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141. Systems engineering analysis of diagnostic referral closed-loop processes. | PSNet
     psnet.ahrq.gov/issue/systems-engineering-analysis-diagnostic-referral-closed-loop-processes
     December 07, 2022 - Study Systems engineering analysis of diagnostic referral closed-loop processes. … Systems engineering analysis of diagnostic referral closed-loop processes. … A systems engineering analysis was conducted to identify vulnerabilities in the referral process and … Systems engineering analysis of diagnostic referral closed-loop processes. … 2022 Patient and caregiver factors in ambulatory incident reports: a mixed-methods analysis

142. Healthcare failure mode and effect analysis in the chemotherapy preparation process. | PSNet
     psnet.ahrq.gov/issue/healthcare-failure-mode-and-effect-analysis-chemotherapy-preparation-process
     March 09, 2022 - Study Healthcare failure mode and effect analysis in the chemotherapy preparation … Healthcare failure mode and effect analysis in the chemotherapy preparation process. … Researchers in this study used healthcare failure mode and effect analysis (HFMEA) to identify and … Healthcare failure mode and effect analysis in the chemotherapy preparation process. … December 2, 2020 Using Failure Mode, Effect and Criticality Analysis to improve safety

143. Controlled interventions to reduce burnout in physicians: a systematic review and meta-analysis. | PSNet
     psnet.ahrq.gov/issue/controlled-interventions-reduce-burnout-physicians-systematic-review-and-meta-analysis
     September 28, 2022 - Controlled interventions to reduce burnout in physicians: a systematic review and meta-analysis … Controlled Interventions to Reduce Burnout in Physicians: A Systematic Review and Meta-analysis. … This systematic review and meta-analysis found that although interventions designed to mitigate burnout … Controlled Interventions to Reduce Burnout in Physicians: A Systematic Review and Meta-analysis. … The role of claims analysis in patient safety.

144. Analysis of reported suicide safety events among veterans who received treatment through Department of Veterans Affairs-contracted community care. | PSNet
     psnet.ahrq.gov/issue/analysis-reported-suicide-safety-events-among-veterans-who-received-treatment-through
     August 21, 2019 - Study Analysis of reported suicide safety events among veterans who received treatment … Analysis of reported suicide safety events among veterans who received treatment through Department of … In this retrospective analysis of suicide-related events reported to the Veterans Health Administration … of patient safety and root cause analysis reports in the Veterans Health Administration. … Analysis of incident reports from a patient safety organization.

145. Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality analysis. | PSNet
     psnet.ahrq.gov/issue/risk-assessment-acute-stroke-diagnostic-process-using-failure-modes-effects-and-criticality
     July 21, 2021 - Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality analysis … Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality analysis … This article describes how interdisciplinary teams used a failure modes, effects, and criticality analysis … August 12, 2020 Using Failure Mode, Effect and Criticality Analysis to improve safety … October 23, 2019 Symptom–Disease Pair Analysis of Diagnostic Error (SPADE): a conceptual

146. Prospective risk analysis of health care processes: a systematic evaluation of the use of HFMEA in Dutch health care. | PSNet
     psnet.ahrq.gov/issue/prospective-risk-analysis-health-care-processes-systematic-evaluation-use-hfmea-dutch-health
     March 10, 2010 - Study Prospective risk analysis of health care processes: a systematic evaluation … Prospective risk analysis of health care processes: a systematic evaluation of the use of HFMEA in Dutch … This study analyzed 13 failure mode and effect analysis (FMEA) efforts to understand how to improve … for Patient Safety's prospective risk analysis system. … July 31, 2013 Health Care Failure Mode and Effect Analysis: a useful proactive risk analysis

147. 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.

148. 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.

149. Strategies and tips for maximizing failure mode and effect analysis in your organization. | PSNet
     psnet.ahrq.gov/issue/strategies-and-tips-maximizing-failure-mode-and-effect-analysis-your-organization
     January 13, 2016 - Book/Report Strategies and tips for maximizing failure mode and effect analysis in … Citation Text: Strategies and tips for maximizing failure mode and effect analysis in your organization … July 5, 2017 Root Cause Analysis Playbook. … Center for Patient Safety's prospective risk analysis system. … analysis in a pediatric oncology ward.

150. Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process. | PSNet
     psnet.ahrq.gov/issue/use-prospective-risk-analysis-method-improve-safety-cancer-chemotherapy-process
     May 29, 2019 - Study Use of a prospective risk analysis method to improve the safety of the cancer … Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process. … Using failure mode and effect analysis (FMEA), this study examined the role that pharmacy services … Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process. … June 27, 2011 A risk analysis method to evaluate the impact of a Computerized Provider

151. ED misdiagnosis of cerebrovascular events in the era of modern neuroimaging: a meta-analysis. | PSNet
     psnet.ahrq.gov/issue/ed-misdiagnosis-cerebrovascular-events-era-modern-neuroimaging-meta-analysis
     August 19, 2020 - ED misdiagnosis of cerebrovascular events in the era of modern neuroimaging: a meta-analysis … ED misdiagnosis of cerebrovascular events in the era of modern neuroimaging: A meta-analysis. … This meta-analysis of diagnostic accuracy for cerebrovascular events in the emergency department found … ED misdiagnosis of cerebrovascular events in the era of modern neuroimaging: A meta-analysis. … with administrative claims data using Symptom-Disease Pair Analysis of Diagnostic Error methodology

152. 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.

153. 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.

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. Failure Mode and Effects Analysis in Health Care: Proactive Risk Reduction, Third Edition. | PSNet
     psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-health-care-proactive-risk-reduction-third-edition
     May 18, 2016 - Book/Report Failure Mode and Effects Analysis in Health Care: Proactive Risk Reduction … Citation Text: Failure Mode and Effects Analysis in Health Care: Proactive Risk Reduction, Third Edition … This publication provides strategies for organizations to utilize the Failure Mode and Effects Analysis … November 27, 2018 Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis … February 2, 2022 Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis

157. 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.

158. 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?

159. 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?

160. Cause and effect analysis of closed claims in obstetrics and gynecology. | PSNet
     psnet.ahrq.gov/issue/cause-and-effect-analysis-closed-claims-obstetrics-and-gynecology
     April 05, 2017 - Study Cause and effect analysis of closed claims in obstetrics and gynecology. … Cause and effect analysis of closed claims in obstetrics and gynecology. … litigious environment and using the opportunity to learn from errors to improve care, this retrospective analysis … The authors suggest that this method for analysis provides important opportunities for quality improvement … Cause and effect analysis of closed claims in obstetrics and gynecology.