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121. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44583/psn-pdf
     February 17, 2016 - psnet.ahrq.gov/issue/root-cause-analysis-playbook https://psnet.ahrq.gov/issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm

122. Error rating tool to identify and analyse technical errors and events in laparoscopic surgery. | PSNet
     psnet.ahrq.gov/issue/error-rating-tool-identify-and-analyse-technical-errors-and-events-laparoscopic-surgery
     October 09, 2013 - Study Error rating tool to identify and analyse technical errors and events in laparoscopic surgery. Citation Text: Bonrath EM, Zevin B, Dedy NJ, et al. Error rating tool to identify and analyse technical errors and events in laparoscopic surgery. Br J Surg. 2013;100(8):1080-8. doi:10.1…

123. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45462/psn-pdf
     August 31, 2016 - /psnet.ahrq.gov/issue/learning-mistakes The National Health Service (NHS) has a history of sharing analyses

124. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42981/psn-pdf
     March 19, 2014 - This commentary uses case analyses to illustrate how such incomplete discussions often contribute to

125. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35770/psn-pdf
     January 02, 2017 - actions-and-implementation-strategies-reduce-suicidal-events-veterans-health- administration The investigators examined root cause analyses

126. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46192/psn-pdf
     June 07, 2017 - use-human-factors-classification-framework-identify-causal-factors-medication-and-medical https://psnet.ahrq.gov/issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm

127. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34741/psn-pdf
     December 19, 2018 - Written in a popular style and in an advocate's tone, experts may find the analyses of individual errors

128. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37132/psn-pdf
     June 14, 2011 - preventing-medication-errors-community-pharmacy-root-cause-analysis- transcription-errors This study reports the results of root-cause analyses

129. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39934/psn-pdf
     October 30, 2010 - identified possible medication errors using trigger tools, and a multidisciplinary team conducted real-time analyses

130. Innovative approaches to analysing aged care falls incident data: International Classification for Patient Safety and correspondence analysis. | PSNet
     psnet.ahrq.gov/issue/innovative-approaches-analysing-aged-care-falls-incident-data-international-classification
     January 18, 2023 - Study Innovative approaches to analysing aged care falls incident data: International Classification for Patient Safety and correspondence analysis. Citation Text: Seaman K, Meulenbroeks I, Nguyen A, et al. Innovative approaches to analysing aged care falls incident data: international c…

131. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42679/psn-pdf
     October 23, 2013 - evidence-based-toolkit-development-effective-and-sustainable-root-cause- analysis-system The authors reviewed 334 root cause analyses

132. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42935/psn-pdf
     February 12, 2014 - These analyses emphasize numerous contextual issues that need be considered when creating computerized

133. Man-Made Disasters. 2nd ed. | PSNet
     psnet.ahrq.gov/issue/man-made-disasters-2nd-ed
     January 01, 2012 - For those interested in potential lessons drawn from analyses of major accidents in other industries,

134. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37304/psn-pdf
     January 04, 2012 - characteristics-patient-care-management-problems-identified-emergency- department-morbidity This study describes a framework for conducting retrospective case analyses

135. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43831/psn-pdf
     January 21, 2015 - Following multiple stakeholder meetings and analyses, a strategy for standardization was adopted which

136. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34871/psn-pdf
     February 09, 2011 - examines the relationship between nursing educational levels and patient outcomes using cross-sectional analyses

137. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41723/psn-pdf
     December 30, 2014 - primer/readmissions-and-adverse-events-after-discharge https://psnet.ahrq.gov/issue/comparative-economic-analyses-patient-safety-improvement-strategies-acute-care-systematic

138. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867179/psn-pdf
     January 01, 2025 - implementation-standardized-tool-root-cause-analysis-selection https://psnet.ahrq.gov/issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm

139. Reducing the disruptive effects of interruption: a cognitive framework for analysing the costs and benefits of intervention strategies. | PSNet
     psnet.ahrq.gov/issue/reducing-disruptive-effects-interruption-cognitive-framework-analysing-costs-and-benefits
     September 11, 2013 - Commentary Reducing the disruptive effects of interruption: a cognitive framework for analysing the costs and benefits of intervention strategies. Citation Text: Boehm-Davis DA, Remington R. Reducing the disruptive effects of interruption: a cognitive framework for analysing the costs an…

140. In Conversation With... James P. Bagian, MD, PE | PSNet
     psnet.ahrq.gov/perspective/conversation-james-p-bagian-md-pe
     February 26, 2025 - influential National Patient Safety Foundation (NPSF) report entitled RCA2: Improving Root Cause Analyses … Wachter : Given your aviation and astronautics background, when you began thinking about root cause analyses … So, the first recommendation is that the analyses need to be risk, not harm, based.