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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.
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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.
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psnet.ahrq.gov/issue/quantitative-analysis-adverse-events-neurosurgery
September 25, 2019 - Study
Quantitative analysis of adverse events in neurosurgery. … Quantitative analysis of adverse events in neurosurgery. … Analysis of cases from neurosurgery morbidity and mortality conferences found that while the overall … Quantitative analysis of adverse events in neurosurgery. … July 22, 2015
Disorganized care: the findings of an iterative, in-depth analysis of surgical
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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.
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psnet.ahrq.gov/issue/drill-down-root-cause-analysis
June 15, 2016 - Commentary
Drill down with root cause analysis. … Drill down with root cause analysis. Nurs Manage. 2005;36(10):26-32. … program using root cause analysis and common cause analysis. … March 2, 2022
Assisting beginners in root cause analysis operations: analysis and recommendations … July 19, 2010
Random safety auditing, root cause analysis, failure mode and effects analysis
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psnet.ahrq.gov/issue/improving-reliability-root-cause-analysis
January 17, 2017 - Newspaper/Magazine Article
Improving reliability with root cause analysis. … Citation Text:
Improving reliability with root cause analysis. … This article relates how root cause analysis , typically used after an adverse event, can be utilized … to Analysis and Corrective Action of Sentinel and Adverse Events. … September 14, 2016
Wrong-side thoracentesis: lessons learned from root cause analysis
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psnet.ahrq.gov/issue/nurse-well-being-concept-analysis
August 25, 2021 - Study
Nurse well-being: a concept analysis. … Nurse well-being: a concept analysis. … In this study, researchers used a concept analysis to identify attributes of nurse well-being at the … Nurse well-being: a concept analysis. … Surgeon burnout, impact on patient safety and professionalism: a systematic review and meta-analysis
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psnet.ahrq.gov/issue/time-out-analysis
October 19, 2022 - Commentary
Time out: an analysis.
Citation Text:
Dillon KA. … Time out: an analysis. AORN J. 2008;88(3):437-442. doi:10.1016/j.aorn.2008.03.003. … Time out: an analysis. AORN J. 2008;88(3):437-442. doi:10.1016/j.aorn.2008.03.003. … structure and construct validity of a hospital survey on patient safety culture using exploratory factor analysis
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psnet.ahrq.gov/issue/intimidation-concept-analysis
May 20, 2020 - Review
Intimidation: a concept analysis. … Intimidation: a concept analysis. … Intimidation: a concept analysis. … May 20, 2020
Analysis of staff safety concerns. … A quality improvement project and difference-in-difference analysis.
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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
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psnet.ahrq.gov/issue/apparent-cause-analysis-safety-tool
June 27, 2018 - Study
Apparent cause analysis: a safety tool. … Apparent cause analysis: a safety tool. … This article explores one hospital’s use of facilitated apparent cause analysis (ACA), which is defined … The article compares ACA versus root cause analysis and describes the process for completing facilitated … Apparent cause analysis: a safety tool.
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psnet.ahrq.gov/issue/system-analysis-suboptimal-surgical-experience
March 23, 2011 - Study
A system analysis of a suboptimal surgical experience. … A system analysis of a suboptimal surgical experience. … A system analysis of a suboptimal surgical experience. … Interview
In Conversation with Jessica Behrhorst about The Evolution of Root Cause Analysis … 27, 2024
Investigation of urology intraoperative events leading to root cause analysis
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psnet.ahrq.gov/issue/implementation-standardized-tool-root-cause-analysis-selection
November 06, 2024 - Study
Implementation of a standardized tool for root cause analysis selection. … Implementation of a standardized tool for root cause analysis selection. … The root cause analysis or RCA 2 framework is a standardized approach to identify patient safety … Implementation of a standardized tool for root cause analysis selection. … Veterans Affairs root cause analysis system.
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psnet.ahrq.gov/issue/experience-feedback-committees-way-implementing-root-cause-analysis-practice-hospital-medical
October 30, 2024 - Study
Experience feedback committees: a way of implementing a root cause analysis … Experience feedback committees: A way of implementing a root cause analysis practice in hospital medical … An Annual Perspective discussed the limitations of root cause analysis and how this tool can be improved … Experience feedback committees: A way of implementing a root cause analysis practice in hospital medical … November 1, 2017
Root-cause analysis: swatting at mosquitoes versus draining the swamp
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psnet.ahrq.gov/issue/what-are-experiences-team-members-involved-root-cause-analysis-qualitative-study
August 16, 2023 - Study
What are the experiences of team members involved in root cause analysis? … What are the experiences of team members involved in root cause analysis? A qualitative study. … What are the experiences of team members involved in root cause analysis? A qualitative study. … A content analysis of accreditation reports. … root cause analysis investigations.
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psnet.ahrq.gov/issue/root-cause-analysis-action-building-foundations
August 19, 2020 - Meeting/Conference
Root Cause Analysis-in-Action: Building Foundations. … Root cause analysis (RCA) is a recognized approach to examining failures by identifying causal factors … October 26, 2021
- October 26, 2021
ISMP Gap Analysis Tool (GAT) for Safe IV Push … December 5, 2012
Root Cause Analysis Workbook for Community/Ambulatory Pharmacy. … February 11, 2015
Fluorouracil Incident Root Cause Analysis Report.
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psnet.ahrq.gov/issue/perception-feeling-safe-perioperatively-concept-analysis
December 21, 2022 - Review
Perception of feeling safe perioperatively: a concept analysis. … Perception of feeling safe perioperatively: a concept analysis. … This concept analysis describes defining attributes (participation, control, presence) of patients … Perception of feeling safe perioperatively: a concept analysis. … November 15, 2023
Team experiences of the root cause analysis process after a sentinel
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psnet.ahrq.gov/issue/root-cause-analysis-hospital-acquired-pressure-injury
July 07, 2021 - Review
Root cause analysis for hospital-acquired pressure injury. … Root cause analysis for hospital-acquired pressure injury. … The author suggests that common cause analysis is an effective method to utilize root cause analysis … Root cause analysis for hospital-acquired pressure injury. … program using root cause analysis and common cause analysis.
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psnet.ahrq.gov/issue/complications-surgery-root-cause-analysis-and-preventive-measures
November 24, 2021 - Commentary
Complications in surgery: root cause analysis and preventive measures. … Complications in surgery: root cause analysis and preventive measures. … Complications in surgery: root cause analysis and preventive measures. … care program using root cause analysis and common cause analysis. … July 20, 2022
Assisting beginners in root cause analysis operations: analysis and recommendations
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psnet.ahrq.gov/issue/fluorouracil-incident-root-cause-analysis-report
September 02, 2014 - Citation Text:
Fluorouracil Incident Root Cause Analysis Report. … 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 2, 2018
ISMP medication error report analysis.