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41. 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

42. 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

43. 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.

44. 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

45. 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

46. Risk and pharmacoeconomic analyses of the injectable medication process in the paediatric and neonatal intensive care units. | PSNet
    psnet.ahrq.gov/issue/risk-and-pharmacoeconomic-analyses-injectable-medication-process-paediatric-and-neonatal
    December 17, 2014 - Study Risk and pharmacoeconomic analyses of the injectable medication process in … 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

47. 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

48. 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

49. High rate of implementation of proposed actions for improvement with the Healthcare Failure Mode Effect Analysis method: evaluation of 117 analyses. | PSNet
    psnet.ahrq.gov/issue/high-rate-implementation-proposed-actions-improvement-healthcare-failure-mode-effect-analysis
    December 09, 2020 - actions for improvement with the Healthcare Failure Mode Effect Analysis method: evaluation of 117 analyses … Actions for Improvement With the Healthcare Failure Mode Effect Analysis Method: Evaluation of 117 Analyses … Actions for Improvement With the Healthcare Failure Mode Effect Analysis Method: Evaluation of 117 Analyses

50. Experiences of health professionals who conducted root cause analyses after undergoing a safety improvement programme. | PSNet
    psnet.ahrq.gov/issue/experiences-health-professionals-who-conducted-root-cause-analyses-after-undergoing-safety
    June 14, 2011 - Study Experiences of health professionals who conducted root cause analyses after … 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

51. Economic evaluation in patient safety: a literature review of methods. | PSNet
    psnet.ahrq.gov/issue/economic-evaluation-patient-safety-literature-review-methods
    March 05, 2025 - that estimated the cost of adverse events , the cost of patient safety practices, and cost–benefit analyses … identified, the majority only characterized the cost of adverse events, and few formal cost–benefit analyses

52. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60817/psn-pdf
    January 01, 2021 - While quantitative analyses did not identify a significant relationship between SES and image or medication … ordering, patient-perceived empathy, or clinical performance, qualitative analyses identified three

53. IT-CARES: an interactive tool for case-crossover analyses of electronic medical records for patient safety. | PSNet
    psnet.ahrq.gov/issue/it-cares-interactive-tool-case-crossover-analyses-electronic-medical-records-patient-safety
    October 30, 2013 - Study IT-CARES: an interactive tool for case-crossover analyses of electronic medical … IT-CARES: an interactive tool for case-crossover analyses of electronic medical records for patient safety … IT-CARES: an interactive tool for case-crossover analyses of electronic medical records for patient safety

54. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/45953/psn-pdf
    July 22, 2020 - root-cause-analysis-swatting-mosquitoes-versus-draining-swamp https://psnet.ahrq.gov/issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm … https://psnet.ahrq.gov/issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm https://psnet.ahrq.gov

55. Framework for analysing risk and safety in clinical medicine. | PSNet
    psnet.ahrq.gov/issue/framework-analysing-risk-and-safety-clinical-medicine
    March 05, 2014 - Commentary Classic Framework for analysing risk and safety in clinical medicine. Citation Text: Vincent C, Taylor-Adams S, Stanhope N. Framework for analysing risk and safety in clinical medicine. BMJ. 1998;316(7138):1154-7. Copy Citation Format: …

56. Framework for analysing risk and safety in clinical medicine. | PSNet
    psnet.ahrq.gov/issue/framework-analysing-risk-and-safety-clinical-medicine-0
    February 19, 2014 - Commentary Framework for analysing risk and safety in clinical medicine. Citation Text: Vincent C, Taylor-Adams S, Stanhope N. Framework for analysing risk and safety in clinical medicine. BMJ. 1998;316(7138):1154-1157. Copy Citation Format: Google Scholar PubMed BibTeX E…

57. Provider risk factors for medication administration error alerts: analyses of a large-scale closed-loop medication administration system using RFID and barcode. | PSNet
    psnet.ahrq.gov/issue/provider-risk-factors-medication-administration-error-alerts-analyses-large-scale-closed-loop
    September 01, 2016 - Study Provider risk factors for medication administration error alerts: analyses … 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

58. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/41287/psn-pdf
    May 17, 2012 - that estimated the cost of adverse events, the cost of patient safety practices, and cost–benefit analyses … identified, the majority only characterized the cost of adverse events, and few formal cost–benefit analyses

59. Influence of socioeconomic bias on emergency medicine resident decision making and patient care. | PSNet
    psnet.ahrq.gov/issue/influence-socioeconomic-bias-emergency-medicine-resident-decision-making-and-patient-care
    March 02, 2022 - While quantitative analyses did not identify a significant relationship between SES and image or medication … ordering, patient-perceived empathy, or clinical performance, qualitative analyses identified three

60. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/43988/psn-pdf
    February 22, 2018 - actions for improvement with the Healthcare Failure Mode Effect Analysis method: evaluation of 117 analyses … Actions for Improvement With the Healthcare Failure Mode Effect Analysis Method: Evaluation of 117 Analyses