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  1. 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.
  2. 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.
  3. 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
  4. 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.
  5. 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
  6. 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
  7. 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
  8. 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
  9. 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.
  10. 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
  11. 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.
  12. 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
  13. 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.
  14. 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
  15. 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.
  16. 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.
  17. 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
  18. 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.
  19. 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
  20. 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.

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