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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/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/perspective/measuring-and-responding-deaths-medical-errors
April 01, 2008 - Identifying and Analyzing Preventable Deaths
The Patient Safety Primer on Measurement of Patient Safety … deaths each year, and they should implement formal strategies for identifying preventable deaths and analyzing … research has focused on preventable deaths in hospital care, and effort should go into identifying and analyzing
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psnet.ahrq.gov/issue/iv-push-gap-analysis-tool-gat-helps-uncover-national-priorities-safe-injection-practices
August 14, 2019 - Analyzing data from 243 health care facilities regarding the quality of IV push practices in the field
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psnet.ahrq.gov/issue/lessons-denver-medication-errorcriminal-negligence-case-look-beyond-blaming-individuals
June 16, 2019 - In analyzing the error, the authors (experts from the Institute for Safe Medication Practices) discovered
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psnet.ahrq.gov/issue/errors-and-burden-errors-attitudes-perceptions-and-culture-safety-pediatric-cardiac-surgical
June 16, 2019 - Overall, teamwork was rated relatively low, similar to prior research analyzing operating room safety
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psnet.ahrq.gov/issue/competencies-patient-safety-and-quality-improvement-synthesis-recommendations-influential
March 31, 2022 - Analyzing 22 position papers from various organizations, this review found little agreement regarding
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psnet.ahrq.gov/issue/diagnostic-errors-inserted-tubes-lines-and-catheters-children
September 11, 2019 - This study characterizes the frequency of diagnostic errors among radiologists in analyzing placement
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psnet.ahrq.gov/issue/burden-hospitalizations-related-adverse-drug-events-usa-retrospective-analysis-large
April 15, 2020 - Analyzing data from the AHRQ Healthcare Cost and Utilization Project , this study found that hospitalizations
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psnet.ahrq.gov/issue/approaching-evidence-basis-aviation-derived-teamwork-training-medicine
August 09, 2023 - Analyzing the literature on teamwork training , this review provides a framework for determining the
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psnet.ahrq.gov/issue/natural-language-processing-approach-categorise-contributing-factors-patient-safety-event
April 26, 2023 - Analyzing patient safety incident reports is essential to organizational learning, but comes with both
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psnet.ahrq.gov/issue/root-cause-analysis-cases-involving-diagnosis
August 28, 2019 - This article proposes RCA as an approach to analyzing diagnostic errors.
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psnet.ahrq.gov/issue/spotlight-electronic-health-record-errors-errors-related-use-default-values
February 11, 2014 - Analyzing data submitted to the Pennsylvania Patient Safety Reporting System, this article reviews the
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psnet.ahrq.gov/issue/learning-investigations
July 28, 2013 - Analyzing health care failures from 2004-2007 in the United Kingdom, this report identifies common themes
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psnet.ahrq.gov/issue/safer-care-acutely-ill-patient-learning-serious-incidents
August 07, 2018 - In analyzing information submitted to the British voluntary incident reporting system, this report
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psnet.ahrq.gov/issue/finding-and-preventing-patient-safety-incidents
October 25, 2013 - Analyzing Medicare data from 2010 through 2012, this report discusses hospital efforts to prevent patient
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psnet.ahrq.gov/issue/medicare-study-finds-teaching-hospitals-have-higher-risk-complications-findings-disputed
June 01, 2016 - This news article describes problems with analyzing data from a 2011 report on hospital-acquired conditions
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psnet.ahrq.gov/node/39282/psn-pdf
September 20, 2011 - This study adds to the existing literature by
analyzing more than 4 million emergency department admissions
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psnet.ahrq.gov/node/45180/psn-pdf
May 05, 2017 - In analyzing nearly 24 million Medicare admissions, investigators found that only 64% were adverse
event-free
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psnet.ahrq.gov/node/39337/psn-pdf
May 07, 2014 - Analyzing nearly 600,000 cases, investigators found 2.3 million hospitalization days, $8.1 billion in