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1. Root Cause Analysis | PSNet
   psnet.ahrq.gov/primer/root-cause-analysis
   March 30, 2022 - Root Cause Analysis Citation Text: Root Cause Analysis. PSNet [internet]. … Background Root cause analysis (RCA) is a structured method used to analyze serious adverse events. … 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 to … June 5, 2024 What are the experiences of team members involved in root cause analysis?

2. 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
   June 08, 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. … Analysis of readmissions in a mobile integrated health transitional care program using root cause analysis … and common cause analysis.

3. 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. … 2022 Clarifying radiology's role in safety events: a 5-year retrospective common cause analysis

4. Common cause analysis. | PSNet
   psnet.ahrq.gov/issue/common-cause-analysis
   June 27, 2018 - Newspaper/Magazine Article Common cause analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … May 7, 2018 ISMP medication error report analysis.

5. 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. … July 14, 2010 Root cause analysis of cases involving diagnosis.

6. Random safety auditing, root cause analysis, failure mode and effects analysis. | PSNet
   psnet.ahrq.gov/issue/random-safety-auditing-root-cause-analysis-failure-mode-and-effects-analysis
   April 11, 2011 - Commentary Random safety auditing, root cause analysis, failure mode and effects … analysis. … Random Safety Auditing, Root Cause Analysis, Failure Mode and Effects Analysis. … This essay introduces three primary analysis techniques from industry that demonstrate effectiveness … Random Safety Auditing, Root Cause Analysis, Failure Mode and Effects Analysis.

7. The problem with root cause analysis. | PSNet
   psnet.ahrq.gov/issue/problem-root-cause-analysis
   August 28, 2024 - 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.

8. The Evolution of Root Cause Analysis | PSNet
   psnet.ahrq.gov/perspective/evolution-root-cause-analysis
   February 26, 2025 - The Evolution of Root Cause Analysis. PSNet [internet]. … The Evolution of Root Cause Analysis. PSNet [internet]. … Using aggregate root cause analysis to improve patient safety. … Jessica Behrhorst: RCA 2 is not just root cause analysis but root cause analysis and action. … The Evolution of Root Cause Analysis. PSNet [internet].

9. Rethinking Root Cause Analysis | PSNet
   psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
   August 21, 2016 - Rethinking Root Cause Analysis. PSNet [internet]. … Rethinking Root Cause Analysis. PSNet [internet]. … Problems With Root Cause Analysis in Health Care 1. … The problem with root cause analysis. BMJ Qual Saf. 2017;26:417-422. … Rethinking Root Cause Analysis. PSNet [internet].

10. Canadian Incident Analysis Framework. | PSNet
    psnet.ahrq.gov/issue/canadian-incident-analysis-framework
    December 04, 2016 - Book/Report Canadian Incident Analysis Framework. … Citation Text: Canadian Incident Analysis Framework. Incident Analysis Collaborating Parties. … Performing incident analysis can help organizations understand why adverse events occur and how to … Incident Analysis Collaborating Parties. Edmonton, AB: Canadian Patient Safety Institute; 2012. … Analysis of incident reports from a patient safety organization.

11. Root Cause Analysis Playbook. | PSNet
    psnet.ahrq.gov/issue/root-cause-analysis-playbook
    July 05, 2017 - Book/Report Root Cause Analysis Playbook. … Citation Text: Root Cause Analysis Playbook. … June 4, 2024 Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis … July 22, 2020 Medical Device Use Error: Root Cause Analysis. … May 21, 2019 Improving reliability with root cause analysis.

12. Assisting beginners in root cause analysis operations: analysis and recommendations regarding the spread of COVID-19 in nursing facilities for the elderly. | PSNet
    psnet.ahrq.gov/issue/assisting-beginners-root-cause-analysis-operations-analysis-and-recommendations-regarding
    June 08, 2022 - 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 … program using root cause analysis and common cause analysis. … of patient safety and root cause analysis reports in the Veterans Health Administration.

13. A qualitative content analysis of retained surgical items: learning from root cause analysis investigations. | PSNet
    psnet.ahrq.gov/issue/qualitative-content-analysis-retained-surgical-items-learning-root-cause-analysis
    December 06, 2023 - Study 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 qualitative content analysis of retained surgical items: learning from root cause analysis investigations … A content analysis of accreditation reports.

14. ISMP medication error report analysis. | PSNet
    psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-37
    June 16, 2019 - Commentary ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.

15. 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

16. Root cause analysis using the prevention and recovery information system for monitoring and analysis method in healthcare facilities: a systematic literature review. | PSNet
    psnet.ahrq.gov/issue/root-cause-analysis-using-prevention-and-recovery-information-system-monitoring-and-analysis
    May 18, 2022 - Review Root cause analysis using the prevention and recovery information system for … monitoring and analysis method in healthcare facilities: a systematic literature review. … 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 … of patient safety and root cause analysis reports in the Veterans Health Administration.

17. Concept analysis: wrong-site surgery. | PSNet
    psnet.ahrq.gov/issue/concept-analysis-wrong-site-surgery
    June 11, 2014 - Review Concept analysis: wrong-site surgery. … Concept analysis: wrong-site surgery. AORN J. 2015;101(6):650-6. doi:10.1016/j.aorn.2015.03.012. … Concept analysis: wrong-site surgery. … May 26, 2016 Applying fault tree analysis to the prevention of wrong-site surgery. … May 8, 2013 Time out: an analysis.

18. ISMP medication error report analysis. | PSNet
    psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-18
    December 30, 2014 - Commentary ISMP medication error report analysis. … Citation Text: ISMP medication error report analysis. Cohen MR; Smetzer JL. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 9, 2010 ISMP medication error report analysis.

19. 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.

20. Radiotherapy Incident Reporting and Analysis System. | PSNet
    psnet.ahrq.gov/issue/radiotherapy-incident-reporting-and-analysis-system
    February 05, 2020 - Multi-use Website Radiotherapy Incident Reporting and Analysis System. … Citation Text: Radiotherapy Incident Reporting and Analysis System. … Patient Safety Organizations enable robust data collection and analysis to support learning from medical … Cite Citation Citation Text: Radiotherapy Incident Reporting and Analysis