-
psnet.ahrq.gov/issue/root-cause-analysis-swatting-mosquitoes-versus-draining-swamp
January 31, 2024 - Download Citation
Related Resources From the Same Author(s)
Grand rounds in methodology
-
psnet.ahrq.gov/issue/relationship-between-nursing-home-staffing-and-resident-safety-outcomes-systematic-review
April 20, 2022 - adverse events in hospitalized patients with ischemic stroke or TIA: a cohort study using trigger tool methodology
-
psnet.ahrq.gov/issue/diagnostic-performance-dashboards-tracking-diagnostic-errors-using-big-data
July 28, 2023 - look-forward analysis with administrative claims data using Symptom-Disease Pair Analysis of Diagnostic Error methodology … analysis employing insurance claims data using Symptom-Disease Pair Analysis of Diagnostic Error (SPADE) methodology
-
psnet.ahrq.gov/issue/identifying-and-analyzing-diagnostic-paths-new-approach-studying-diagnostic-practices
July 17, 2019 - look-forward analysis with administrative claims data using Symptom-Disease Pair Analysis of Diagnostic Error methodology … analysis employing insurance claims data using Symptom-Disease Pair Analysis of Diagnostic Error (SPADE) methodology
-
psnet.ahrq.gov/issue/health-literacy-and-systemic-racism-using-clear-communication-reduce-health-care-inequities
July 19, 2023 - look-forward analysis with administrative claims data using Symptom-Disease Pair Analysis of Diagnostic Error methodology … analysis employing insurance claims data using Symptom-Disease Pair Analysis of Diagnostic Error (SPADE) methodology
-
psnet.ahrq.gov/issue/medication-histories-critically-ill-patients-completed-pharmacy-personnel
September 23, 2020 - look-forward analysis with administrative claims data using Symptom-Disease Pair Analysis of Diagnostic Error methodology … analysis employing insurance claims data using Symptom-Disease Pair Analysis of Diagnostic Error (SPADE) methodology
-
psnet.ahrq.gov/innovation/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-diagnostic-accuracy
April 01, 2005 - In 2010, KP developed the e-Autopsy/e-Biopsy (eA/eB) methodology, an innovation designed to compile cases … review process used among patients who died. e-Biopsy denotes the non-mortality eB methodology review … The eA/eB methodology is a three-part process involving reviewing cases, analyzing results, and implementing … Results
For each disease, the innovators used either the eB or eA methodology. … The eB methodology for ectopic pregnancy revealed actionable trends in diagnostic delays.
-
psnet.ahrq.gov/issue/diagnostic-errors-next-frontier-patient-safety
October 14, 2020 - look-forward analysis with administrative claims data using Symptom-Disease Pair Analysis of Diagnostic Error methodology
-
psnet.ahrq.gov/node/852698/psn-pdf
August 30, 2023 - In 2010, KP developed the e-Autopsy/e-Biopsy (eA/eB) methodology, an
innovation designed to compile … improve outcomes by identifying patterns of
error for specific diagnoses. e-Autopsy denotes the eA methodology … review process used among patients
who died. e-Biopsy denotes the non-mortality eB methodology review … The eA/eB methodology is a three-part process involving reviewing cases, analyzing results, and
implementing … The eB methodology for ectopic pregnancy revealed actionable trends in diagnostic delays.
-
psnet.ahrq.gov/node/42737/psn-pdf
November 20, 2019 - publication assessed 12 widely disseminated hospital report cards by criteria including transparency of
methodology
-
psnet.ahrq.gov/issue/direct-observation-depression-screening-identifying-diagnostic-error-and-improving-accuracy
December 08, 2021 - analysis employing insurance claims data using Symptom-Disease Pair Analysis of Diagnostic Error (SPADE) methodology … look-forward analysis with administrative claims data using Symptom-Disease Pair Analysis of Diagnostic Error methodology
-
psnet.ahrq.gov/issue/misdiagnosis-thoracic-aortic-emergencies-occurs-frequently-among-transfers-aortic-referral
October 28, 2020 - analysis employing insurance claims data using Symptom-Disease Pair Analysis of Diagnostic Error (SPADE) methodology … and potentially preventable trauma deaths: a 9-year review using the Joint Commission's standardized methodology
-
psnet.ahrq.gov/issue/estimate-missed-pediatric-sepsis-emergency-department
December 08, 2021 - analysis employing insurance claims data using Symptom-Disease Pair Analysis of Diagnostic Error (SPADE) methodology … look-forward analysis with administrative claims data using Symptom-Disease Pair Analysis of Diagnostic Error methodology
-
psnet.ahrq.gov/issue/evaluation-feedback-modalities-and-preferences-regarding-feedback-decision-making-pediatric
September 08, 2021 - analysis employing insurance claims data using Symptom-Disease Pair Analysis of Diagnostic Error (SPADE) methodology … look-forward analysis with administrative claims data using Symptom-Disease Pair Analysis of Diagnostic Error methodology
-
psnet.ahrq.gov/issue/characterisations-adverse-events-detected-university-hospital-4-year-study-using-global
December 09, 2020 - Identifying no-harm incidents in home healthcare: a cohort study using trigger tool methodology … Adverse events in patients in home healthcare: a retrospective record review using trigger tool methodology
-
psnet.ahrq.gov/issue/accuracy-emergency-department-clinical-findings-diagnosis-coronavirus-disease-2019
September 09, 2020 - look-forward analysis with administrative claims data using Symptom-Disease Pair Analysis of Diagnostic Error methodology … analysis employing insurance claims data using Symptom-Disease Pair Analysis of Diagnostic Error (SPADE) methodology
-
psnet.ahrq.gov/issue/stroke-hospitalization-after-misdiagnosis-benign-dizziness-lower-specialty-care-general
May 12, 2021 - look-forward analysis with administrative claims data using Symptom-Disease Pair Analysis of Diagnostic Error methodology … analysis employing insurance claims data using Symptom-Disease Pair Analysis of Diagnostic Error (SPADE) methodology
-
psnet.ahrq.gov/issue/real-world-virtual-patient-simulation-improve-diagnostic-performance-through-deliberate
July 21, 2021 - analysis employing insurance claims data using Symptom-Disease Pair Analysis of Diagnostic Error (SPADE) methodology … look-forward analysis with administrative claims data using Symptom-Disease Pair Analysis of Diagnostic Error methodology
-
psnet.ahrq.gov/issue/burden-serious-harms-diagnostic-error-usa
June 03, 2020 - look-forward analysis with administrative claims data using Symptom-Disease Pair Analysis of Diagnostic Error methodology … analysis employing insurance claims data using Symptom-Disease Pair Analysis of Diagnostic Error (SPADE) methodology
-
psnet.ahrq.gov/issue/perspectives-emergency-clinicians-about-medical-errors-resulting-patient-harm-or-malpractice
October 13, 2021 - analysis employing insurance claims data using Symptom-Disease Pair Analysis of Diagnostic Error (SPADE) methodology … look-forward analysis with administrative claims data using Symptom-Disease Pair Analysis of Diagnostic Error methodology