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psnet.ahrq.gov/issue/measure-dx-resource-identify-analyze-and-learn-diagnostic-safety-events
August 01, 2012 - checklist to gauge readiness for implementation, measurement strategies , and recommendations for analyzing
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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/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/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/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/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/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/node/33600/psn-pdf
June 16, 2024 - Recent studies analyzing harm in Medicare patients in
ambulatory and long-term-care hospitals have … 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/issue/patient-safety-incident-reporting-and-learning-guidelines-implemented-health-care
January 08, 2025 - Download Citation
Related Resources
Methodological approaches for analyzing
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psnet.ahrq.gov/node/42510/psn-pdf
August 21, 2013 - By analyzing 111 root cause analyses of diagnostic error cases in the outpatient
setting, the authors
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psnet.ahrq.gov/node/40800/psn-pdf
December 09, 2014 - tempos-management-primary-care-key-factor-classifying-adverse-events-and-
improving-quality
The systems approach to analyzing
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psnet.ahrq.gov/node/45036/psn-pdf
February 15, 2017 - adverse-events-rehabilitation-hospitals-national-incidence-among-medicare-
beneficiaries
The Office of the Inspector General (OIG) has issued a series of reports analyzing
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psnet.ahrq.gov/node/38778/psn-pdf
March 04, 2011 - This
systematic review builds on past studies by analyzing the specific impact of electronic alerts
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psnet.ahrq.gov/issue/risk-factors-iv-compounding-errors-when-using-automated-workflow-management-system
September 23, 2020 - Analyzing data collected over 12 months in a hospital's automated IV compounding workflow management
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psnet.ahrq.gov/issue/association-between-opioid-prescribing-patterns-and-abuse-ophthalmology
April 12, 2019 - Analyzing Medicare data, this study found that most ophthalmologists wrote fewer than 10 opioid prescriptions
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psnet.ahrq.gov/issue/systematic-review-malpractice-litigation-diagnosis-and-treatment-acute-stroke
October 19, 2022 - Analyzing nearly 300 medical malpractice cases related to acute care of stroke patients, this review