-
psnet.ahrq.gov/issue/can-we-use-incident-reports-detect-hospital-adverse-events
March 06, 2005 - A framework for analyzing and responding to incident reports was presented in an earlier study .
-
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/assessment-transparency-cost-estimates-economic-evaluations-patient-safety-programmes
January 15, 2009 - Through analyzing studies that evaluated cost, efficiency, and effectiveness of patient safety initiatives
-
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/decreasing-30-day-readmission-rates
July 19, 2018 - Analyzing data from the Pennsylvania Patient Safety Authority Reporting System, this commentary identifies
-
psnet.ahrq.gov/issue/controversies-diagnosis-contemporary-debates-diagnostic-safety-literature
December 21, 2018 - Analyzing the diagnostic error literature published between 2016 and 2018, this review identifies themes
-
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/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
-
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/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/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
-
psnet.ahrq.gov/issue/learning-accidents-what-more-do-we-need-know
May 29, 2014 - Analyzing research on accident investigation and incident feedback, this commentary recommends areas
-
psnet.ahrq.gov/issue/responding-patient-safety-incidents-seven-pillars
June 05, 2013 - This article describes one institution's principles for reporting, investigating, analyzing, and disclosing
-
psnet.ahrq.gov/issue/multidisciplinary-model-reviewing-severe-maternal-morbidity-cases-and-teaching-residents
August 23, 2023 - Formal debriefing after adverse events is an important method for analyzing and improving safety.
-
psnet.ahrq.gov/issue/towards-international-classification-patient-safety
March 11, 2020 - November 3, 2012
The Gift of Failure: New Approaches to Analyzing and Learning from Events
-
psnet.ahrq.gov/issue/foundations-safety-science
August 07, 2019 - August 7, 2019
The Gift of Failure: New Approaches to Analyzing and Learning from Events
-
psnet.ahrq.gov/issue/human-factors-and-ergonomics-healthcare
September 15, 2021 - November 3, 2012
The Gift of Failure: New Approaches to Analyzing and Learning from Events
-
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/issue/discontinuity-and-disaster-gaps-and-negotiation-culpability-medication-delivery
June 24, 2020 - Citation
Related Resources From the Same Author(s)
A systems approach to analyzing
-
psnet.ahrq.gov/issue/understanding-and-addressing-pre-hospital-diagnostic-delays
May 15, 2024 - More
Related Resources
Enhancing patient safety in prehospital environment: analyzing