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21. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/44497/psn-pdf
    September 09, 2015 - VA Health Care: Actions Needed to Assess Decrease in Root Cause Analyses of Adverse Events. … https://psnet.ahrq.gov/issue/va-health-care-actions-needed-assess-decrease-root-cause-analyses- adverse-events … medical centers' application of root cause analysis after adverse events and how findings from these analyses … This report found that the number of root cause analyses performed has decreased and the NCPS has not … https://psnet.ahrq.gov/issue/va-health-care-actions-needed-assess-decrease-root-cause-analyses-adverse-events

22. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/37962/psn-pdf
    September 12, 2016 - Exploratory analyses of the "failure to rescue" measure: evaluation through medical record review. … Exploratory analyses of the "failure to rescue" measure: evaluation through medical record review. … https://psnet.ahrq.gov/issue/exploratory-analyses-failure-rescue-measure-evaluation-through-medical- … https://psnet.ahrq.gov/issue/exploratory-analyses-failure-rescue-measure-evaluation-through-medical-record-review … https://psnet.ahrq.gov/issue/exploratory-analyses-failure-rescue-measure-evaluation-through-medical-record-review

23. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/35991/psn-pdf
    September 12, 2016 - Longitudinal analyses of nurse staffing and patient outcomes: more about failure to rescue. … Longitudinal Analyses of Nurse Staffing and Patient Outcomes. … https://psnet.ahrq.gov/issue/longitudinal-analyses-nurse-staffing-and-patient-outcomes-more-about-failure … https://psnet.ahrq.gov/issue/longitudinal-analyses-nurse-staffing-and-patient-outcomes-more-about-failure-rescue … https://psnet.ahrq.gov/issue/longitudinal-analyses-nurse-staffing-and-patient-outcomes-more-about-failure-rescue

24. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/42381/psn-pdf
    January 01, 2014 - The relationship between safety culture and patient outcomes: results from pilot meta-analyses. … The relationship between safety culture and patient outcomes: results from pilot meta- analyses. … /psnet.ahrq.gov/issue/relationship-between-safety-culture-and-patient-outcomes-results-pilot-meta- analyses … ://psnet.ahrq.gov/issue/relationship-between-safety-culture-and-patient-outcomes-results-pilot-meta-analyses … ://psnet.ahrq.gov/issue/relationship-between-safety-culture-and-patient-outcomes-results-pilot-meta-analyses

25. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/39516/psn-pdf
    June 27, 2011 - Risk and pharmacoeconomic analyses of the injectable medication process in the paediatric and neonatal … Risk and pharmacoeconomic analyses of the injectable medication process in the paediatric and neonatal … https://psnet.ahrq.gov/issue/risk-and-pharmacoeconomic-analyses-injectable-medication-process- paediatric-and-neonatal … https://psnet.ahrq.gov/issue/risk-and-pharmacoeconomic-analyses-injectable-medication-process-paediatric-and-neonatal … https://psnet.ahrq.gov/issue/risk-and-pharmacoeconomic-analyses-injectable-medication-process-paediatric-and-neonatal

26. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/36520/psn-pdf
    June 14, 2011 - Experiences of health professionals who conducted root cause analyses after undergoing a safety improvement … Experiences of health professionals who conducted root cause analyses after undergoing a safety improvement … https://psnet.ahrq.gov/issue/experiences-health-professionals-who-conducted-root-cause-analyses-after … https://psnet.ahrq.gov/issue/experiences-health-professionals-who-conducted-root-cause-analyses-after-undergoing-safety … https://psnet.ahrq.gov/issue/experiences-health-professionals-who-conducted-root-cause-analyses-after-undergoing-safety

27. The relationship between safety culture and patient outcomes: results from pilot meta-analyses. | PSNet
    psnet.ahrq.gov/issue/relationship-between-safety-culture-and-patient-outcomes-results-pilot-meta-analyses
    January 08, 2020 - The relationship between safety culture and patient outcomes: results from pilot meta-analyses … The relationship between safety culture and patient outcomes: results from pilot meta-analyses. … The relationship between safety culture and patient outcomes: results from pilot meta-analyses.

28. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/45693/psn-pdf
    February 22, 2017 - Meta-analyses of the effects of standardized handoff protocols on patient, provider, and organizational … Meta-Analyses of the Effects of Standardized Handoff Protocols on Patient, Provider, and Organizational … https://psnet.ahrq.gov/issue/meta-analyses-effects-standardized-handoff-protocols-patient-provider-and … https://psnet.ahrq.gov/issue/meta-analyses-effects-standardized-handoff-protocols-patient-provider-and-organizational … https://psnet.ahrq.gov/issue/meta-analyses-effects-standardized-handoff-protocols-patient-provider-and-organizational

29. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/41482/psn-pdf
    June 27, 2012 - Bayesian cohort and cross-sectional analyses of the PINCER trial: a pharmacist-led intervention to reduce … Bayesian cohort and cross-sectional analyses of the PINCER trial: a pharmacist-led intervention to reduce … https://psnet.ahrq.gov/issue/bayesian-cohort-and-cross-sectional-analyses-pincer-trial-pharmacist-led … https://psnet.ahrq.gov/issue/bayesian-cohort-and-cross-sectional-analyses-pincer-trial-pharmacist-led-intervention-reduce … https://psnet.ahrq.gov/issue/bayesian-cohort-and-cross-sectional-analyses-pincer-trial-pharmacist-led-intervention-reduce

30. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/45108/psn-pdf
    October 11, 2017 - IT-CARES: an interactive tool for case-crossover analyses of electronic medical records for patient … IT-CARES: an interactive tool for case-crossover analyses of electronic medical records for patient … https://psnet.ahrq.gov/issue/it-cares-interactive-tool-case-crossover-analyses-electronic-medical-records … https://psnet.ahrq.gov/issue/it-cares-interactive-tool-case-crossover-analyses-electronic-medical-records-patient-safety … https://psnet.ahrq.gov/issue/it-cares-interactive-tool-case-crossover-analyses-electronic-medical-records-patient-safety

31. Longitudinal analyses of nurse staffing and patient outcomes: more about failure to rescue. | PSNet
    psnet.ahrq.gov/issue/longitudinal-analyses-nurse-staffing-and-patient-outcomes-more-about-failure-rescue
    February 24, 2021 - Study Longitudinal analyses of nurse staffing and patient outcomes: more about failure … Longitudinal Analyses of Nurse Staffing and Patient Outcomes. … Longitudinal Analyses of Nurse Staffing and Patient Outcomes.

32. Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons learned. | PSNet
    psnet.ahrq.gov/issue/anesthesia-adverse-events-voluntarily-reported-veterans-health-administration-and-lessons
    August 21, 2019 - This study examined root cause analyses performed by the Veterans Health Administration to identify … November 21, 2012 Root cause analyses of reported adverse events occurring during gastrointestinal … July 3, 2014 View More Related Resources Root cause analyses of

33. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/39034/psn-pdf
    November 25, 2009 - AHRQ's Hospital Survey on Patient Safety Culture: psychometric analyses. … AHRQ's hospital survey on patient safety culture: psychometric analyses. … https://psnet.ahrq.gov/issue/ahrqs-hospital-survey-patient-safety-culture-psychometric-analyses The … https://psnet.ahrq.gov/issue/ahrqs-hospital-survey-patient-safety-culture-psychometric-analyses https

34. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/39558/psn-pdf
    May 26, 2010 - ReCASTing the RCA: an improved model for performing root cause analyses. … ReCASTing the RCA: An Improved Model for Performing Root Cause Analyses. … https://psnet.ahrq.gov/issue/recasting-rca-improved-model-performing-root-cause-analyses This article … https://psnet.ahrq.gov/issue/recasting-rca-improved-model-performing-root-cause-analyses https://psnet.ahrq.gov

35. Root cause analysis of serious adverse events among older patients in the Veterans Health Administration. | PSNet
    psnet.ahrq.gov/issue/root-cause-analysis-serious-adverse-events-among-older-patients-veterans-health
    August 02, 2015 - study analyzed information from the Veterans Health Administration national database of root cause analyses … Although virtually all root cause analyses led to implementation of action plans, only 40% were deemed … April 12, 2019 Root cause analyses of reported adverse events occurring during gastrointestinal … Occupational therapy utilization in veterans with dementia: a retrospective review of root cause analyses

36. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/45255/psn-pdf
    January 23, 2017 - Provider risk factors for medication administration error alerts: analyses of a large-scale closed-loop … Provider risk factors for medication administration error alerts: analyses of a large-scale closed-loop … https://psnet.ahrq.gov/issue/provider-risk-factors-medication-administration-error-alerts-analyses-large … https://psnet.ahrq.gov/issue/provider-risk-factors-medication-administration-error-alerts-analyses-large-scale-closed-loop … https://psnet.ahrq.gov/issue/provider-risk-factors-medication-administration-error-alerts-analyses-large-scale-closed-loop

37. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/44685/psn-pdf
    November 18, 2015 - Root cause analyses of suicides of mental health clients. … Root Cause Analyses of Suicides of Mental Health Clients: Identifying Systematic Processes and Service-Level … https://psnet.ahrq.gov/issue/root-cause-analyses-suicides-mental-health-clients This study used root … https://psnet.ahrq.gov/issue/root-cause-analyses-suicides-mental-health-clients https://psnet.ahrq.gov

38. Communication training, adverse events, and quality measures: 2 retrospective database analyses in Washington State hospitals. | PSNet
    psnet.ahrq.gov/issue/communication-training-adverse-events-and-quality-measures-2-retrospective-database-analyses
    August 04, 2021 - Communication training, adverse events, and quality measures: 2 retrospective database analyses … Communication Training, Adverse Events, and Quality Measures: 2 Retrospective Database Analyses in Washington … Communication Training, Adverse Events, and Quality Measures: 2 Retrospective Database Analyses in Washington

39. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33670/psn-pdf
    July 01, 2008 - One is that individual organizations don't seem to follow up on their root cause analyses very well. … Consequently, the results that come out of many root cause analyses are not that useful. … number of root cause analyses. … And also, that those performing root cause analyses have access to clinical experts so that the analyses … We're putting a lot of time and energy and resources into root cause analyses.

40. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/44246/psn-pdf
    November 15, 2016 - RCA2: Improving Root Cause Analyses and Actions to Prevent Harm. … https://psnet.ahrq.gov/issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm The National … Patient Safety Foundation issued these guidelines for improving root cause analyses (RCAs) in health … https://psnet.ahrq.gov/issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm https://psnet.ahrq.gov