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7821. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44252/psn-pdf
      January 01, 2016 - Associations between safety culture and employee engagement over time: a retrospective analysis. … Associations between safety culture and employee engagement over time: a retrospective analysis. … psnet.ahrq.gov/issue/associations-between-safety-culture-and-employee-engagement-over-time- retrospective-analysis … This secondary analysis examined the relationship between safety culture and employee engagement. … psnet.ahrq.gov/issue/associations-between-safety-culture-and-employee-engagement-over-time-retrospective-analysis

7822. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41724/psn-pdf
      January 01, 2013 - Using Healthcare Failure Mode and Effect Analysis to reduce medication errors in the process of drug … Using Healthcare Failure Mode and Effect Analysis to reduce medication errors in the process of drug … https://psnet.ahrq.gov/issue/using-healthcare-failure-mode-and-effect-analysis-reduce-medication-errors … - process-drug In this study, failure mode and effect analysis—a prospective risk assessment tool—successfully … https://psnet.ahrq.gov/issue/using-healthcare-failure-mode-and-effect-analysis-reduce-medication-errors-process-drug

7823. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46642/psn-pdf
      December 13, 2017 - Intravenous fluid prescribing errors in children: mixed methods analysis of critical incidents. … Intravenous fluid prescribing errors in children: Mixed methods analysis of critical incidents. … https://psnet.ahrq.gov/issue/intravenous-fluid-prescribing-errors-children-mixed-methods-analysis-critical … This analysis of critical incident reports related to intravenous fluid prescribing errors among children … https://psnet.ahrq.gov/issue/intravenous-fluid-prescribing-errors-children-mixed-methods-analysis-critical-incidents

7824. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42701/psn-pdf
      June 27, 2018 - Improving reliability with root cause analysis. … June 27, 2018 Latino RJ https://psnet.ahrq.gov/issue/improving-reliability-root-cause-analysis This … article relates how root cause analysis, typically used after an adverse event, can be utilized as a … https://psnet.ahrq.gov/issue/improving-reliability-root-cause-analysis https://psnet.ahrq.gov/primer/ … root-cause-analysis

7825. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34998/psn-pdf
      June 22, 2009 - Cause and effect analysis of closed claims in obstetrics and gynecology. … Cause and effect analysis of closed claims in obstetrics and gynecology. … https://psnet.ahrq.gov/issue/cause-and-effect-analysis-closed-claims-obstetrics-and-gynecology In the … The authors suggest that this method for analysis provides important opportunities for quality improvement … https://psnet.ahrq.gov/issue/cause-and-effect-analysis-closed-claims-obstetrics-and-gynecology

7826. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43769/psn-pdf
      December 17, 2014 - Prospective risk analysis and incident reporting for better pharmaceutical care at paediatric hospital … Prospective risk analysis and incident reporting for better pharmaceutical care at paediatric hospital … https://psnet.ahrq.gov/issue/prospective-risk-analysis-and-incident-reporting-better-pharmaceutical-care … - paediatric Researchers performed prospective risk assessment using failure mode and effects analysis … https://psnet.ahrq.gov/issue/prospective-risk-analysis-and-incident-reporting-better-pharmaceutical-care-paediatric

7827. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46728/psn-pdf
      March 27, 2018 - Near-miss event analysis enhances the barcode medication administration process. … https://psnet.ahrq.gov/issue/near-miss-event-analysis-enhances-barcode-medication-administration- process … and strategies that contributed to success such as promoting event reporting and applying root cause analysis … https://psnet.ahrq.gov/issue/near-miss-event-analysis-enhances-barcode-medication-administration-process … https://psnet.ahrq.gov/issue/near-miss-event-analysis-enhances-barcode-medication-administration-process

7828. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43516/psn-pdf
      June 15, 2017 - Application of failure mode effect analysis to improve the care of septic patients admitted through … Application of Failure Mode Effect Analysis to Improve the Care of Septic Patients Admitted Through … https://psnet.ahrq.gov/issue/application-failure-mode-effect-analysis-improve-care-septic-patients-admitted … - through A multidisciplinary team employed failure mode and effect analysis methodology to detect … https://psnet.ahrq.gov/issue/application-failure-mode-effect-analysis-improve-care-septic-patients-admitted-through

7829. 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

7830. 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

7831. 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

7832. 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

7833. 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

7834. 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

7835. 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

7836. 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.

7837. 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.

7838. 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

7839. 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

7840. 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