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Showing results for "analyzing".

  1. Breakdowns in the medication reconciliation process. | PSNet

    psnet.ahrq.gov/issue/breakdowns-medication-reconciliation-process
    September 18, 2013 - Analyzing data submitted to the Pennsylvania Patient Safety Reporting System, this piece identifies problems

  2. Ambulatory surgery facilities: a comprehensive review of medication error reports in Pennsylvania. | PSNet

    psnet.ahrq.gov/issue/ambulatory-surgery-facilities-comprehensive-review-medication-error-reports-pennsylvania
    April 17, 2017 - Analyzing reports of medication errors in ambulatory surgery centers, this article discusses common error

  3. Malpractice Risks in Communication Failures: 2015 Annual Benchmarking Report. | PSNet

    psnet.ahrq.gov/issue/malpractice-risks-communication-failures-2015-annual-benchmarking-report
    July 18, 2018 - Analyzing more than 7000 cases in which communication breakdowns led to patient harm, this report explores

  4. Distractions and their impact on patient safety. | PSNet

    psnet.ahrq.gov/issue/distractions-and-their-impact-patient-safety
    September 27, 2016 - Analyzing data submitted to the Pennsylvania Patient Safety Reporting System, this piece outlines the

  5. Prescribing errors that cause harm. | PSNet

    psnet.ahrq.gov/issue/prescribing-errors-cause-harm
    March 30, 2016 - Analyzing prescribing error reports submitted over a 12- year period, this article recommends strategies

  6. To Do No Harm: Ensuring Patient Safety in Health Care Organizations. | PSNet

    psnet.ahrq.gov/issue/do-no-harm-ensuring-patient-safety-health-care-organizations
    August 16, 2016 - The authors draw from their backgrounds as health care executives and present tools for analyzing systems

  7. Oral medications inadvertently given via the intravenous route. | PSNet

    psnet.ahrq.gov/issue/oral-medications-inadvertently-given-intravenous-route
    December 19, 2016 - Analyzing data submitted to the Pennsylvania Patient Safety Reporting System, this piece identifies incidents

  8. Patient Safety. | PSNet

    psnet.ahrq.gov/issue/patient-safety-7
    November 16, 2015 - efforts to enhance patient safety and recommends improving certain areas, such as adopting technology, analyzing

  9. Psn-Pdf (pdf file)

    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 also … 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

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38673/psn-pdf
    April 30, 2014 - He discusses the role of human factors and systems thinking in analyzing and improving safety and cites

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35611/psn-pdf
    June 23, 2010 - a negative outcome or a deviation from standard of practice into their error definition rather than analyzing

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37546/psn-pdf
    June 14, 2011 - Veterans Administration has encouraged use of root cause analysis (RCA) as a structured method of analyzing

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41298/psn-pdf
    November 27, 2012 - patient-safety-culture-and-association-safe-resident-care-nursing-homes Avedis Donabedian established the now classic model for analyzing

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42854/psn-pdf
    March 20, 2014 - This article describes how a children's hospital implemented medication event huddles as a way of analyzing

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38759/psn-pdf
    April 05, 2010 - of the project by soliciting the perceptions of project leaders at four hospitals with the goal of analyzing

  16. Advancing the Science and Implementation of Patient Narrative Elicitation and Reporting | Agency for Healthcare Research and Quality

    www.ahrq.gov/cahps/news-and-events/events/2016-meeting-summary.html
    August 01, 2019 - Reporting of Narratives to Consumers: A review of what the CAHPS team has learned about methods for analyzing … to Clinicians: A review by two health systems and one online rating site of their experience with analyzing

  17. Psn-Pdf (pdf file)

    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

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36530/psn-pdf
    January 07, 2011 - Previous articles analyzing the same survey data demonstrated that extended work shifts (working more

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41176/psn-pdf
    March 02, 2012 - This study adds to the existing literature by analyzing more than 14 million admissions to the National

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43064/psn-pdf
    January 01, 2015 - psnet.ahrq.gov/issue/leadership-safety-climate-and-continuous-quality-improvement-impact- process-quality-and Analyzing
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