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psnet.ahrq.gov/node/34616/psn-pdf
March 28, 2005 - ://psnet.ahrq.gov/issue/score-your-safety-culture
James Reason's checklist to help an organization determine
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psnet.ahrq.gov/node/37421/psn-pdf
February 15, 2011 - prescription-error-process-defects-community-retail-pharmacy
This study used direct observation to determine
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psnet.ahrq.gov/node/34631/psn-pdf
December 23, 2016 - The Joint Commission issues these sentinel event alerts to review selected incidents, determine
the
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psnet.ahrq.gov/issue/drug-administration-errors-and-their-determinants-pediatric-patients
June 29, 2011 - Study
Drug administration errors and their determinants in pediatric in-patients.
Citation Text:
Prot S, Fontan JE, Alberti C, et al. Drug administration errors and their determinants in pediatric in-patients. International Journal for Quality in Health Care. 2005;17(5). doi:10.1093/in…
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psnet.ahrq.gov/issue/medication-assessment-one-determinant-falls-risk
July 24, 2013 - Newspaper/Magazine Article
Medication assessment: one determinant of falls risk.
Citation Text:
Medication assessment: one determinant of falls risk. PA-PSRS Patient Saf Advis. March 2008;5:16-18.
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psnet.ahrq.gov/node/37944/psn-pdf
April 11, 2011 - identification-adverse-events-orthopedics-department-sweden
This study used multiple methods of error detection to determine
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psnet.ahrq.gov/node/36406/psn-pdf
March 03, 2011 - nature-human-error-implications-surgical-practice
The authors analyzed the literature to identify important components of safe surgical care and determine
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psnet.ahrq.gov/node/37540/psn-pdf
May 02, 2012 - why-do-interns-make-prescribing-errors-qualitative-study
This study used semistructured interviews with interns who had committed prescribing errors to determine
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psnet.ahrq.gov/node/35247/psn-pdf
December 17, 2008 - review-australian-incident-monitoring-system
The authors surveyed users of the Australian Incident Monitoring System (AIMS) to determine
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psnet.ahrq.gov/node/42143/psn-pdf
October 07, 2015 - re-engineered-discharge-red-toolkit
This toolkit provides information to help hospitals implement Project RED, including how to determine
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psnet.ahrq.gov/node/38670/psn-pdf
November 25, 2009 - assessing-hospital-safety-nights-and-weekends-swan-tool
This article describes an assessment tool that helps hospitals determine
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psnet.ahrq.gov/node/35815/psn-pdf
July 21, 2010 - national-survey-obstetric-anaesthetic-handovers
The researchers surveyed senior obstetric anesthetists in the United Kingdom to determine
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psnet.ahrq.gov/node/39782/psn-pdf
August 25, 2010 - patient safety and quality improvement
interventions, and identifies a common set of questions to determine
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psnet.ahrq.gov/perspective/measuring-and-responding-deaths-medical-errors
April 01, 2008 - Studies of the epidemiology of medical errors generally use a two-stage review process to determine if … results were extrapolated to estimate deaths on a population level were not explicitly designed to determine … How should hospitals and health care organizations seek to identify these patients, determine what factors … should implement formal strategies for identifying preventable deaths and analyzing these deaths to determine
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psnet.ahrq.gov/node/33851/psn-pdf
January 01, 2017 - Researchers have
attempted to determine whether these temporal differences in care result in adverse … A 2014 study sought to determine the contribution of health care system and patient factors to the
greater … However, these data may lack the clinical detail necessary to determine illness severity, a crucial … that contribute to it and the methodological complexity of research in this area
make it difficult to determine
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psnet.ahrq.gov/node/37459/psn-pdf
June 29, 2011 - development-medical-checklists-improved-quality-patient-care
The authors reviewed the literature to determine
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psnet.ahrq.gov/node/35573/psn-pdf
April 12, 2011 - how-experiencing-preventable-medical-problems-changed-patients-
interactions-primary-health
The investigators interviewed patients to determine
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psnet.ahrq.gov/node/35538/psn-pdf
March 29, 2010 - identifying-medical-errors-developing-consensus-classifications-and-
consequences
The investigators surveyed a panel of experts to determine
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psnet.ahrq.gov/node/37941/psn-pdf
July 30, 2008 - The authors recommend follow-up studies to determine the reproducibility of
these results.
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psnet.ahrq.gov/node/38985/psn-pdf
September 30, 2009 - nurses-role-detecting-deterioration-ward-patients-systematic-literature-review
This systematic review indicates that nurses use their clinical judgment to determine