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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
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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
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psnet.ahrq.gov/issue/theoretical-approaches-investigating-patient-safety
September 15, 2009 - The authors offer a brief introduction to three models for analyzing patient safety issues: complexity
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psnet.ahrq.gov/issue/systematic-systems-analysis-practical-approach-patient-safety-reviews
October 27, 2015 - The three phases of the model focus on collecting information, analyzing data, and developing recommendations
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psnet.ahrq.gov/issue/patient-safety-hospitals-face-challenges-implementing-evidence-based-practices
September 07, 2016 - Analyzing how six hospitals tried to implement evidence-based safety practices , this report identified
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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
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psnet.ahrq.gov/issue/close-calls-patient-safety-should-we-be-paying-closer-attention
November 08, 2013 - This commentary highlights the value of analyzing near misses in preventing errors and includes several
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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
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psnet.ahrq.gov/issue/path-safe-and-reliable-healthcare
August 20, 2018 - This commentary describes a model that aims to improve health care quality by analyzing potential risks
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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
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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
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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
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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
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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
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psnet.ahrq.gov/issue/error-reduction-trauma-care-lessons-anonymized-national-multicenter-mortality-reporting
March 24, 2021 - By analyzing errors that lead to preventable or potentially preventable deaths in trauma care , healthcare
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psnet.ahrq.gov/issue/body-mass-index-category-and-adverse-events-hospitalized-children
August 03, 2022 - After analyzing data for pediatric patients discharged from a single children’s hospital, researchers
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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/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/38778/psn-pdf
March 04, 2011 - This
systematic review builds on past studies by analyzing the specific impact of electronic alerts