-
psnet.ahrq.gov/node/38779/psn-pdf
July 15, 2009 - prospective-risk-analysis-health-care-processes-systematic-evaluation-use-
hfmea-dutch-health
This study analyzed 13 failure mode and effect analysis (FMEA) efforts to understand
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psnet.ahrq.gov/node/46865/psn-pdf
March 07, 2018 - sigma-drawing-lessons-cockpit-culture
Aviation safety relies on systems improvement rather than individual blame to understand
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psnet.ahrq.gov/node/46773/psn-pdf
January 24, 2018 - This study describes the application of failure mode and effect analysis to better understand the
patient
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psnet.ahrq.gov/node/46777/psn-pdf
January 24, 2018 - including engaging patients and
families in assessments and investigating a longer time period to understand
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psnet.ahrq.gov/node/47110/psn-pdf
August 17, 2018 - Researchers analyzed postprocedure emergency department visits and hospital admissions to better
understand
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psnet.ahrq.gov/node/43637/psn-pdf
April 25, 2016 - skepticism about the applicability of the methods to frontline
practice—and relates strategies to understand
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psnet.ahrq.gov/node/36086/psn-pdf
June 14, 2011 - sensemaking-patient-safety-risks-and-hazards
This commentary discusses the concept of "sensemaking" as a mechanism to better understand
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psnet.ahrq.gov/node/43498/psn-pdf
October 06, 2016 - interruptions and distractions that occur in the hospital environment while preparing medications to
understand
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psnet.ahrq.gov/node/44651/psn-pdf
December 09, 2015 - , diagnostic error has garnered much discussion and examination, but further research is needed
to understand
-
psnet.ahrq.gov/node/35975/psn-pdf
June 14, 2011 - analysis (RCA) of an accidental morphine overdose and
discuss challenges the team faced in using RCA to understand
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psnet.ahrq.gov/node/38065/psn-pdf
September 17, 2008 - reminders
This study used a log file within a computerized physician order entry (CPOE) system to understand
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psnet.ahrq.gov/node/43480/psn-pdf
January 01, 2015 - The
author proposes a framework to help understand and address how generational, cultural, and
organizational
-
psnet.ahrq.gov/node/39164/psn-pdf
December 09, 2009 - predictors-misunderstanding-pediatric-liquid-medication-instructions
This survey revealed that many adults do not understand
-
psnet.ahrq.gov/node/41393/psn-pdf
June 06, 2012 - prescribers-interactions-medication-alerts-point-prescribing-multi-method-situ-
investigation
This study provides a framework to understand
-
psnet.ahrq.gov/node/36021/psn-pdf
September 24, 2016 - Investigators combined primary observation with interview and survey methods to understand the role work
-
psnet.ahrq.gov/node/47139/psn-pdf
August 01, 2018 - board-pharmacy-practices-related-medication-errors-and-their-potential-
impact-patient-safety
Researchers administered a survey to state pharmacy boards to understand
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psnet.ahrq.gov/node/47753/psn-pdf
April 24, 2019 - training science and highlights aviation, military, and health care failures that motivated research to
understand
-
psnet.ahrq.gov/node/44593/psn-pdf
November 04, 2015 - This meta-analysis interpreted qualitative CDSS studies to better understand why these
varied results
-
psnet.ahrq.gov/node/36069/psn-pdf
May 11, 2014 - low literacy levels with adverse health outcomes, but further investigation is required to better
understand
-
psnet.ahrq.gov/node/47124/psn-pdf
June 27, 2018 - million-potential-second-victims-how-many-could-nursing-education-
prevent
Researchers surveyed recent nursing graduates to understand