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psnet.ahrq.gov/issue/err-system-comparison-methodologies-investigation-adverse-outcomes-healthcare
January 26, 2022 - Commentary
To err is system: a comparison of methodologies for the investigation … To err is system: a comparison of methodologies for the investigation of adverse outcomes in healthcare … The authors of this article use three different methodologies – root cause analysis (RCA), human factors … To err is system: a comparison of methodologies for the investigation of adverse outcomes in healthcare … 20 years after To Err Is Human: a bibliometric analysis of ‘the IOM report’s’ impact on research
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psnet.ahrq.gov/node/764390/psn-pdf
March 02, 2022 - improvements following RCA-recommended
interventions implementation, but the studies used different methodologies … The
authors suggest that future research emphasize quantitative patient-related outcome measures to
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psnet.ahrq.gov/issue/patient-safety-clinical-research-articles
June 01, 2022 - Commentary
Patient safety in clinical research articles. … Patient safety in clinical research articles. … This commentary recommends including information in clinical articles on how to apply research results … Patient safety in clinical research articles. … Addressing barriers in the application of industrial process improvement methodologies to health care
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psnet.ahrq.gov/issue/critical-review-systems-approach-within-patient-safety-research
June 16, 2021 - Review
A critical review of the systems approach within patient safety research. … A critical review of the systems approach within patient safety research. … A critical review of the systems approach within patient safety research. … June 16, 2021
To err is system: a comparison of methodologies for the investigation of … July 18, 2018
Advancing the research agenda for diagnostic error reduction.
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psnet.ahrq.gov/issue/patient-experience-must-move-beyond-bad-apples
September 02, 2009 - Patient safety leaders have long advocated for research to focus on how systems contribute to medical … Managing interruptions to improve diagnostic decision-making: strategies and recommended research … March 29, 2023
To err is system: a comparison of methodologies for the investigation … Pursuing patient safety at the intersection of design, systems engineering, and health care delivery research
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psnet.ahrq.gov/issue/misinformation-medical-literature-what-role-do-error-and-fraud-play
November 02, 2011 - This commentary discusses how research errors, bias, and fraud lead to misinformation in the medical … s)
Retractions in the medical literature: how many patients are put at risk by flawed research … Addressing barriers in the application of industrial process improvement methodologies to health care
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psnet.ahrq.gov/issue/human-reliability-analysis-critique-and-review-managers
November 21, 2021 - This review discusses how human reliability analysis methodologies can be developed to improve safety … May 5, 2010
A critical review of the systems approach within patient safety research.
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psnet.ahrq.gov/issue/how-use-article-about-quality-improvement
August 03, 2010 - of the Users' Guides to the Medical Literature series, this article discusses quality improvement research … June 9, 2021
Framework for patient safety research and improvement. … Addressing barriers in the application of industrial process improvement methodologies to health care
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psnet.ahrq.gov/issue/measuring-safety-healthcare-exercise-futility
May 20, 2020 - detecting and measuring adverse events , the limitations of measurement alone, and the existing methodologies … , 2022
Safety-II and the study of healthcare safety routines: two paths forward for research
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psnet.ahrq.gov/issue/20-years-after-err-human-bibliometric-analysis-iom-reports-impact-research-patient-safety
July 15, 2020 - 20 years after To Err Is Human: a bibliometric analysis of ‘the IOM report’s’ impact on research … For example, research on incident reporting and systems approaches to improving safety are underrepresented … July 15, 2020
To err is system: a comparison of methodologies for the investigation of … Insights from the Professionalism Opinions of Medical Students' research. … August 4, 2021
Development and usability testing of the Agency for Healthcare Research
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psnet.ahrq.gov/issue/mapping-research-culture-and-safety-high-risk-organizations-arguments-sociotechnical
August 09, 2017 - Commentary
Mapping research on culture and safety in high-risk organizations: arguments … Mapping Research on Culture and Safety in High-Risk Organizations: Arguments for a Sociotechnical Understanding … Mapping Research on Culture and Safety in High-Risk Organizations: Arguments for a Sociotechnical Understanding … Resources
Safety-II and the study of healthcare safety routines: two paths forward for research … Addressing barriers in the application of industrial process improvement methodologies to health care
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psnet.ahrq.gov/primer/debriefing-clinical-learning
September 15, 2024 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … as an important aspect of effective clinical education, quality improvement, and systems learning. 7 Methodologies … Methodologies for debriefing vary widely. … Common methodologies for debriefing include: Plus-delta: a straight-forward approach that asks learners … those interested in developing skills in debriefing, training courses are available in several of the methodologies
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psnet.ahrq.gov/issue/how-much-and-what-local-adaptation-acceptable-comparison-24-surgical-safety-checklists
July 27, 2022 - differences between study checklists and reference checklists and provided recommendations for future research … Insights from the Professionalism Opinions of Medical Students' research. … August 20, 2018
To err is system: a comparison of methodologies for the investigation
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psnet.ahrq.gov/issue/err-human-apologize-hard
September 28, 2022 - 20 years after To Err Is Human: a bibliometric analysis of ‘the IOM report’s’ impact on research … January 26, 2022
To err is system: a comparison of methodologies for the investigation
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psnet.ahrq.gov/issue/integrating-systemic-accident-analysis-patient-safety-incident-investigation-practices
October 27, 2021 - June 16, 2021
To err is system: a comparison of methodologies for the investigation of … May 10, 2023
A critical review of the systems approach within patient safety research
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psnet.ahrq.gov/issue/human-factors-healthcare-welcome-progress-still-scratching-surface
June 16, 2021 - June 16, 2021
To err is system: a comparison of methodologies for the investigation of … May 10, 2023
A critical review of the systems approach within patient safety research
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psnet.ahrq.gov/issue/err-human-what-happens-when-surgeons-err
August 04, 2021 - 20 years after To Err Is Human: a bibliometric analysis of ‘the IOM report’s’ impact on research … January 26, 2022
To err is system: a comparison of methodologies for the investigation
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psnet.ahrq.gov/node/33594/psn-pdf
November 18, 2021 - PSNet primers are regularly reviewed and updated to ensure that they reflect
current research and practice … post-exercise rectification(s) such as systems improvements or addressing staff knowledge gaps.2
Research … an
important aspect of effective clinical education, quality improvement, and systems learning.7
Methodologies … Methodologies for debriefing vary widely. … Common methodologies for debriefing
include:
Plus-delta: a straight-forward approach that asks learners
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psnet.ahrq.gov/issue/does-root-cause-analysis-improve-patient-safety-systematic-review-department-veterans-affairs
March 24, 2021 - improvements following RCA-recommended interventions implementation, but the studies used different methodologies … The authors suggest that future research emphasize quantitative patient-related outcome measures to demonstrate
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psnet.ahrq.gov/issue/adverse-events-root-causes-and-latent-factors
June 21, 2017 - September 18, 2019
Adapting rapid assessment procedures for implementation research using … of Root Cause Analysis
February 26, 2025
To err is system: a comparison of methodologies