-
psnet.ahrq.gov/node/43997/psn-pdf
August 02, 2015 - cause
analysis following a never event, along with recommendations for organizations to consider to determine
-
psnet.ahrq.gov/node/44895/psn-pdf
March 09, 2016 - patient-safety-when-are-we-too-old-operate
High-risk industries often have mandatory requirements to determine
-
psnet.ahrq.gov/node/34801/psn-pdf
February 10, 2011 - medication-prescribing-errors-teaching-hospital
This study analyzed nearly 290,000 medication orders during a 1-year study period to determine
-
psnet.ahrq.gov/node/44019/psn-pdf
March 25, 2015 - systematic-review-human-factors-and-ergonomics-hfe-based-healthcare-
system-redesign-quality
This systematic review sought to determine
-
psnet.ahrq.gov/node/43385/psn-pdf
August 06, 2014 - medicines-management-support-older-people-understanding-context-systems-
failure
This study used the accident causation model to determine
-
psnet.ahrq.gov/node/45989/psn-pdf
June 07, 2017 - radiologic-safety-events-within-pediatric-emergency-medicine-network
This study analyzed a database of voluntarily reported errors to determine
-
psnet.ahrq.gov/node/46872/psn-pdf
May 09, 2018 - This consensus document outlines an organizational process to determine cases for review and
provides
-
psnet.ahrq.gov/node/45112/psn-pdf
July 01, 2016 - surgical counts, this review explores risk factors, current processes, and technology solutions
to determine
-
psnet.ahrq.gov/node/34677/psn-pdf
February 09, 2011 - Transcripts were qualitatively analyzed to determine attitude of
patients and physicians.
-
psnet.ahrq.gov/node/44665/psn-pdf
January 01, 2019 - improvement-and-patient
Enabling clinicians and management to access data can help them uncover weaknesses in practice,
determine
-
psnet.ahrq.gov/node/43946/psn-pdf
May 28, 2015 - and morbidity registry, which should be tested as possible clinical indicators on a larger scale to
determine
-
psnet.ahrq.gov/node/44691/psn-pdf
December 02, 2015 - quality-and-safety-orthopaedics-learning-and-teaching-same-time-aoa-critical-
issues
This review examines safety in orthopedics, including how to determine
-
psnet.ahrq.gov/node/45246/psn-pdf
August 15, 2016 - ,
but the authors note that observation of more than 20 handoffs per resident would be required to determine
-
psnet.ahrq.gov/node/46795/psn-pdf
March 28, 2018 - The authors suggest further
research is needed to determine the effect of medication discrepancies on
-
psnet.ahrq.gov/node/45943/psn-pdf
March 15, 2017 - department discharge can result in patient
harm and advocates for investigating such incidents to determine
-
psnet.ahrq.gov/node/44795/psn-pdf
June 29, 2016 - This commentary explores the evidence around human factors
engineering in health care to determine how
-
psnet.ahrq.gov/node/45309/psn-pdf
July 13, 2016 - Delphi process resulted in a 46-item proposed tool that will require validation and testing in order to
determine
-
psnet.ahrq.gov/node/35060/psn-pdf
November 04, 2015 - This study examined more than 4300 ADEs to determine potential risk factors, such as
specific patient
-
psnet.ahrq.gov/node/45418/psn-pdf
May 09, 2017 - The authors advocate for further research to determine optimal
design and implementation of infobuttons
-
psnet.ahrq.gov/node/37737/psn-pdf
January 06, 2017 - All reported incidents
were reviewed by physicians to determine if a true error occurred.