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181. Our current approach to root cause analysis: is it contributing to our failure to improve patient safety? | PSNet
     psnet.ahrq.gov/issue/our-current-approach-root-cause-analysis-it-contributing-our-failure-improve-patient-safety
     October 23, 2013 - Study Classic Our current approach to root cause analysis … Our current approach to root cause analysis: is it contributing to our failure to improve patient safety … Root cause analysis (RCA) is a process frequently employed by health care institutions to understand … Our current approach to root cause analysis: is it contributing to our failure to improve patient safety … investigation of community-acquired pressure ulcers: a systematic review and documentary analysis.

182. 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 Root cause analysis of serious adverse events among older patients in the Veterans … Root cause analysis of serious adverse events among older patients in the Veterans Health Administration … Root cause analysis of serious adverse events among older patients in the Veterans Health Administration … November 21, 2012 Root cause analysis of reported patient falls in ORs in the Veterans … of 227 root cause analysis reports in the Veterans Health Administration.

183. Using Failure Mode and Effects Analysis for safe administration of chemotherapy to hospitalized children with cancer. | PSNet
     psnet.ahrq.gov/issue/using-failure-mode-and-effects-analysis-safe-administration-chemotherapy-hospitalized
     August 08, 2018 - 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. … May 27, 2011 Health Care Failure Mode and Effect Analysis: a useful proactive risk analysis

184. Error reduction in pediatric chemotherapy: computerized order entry and failure modes and effects analysis. | PSNet
     psnet.ahrq.gov/issue/error-reduction-pediatric-chemotherapy-computerized-order-entry-and-failure-modes-and-effects
     August 02, 2010 - Error reduction in pediatric chemotherapy: computerized order entry and failure modes and effects analysis … Error reduction in pediatric chemotherapy: computerized order entry and failure modes and effects analysis … November 18, 2020 Using Failure Mode and Effects Analysis for safe administration of … December 29, 2014 Use of a prospective risk analysis method to improve the safety of … June 30, 2011 Health Care Failure Mode and Effect Analysis: a useful proactive risk analysis

185. A review of healthcare failure mode and effects analysis (HFMEA) in radiotherapy. | PSNet
     psnet.ahrq.gov/issue/review-healthcare-failure-mode-and-effects-analysis-hfmea-radiotherapy
     June 13, 2011 - Review A review of healthcare failure mode and effects analysis (HFMEA) in radiotherapy … A Review of Healthcare Failure Mode and Effects Analysis (HFMEA) in Radiotherapy. … Health care failure mode and effect analysis (HFMEA) was developed by the Veterans Affairs health system … A Review of Healthcare Failure Mode and Effects Analysis (HFMEA) in Radiotherapy. … February 1, 2011 Radiology failure mode and effect analysis: what is it?

186. Failure Mode and Effect Analysis (FMEA) | PSNet
     psnet.ahrq.gov/glossary/failure-mode-and-effect-analysis-fmea
     September 13, 2021 - Failure Mode and Effect Analysis (FMEA) September 13, 2021 Anonymous (not verified) A common … For instance, an FMEA analysis of the medication-dispensing process on a general hospital ward might

187. Missed nursing care: a concept analysis. | PSNet
     psnet.ahrq.gov/issue/missed-nursing-care-concept-analysis
     January 19, 2022 - Commentary Missed nursing care: a concept analysis. … Missed nursing care: a concept analysis. … Missed nursing care: a concept analysis. … April 5, 2013 Oncologic errors in diagnostic radiology: a 10-year analysis based on medical … September 27, 2016 Nursing student medication errors: a case study using root cause analysis

188. Rapid response teams: a systematic review and meta-analysis. | PSNet
     psnet.ahrq.gov/issue/rapid-response-teams-systematic-review-and-meta-analysis
     December 21, 2014 - Classic Rapid response teams: a systematic review and meta-analysis … Rapid Response Teams: A Systematic Review and Meta-analysis. … However, this systematic review and meta-analysis found no definitive evidence that the teams improved … Rapid Response Teams: A Systematic Review and Meta-analysis. … October 3, 2011 A 5-year analysis of rapid response system activation at an in-hospital

189. Adverse respiratory events in anesthesia: a closed claims analysis. | PSNet
     psnet.ahrq.gov/issue/adverse-respiratory-events-anesthesia-closed-claims-analysis
     February 10, 2011 - Classic Adverse respiratory events in anesthesia: a closed claims analysis … Adverse respiratory events in anesthesia: a closed claims analysis. … A retrospective analysis of the American Society of Anesthesiology Closed Claims Study, this article … Adverse respiratory events in anesthesia: a closed claims analysis. … July 13, 2010 Management of the difficult airway: a closed claims analysis.

190. Turning the medical gaze in upon itself: root cause analysis and the investigation of clinical error. | PSNet
     psnet.ahrq.gov/issue/turning-medical-gaze-upon-itself-root-cause-analysis-and-investigation-clinical-error
     June 14, 2011 - Study Turning the medical gaze in upon itself: root cause analysis and the investigation … Turning the medical gaze in upon itself: root cause analysis and the investigation of clinical error. … This study discusses the translocation of root cause analysis (RCA) techniques from non-health care … Turning the medical gaze in upon itself: root cause analysis and the investigation of clinical error. … of retained surgical items: learning from root cause analysis investigations.

