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psnet.ahrq.gov/issue/err-system-comparison-methodologies-investigation-adverse-outcomes-healthcare
April 07, 2021 - 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 … 20 years after To Err Is Human: a bibliometric analysis of ‘the IOM report’s’ impact on research … , 2022
Safety-II and the study of healthcare safety routines: two paths forward for research … March 25, 2020
Development and usability testing of the Agency for Healthcare Research
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psnet.ahrq.gov/issue/lost-translation-addressing-barriers-application-industrial-process-improvement-methodologies
April 03, 2019 - Addressing barriers in the application of industrial process improvement methodologies to health care … Addressing Barriers in the Application of Industrial Process Improvement Methodologies to Health Care … Addressing Barriers in the Application of Industrial Process Improvement Methodologies to Health Care … , 2022
Safety-II and the study of healthcare safety routines: two paths forward for research
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psnet.ahrq.gov/issue/improving-insulin-distribution-and-administration-safety-using-lean-six-sigma-methodologies
December 10, 2014 - Study
Improving insulin distribution and administration safety using Lean Six Sigma methodologies … Improving Insulin Distribution and Administration Safety Using Lean Six Sigma Methodologies. … Improving Insulin Distribution and Administration Safety Using Lean Six Sigma Methodologies. … October 17, 2007
Long working hours, safety, and health: toward a national research agenda … A systematic review of the literature on the evaluation of handoff tools: implications for research
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psnet.ahrq.gov/primer/debriefing-clinical-learning
September 07, 2019 - 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 … Methodologies for debriefing vary widely. … Common methodologies for debriefing include:
Plus-delta : a straight-forward approach that asks … This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare Research
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psnet.ahrq.gov/issue/mapping-research-culture-and-safety-high-risk-organizations-arguments-sociotechnical
September 03, 2008 - 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 … , 2022
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/periodic-issue/periodic-issue-290
May 26, 2021 - The authors highlight several future research targets including development of relevant reference standards … Commentary
To err is system: a comparison of methodologies for the investigation of adverse … The authors of this article use three different methodologies – root cause analysis (RCA), human factors … The authors highlight several future research targets including development of relevant reference standards … Recommendations for future research include randomized controlled trials to determine which alerts maximize
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psnet.ahrq.gov/issue/organisational-safety-indicators-some-conceptual-considerations-and-supplementary-qualitative
June 23, 2021 - , 2022
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/issue/adverse-events-toolkit-medical-record-review-methodology
July 19, 2023 - October 26, 2022
AHRQ Health Services Research Project: Partners Enabling Diagnostic … November 14, 2022
- November 14, 2022
AHRQ Health Services Research Projects: Making … April 22, 2024
Patient Safety Research Summaries.
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psnet.ahrq.gov/issue/does-root-cause-analysis-improve-patient-safety-systematic-review-department-veterans-affairs
November 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 … August 26, 2020
Development and usability testing of the Agency for Healthcare Research … The psychological experiences of nurses after inpatient suicide: a meta-synthesis of qualitative research … June 23, 2021
To err is system: a comparison of methodologies for the investigation of
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psnet.ahrq.gov/issue/systemic-methodology-risk-management-healthcare-sector
December 23, 2020 - reported by United States clinical pharmacists: The American College of Clinical Pharmacy Practice-Based Research
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psnet.ahrq.gov/issue/effectiveness-root-cause-analysis-what-does-literature-tell-us
January 09, 2013 - This review analyzes whether the available research on root cause analysis (RCA) substantiates its … Addressing barriers in the application of industrial process improvement methodologies to health care … May 12, 2021
To err is system: a comparison of methodologies for the investigation of
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psnet.ahrq.gov/issue/detection-adverse-events-affected-record-review-methodology-evaluation-harvard-medical
August 05, 2020 - This comparison of two different methodologies for retrospectively detecting safety events found that … January 19, 2022
Mapping research on culture and safety in high-risk organizations: arguments … September 23, 2020
Register-based research of adverse events revealing incomplete records
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psnet.ahrq.gov/issue/does-malpractice-liability-promote-patient-safety-methodological-excursion
August 26, 2020 - The authors suggest improvements to enhance applicability and validity of research examining this relationship … health-related prescribing in UK primary care: a cross-sectional study using the Clinical Practice Research … March 27, 2005
An Agenda for Research in Ambulatory Patient Safety.
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psnet.ahrq.gov/issue/health-technology-quality-and-safety-learning-health-system
February 09, 2022 - implementation to sustainment: a large-scale adverse event disclosure support program generated through embedded research … September 16, 2020
To err is system: a comparison of methodologies for the investigation … August 7, 2013
Work-arounds in health care settings: literature review and research agenda … View More
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psnet.ahrq.gov/issue/integrating-systemic-accident-analysis-patient-safety-incident-investigation-practices
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To err is system: a comparison of methodologies for the investigation … June 29, 2016
A critical review of the systems approach within patient safety research … May 25, 2022
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psnet.ahrq.gov/issue/rhios-aim-transform-quality-care-and-patient-safety
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To err is system: a comparison of methodologies for the investigation of … April 28, 2021
Implicit bias in healthcare: clinical practice, research and decision … May 27, 2021
To err is system: a comparison of methodologies for the investigation of
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psnet.ahrq.gov/issue/methodology-and-bias-assessing-compliance-surgical-safety-checklist
March 14, 2012 - October 19, 2022
The Research on Adverse Drug Events and Reports (RADAR) project. … computerized clinical decision support systems into clinical work: a meta-synthesis of qualitative research
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psnet.ahrq.gov/issue/objective-methodology-task-analysis-and-workload-assessment-anesthesia-providers
January 09, 2005 - Their study represents one of the first to apply human factors research techniques to a clinical anesthesia … December 14, 2005
The Research on Adverse Drug Events and Reports (RADAR) project. … July 19, 2023
Radiology research in quality and safety: current trends and future needs
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psnet.ahrq.gov/issue/organisational-reporting-and-learning-systems-innovating-inside-and-outside-box
July 22, 2020 - , 2021
Safety-II and the study of healthcare safety routines: two paths forward for research … February 6, 2019
To err is system: a comparison of methodologies for the investigation … May 27, 2021
To err is system: a comparison of methodologies for the investigation of
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psnet.ahrq.gov/issue/methodological-variability-detecting-prescribing-errors-and-consequences-evaluation
February 24, 2010 - Electronic prescribing systems in hospitals to improve medication safety: a multi-methods research … Electronic prescribing systems in hospitals to improve medication safety: a multi-methods research