-
psnet.ahrq.gov/node/46765/psn-pdf
April 04, 2018 - A variety of uses for health IT were
described, including integration of checklists and standardized
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psnet.ahrq.gov/node/45967/psn-pdf
July 05, 2017 - A recent Annual Perspective discussed ongoing problems
with the root cause analysis process and described
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psnet.ahrq.gov/node/46819/psn-pdf
January 27, 2019 - An Annual Perspective described other initiatives to reduce opioid-related harm.
-
psnet.ahrq.gov/node/34863/psn-pdf
June 12, 2007 - adapted many of the cases they previously published in the academic literature,
some cases previously described
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psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
August 21, 2016 - Indeed, one early study that described the RCA process within the Veterans Affairs health system did … In a widely cited 2016 commentary, Peerally and colleagues described eight problems with RCA as currently … Focusing more specifically on problems with RCA tools and techniques, Card described " the problem with … An earlier study described the development and adoption of a rapid approach to RCAs, referred to as "
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psnet.ahrq.gov/issue/importance-cognitive-errors-diagnosis-and-strategies-minimize-them
September 18, 2024 - The author reviews previously described CDRs, such as failures in perception and heuristics, overconfidence
-
psnet.ahrq.gov/node/46541/psn-pdf
January 31, 2018 - A recent PSNet perspective described the 2017
work hour requirements.
-
psnet.ahrq.gov/node/35856/psn-pdf
June 16, 2011 - A past study described the results of using such a tool in an academic medical center.
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psnet.ahrq.gov/node/38026/psn-pdf
March 21, 2017 - A successful intervention to improve physician
incident reporting was described in a prior study.
-
psnet.ahrq.gov/node/46488/psn-pdf
November 15, 2017 - the new system to 45 patient safety vignettes gleaned from sources such as
AHRQ WebM&M, then they described
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psnet.ahrq.gov/node/34639/psn-pdf
March 02, 2011 - Based on their described process, the authors reported that 14% to 27% of
deaths might have been prevented
-
psnet.ahrq.gov/node/34067/psn-pdf
January 04, 2017 - Another study specifically described patient and physician attitudes
towards the disclosure process.
-
psnet.ahrq.gov/node/46034/psn-pdf
April 05, 2017 - In this retrospective study, researchers described the development and validation of a tool to
assess
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psnet.ahrq.gov/node/37891/psn-pdf
June 09, 2011 - The
process of ensuring accurate medication reconciliation at admission was described in a prior review
-
psnet.ahrq.gov/node/35696/psn-pdf
July 13, 2010 - The same authors previously described the dimensions of safety climate applied
to this study.
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psnet.ahrq.gov/node/35813/psn-pdf
April 06, 2011 - Investigators combined didactic programs previously described with an intervention focused on putting
-
psnet.ahrq.gov/node/36386/psn-pdf
July 14, 2010 - Very few patient-generated reports
described an error, suggesting that different strategies may be required
-
psnet.ahrq.gov/node/35404/psn-pdf
March 11, 2011 - The technique of observation described in this
study may serve as a very useful tool for similar technology
-
psnet.ahrq.gov/node/41725/psn-pdf
January 01, 2013 - The
efforts described are primarily focused on smoothing the coordination of care and communication
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psnet.ahrq.gov/node/37227/psn-pdf
December 15, 2011 - prospective-multicenter
This AHRQ-funded multicenter prospective study used data from a previously described