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psnet.ahrq.gov/issue/malpractice-risks-communication-failures-2015-annual-benchmarking-report
July 18, 2018 - Analyzing more than 7000 cases in which communication breakdowns led to patient harm, this report explores
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psnet.ahrq.gov/issue/distractions-and-their-impact-patient-safety
September 27, 2016 - Analyzing data submitted to the Pennsylvania Patient Safety Reporting System, this piece outlines the
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psnet.ahrq.gov/issue/prescribing-errors-cause-harm
March 30, 2016 - Analyzing prescribing error reports submitted over a 12- year period, this article recommends strategies
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psnet.ahrq.gov/issue/do-no-harm-ensuring-patient-safety-health-care-organizations
August 16, 2016 - The authors draw from their backgrounds as health care executives and present tools for analyzing systems
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psnet.ahrq.gov/issue/oral-medications-inadvertently-given-intravenous-route
December 19, 2016 - Analyzing data submitted to the Pennsylvania Patient Safety Reporting System, this piece identifies incidents
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psnet.ahrq.gov/issue/patient-safety-7
November 16, 2015 - efforts to enhance patient safety and recommends improving certain areas, such as adopting technology, analyzing
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psnet.ahrq.gov/node/33600/psn-pdf
June 16, 2024 - Recent studies analyzing harm in Medicare patients in
ambulatory and long-term-care hospitals have also … The Systems Approach to Analyzing Patient Safety
Why are adverse events so common in medical care? … Key insights from work in other fields have shaped
medicine's response to analyzing why errors occur
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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/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/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/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/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/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/issue/connecting-dots-leveraging-visual-analytics-make-sense-patient-safety-event-reports
May 29, 2024 - 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/45554/psn-pdf
October 19, 2016 - been an increasing focus of safety efforts, this study
broadens the concept of diagnostic harm by analyzing
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psnet.ahrq.gov/node/36530/psn-pdf
January 07, 2011 - Previous articles analyzing the same
survey data demonstrated that extended work shifts (working more
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psnet.ahrq.gov/node/41176/psn-pdf
March 02, 2012 - This study adds to the
existing literature by analyzing more than 14 million admissions to the National
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psnet.ahrq.gov/node/43064/psn-pdf
January 01, 2015 - psnet.ahrq.gov/issue/leadership-safety-climate-and-continuous-quality-improvement-impact-
process-quality-and
Analyzing
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psnet.ahrq.gov/node/39583/psn-pdf
October 30, 2010 - Prior studies have shown that most hospitals do not have robust
mechanisms for analyzing and learning
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psnet.ahrq.gov/node/39372/psn-pdf
September 20, 2011 - The investigators found similar results when analyzing follow-up of alerts for abnormal imaging results