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psnet.ahrq.gov/issue/rca-recast-root-cause-analysis-simulation-interprofessional-clinical-learning-environment
May 18, 2022 - Root cause analysis (RCA) is a common method to investigate adverse events and identify contributing … Root cause analysis using the prevention and recovery information system for monitoring and analysis method … 8, 2022
A dynamic risk management approach for reducing harm from invasive bedside procedures
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psnet.ahrq.gov/issue/enhancing-patient-safety-during-hand-offs-standardized-communication-and-teamwork-using-sbar
July 22, 2010 - Enhancing patient safety during hand-offs: standardized communication and teamwork using the 'SBAR' method … Enhancing patient safety during hand-offs: standardized communication and teamwork using the 'SBAR' method … Enhancing patient safety during hand-offs: standardized communication and teamwork using the 'SBAR' method
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psnet.ahrq.gov/issue/tool-concise-analysis-patient-safety-incidents
August 09, 2018 - In this study, researchers tested a concise incident analysis method, drawing on multiple existing incident … These results suggest that a more streamlined method of investigating adverse events could support patient … November 10, 2010
The harm susceptibility model: a method to prioritise risks identified
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psnet.ahrq.gov/issue/prospective-risk-analysis-and-incident-reporting-better-pharmaceutical-care-paediatric
June 27, 2011 - This method identified more errors than traditional incident reporting , as expected given the known … June 27, 2011
Use of a prospective risk analysis method to improve the safety of the … May 29, 2019
A risk analysis method to evaluate the impact of a Computerized Provider
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psnet.ahrq.gov/issue/pediatric-prehospital-medication-dosing-errors-mixed-methods-study
August 25, 2021 - Pediatric prehospital medication dosing errors: a mixed-methods study. … Pediatric prehospital medication dosing errors: a mixed-methods study. … Factors influencing medication errors in the prehospital paramedic environment: a mixed method … A mixed-methods study with a focus on user experience. … 2023
Medication safety in emergency medical services: approaching an evidence-based method
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psnet.ahrq.gov/node/43988/psn-pdf
February 22, 2018 - implementation of proposed actions for
improvement with the Healthcare Failure Mode Effect
Analysis method … Implementation of Proposed Actions for Improvement
With the Healthcare Failure Mode Effect Analysis Method … high-rate-implementation-proposed-actions-improvement-healthcare-failure-
mode-effect-analysis
Failure mode effect analysis is a widely used method
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psnet.ahrq.gov/issue/large-scale-organisational-intervention-improve-patient-safety-four-uk-hospitals-mixed-method
February 23, 2011 - Large scale organisational intervention to improve patient safety in four UK hospitals: mixed method … Large scale organisational intervention to improve patient safety in four UK hospitals: mixed method … clinical issues (e.g., medication errors and communication), through continuous quality improvement methods … Large scale organisational intervention to improve patient safety in four UK hospitals: mixed method
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psnet.ahrq.gov/issue/patient-and-family-contributions-improve-diagnostic-process-through-ourdx-electronic-health
October 27, 2021 - contributions to improve the diagnostic process through the OurDX electronic health record tool: a mixed method … contributions to improve the diagnostic process through the OurDX electronic health record tool: a mixed method … contributions to improve the diagnostic process through the OurDX electronic health record tool: a mixed method
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psnet.ahrq.gov/issue/impact-original-methodological-tool-identification-corrective-and-preventive-actions-after
March 15, 2017 - to identification of more corrective and preventive actions than the preexisting root cause analysis method … March 5, 2025
Comparison of three methods for estimating rates of adverse events and … 28, 2013
Adverse events in intensive care and continuing care units during bed-bath procedures … , 2020
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Related Resources
Using the Generic Analysis Method
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psnet.ahrq.gov/node/44484/psn-pdf
May 04, 2016 - Failure mode and effects analysis: a comparison of two
common risk prioritisation methods. … Failure mode and effects analysis: a comparison of two
common risk prioritisation methods. … /psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-comparison-two-common-risk-prioritisation-
