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

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