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41. Evaluation of the suitability of root cause analysis frameworks for the investigation of community-acquired pressure ulcers: a systematic review and documentary analysis. | PSNet
    psnet.ahrq.gov/issue/evaluation-suitability-root-cause-analysis-frameworks-investigation-community-acquired
    June 16, 2021 - Review Evaluation of the suitability of root cause analysis frameworks for the investigation … of community-acquired pressure ulcers: a systematic review and documentary analysis. … pressure ulcers: a systematic review and documentary analysis. … pressure ulcers: a systematic review and documentary analysis. … July 7, 2021 Root cause analysis for hospital-acquired pressure injury.

42. Implementation of a standardized tool for root cause analysis selection. | PSNet
    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.

43. Root cause analysis for hospital-acquired pressure injury. | PSNet
    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.

44. The weekend effect in hospitalized patients: a meta-analysis. | PSNet
    psnet.ahrq.gov/issue/weekend-effect-hospitalized-patients-meta-analysis
    September 23, 2020 - Review The weekend effect in hospitalized patients: a meta-analysis. … The Weekend Effect in Hospitalized Patients: A Meta-Analysis. … This meta-analysis of 97 studies found that all-cause mortality is higher for patients hospitalized on … The Weekend Effect in Hospitalized Patients: A Meta-Analysis.

45. Complications in surgery: root cause analysis and preventive measures. | PSNet
    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

46. Drug-related deaths among inpatients: a meta-analysis. | PSNet
    psnet.ahrq.gov/issue/drug-related-deaths-among-inpatients-meta-analysis
    May 25, 2022 - Study Drug-related deaths among inpatients: a meta-analysis. … Drug-related deaths among inpatients: a meta-analysis. … Based on 23 included studies from US and international settings, this meta-analysis estimated that drug-related … Drug-related deaths among inpatients: a meta-analysis. … A systematic review and meta-analysis.

47. Human error and the problem of causality in analysis of accidents. | PSNet
    psnet.ahrq.gov/issue/human-error-and-problem-causality-analysis-accidents
    August 25, 2021 - Commentary Classic Human error and the problem of causality in analysis … Human error and the problem of causality in analysis of accidents. … Discussion includes the causal analysis of accidents, human error and behavior, human and system adaptation … Human error and the problem of causality in analysis of accidents. … , 2005 View More See More About The Topic Safety Scientists Error Analysis

48. What are the experiences of team members involved in root cause analysis? A qualitative study. | PSNet
    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.

49. Root Cause Analysis Gone Wrong | PSNet
    psnet.ahrq.gov/web-mm/root-cause-analysis-gone-wrong
    August 28, 2024 - Root Cause Analysis Gone Wrong Citation Text: Peerally MF, Dixon-Woods M. … Root Cause Analysis Gone Wrong. PSNet [internet]. … Root Cause Analysis Gone Wrong. PSNet [internet]. … Newer paradigms of accident causation and analysis draw on systems theory. … Root Cause Analysis Gone Wrong. PSNet [internet].

50. Integrating systemic accident analysis into patient safety incident investigation practices. | PSNet
    psnet.ahrq.gov/issue/integrating-systemic-accident-analysis-patient-safety-incident-investigation-practices
    October 27, 2021 - Study Integrating systemic accident analysis into patient safety incident investigation … Integrating systemic accident analysis into patient safety incident investigation practices. … Theoretic Accident Modelling and Processes (STAMP) analysis—for the same adverse event. … A qualitative study combining human factors/ergonomics and social science analysis. … January 29, 2020 The problem with root cause analysis.

51. Analysis of results from event investigations in industrial and patient safety contexts. | PSNet
    psnet.ahrq.gov/issue/analysis-results-event-investigations-industrial-and-patient-safety-contexts
    July 06, 2022 - Commentary Analysis of results from event investigations in industrial and patient … Analysis of results from event investigations in industrial and patient safety contexts. … The primary purpose of incident reporting and analysis is to propose safety reforms . … Root cause analysis resulted in suggestions at the department or ward level. … Analysis of results from event investigations in industrial and patient safety contexts.

52. Adverse events associated with patient isolation: a systematic literature review and meta-analysis. | PSNet
    psnet.ahrq.gov/issue/adverse-events-associated-patient-isolation-systematic-literature-review-and-meta-analysis
    May 19, 2021 - Adverse events associated with patient isolation: a systematic literature review and meta-analysis. … A systematic review and meta-analysis. … A systematic review and meta-analysis. … A systematic review and meta-analysis. … September 28, 2022 Nurse well-being: a concept analysis.

