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A qualitative content analysis of retained surgical items: learning from root cause analysis investigations. | PSNet

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December 06, 2023 - cause analysis investigations. … A qualitative content analysis of retained surgical items: learning from root cause analysis investigations … A qualitative content analysis of retained surgical items: learning from root cause analysis investigations … A content analysis of accreditation reports. … Systematic review and meta-analysis of randomised controlled trials.

Assisting beginners in root cause analysis operations: analysis and recommendations regarding the spread of COVID-19 in nursing facilities for the elderly. | PSNet

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November 04, 2020 - Commentary Assisting beginners in root cause analysis operations: analysis and recommendations … Assisting beginners in root cause analysis operations: analysis and recommendations regarding the spread … Assisting beginners in root cause analysis operations: analysis and recommendations regarding the spread … care program using root cause analysis and common cause analysis. … A systematic review and meta-analysis.

Analysis of readmissions in a mobile integrated health transitional care program using root cause analysis and common cause analysis. | PSNet

psnet.ahrq.gov/issue/analysis-readmissions-mobile-integrated-health-transitional-care-program-using-root-cause

April 13, 2022 - using root cause analysis and common cause analysis. … Analysis of readmissions in a mobile integrated health transitional care program using root cause analysis … and common cause analysis. … and common cause analysis. … November 3, 2021 Assisting beginners in root cause analysis operations: analysis and

Review of alternatives to root cause analysis: developing a robust system for incident report analysis. | PSNet

psnet.ahrq.gov/issue/review-alternatives-root-cause-analysis-developing-robust-system-incident-report-analysis

November 14, 2018 - Review Review of alternatives to root cause analysis: developing a robust system … for incident report analysis. … Review of alternatives to root cause analysis: developing a robust system for incident report analysis … with root cause analysis, such as time commitment and lack of follow up. … Review of alternatives to root cause analysis: developing a robust system for incident report analysis

Root cause analysis. | PSNet

psnet.ahrq.gov/issue/root-cause-analysis

June 15, 2016 - Commentary Root cause analysis. Citation Text: Stecker MS. … Root cause analysis. J Vasc Interv Radiol. 2007;18(1 Pt 1):5-8. … The author provides an introduction to root cause analysis and its application to study and prevent … Root cause analysis. J Vasc Interv Radiol. 2007;18(1 Pt 1):5-8. … May 28, 2008 Using "near misses" analysis to prevent wrong-site surgery.

Root Cause Analysis | PSNet

psnet.ahrq.gov/primer/root-cause-analysis

February 27, 2008 - Root Cause Analysis Save Save to your library Print Share Facebook … Accordingly, some have suggested replacing the term "root cause analysis" with "systems analysis." … Effectiveness of Root Cause Analysis Root cause analysis is one of the most widely used approaches … May 25, 2005 The Veterans Affairs root cause analysis system in action. … Root Cause Analysis (RCA) Root Cause Analysis

Common cause analysis. | PSNet

psnet.ahrq.gov/issue/common-cause-analysis

October 26, 2011 - Newspaper/Magazine Article Common cause analysis. … February 25, 2009 Maximize Patient Safety with Advanced Root Cause Analysis. … Analysis of incident reports from a patient safety organization. … July 14, 2010 ISMP medication error report analysis. … April 7, 2010 ISMP medication error report analysis.

Errors and analysis of errors. | PSNet

psnet.ahrq.gov/issue/errors-and-analysis-errors

August 28, 2019 - Commentary Errors and analysis of errors. … Errors and analysis of errors. … , failure mode and effects analysis (FMEA), and human factors. … Errors and analysis of errors. … of patient safety and root cause analysis reports in the Veterans Health Administration.

Root cause analysis using the prevention and recovery information system for monitoring and analysis method in healthcare facilities: a systematic literature review. | PSNet

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May 18, 2022 - Review Root cause analysis using the prevention and recovery information system for … Root cause analysis using the prevention and recovery information system for monitoring and analysis … Root cause analysis using the prevention and recovery information system for monitoring and analysis … June 15, 2022 Assisting beginners in root cause analysis operations: analysis and recommendations … care program using root cause analysis and common cause analysis.

Random safety auditing, root cause analysis, failure mode and effects analysis. | PSNet

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January 18, 2006 - analysis. … Random Safety Auditing, Root Cause Analysis, Failure Mode and Effects Analysis. … Random Safety Auditing, Root Cause Analysis, Failure Mode and Effects Analysis. … A content analysis of accreditation reports. … March 23, 2022 Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis

An analysis of adverse events in the rehabilitation department: using the Veterans Affairs root cause analysis system. | PSNet

psnet.ahrq.gov/issue/analysis-adverse-events-rehabilitation-department-using-veterans-affairs-root-cause-analysis

June 21, 2017 - Affairs root cause analysis system. … Analysis System. … This analysis of the Veterans Health Administration root cause analysis database identified adverse … Analysis System. … for incident report analysis.

