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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
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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
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psnet.ahrq.gov/issue/sentinel-events-serious-reportable-events-and-root-cause-analysis
February 26, 2014 - Commentary
Sentinel events, serious reportable events, and root cause analysis. … Sentinel events, serious reportable events, and root cause analysis. … Sentinel events, serious reportable events, and root cause analysis. … May 29, 2019
Root cause analysis of reported patient falls in ORs in the Veterans Health … October 22, 2014
Using simulation to improve root cause analysis of adverse surgical
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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?
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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.
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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
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psnet.ahrq.gov/issue/injury-and-liability-associated-monitored-anesthesia-care-closed-claims-analysis
June 23, 2009 - Injury and liability associated with monitored anesthesia care: a closed claims analysis … Injury and liability associated with monitored anesthesia care: a closed claims analysis. … Investigators performed a detailed analysis of more than 120 MAC claims, compared them with those of … Injury and liability associated with monitored anesthesia care: a closed claims analysis. … A systematic review and meta-analysis.
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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
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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.
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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.
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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.
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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.
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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
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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.
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psnet.ahrq.gov/issue/full-work-analysis-resident-work-hours
June 06, 2018 - Study
Full work analysis of resident work hours. … Full work analysis of resident work hours. … Full work analysis of resident work hours.
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psnet.ahrq.gov/issue/never-events-analysis-hsibs-national-investigations-report
June 09, 2021 - Book/Report
Never Events Analysis of HSIB's National Investigations Report. … Citation Text:
Never Events Analysis of HSIB's National Investigations Report. … Copy URL
Cite
Citation
Citation Text:
Never Events Analysis … June 23, 2021
A Thematic Analysis of HSIB's First 22 Investigations. … Interview
In Conversation with Jessica Behrhorst about The Evolution of Root Cause Analysis
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psnet.ahrq.gov/issue/flow-information-contributing-medication-incidents-home-care-analysis-considering-incident
May 01, 2024 - 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. … June 16, 2019
ISMP medication error report analysis.
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psnet.ahrq.gov/issue/medication-errors-and-error-chains-involving-high-alert-medications-paediatric-hospital
March 27, 2024 - 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. … June 16, 2019
ISMP medication error report analysis.
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psnet.ahrq.gov/issue/contributory-factors-and-patient-harm-including-deaths-associated-direct-acting-oral
January 12, 2022 - 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. … June 16, 2019
ISMP medication error report analysis.
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psnet.ahrq.gov/issue/report-card-system-using-error-profile-analysis-and-concurrent-morbidity-and-mortality-review
June 18, 2008 - Study
A report card system using error profile analysis and concurrent morbidity … and mortality review: surgical outcome analysis, part II. … A report card system using error profile analysis and concurrent morbidity and mortality review: surgical … outcome analysis, part II. … outcome analysis, part II.