methods … Failure mode and effect analysis (FMEA) is a human factors engineering method used to examine a
process … traditional resource-intensive FMEA
with a simplified version, this analysis found that the simplified method
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psnet.ahrq.gov/issue/identifying-and-analyzing-diagnostic-paths-new-approach-studying-diagnostic-practices
July 17, 2019 - The authors suggest big data as a method to mine electronic medical records to identify the information … in the emergency department-standardizing measurement of misdiagnosis-related harms using the SPADE method … specialty care than general practice: a population-based cohort analysis of missed stroke using SPADE methods
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psnet.ahrq.gov/issue/standardized-formulary-reduce-pediatric-medication-dosing-errors-mixed-methods-study
August 25, 2021 - A standardized formulary to reduce pediatric medication dosing errors: a mixed methods … A standardized formulary to reduce pediatric medication dosing errors: a mixed methods study. … A standardized formulary to reduce pediatric medication dosing errors: a mixed methods study. … Factors influencing medication errors in the prehospital paramedic environment: a mixed method … Factors influencing medication errors in the prehospital paramedic environment: a mixed method
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psnet.ahrq.gov/issue/combined-proactive-risk-assessment-unifying-proactive-and-reactive-risk-assessment-techniques
June 23, 2021 - Healthcare organizations use multiple proactive and reactive methods of investigating and preventing … assessments into a Combined Proactive Risk Assessment (CPRA) to identify risks not detected by one method … September 1, 2012
A risk analysis method to evaluate the impact of a Computerized Provider
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psnet.ahrq.gov/issue/operating-manual-based-usability-evaluation-medical-devices-effective-patient-safety
September 24, 2016 - Operating manual-based usability evaluation of medical devices: an effective patient safety screening method … Operating manual-based usability evaluation of medical devices: an effective patient safety screening method … Operating manual-based usability evaluation of medical devices: an effective patient safety screening method
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psnet.ahrq.gov/issue/patient-safety-incident-response-framework
October 20, 2021 - This framework will replace the current method used by the UK National Health Service (NHS) to support … July 1, 2020
The CUSP Method
September 26, 2019
Organisation Patient
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psnet.ahrq.gov/issue/there-no-such-thing-nonjudgmental-debriefing-theory-and-method-debriefing-good-judgment
December 19, 2014 - Commentary
There is no such thing as a "nonjudgmental" debriefing: a theory and method … There's no such thing as "nonjudgmental" debriefing: a theory and method for debriefing with good judgment … There's no such thing as "nonjudgmental" debriefing: a theory and method for debriefing with good judgment
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psnet.ahrq.gov/issue/randomized-trial-effectiveness-demand-versus-computer-triggered-drug-decision-support-primary
March 11, 2011 - However, neither method resulted in a reduction in prescribing problems, partly because physicians ignored … Prescribers' interactions with medication alerts at the point of prescribing: a multi-method … March 10, 2011
A mixed method study of the merits of e-prescribing drug alerts in primary
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psnet.ahrq.gov/issue/effect-weight-based-prescribing-method-within-electronic-health-record-prescribing-errors
September 11, 2013 - Study
Effect of a weight-based prescribing method within an electronic health record … Effect of a weight-based prescribing method within an electronic health record on prescribing errors. … Effect of a weight-based prescribing method within an electronic health record on prescribing errors.
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psnet.ahrq.gov/issue/simulated-settings-powerful-arenas-learning-patient-safety-practices-and-facilitating
December 07, 2011 - A mixed method study.
Citation Text:
Reime MH, Johnsgaard T, Kvam FI, et al. … A mixed method study. Nurse Educ Pract. 2016;21:75-82. doi:10.1016/j.nepr.2016.10.003. … A mixed method study. Nurse Educ Pract. 2016;21:75-82. doi:10.1016/j.nepr.2016.10.003.
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psnet.ahrq.gov/issue/alternative-perspectives-safety-home-delivered-health-care-sequential-exploratory-mixed
February 17, 2016 - Alternative perspectives of safety in home delivered health care: a sequential exploratory mixed method … Alternative perspectives of safety in home delivered health care: a sequential exploratory mixed method … Alternative perspectives of safety in home delivered health care: a sequential exploratory mixed method