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  1. psnet.ahrq.gov/issue/global-trigger-tool-shows-adverse-events-hospitals-may-be-ten-times-greater-previously
    February 15, 2011 - An important caveat is that this study did not assess whether the adverse events detected were preventable … March 19, 2019 Integrating incident data from five reporting systems to assess patient
  2. psnet.ahrq.gov/issue/10-years-5-voices-1-challenge
    November 26, 2008 - In this piece, five health care leaders briefly assess the impact of To Err Is Human  and describe future
  3. psnet.ahrq.gov/issue/are-you-great-diagnostician
    May 28, 2014 - Highlighting how diagnostic errors affect patient safety, this article reviews tactics physicians use to assess
  4. psnet.ahrq.gov/issue/design-evidence-based-second-victim-curriculum-nurse-anesthetists
    February 15, 2023 - February 15, 2023 An evidence-based tool (PE for PS) for healthcare managers to assess … Related Resources Use of the Second Victim Experience and Support Tool (SVEST) to assess
  5. psnet.ahrq.gov/issue/preventable-adverse-drug-events-hospitalized-patients-comparative-study-intensive-care-and
    March 31, 2021 - May 26, 2021 Using video to assess and improve patient safety during simulated … October 30, 2019 Evaluation of a measurement system to assess ICU team performance.
  6. psnet.ahrq.gov/issue/electronic-diagnostic-support-emergency-physician-triage-qualitative-study-thematic-analysis
    October 27, 2021 - April 10, 2024 Use of an electronic clinical decision support system in primary care to assess … A vignette study to assess recognition of cognitive biases in clinical case workups.
  7. psnet.ahrq.gov/issue/use-electronic-decision-support-tool-reduce-polypharmacy-elderly-people-chronic-diseases
    August 18, 2021 - August 18, 2021 Use of an electronic clinical decision support system in primary care to assess … September 16, 2020 Use of an electronic clinical decision support system in primary care to assess
  8. psnet.ahrq.gov/issue/human-factors
    January 06, 2010 - support patient safety work, this Web site shares information and measurement tools for organizations to assess
  9. psnet.ahrq.gov/issue/high-alert-medication-modeling-and-error-reduction-scorecards-hammers-community-pharmacies
    January 17, 2007 - to help community pharmacies identify risks associated with dispensing high-alert medications, assess
  10. psnet.ahrq.gov/issue/national-survey-safety-features-pharmacy-computer-systems
    February 16, 2011 - Copy URL July 13, 2005 Institute for Safe Medication Practices; ISMP To assess
  11. psnet.ahrq.gov/issue/maximize-patient-safety-advanced-root-cause-analysis
    November 18, 2011 - May 12, 2021 Defining diagnostic error: a scoping review to assess the impact of the … March 23, 2016 VA Health Care: Actions Needed to Assess Decrease in Root Cause Analyses
  12. psnet.ahrq.gov/issue/clinical-impact-associated-corrected-results-clinical-microbiology-testing
    December 03, 2008 - Resources From the Same Author(s) Systematic assessment of culture review as a tool to assess … February 15, 2010 Systematic assessment of culture review as a tool to assess errors
  13. psnet.ahrq.gov/issue/human-factors-and-systems-engineering-approach-patient-safety-radiotherapy
    August 07, 2013 - February 23, 2022 Healing our own: a randomized trial to assess benefits of peer support … Understanding the heterogeneity of labor and delivery units: using design thinking methodology to assess
  14. psnet.ahrq.gov/issue/patient-safety-hhs-has-taken-steps-address-unsafe-injection-practices-more-action-needed
    September 05, 2012 - January 8, 2014 VA Health Care: VA Uses Medical Injury Tort Claims Data to Assess Veterans … August 15, 2018 VA Health Care: Actions Needed to Assess Decrease in Root Cause Analyses
  15. psnet.ahrq.gov/issue/usability-study-two-common-defibrillators-reveals-hazards
    June 16, 2009 - April 29, 2018 Using HFMEA to assess potential for patient harm from tubing misconnections … July 22, 2010 Application of the IV Medication Harm Index to assess the nature of harm
  16. psnet.ahrq.gov/issue/patient-safety-act
    November 09, 2011 - Resources From the Same Author(s) VA Health Care: VA Uses Medical Injury Tort Claims Data to Assess … January 8, 2014 VA Health Care: VA Uses Medical Injury Tort Claims Data to Assess Veterans
  17. psnet.ahrq.gov/issue/communication-patterns-uk-emergency-department
    June 17, 2010 - December 12, 2012 A multicentre observational study to evaluate a new tool to assess … June 3, 2013 Development and validation of a tool to assess emergency physicians' nontechnical
  18. psnet.ahrq.gov/issue/incident-reporting-one-uk-accident-and-emergency-department
    December 12, 2012 - September 27, 2016 A multicentre observational study to evaluate a new tool to assess … June 3, 2013 Development and validation of a tool to assess emergency physicians' nontechnical
  19. psnet.ahrq.gov/issue/physician-led-chart-audit-engaging-providers-fortifying-culture-safety
    November 20, 2013 - From the Same Author(s) Whole-patient measure of safety: using administrative data to assess … April 16, 2018 Integrating incident data from five reporting systems to assess patient
  20. psnet.ahrq.gov/issue/trade-offs-between-voice-and-silence-qualitative-exploration-oncology-staffs-decisions-speak
    November 05, 2014 - Resources From the Same Author(s) Silence that can be dangerous: a vignette study to assess … December 18, 2014 Silence that can be dangerous: a vignette study to assess healthcare

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