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psnet.ahrq.gov/node/45250/psn-pdf
July 27, 2016 - Analyzing data collected over 12 months in a hospital's automated IV compounding workflow
management
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psnet.ahrq.gov/node/34812/psn-pdf
March 05, 2008 - incident technique," the history of its evolution dating back to World War II, and its success in analyzing
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psnet.ahrq.gov/node/44973/psn-pdf
April 06, 2016 - Analyzing 22 position papers from various organizations, this review found
little agreement regarding
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psnet.ahrq.gov/node/34667/psn-pdf
January 17, 2018 - In analyzing the error, the authors (experts
from the Institute for Safe Medication Practices) discovered
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psnet.ahrq.gov/node/45965/psn-pdf
April 19, 2017 - Analyzing results from 11 of the 13 system hospitals, investigators determined that a hybrid incident
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psnet.ahrq.gov/node/43678/psn-pdf
April 22, 2015 - dashboards
representing data from patient safety event reporting systems as a way to reduce the burden of analyzing
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psnet.ahrq.gov/node/37721/psn-pdf
April 30, 2008 - Overall, teamwork was rated relatively low, similar to
prior research analyzing operating room safety
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psnet.ahrq.gov/primer/strategies-and-approaches-investigating-patient-safety-events
March 15, 2025 - The concept of Root Cause Analysis and Action (RCA2) emphasizes that the processes of analyzing and … The term “effects analysis” refers to analyzing the consequences of such failures by prioritizing their … reacting to adverse events after they have occurred, FMEA focuses on engaging health care team members in analyzing
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psnet.ahrq.gov/issue/patient-safety-through-eyes-your-peers
August 11, 2021 - The authors present a peer review model for analyzing nursing behavior and learning from adverse events
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psnet.ahrq.gov/issue/competitive-imperative-learning
September 25, 2024 - This article draws on experience analyzing team behavior in hospitals to discuss how learning processes
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psnet.ahrq.gov/node/39795/psn-pdf
June 06, 2018 - limited perspective on overall institutional safety, and therefore
multiple methods of amassing and analyzing
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psnet.ahrq.gov/node/36813/psn-pdf
March 24, 2011 - psnet.ahrq.gov/issue/ambulatory-care-adverse-events-and-preventable-adverse-events-leading-
hospital-admission
Analyzing
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psnet.ahrq.gov/node/43799/psn-pdf
January 07, 2015 - https://psnet.ahrq.gov/issue/omission-high-alert-medications-hidden-danger
Analyzing incidents reported
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psnet.ahrq.gov/node/37984/psn-pdf
August 13, 2008 - curriculum was well-received by students and was effective in helping
them understand systems approaches to analyzing
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psnet.ahrq.gov/node/45439/psn-pdf
October 15, 2016 - Analyzing survey data from 21 Finnish patient safety
experts, researchers determined that patient participation
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psnet.ahrq.gov/node/43040/psn-pdf
March 05, 2014 - They provide a human factors strategy for analyzing errors (The
London Protocol), derived from James
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psnet.ahrq.gov/node/45230/psn-pdf
July 20, 2016 - Analyzing administrative data, this study found a higher rate of
complications in both urgent and elective
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psnet.ahrq.gov/node/35028/psn-pdf
May 27, 2011 - medication errors by determining
prevalence rates, comparing them to existing rates in adult hospitals, and analyzing
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psnet.ahrq.gov/issue/review-patient-safety-children-and-young-people
March 18, 2015 - Analyzing research and more than 900,000 incident reports submitted to the National Patient Safety Agency
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psnet.ahrq.gov/issue/joint-commission-perspectives-patient-safety
February 28, 2018 - Joint Commission Resources
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