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141. Unsafe care in residential settings for older adults. A content analysis of accreditation reports. | PSNet
     psnet.ahrq.gov/issue/unsafe-care-residential-settings-older-adults-content-analysis-accreditation-reports
     August 16, 2023 - A content analysis of accreditation reports. … Unsafe care in residential settings for older adults: a content analysis of accreditation reports. … Unsafe care in residential settings for older adults: a content analysis of accreditation reports. … May 8, 2017 Co-worker unprofessional behaviour and patient safety risks: an analysis … root cause analysis investigations.

142. Adverse events during intrahospital transport of critically ill patients: a systematic review and meta-analysis. | PSNet
     psnet.ahrq.gov/issue/adverse-events-during-intrahospital-transport-critically-ill-patients-systematic-review-and
     March 02, 2022 - Adverse events during intrahospital transport of critically ill patients: a systematic review and meta-analysis … Adverse events during intrahospital transport of critically ill patients: A systematic review and meta-analysis … The authors conducted a systematic review and meta-analysis of all types of adverse events, critical … April 21, 2021 Evolving factors in hospital safety: a systematic review and meta-analysis … A systematic review and meta-analysis.

143. Learning from preventable deaths: exploring case record reviewers' narratives using change analysis. | PSNet
     psnet.ahrq.gov/issue/learning-preventable-deaths-exploring-case-record-reviewers-narratives-using-change-analysis
     June 17, 2014 - Learning from preventable deaths: exploring case record reviewers' narratives using change analysis … Learning from preventable deaths: exploring case record reviewers' narratives using change analysis. … Researchers applied change analysis , a type of root cause analysis , to their review of preventable … Learning from preventable deaths: exploring case record reviewers' narratives using change analysis. … The role of claims analysis in patient safety.

144. Failure mode and effects analysis: too little for too much? | PSNet
     psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-too-little-too-much
     November 25, 2009 - Commentary Failure mode and effects analysis: too little for too much? … Failure mode and effects analysis: too little for too much? … Failure mode and effects analysis: too little for too much? … February 2, 2022 Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis … April 7, 2010 Is failure mode and effect analysis reliable?

145. Risks and medication errors analysis to evaluate the impact of a chemotherapy compounding workflow management system on cancer patients' safety. | PSNet
     psnet.ahrq.gov/issue/risks-and-medication-errors-analysis-evaluate-impact-chemotherapy-compounding-workflow
     January 27, 2019 - Study Risks and medication errors analysis to evaluate the impact of a chemotherapy … Risks and medication errors analysis to evaluate the impact of a chemotherapy compounding workflow management … This study applied failure mode, effect, and criticality analysis   (FMECA) methodology to identify … February 20, 2019 Using Failure Mode and Effects Analysis for safe administration of … May 27, 2011 Health Care Failure Mode and Effect Analysis: a useful proactive risk analysis

146. Impact of an original methodological tool on the identification of corrective and preventive actions after root cause analysis of adverse events in health care facilities: results of a randomized controlled trial. | PSNet
     psnet.ahrq.gov/issue/impact-original-methodological-tool-identification-corrective-and-preventive-actions-after
     March 15, 2017 - original methodological tool on the identification of corrective and preventive actions after root cause analysis … Original Methodological Tool on the Identification of Corrective and Preventive Actions After Root Cause Analysis … Although root cause analysis of adverse events is a foundational patient safety activity, recent studies … June 28, 2013 Root cause analysis of cases involving diagnosis. … November 1, 2017 Root-cause analysis: swatting at mosquitoes versus draining the swamp

147. Root Cause Analysis: The Core of Problem Solving and Corrective Action, Second Edition. | PSNet
     psnet.ahrq.gov/issue/root-cause-analysis-core-problem-solving-and-corrective-action-second-edition
     June 09, 2011 - Book/Report Classic Root Cause Analysis: The Core of Problem … Citation Text: Root Cause Analysis: The Core of Problem Solving and Corrective Action, Second Edition … Root cause analysis is a widely used patient safety and quality improvement process for investigating … September 23, 2020 Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis … September 2, 2016 A system analysis of a suboptimal surgical experience.

148. Wrong-side thoracentesis: lessons learned from root cause analysis. | PSNet
     psnet.ahrq.gov/issue/wrong-side-thoracentesis-lessons-learned-root-cause-analysis
     July 16, 2015 - Study Wrong-side thoracentesis: lessons learned from root cause analysis. … Wrong-side thoracentesis: lessons learned from root cause analysis. … This analysis of 14 cases of wrong-site thoracenteses, a procedure to remove fluid from around the lung … Root cause analysis of the errors found that clinicians often failed to perform a time out and did not … Wrong-side thoracentesis: lessons learned from root cause analysis.

149. Failure mode and effects analysis: an empirical comparison of failure mode scoring procedures. | PSNet
     psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-empirical-comparison-failure-mode-scoring-procedures
     January 03, 2017 - Study Failure mode and effects analysis: an empirical comparison of failure mode … Failure Mode and Effects Analysis. … Failure Mode and Effects Analysis. … An analysis of staff and patient survey data and routinely collected outcomes. … June 15, 2012 Health Care Failure Mode and Effect Analysis: a useful proactive risk analysis

150. The effectiveness of root cause analysis: what does the literature tell us? | PSNet
     psnet.ahrq.gov/issue/effectiveness-root-cause-analysis-what-does-literature-tell-us
     February 11, 2013 - Review The effectiveness of root cause analysis: what does the literature tell us … The effectiveness of root cause analysis: what does the literature tell us? … The effectiveness of root cause analysis: what does the literature tell us? … June 8, 2022 Does root cause analysis improve patient safety? … March 4, 2020 Root cause analysis for hospital-acquired pressure injury.