53. ISMP medication error report analysis. | PSNet
    psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-4
    October 25, 2023 - Commentary ISMP medication error report analysis. … Citation Text: ISMP medication error report analysis. Cohen M. … April 6, 2016 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.

54. Implementing root cause analysis and action: integrating human factors to create strong interventions and reduce risk of patient harm. | PSNet
    psnet.ahrq.gov/issue/implementing-root-cause-analysis-and-action-integrating-human-factors-create-strong
    December 23, 2020 - Study Implementing root cause analysis and action: integrating human factors to create … Implementing root cause analysis and action: integrating human factors to create strong interventions … Implementing root cause analysis and action: integrating human factors to create strong interventions … of patient safety and root cause analysis reports in the Veterans Health Administration. … for monitoring and analysis method in healthcare facilities: a systematic literature review.

55. Using Health Care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective risk analysis system. | PSNet
    psnet.ahrq.gov/issue/using-health-care-failure-mode-and-effect-analysis-va-national-center-patient-safetys
    January 17, 2012 - : the VA National Center for Patient Safety's prospective risk analysis system. … risk analysis system. … risk analysis system. … August 15, 2012 Healthcare Failure Mode and Effect Analysis. … analysis in a pediatric oncology ward.

56. Key performance outcomes of patient safety curricula: root cause analysis, failure mode and effects analysis, and structured communications skills. | PSNet
    psnet.ahrq.gov/issue/key-performance-outcomes-patient-safety-curricula-root-cause-analysis-failure-mode-and
    July 23, 2010 - , failure mode and effects analysis, and structured communications skills. … Key performance outcomes of patient safety curricula: root cause analysis, failure mode and effects analysis … This commentary recommends that courses covering root cause analysis , failure mode and effects analysis … Key performance outcomes of patient safety curricula: root cause analysis, failure mode and effects analysis … Failure Mode Effects Analysis View More

57. Systems Analysis of Critical Incidents: the London Protocol. | PSNet
    psnet.ahrq.gov/issue/systems-analysis-critical-incidents-london-protocol
    April 06, 2016 - Book/Report Systems Analysis of Critical Incidents: the London Protocol. … Citation Text: Systems Analysis of Critical Incidents: the London Protocol. … This revised report documents a process for adverse event analysis that risk managers and others may … Copy URL Cite Citation Citation Text: Systems Analysis … May 24, 2015 Systematic Systems Analysis: A Practical Approach to Patient Safety Reviews

58. Use of dimensional analysis to reduce medication errors. | PSNet
    psnet.ahrq.gov/issue/use-dimensional-analysis-reduce-medication-errors
    August 06, 2014 - Study Use of dimensional analysis to reduce medication errors. … Citation Text: Use of dimensional analysis to reduce medication errors. … students on medication dosage calculation and found that those students who were taught using dimensional analysis … URL Cite Citation Citation Text: Use of dimensional analysis

59. Root cause analysis of ICU adverse events in the Veterans Health Administration. | PSNet
    psnet.ahrq.gov/issue/root-cause-analysis-icu-adverse-events-veterans-health-administration
    June 23, 2021 - Study Root cause analysis of ICU adverse events in the Veterans Health Administration … Root Cause Analysis of ICU Adverse Events in the Veterans Health Administration. … Root cause analysis is widely utilized in health care to examine adverse events . … Root Cause Analysis of ICU Adverse Events in the Veterans Health Administration. … of patient safety and root cause analysis reports in the Veterans Health Administration.

60. Outcomes of medication misadventure among people with cognitive impairment or dementia: a systematic review and meta-analysis. | PSNet
    psnet.ahrq.gov/issue/outcomes-medication-misadventure-among-people-cognitive-impairment-or-dementia-systematic
    March 08, 2023 - medication misadventure among people with cognitive impairment or dementia: a systematic review and meta-analysis … medication misadventure among people with cognitive impairment or dementia: a systematic review and meta-analysis … This meta-analysis of five studies concluded that exposure to potentially inappropriate medications ( … and patient outcomes on transition from adult intensive care settings: a systematic review and meta-analysis … A systematic review and meta-analysis.