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261. Meta-analysis of medication administration errors in African hospitals. | PSNet
     psnet.ahrq.gov/issue/meta-analysis-medication-administration-errors-african-hospitals
     July 10, 2008 - Review Meta-analysis of medication administration errors in African hospitals. … Meta-analysis of medication administration errors in African hospitals. … Meta-analysis of medication administration errors in African hospitals. … November 21, 2018 Does root cause analysis improve patient safety? … medication administration errors in the neonatal intensive care unit: a systematic review and meta-analysis

262. Learning from litigation. The role of claims analysis in patient safety. | PSNet
     psnet.ahrq.gov/issue/learning-litigation-role-claims-analysis-patient-safety
     November 21, 2018 - The role of claims analysis in patient safety. … The role of claims analysis in patient safety. J Eval Clin Pract. 2006;12(6):665-74. … The role of claims analysis in patient safety. J Eval Clin Pract. 2006;12(6):665-74. … Sequential content and reflexive thematic analysis of national statutory reporting within the NHS in … October 21, 2010 Litigation related to drug errors in anaesthesia: an analysis of claims

263. Nature of blame in patient safety incident reports: mixed methods analysis of a national database. | PSNet
     psnet.ahrq.gov/issue/nature-blame-patient-safety-incident-reports-mixed-methods-analysis-national-database
     October 12, 2016 - Study Nature of blame in patient safety incident reports: mixed methods analysis … Nature of Blame in Patient Safety Incident Reports: Mixed Methods Analysis of a National Database. … Nature of Blame in Patient Safety Incident Reports: Mixed Methods Analysis of a National Database. … April 1, 2020 Sources of unsafe primary care for older adults: a mixed-methods analysis … September 24, 2017 A mixed-methods analysis of patient safety incidents involving opioid

264. Missed diagnosis of stroke in the emergency department: a cross-sectional analysis of a large population-based sample. | PSNet
     psnet.ahrq.gov/issue/missed-diagnosis-stroke-emergency-department-cross-sectional-analysis-large-population-based
     April 08, 2018 - Study Missed diagnosis of stroke in the emergency department: a cross-sectional analysis … Missed diagnosis of stroke in the emergency department: a cross-sectional analysis of a large population-based … Missed diagnosis of stroke in the emergency department: a cross-sectional analysis of a large population-based … with administrative claims data using Symptom-Disease Pair Analysis of Diagnostic Error methodology … June 19, 2018 Symptom–Disease Pair Analysis of Diagnostic Error (SPADE): a conceptual

265. Analysis of prescribers' notes in electronic prescriptions in ambulatory practice. | PSNet
     psnet.ahrq.gov/issue/analysis-prescribers-notes-electronic-prescriptions-ambulatory-practice
     July 23, 2018 - Study Analysis of prescribers' notes in electronic prescriptions in ambulatory practice … Analysis of Prescribers' Notes in Electronic Prescriptions in Ambulatory Practice. … Analysis of Prescribers' Notes in Electronic Prescriptions in Ambulatory Practice. … July 23, 2018 Analysis of medication therapy discontinuation orders in new electronic … Cases A Mistaken Dose of Naloxone  December 18, 2019 Analysis

266. Integration of prospective and retrospective methods for risk analysis in hospitals. | PSNet
     psnet.ahrq.gov/issue/integration-prospective-and-retrospective-methods-risk-analysis-hospitals
     June 23, 2010 - Study Integration of prospective and retrospective methods for risk analysis in hospitals … Integration of prospective and retrospective methods for risk analysis in hospitals. … Integration of prospective and retrospective methods for risk analysis in hospitals. … June 23, 2010 Prospective risk analysis of health care processes: a systematic evaluation … October 30, 2010 Analysis of 23,364 patient-generated, physician-reviewed malpractice

267. Analysis of a medication safety intervention in the pediatric emergency department. | PSNet
     psnet.ahrq.gov/issue/analysis-medication-safety-intervention-pediatric-emergency-department
     August 02, 2012 - Study Analysis of a medication safety intervention in the pediatric emergency department … Analysis of a medication safety intervention in the pediatric emergency department. … Analysis of a medication safety intervention in the pediatric emergency department.

268. Content analysis of team communication in an obstetric emergency scenario. | PSNet
     psnet.ahrq.gov/issue/content-analysis-team-communication-obstetric-emergency-scenario
     July 13, 2009 - Study Content analysis of team communication in an obstetric emergency scenario. … Content analysis of team communication in an obstetric emergency scenario. … Content analysis of team communication in an obstetric emergency scenario.

269. Comprehensive analysis of a medication dosing error related to CPOE. | PSNet
     psnet.ahrq.gov/issue/comprehensive-analysis-medication-dosing-error-related-cpoe
     June 01, 2005 - Commentary Comprehensive analysis of a medication dosing error related to CPOE. … Comprehensive Analysis of a Medication Dosing Error Related to CPOE: Table 1. … Comprehensive Analysis of a Medication Dosing Error Related to CPOE: Table 1.

270. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33568/psn-pdf
     June 15, 2024 - Root Cause Analysis June 15, 2024 Root Cause Analysis. PSNet [internet]. 2019. … https://psnet.ahrq.gov/primer/root-cause-analysis https://psnet.ahrq.gov/issue/cross-sectional-study-relationship-between-utilization-root-cause-analysis-and-patient-safety … Accordingly, some have suggested replacing the term "root cause analysis" with "systems analysis." … Effectiveness of Root Cause Analysis Root cause analysis is one of the most widely used approaches to … https://psnet.ahrq.gov/perspective/rethinking-root-cause-analysis https://psnet.ahrq.gov/issue/tool-concise-analysis-patient-safety-incidents

271. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/844791/psn-pdf
     September 18, 2019 - Review of alternatives to root cause analysis: developing a robust system for incident report analysis … Review of alternatives to root cause analysis: developing a robust system for incident report analysis … - report-analysis Root cause analysis is a fundamental approach to understanding how failures occur … https://psnet.ahrq.gov/issue/review-alternatives-root-cause-analysis-developing-robust-system-incident-report-analysis … https://psnet.ahrq.gov/issue/review-alternatives-root-cause-analysis-developing-robust-system-incident-report-analysis

272. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/859350/psn-pdf
     December 20, 2023 - 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. … https://psnet.ahrq.gov/issue/what-are-experiences-team-members-involved-root-cause-analysis-qualitative … https://psnet.ahrq.gov/primer/root-cause-analysis https://psnet.ahrq.gov/issue/our-current-approach-root-cause-analysis-it-contributing-our-failure-improve-patient-safety … https://psnet.ahrq.gov/perspective/rethinking-root-cause-analysis

273. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867596/psn-pdf
     January 22, 2025 - Creation of root cause analysis and action (RCA2) standard work by a multidisciplinary team to prevent … Creation of root cause analysis and action (RCA2) standard work by a multidisciplinary team to prevent … - team-prevent Root cause analysis (RCA) is a common strategy to investigate patient safety events … This article describes the implementation of a root cause analysis and action (RCA2) framework in a … https://psnet.ahrq.gov/issue/problem-root-cause-analysis https://psnet.ahrq.gov/issue/implementing-root-cause-analysis-and-action-integrating-human-factors-create-strong

274. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866907/psn-pdf
     October 09, 2024 - A review of modifiable health care factors contributing to inpatient suicide: an analysis of coroners … ' reports using the Human Factors Analysis and Classification System for Healthcare October 9, 2024 … A review of modifiable health care factors contributing to inpatient suicide: an analysis of coroners … ' reports using the Human Factors Analysis and Classification System for Healthcare. … Using data from 2009 to 2018, researchers used the Human Factors Analysis and Classification System

275. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45953/psn-pdf
     July 22, 2020 - Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel … https://psnet.ahrq.gov/issue/root-cause-analysis-health-care-joint-commission-guide-analysis-and- corrective-action … https://psnet.ahrq.gov/issue/root-cause-analysis-health-care-joint-commission-guide-analysis-and-corrective-action … https://psnet.ahrq.gov/issue/root-cause-analysis-health-care-joint-commission-guide-analysis-and-corrective-action … https://psnet.ahrq.gov/primer/root-cause-analysis https://psnet.ahrq.gov/issue/root-cause-analysis-swatting-mosquitoes-versus-draining-swamp

276. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837335/psn-pdf
     June 08, 2022 - Root cause analysis using the prevention and recovery information system for monitoring and analysis … Root cause analysis using the prevention and recovery information system for monitoring and analysis … https://psnet.ahrq.gov/issue/root-cause-analysis-using-prevention-and-recovery-information-system- monitoring-and-analysis … https://psnet.ahrq.gov/issue/root-cause-analysis-using-prevention-and-recovery-information-system-monitoring-and-analysis … https://psnet.ahrq.gov/issue/root-cause-analysis-using-prevention-and-recovery-information-system-monitoring-and-analysis

277. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60968/psn-pdf
     September 30, 2020 - Assisting beginners in root cause analysis operations: analysis and recommendations regarding the spread … Assisting beginners in root cause analysis operations: analysis and recommendations regarding the spread … https://psnet.ahrq.gov/issue/assisting-beginners-root-cause-analysis-operations-analysis-and- recommendations-regarding … https://psnet.ahrq.gov/issue/assisting-beginners-root-cause-analysis-operations-analysis-and-recommendations-regarding … https://psnet.ahrq.gov/issue/assisting-beginners-root-cause-analysis-operations-analysis-and-recommendations-regarding

278. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/856590/psn-pdf
     November 29, 2023 - Team experiences of the root cause analysis process after a sentinel event: a qualitative case study … Team experiences of the root cause analysis process after a sentinel event: a qualitative case study … https://psnet.ahrq.gov/issue/team-experiences-root-cause-analysis-process-after-sentinel-event-qualitative … - case-study Root cause analysis (RCA) is a frequently used, and sometimes mandatory, method to investigate … https://psnet.ahrq.gov/perspective/rethinking-root-cause-analysis https://psnet.ahrq.gov/issue/root-cause-analysis-health-care-joint-commission-guide-analysis-and-corrective-action

279. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867652/psn-pdf
     February 26, 2025 - The Evolution of Root Cause Analysis February 26, 2025 Behrhorst J, Gale B, Van CM. … The Evolution of Root Cause Analysis. PSNet [internet]. 2025. … https://psnet.ahrq.gov/perspective/evolution-root-cause-analysis Introduction Root Cause Analysis ( … Using aggregate root cause analysis to improve patient safety. … Success Cause Analysis: Learning from what works to advance safety.

280. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867634/psn-pdf
     February 26, 2025 - Using simulation to augment root cause analysis for patient safety incidents at a tertiary care women's … Using simulation to augment root cause analysis for patient safety incidents at a tertiary care women's … https://psnet.ahrq.gov/issue/using-simulation-augment-root-cause-analysis-patient-safety-incidents-tertiary … - care-womens Root cause analysis (RCA) is a common investigation technique in healthcare. … https://psnet.ahrq.gov/primer/root-cause-analysis https://psnet.ahrq.gov/issue/using-simulation-improve-root-cause-analysis-adverse-surgical-outcomes