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7741. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45131/psn-pdf
      July 20, 2016 - Systematic review and meta-analysis of educational interventions designed to improve medication administration … Systematic review and meta-analysis of educational interventions designed to improve medication administration … https://psnet.ahrq.gov/issue/systematic-review-and-meta-analysis-educational-interventions-designed- … This meta-analysis found that a broad range of nursing education interventions, from simulation to traditional … https://psnet.ahrq.gov/issue/systematic-review-and-meta-analysis-educational-interventions-designed-improve-medication

7742. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45703/psn-pdf
      April 24, 2018 - Controlled interventions to reduce burnout in physicians: a systematic review and meta-analysis. … Controlled Interventions to Reduce Burnout in Physicians: A Systematic Review and Meta-analysis. … psnet.ahrq.gov/issue/controlled-interventions-reduce-burnout-physicians-systematic-review-and- meta-analysis … This systematic review and meta-analysis found that although interventions designed to mitigate burnout … /psnet.ahrq.gov/issue/controlled-interventions-reduce-burnout-physicians-systematic-review-and-meta-analysis

7743. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43689/psn-pdf
      December 10, 2014 - A meta-analysis of the effectiveness of crew resource management training in acute care domains. … A meta-analysis of the effectiveness of crew resource management training in acute care domains. … https://psnet.ahrq.gov/issue/meta-analysis-effectiveness-crew-resource-management-training-acute-care … - domains This meta-analysis found that while there is clear evidence that team training had positive … https://psnet.ahrq.gov/issue/meta-analysis-effectiveness-crew-resource-management-training-acute-care-domains

7744. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45824/psn-pdf
      January 25, 2017 - The detection, analysis, and significance of physician clustering in medical malpractice lawsuit payouts … The Detection, Analysis, and Significance of Physician Clustering in Medical Malpractice Lawsuit Payouts … https://psnet.ahrq.gov/issue/detection-analysis-and-significance-physician-clustering-medical-malpractice … https://psnet.ahrq.gov/issue/detection-analysis-and-significance-physician-clustering-medical-malpractice-lawsuit-payouts … https://psnet.ahrq.gov/issue/detection-analysis-and-significance-physician-clustering-medical-malpractice-lawsuit-payouts

7745. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43383/psn-pdf
      August 13, 2014 - Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system. … Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system. … https://psnet.ahrq.gov/issue/risk-factors-retained-surgical-items-meta-analysis-and-proposed-risk- stratification-system … This meta-analysis identified factors that increase risk of retained foreign objects, including clinical … https://psnet.ahrq.gov/issue/risk-factors-retained-surgical-items-meta-analysis-and-proposed-risk-stratification-system

7746. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46506/psn-pdf
      October 11, 2017 - Getting Ahead of Harm Before It Happens: A Guide About Proactive Analysis for Improving Surgical Care … https://psnet.ahrq.gov/issue/getting-ahead-harm-it-happens-guide-about-proactive-analysis-improving- … surgical-care-safety Proactive analysis can help uncover process weaknesses and ensure improvements … This guide provides insights for organizations who seek to implement proactive analysis strategies. … https://psnet.ahrq.gov/issue/getting-ahead-harm-it-happens-guide-about-proactive-analysis-improving-surgical-care-safety

7747. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43154/psn-pdf
      August 22, 2016 - Root cause analysis of ambulatory adverse drug events that present to the emergency department. … Root Cause Analysis of Ambulatory Adverse Drug Events That Present to the Emergency Department. … https://psnet.ahrq.gov/issue/root-cause-analysis-ambulatory-adverse-drug-events-present-emergency- department … https://psnet.ahrq.gov/issue/root-cause-analysis-ambulatory-adverse-drug-events-present-emergency-department … https://psnet.ahrq.gov/issue/root-cause-analysis-ambulatory-adverse-drug-events-present-emergency-department

7748. Events associated with the prescribing, dispensing, and administering of medication loading doses. | PSNet
      psnet.ahrq.gov/issue/events-associated-prescribing-dispensing-and-administering-medication-loading-doses
      September 18, 2013 - 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 5, 2018 ISMP medication error report analysis.

7749. Keeping patients safe from iatrogenic methadone overdoses. | PSNet
      psnet.ahrq.gov/issue/keeping-patients-safe-iatrogenic-methadone-overdoses
      February 27, 2019 - 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.

