hospitals will submit a test samples of lab data to the
project team
Project team will analyze … with individual hospitals to
ensure completeness and accuracy of data
Project team will merge and analyze
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/survey
January 01, 2023 - COMPILE AND ANALYZE THE RESULTS.
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/relations-diagram
January 01, 2023 - ANALYZE THE DIAGRAM. Count the number of arrows in and out for each idea.
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integrationacademy.ahrq.gov/sites/default/files/2020-07/Grant_Summary_NC.pdf
January 01, 2020 - The evaluation
will use a RE-AIM approach and
mixed-methods to analyze data
from training participation
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psnet.ahrq.gov/issue/preventing-medication-errors-during-codes
February 22, 2023 - Related Resources From the Same Author(s)
Pump up the volume: how to prioritize events and analyze
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules.html
August 01, 2022 - Investigate and analyze an adverse event to learn from it and prevent future adverse events.
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psnet.ahrq.gov/issue/when-doctors-make-mistakes
September 28, 2017 - Gawande outlines the steps taken by the field of anesthesia to analyze errors and find remedies for system
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psnet.ahrq.gov/issue/why-nurses-make-medication-errors-simulation-study
March 02, 2011 - The investigators used a simulated scenario to analyze communication problems among nursing teams that
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psnet.ahrq.gov/issue/medication-errors-involving-pediatric-patients
January 02, 2017 - Using Medmarx data from 2001 through 2003, the authors analyze pediatric medication errors and provide
-
psnet.ahrq.gov/issue/fatal-errors-nitrous-oxide-delivery
March 02, 2011 - This review assessed published evidence along with media reports to analyze incidents of nitrous oxide–related