-
psnet.ahrq.gov/issue/medicine-safety-take-care
February 21, 2018 - Analyzing the evidence on medication errors in Australia, this report estimates the incidence of acute
-
psnet.ahrq.gov/issue/saving-lives-saving-money-imperative-computerized-physician-order-entry-massachusetts
November 18, 2011 - Analyzing patient charts at six community hospitals in Massachusetts, this report reveals to what extent
-
psnet.ahrq.gov/issue/developing-medication-patient-safety-program-infrastructure-and-strategy
May 11, 2014 - medication patient safety program, including establishing a blame-free environment and collecting and analyzing
-
psnet.ahrq.gov/issue/serious-reportable-events
March 21, 2018 - Incident reporting systems are an important method for capturing, analyzing, and learning about a broad
-
psnet.ahrq.gov/issue/conducting-root-cause-analysis-nursing-students-best-practice-nursing-education
September 09, 2015 - describes the use of root cause analysis to engage nursing students in identifying, reporting, and analyzing
-
psnet.ahrq.gov/node/49581/psn-pdf
March 21, 2009 - decade, the patient safety movement has actively worked to shift the focus from practitioner
blame to analyzing … After analyzing serious errors, organizations try to "fix" the cause of the error by concentrating their … error prevention strategies following a serious event that focus solely on
specific risks without analyzing
-
psnet.ahrq.gov/primer/patient-safety-101
January 16, 2025 - 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
-
psnet.ahrq.gov/issue/interventions-improve-team-effectiveness-systematic-review
September 29, 2021 - The authors highlight the challenges in analyzing this literature because of the heterogeneity of the
-
psnet.ahrq.gov/issue/video-review-simulated-pediatric-cardiac-arrest-identify-errorslatent-safety-threats-mixed
October 07, 2020 - By analyzing video recordings of pediatric cardiac arrest simulations, researchers were able to identify
-
psnet.ahrq.gov/issue/does-one-size-fit-all-developing-evaluation-strategy-assess-large-language-models-patient
December 07, 2022 - Free-text narratives in patient safety event (PSE) reports provide rich detail, but reading and analyzing
-
psnet.ahrq.gov/issue/family-woman-who-died-after-medical-error-joins-hospitals-safety-panel
May 13, 2020 - Bariatric surgery with operating room teams that stayed fixed during the day: a multicenter study analyzing
-
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
-
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
-
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
-
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
-
psnet.ahrq.gov/issue/omission-high-alert-medications-hidden-danger
January 11, 2017 - Analyzing incidents reported over a 4-month period, this article reveals that 21% of 2700 medication
-
psnet.ahrq.gov/issue/tubing-misconnections-normalization-deviance
December 16, 2015 - Analyzing published case studies on tubing misconnections and expert recommendations for improvement
-
psnet.ahrq.gov/issue/managing-acute-adverse-event-radiology-department
June 14, 2011 - This article describes a process for analyzing adverse events and explains concepts including error detection
-
psnet.ahrq.gov/issue/patient-safety-instruction-us-health-professions-education
September 01, 2015 - Analyzing literature on methods to promote patient safety in health professional curricula, this review
-
psnet.ahrq.gov/issue/decreasing-30-day-readmission-rates
July 19, 2018 - Analyzing data from the Pennsylvania Patient Safety Authority Reporting System, this commentary identifies