151. Evaluation of safety in a radiation oncology setting using failure mode and effects analysis. | PSNet
     psnet.ahrq.gov/issue/evaluation-safety-radiation-oncology-setting-using-failure-mode-and-effects-analysis
     January 22, 2017 - Evaluation of safety in a radiation oncology setting using failure mode and effects analysis … Evaluation of safety in a radiation oncology setting using failure mode and effects analysis. … Failure mode and effects analysis was used to prospectively analyze an external beam radiation therapy … Evaluation of safety in a radiation oncology setting using failure mode and effects analysis. … January 4, 2010 Radiology failure mode and effect analysis: what is it?

152. Analysis of unintended events in hospitals: inter-rater reliability of constructing causal trees and classifying root causes. | PSNet
     psnet.ahrq.gov/issue/analysis-unintended-events-hospitals-inter-rater-reliability-constructing-causal-trees-and
     April 30, 2014 - Study Analysis of unintended events in hospitals: inter-rater reliability of constructing … Analysis of unintended events in hospitals: inter-rater reliability of constructing causal trees and … Root cause analysis is commonly used to identify underlying system causes of adverse events. … Analysis of unintended events in hospitals: inter-rater reliability of constructing causal trees and … October 14, 2009 Unit-based incident reporting and root cause analysis: variation at

153. Building patient safety skills: common pitfalls when conducting a root cause analysis. | PSNet
     psnet.ahrq.gov/issue/building-patient-safety-skills-common-pitfalls-when-conducting-root-cause-analysis
     May 07, 2018 - Article Building patient safety skills: common pitfalls when conducting a root cause analysis … Citation Text: Building patient safety skills: common pitfalls when conducting a root cause analysis … January 29, 2020 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 Improving reliability with root cause analysis.

154. Developing a tool for assessing competency in root cause analysis. | PSNet
     psnet.ahrq.gov/issue/developing-tool-assessing-competency-root-cause-analysis
     May 01, 2014 - Study Developing a tool for assessing competency in root cause analysis. … Developing a tool for assessing competency in root cause analysis. … Root cause analysis (RCA) is being increasingly applied in health care systems to improve the quality … Developing a tool for assessing competency in root cause analysis. … March 18, 2020 Simulation-based event analysis improves error discovery and generates

155. A review of the current evidence base for significant event analysis. | PSNet
     psnet.ahrq.gov/issue/review-current-evidence-base-significant-event-analysis
     October 14, 2009 - Review A review of the current evidence base for significant event analysis. … A review of the current evidence base for significant event analysis. … This review assessed research on the benefits and disadvantages of significant event analysis and identified … A review of the current evidence base for significant event analysis. … March 28, 2011 Meta-analysis: effect of interactive communication between collaborating

156. Application of failure mode and effect analysis in a radiology department. | PSNet
     psnet.ahrq.gov/issue/application-failure-mode-and-effect-analysis-radiology-department
     October 13, 2010 - Commentary Application of failure mode and effect analysis in a radiology department … Application of Failure Mode and Effect Analysis in a Radiology Department. … This commentary introduces the failure mode and effects analysis process developed by the United States … Application of Failure Mode and Effect Analysis in a Radiology Department. … October 13, 2010 Radiology failure mode and effect analysis: what is it?

157. Rapid response systems: a systematic review and meta-analysis. | PSNet
     psnet.ahrq.gov/issue/rapid-response-systems-systematic-review-and-meta-analysis
     January 29, 2018 - Review Rapid response systems: a systematic review and meta-analysis. … Rapid response systems: a systematic review and meta-analysis. … This analysis supports the current widespread implementation of rapid response. … Rapid response systems: a systematic review and meta-analysis. … program using root cause analysis and common cause analysis.

158. Creating a web-based incident analysis and communication system. | PSNet
     psnet.ahrq.gov/issue/creating-web-based-incident-analysis-and-communication-system
     May 01, 2003 - Study Creating a web-based incident analysis and communication system. … Creating a web-based incident analysis and communication system. … This study reports on the development of a system for standardizing root cause analysis of sentinel … Creating a web-based incident analysis and communication system.

159. Failure mode and effects analysis: a comparison of two common risk prioritisation methods. | PSNet
     psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-comparison-two-common-risk-prioritisation-methods
     September 09, 2015 - Study Failure mode and effects analysis: a comparison of two common risk prioritisation … Failure mode and effects analysis: a comparison of two common risk prioritisation methods. … Comparing a traditional resource-intensive FMEA with a simplified version, this analysis found that the … Failure mode and effects analysis: a comparison of two common risk prioritisation methods. … June 9, 2021 Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis

160. Root cause analysis of reported patient falls in ORs in the Veterans Health Administration. | PSNet
     psnet.ahrq.gov/issue/root-cause-analysis-reported-patient-falls-ors-veterans-health-administration
     January 17, 2019 - Commentary Root cause analysis of reported patient falls in ORs in the Veterans Health … Root Cause Analysis of Reported Patient Falls in ORs in the Veterans Health Administration. … Root cause analysis has been widely promoted as a failure analysis tool for use in a variety of settings … Root Cause Analysis of Reported Patient Falls in ORs in the Veterans Health Administration. … August 21, 2013 Wrong-side thoracentesis: lessons learned from root cause analysis.