7750. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35762/psn-pdf
      January 02, 2017 - Using Failure Mode and Effects Analysis for safe administration of chemotherapy to hospitalized children … Using Failure Mode and Effects Analysis for safe administration of chemotherapy to hospitalized children … https://psnet.ahrq.gov/issue/using-failure-mode-and-effects-analysis-safe-administration-chemotherapy … hospitalized This study discusses the experiences of a single institution in using failure mode and effects analysis … https://psnet.ahrq.gov/issue/using-failure-mode-and-effects-analysis-safe-administration-chemotherapy-hospitalized

7751. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37327/psn-pdf
      March 03, 2011 - Patterns of technical error among surgical malpractice claims: an analysis of strategies to prevent … Patterns of technical error among surgical malpractice claims: an analysis of strategies to prevent … https://psnet.ahrq.gov/issue/patterns-technical-error-among-surgical-malpractice-claims-analysis- strategies-prevent-injury … https://psnet.ahrq.gov/issue/patterns-technical-error-among-surgical-malpractice-claims-analysis-strategies-prevent-injury … https://psnet.ahrq.gov/issue/injury-and-liability-associated-monitored-anesthesia-care-closed-claims-analysis

7752. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38911/psn-pdf
      September 09, 2009 - Radiology failure mode and effect analysis: what is it? September 9, 2009 Abujudeh H, Kaewlai R. … Radiology failure mode and effect analysis: what is it? … https://psnet.ahrq.gov/issue/radiology-failure-mode-and-effect-analysis-what-it This article introduces … the concept of failure mode and effect analysis, outlines the process, and discusses its use in radiologic … https://psnet.ahrq.gov/issue/radiology-failure-mode-and-effect-analysis-what-it https://psnet.ahrq.gov

7753. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37623/psn-pdf
      April 18, 2011 - Human factors in anaesthetic practice: insights from a task analysis. … Human factors in anaesthetic practice: insights from a task analysis. … https://psnet.ahrq.gov/issue/human-factors-anaesthetic-practice-insights-task-analysis Human factors … analysis of anesthesiologists' activities revealed several areas where the potential for error could … https://psnet.ahrq.gov/issue/human-factors-anaesthetic-practice-insights-task-analysis https://psnet.ahrq.gov

7754. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33972/psn-pdf
      June 14, 2011 - Maximize Patient Safety with Advanced Root Cause Analysis. … ISBN: 1578393485 https://psnet.ahrq.gov/issue/maximize-patient-safety-advanced-root-cause-analysis … A "how-to" book for organizations that have already implemented a root cause analysis (RCA) process in … https://psnet.ahrq.gov/issue/maximize-patient-safety-advanced-root-cause-analysis https://psnet.ahrq.gov … /primer/root-cause-analysis

7755. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40609/psn-pdf
      July 13, 2011 - Human reliability analysis: a critique and review for managers. … Human reliability analysis: A critique and review for managers. … https://psnet.ahrq.gov/issue/human-reliability-analysis-critique-and-review-managers This review discusses … how human reliability analysis methodologies can be developed to improve safety in complex systems. … https://psnet.ahrq.gov/issue/human-reliability-analysis-critique-and-review-managers https://psnet.ahrq.gov

7756. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35396/psn-pdf
      September 11, 2009 - Applying hierarchical task analysis to medication administration errors. … Applying hierarchical task analysis to medication administration errors. … https://psnet.ahrq.gov/issue/applying-hierarchical-task-analysis-medication-administration-errors The … Based on this hierarchical task analysis, they propose several solutions for improvement. … https://psnet.ahrq.gov/issue/applying-hierarchical-task-analysis-medication-administration-errors

7757. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46509/psn-pdf
      May 17, 2018 - Impact of out-of-hours admission on patient mortality: longitudinal analysis in a tertiary acute hospital … Impact of out-of-hours admission on patient mortality: longitudinal analysis in a tertiary acute hospital … https://psnet.ahrq.gov/issue/impact-out-hours-admission-patient-mortality-longitudinal-analysis-tertiary … https://psnet.ahrq.gov/issue/impact-out-hours-admission-patient-mortality-longitudinal-analysis-tertiary-acute-hospital … https://psnet.ahrq.gov/issue/impact-out-hours-admission-patient-mortality-longitudinal-analysis-tertiary-acute-hospital

7758. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43444/psn-pdf
      August 27, 2014 - Patient-safety–related hospital deaths in England: thematic analysis of incidents reported to a national … Patient-safety-related hospital deaths in England: thematic analysis of incidents reported to a national … https://psnet.ahrq.gov/issue/patient-safety-related-hospital-deaths-england-thematic-analysis-incidents … - reported-national This analysis of incidents involving inpatient mortality reported to the National … https://psnet.ahrq.gov/issue/patient-safety-related-hospital-deaths-england-thematic-analysis-incidents-reported-national

7759. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43098/psn-pdf
      August 25, 2015 - A social network analysis and examination of prescribing error rates. … A Social Network Analysis and Examination of Prescribing Error Rates. … psnet.ahrq.gov/issue/who-do-hospital-physicians-and-nurses-go-advice-about-medications-social- network-analysis-and … This analysis sought to characterize how physicians and nurses acquire information about medication … psnet.ahrq.gov/issue/who-do-hospital-physicians-and-nurses-go-advice-about-medications-social-network-analysis-and

7760. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35497/psn-pdf
      June 30, 2011 - Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process. … Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process. … https://psnet.ahrq.gov/issue/use-prospective-risk-analysis-method-improve-safety-cancer-chemotherapy- … process Using failure mode and effect analysis (FMEA), this study examined the role that pharmacy … https://psnet.ahrq.gov/issue/use-prospective-risk-analysis-method-improve-safety-cancer-chemotherapy-process