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psnet.ahrq.gov/issue/joint-commission-perspectives-patient-safety
February 28, 2018 - Joint Commission Resources
This monthly newsletter gives readers “how-to” information on analyzing
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psnet.ahrq.gov/node/45751/psn-pdf
January 01, 2019 - study sought to determine whether hospital
safety was associated with hospital financial outcomes by analyzing
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psnet.ahrq.gov/node/37562/psn-pdf
June 14, 2011 - Also absent are best practices for establishing
recommendations for action, follow-up, and analyzing
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psnet.ahrq.gov/node/38935/psn-pdf
March 01, 2017 - transparent and fair
policies for addressing errors at the sharp end, and maintain robust structures for analyzing
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psnet.ahrq.gov/node/44866/psn-pdf
March 15, 2016 - Analyzing admissions over a 6-year period, investigators found that a higher total
patient census and
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psnet.ahrq.gov/node/38863/psn-pdf
August 12, 2009 - use-strategies-high-reliability-organisations-patient-hand-resident-physicians-
practical
Strategies for ensuring safe transfers of patient care have been developed by analyzing
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psnet.ahrq.gov/issue/medical-errors-mandatory-reporting-voluntary-reporting-or-both
February 28, 2024 - He suggests that this process will result in underreporting and provides a model for analyzing reporting
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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/issue/annual-benchmarking-report-malpractice-risks-surgery
July 18, 2018 - Analyzing data from 3300 surgical malpractice cases, this report describes errors across the continuum
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psnet.ahrq.gov/node/38759/psn-pdf
April 05, 2010 - of the project by soliciting the perceptions of project leaders at four hospitals with
the goal of analyzing
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psnet.ahrq.gov/node/41298/psn-pdf
November 27, 2012 - patient-safety-culture-and-association-safe-resident-care-nursing-homes
Avedis Donabedian established the now classic model for analyzing
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psnet.ahrq.gov/node/37546/psn-pdf
June 14, 2011 - Veterans Administration has encouraged use of root cause analysis (RCA) as a structured method of
analyzing
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psnet.ahrq.gov/node/35611/psn-pdf
June 23, 2010 - a negative outcome or a deviation from standard of practice into their error definition rather than analyzing
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psnet.ahrq.gov/node/38673/psn-pdf
April 30, 2014 - He discusses the role of human factors and
systems thinking in analyzing and improving safety and cites
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psnet.ahrq.gov/node/42854/psn-pdf
March 20, 2014 - This article
describes how a children's hospital implemented medication event huddles as a way of analyzing
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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/medical-malpractice-why-it-so-hard-doctors-apologize
August 24, 2011 - barriers to physician error disclosure , this article details how an apology-and-offer approach and analyzing
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psnet.ahrq.gov/node/45033/psn-pdf
July 16, 2019 - Analyzing
more than 150,000 drug allergy warnings in the inpatient and outpatient settings within a
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psnet.ahrq.gov/glossary/failure-mode-and-effect-analysis-fmea
September 13, 2021 - Different teams charged with analyzing the same process may identify different steps in the process,
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psnet.ahrq.gov/node/38308/psn-pdf
April 21, 2010 - an institutional level requires a comprehensive error-reporting system and
effective mechanisms for analyzing