Rethinking Root Cause Analysis | PSNet

psnet.ahrq.gov/perspective/rethinking-root-cause-analysis

December 22, 2018 - Annual Perspective Rethinking Root Cause Analysis Kiran Gupta, MD, MPH, and Audrey Lyndon, PhD … Problems With Root Cause Analysis in Health Care 1. … The problem with root cause analysis. BMJ Qual Saf. 2017;26:417-422. … To begin, NPSF advised renaming the process "Root Cause Analysis and Action," hence RCA2. … February 10, 2021 Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis

The hard work of failure analysis. | PSNet

psnet.ahrq.gov/issue/hard-work-failure-analysis

September 06, 2023 - Newspaper/Magazine Article The hard work of failure analysis. … reviews examples from health care and other sectors where learning is achieved through thoughtful failure analysis … October 27, 2021 NPSD Data Spotlight, Patient Safety and COVID-19: A Qualitative Analysis … errors associated with direct-acting oral anticoagulants in adult patients: a systematic review and meta-analysis … Care Providers Health Care Executives and Administrators Non-Health Care Professionals Error Analysis

Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events. | PSNet

psnet.ahrq.gov/issue/root-cause-analysis-health-care-joint-commission-guide-analysis-and-corrective-action

September 27, 2006 - Book/Report Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis … Root cause analysis has been widely adopted as a strategy to investigate events, despite questions … This revised publication provides information about updated approaches to root cause analysis with … It highlights the use of failure mode and effects analysis as a complementary sentinel event examination … January 27, 2021 Healthcare failure mode and effect analysis (HFMEA) as an effective

Health Care Failure Mode and Effect Analysis: a useful proactive risk analysis in a pediatric oncology ward. | PSNet

psnet.ahrq.gov/issue/health-care-failure-mode-and-effect-analysis-useful-proactive-risk-analysis-pediatric

December 06, 2006 - Study Health Care Failure Mode and Effect Analysis: a useful proactive risk analysis … Health Care Failure Mode and Effect Analysis: a useful proactive risk analysis in a pediatric oncology … The authors applied the VA's Health Care Failure Mode and Effect Analysis (HFMEA) process to vincristine … Health Care Failure Mode and Effect Analysis: a useful proactive risk analysis in a pediatric oncology … Systematic review and meta-analysis of randomised controlled trials.

The problem with root cause analysis. | PSNet

psnet.ahrq.gov/issue/problem-root-cause-analysis

January 31, 2018 - Commentary The problem with root cause analysis. … The problem with root cause analysis. … Root cause analysis (RCA) is a strategy to investigate incidents that has gained acceptance in health … The problem with root cause analysis. … A qualitative study combining human factors/ergonomics and social science analysis.

Canadian Incident Analysis Framework. | PSNet

psnet.ahrq.gov/issue/canadian-incident-analysis-framework

August 01, 2012 - Book/Report Canadian Incident Analysis Framework. … Citation Text: Incident Analysis Collaborating Parties. … Performing incident analysis can help organizations understand why adverse events occur and how to … Analysis of incident reports from a patient safety organization. … A systematic review and meta-analysis.

Root Cause Analysis Playbook. | PSNet

psnet.ahrq.gov/issue/root-cause-analysis-playbook

February 10, 2016 - Book/Report Root Cause Analysis Playbook. … July 20, 2022 Does root cause analysis improve patient safety? … October 21, 2020 Special Section: Event Analysis and Risk Management. … September 23, 2020 Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis … August 28, 2019 Root cause analysis for hospital-acquired pressure injury.

Time out: an analysis. | PSNet

psnet.ahrq.gov/issue/time-out-analysis

October 19, 2022 - Commentary Time out: an analysis. Citation Text: Dillon KA. … May 12, 2021 Patient falls in the operating room setting: an analysis of reported safety … A systematic review and meta-analysis. … November 15, 2023 Understanding the root cause analysis process to increase safety event … July 22, 2015 Concept analysis: wrong-site surgery.

ISMP medication error report analysis. | PSNet

psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-18

October 28, 2009 - Commentary ISMP medication error report analysis. … June 9, 2010 ISMP medication error report analysis. … June 4, 2008 ISMP medication error report analysis. … June 6, 2007 ISMP medication error report analysis. … February 16, 2011 Common cause analysis.

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