191. Health and social care-associated harm amongst vulnerable children in primary care: mixed methods analysis of national safety reports. | PSNet
     psnet.ahrq.gov/issue/health-and-social-care-associated-harm-amongst-vulnerable-children-primary-care-mixed-methods
     October 12, 2016 - Health and social care-associated harm amongst vulnerable children in primary care: mixed methods analysis … Health and social care-associated harm amongst vulnerable children in primary care: mixed methods analysis … this study characterized primary care-related incidents among vulnerable children and used thematic analysis … October 12, 2016 Harms from discharge to primary care: mixed methods analysis of incident … December 15, 2021 A mixed-methods analysis of patient safety incidents involving opioid

192. CT for suspected appendicitis in children: an analysis of diagnostic errors. | PSNet
     psnet.ahrq.gov/issue/ct-suspected-appendicitis-children-analysis-diagnostic-errors
     August 20, 2018 - Study CT for suspected appendicitis in children: an analysis of diagnostic errors … CT for suspected appendicitis in children: an analysis of diagnostic errors. … Based on analysis of imaging, clinical, and pathological data on more than 1200 patients with suspected … CT for suspected appendicitis in children: an analysis of diagnostic errors. … September 24, 2016 Radiologist-initiated double reading of abdominal CT: retrospective analysis

193. Saving lives: a meta-analysis of team training in healthcare. | PSNet
     psnet.ahrq.gov/issue/saving-lives-meta-analysis-team-training-healthcare
     October 31, 2017 - Review Saving lives: a meta-analysis of team training in healthcare. … Saving lives: A meta-analysis of team training in healthcare. … This meta-analysis of 129 studies found that team training consistently led to enhanced participant satisfaction … Saving lives: A meta-analysis of team training in healthcare.

194. Organisational learning in hospitals: a concept analysis. | PSNet
     psnet.ahrq.gov/issue/organisational-learning-hospitals-concept-analysis
     August 21, 2019 - Review Organisational learning in hospitals: a concept analysis. … Organisational learning in hospitals: A concept analysis. … Organisational learning in hospitals: A concept analysis. … November 14, 2018 A concept analysis of systems thinking. … September 26, 2016 Feeling safe during an inpatient hospitalization: a concept analysis

195. Perioperative patient safety: a multisite qualitative analysis. | PSNet
     psnet.ahrq.gov/issue/perioperative-patient-safety-multisite-qualitative-analysis
     September 20, 2023 - Study Perioperative patient safety: a multisite qualitative analysis. … Perioperative patient safety: a multisite qualitative analysis. … Perioperative patient safety: a multisite qualitative analysis.

196. Incorrect surgical counts: a qualitative analysis. | PSNet
     psnet.ahrq.gov/issue/incorrect-surgical-counts-qualitative-analysis
     September 12, 2012 - Study Incorrect surgical counts: a qualitative analysis. … Incorrect surgical counts: a qualitative analysis. … Incorrect surgical counts: a qualitative analysis.

197. A concept analysis of situational awareness in nursing. | PSNet
     psnet.ahrq.gov/issue/concept-analysis-situational-awareness-nursing
     August 12, 2015 - Review A concept analysis of situational awareness in nursing. … A concept analysis of situational awareness in nursing. … A concept analysis of situational awareness in nursing.

198. A Thematic Analysis of HSIB's First 22 Investigations.  | PSNet
     psnet.ahrq.gov/issue/thematic-analysis-hsibs-first-22-investigations
     October 28, 2020 - Book/Report A Thematic Analysis of HSIB's First 22 Investigations.  … Citation Text: A Thematic Analysis of HSIB's First 22 Investigations.  … Copy URL Cite Citation Citation Text: A Thematic Analysis … June 9, 2021 Never Events Analysis of HSIB's National Investigations Report.

199. Analysis of malpractice claims in mammography: a complex issue. | PSNet
     psnet.ahrq.gov/issue/analysis-malpractice-claims-mammography-complex-issue
     October 19, 2022 - Study Analysis of malpractice claims in mammography: a complex issue. … Analysis of malpractice claims in mammography: a complex issue. … Analysis of malpractice claims in mammography: a complex issue. … July 7, 2021 Analysis of lawsuits related to diagnostic errors from point-of-care ultrasound … June 24, 2020 Radiologist-initiated double reading of abdominal CT: retrospective analysis

200. A framework for the analysis of communication errors in health care. | PSNet
     psnet.ahrq.gov/issue/framework-analysis-communication-errors-health-care
     October 21, 2020 - Commentary A framework for the analysis of communication errors in health care. … A framework for the analysis of communication errors in health care. … A framework for the analysis of communication errors in health care. … December 11, 2024 Wrong-side thoracentesis: lessons learned from root cause analysis. … of patient safety and root cause analysis reports in the Veterans Health Administration.