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21. 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

22. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/41355/psn-pdf
    April 05, 2013 - Comparative economic analyses of patient safety improvement strategies in acute care: a systematic … Comparative economic analyses of patient safety improvement strategies in acute care: a systematic review … https://psnet.ahrq.gov/issue/comparative-economic-analyses-patient-safety-improvement-strategies-acute … bodies after surgery, and wrong-site surgery), but identified only 7 methodologically adequate economic analyses … More robust economic analyses will be required in order to help prioritize safety interventions in the

23. 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

24. 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

25. 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

26. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/36993/psn-pdf
    September 15, 2011 - A transdisciplinary team acting on evidence through analyses of moot malpractice cases. … A transdisciplinary team acting on evidence through analyses of moot malpractice cases. … https://psnet.ahrq.gov/issue/transdisciplinary-team-acting-evidence-through-analyses-moot-malpractice … https://psnet.ahrq.gov/issue/transdisciplinary-team-acting-evidence-through-analyses-moot-malpractice-cases … https://psnet.ahrq.gov/issue/transdisciplinary-team-acting-evidence-through-analyses-moot-malpractice-cases

27. 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

28. 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

29. 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

30. 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

31. 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

32. 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

33. 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

34. 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

35. Systematic review of the impact of physician work schedules on patient safety with meta-analyses of mortality risk. | PSNet
    psnet.ahrq.gov/issue/systematic-review-impact-physician-work-schedules-patient-safety-meta-analyses-mortality-risk
    November 29, 2023 - Systematic review of the impact of physician work schedules on patient safety with meta-analyses … Systematic review of the impact of physician work schedules on patient safety with meta-analyses of mortality … Systematic review of the impact of physician work schedules on patient safety with meta-analyses of mortality

36. Bayesian cohort and cross-sectional analyses of the PINCER trial: a pharmacist-led intervention to reduce medication errors in primary care. | PSNet
    psnet.ahrq.gov/issue/bayesian-cohort-and-cross-sectional-analyses-pincer-trial-pharmacist-led-intervention-reduce
    December 21, 2022 - Study Bayesian cohort and cross-sectional analyses of the PINCER trial: a pharmacist-led … 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

37. Trends of diagnostic adverse events in hospital deaths: longitudinal analyses of four retrospective record review studies. | PSNet
    psnet.ahrq.gov/issue/trends-diagnostic-adverse-events-hospital-deaths-longitudinal-analyses-four-retrospective
    May 18, 2022 - Study Trends of diagnostic adverse events in hospital deaths: longitudinal analyses … Trends of diagnostic adverse events in hospital deaths: longitudinal analyses of four retrospective record … Trends of diagnostic adverse events in hospital deaths: longitudinal analyses of four retrospective record

38. Root cause analyses of reported adverse events occurring during gastrointestinal scope and tube placement procedures in the Veterans Health Association. | PSNet
    psnet.ahrq.gov/issue/root-cause-analyses-reported-adverse-events-occurring-during-gastrointestinal-scope-and-tube
    November 17, 2021 - Study Root cause analyses of reported adverse events occurring during gastrointestinal … Root cause analyses of reported adverse events occurring during gastrointestinal scope and tube placement … Root cause analyses of reported adverse events occurring during gastrointestinal scope and tube placement

39. Does standardisation improve post-operative anaesthesia handoffs? Meta-analyses on provider, patient, organisational, and handoff outcomes. | PSNet
    psnet.ahrq.gov/issue/does-standardisation-improve-post-operative-anaesthesia-handoffs-meta-analyses-provider
    June 29, 2022 - Meta-analyses on provider, patient, organisational, and handoff outcomes. … Meta-analyses on provider, patient, organisational, and handoff outcomes. … Meta-analyses on provider, patient, organisational, and handoff outcomes.

40. 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