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psnet.ahrq.gov/issue/applying-hierarchical-task-analysis-medication-administration-errors
December 18, 2017 - Commentary
Applying hierarchical task analysis to medication administration errors … Applying hierarchical task analysis to medication administration errors. … Applying hierarchical task analysis to medication administration errors. … July 10, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis.
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psnet.ahrq.gov/issue/maximize-patient-safety-advanced-root-cause-analysis
November 18, 2011 - Book/Report
Maximize Patient Safety with Advanced Root Cause Analysis. … Citation Text:
Maximize Patient Safety with Advanced Root Cause Analysis. … A "how-to" book for organizations that have already implemented a root cause analysis (RCA) process … June 4, 2024
Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis … July 22, 2020
Medical Device Use Error: Root Cause Analysis.
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psnet.ahrq.gov/issue/effectiveness-and-efficiency-root-cause-analysis-medicine
July 11, 2012 - Effectiveness and Efficiency of Root Cause Analysis in Medicine. … Effectiveness and Efficiency of Root Cause Analysis in Medicine. … program using root cause analysis and common cause analysis. … May 25, 2022
Assisting beginners in root cause analysis operations: analysis and recommendations … September 15, 2010
ISMP medication error report analysis.
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psnet.ahrq.gov/issue/qualitative-content-analysis-framework-substantive-review-hospital-incident-reports
March 16, 2022 - Commentary
Qualitative content analysis: a framework for the substantive review of … Qualitative content analysis: a framework for the substantive review of hospital incident reports. … content analysis can support incident analysis and help identify risk mitigation strategies, performance … Qualitative content analysis: a framework for the substantive review of hospital incident reports. … March 11, 2020
Does root cause analysis improve patient safety?
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psnet.ahrq.gov/issue/implementation-mock-root-cause-analysis-provide-simulated-patient-safety-training
January 12, 2022 - Commentary
Implementation of a mock root cause analysis to provide simulated patient … Implementation of a mock root cause analysis to provide simulated patient safety training. … Root cause analysis is a strategy to identify and reduce risks, but there are concerns regarding its … Implementation of a mock root cause analysis to provide simulated patient safety training. … June 10, 2020
Simulation-based event analysis improves error discovery and generates
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psnet.ahrq.gov/issue/optimizing-measurement-misdiagnosis-related-harms-using-symptom-disease-pair-analysis
July 21, 2021 - Optimizing measurement of misdiagnosis-related harms using symptom-disease pair analysis … Optimizing measurement of misdiagnosis-related harms using symptom-disease pair analysis of diagnostic … Symptom–Disease Pair Analysis of Diagnostic Error (SPADE) is a framework to measure diagnostic errors … Optimizing measurement of misdiagnosis-related harms using symptom-disease pair analysis of diagnostic … with administrative claims data using Symptom-Disease Pair Analysis of Diagnostic Error methodology
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psnet.ahrq.gov/issue/use-fmea-analysis-reduce-risk-errors-prescribing-and-administering-drugs-paediatric-wards
March 08, 2023 - Study
Use of FMEA analysis to reduce risk of errors in prescribing and administering … Use of FMEA analysis to reduce risk of errors in prescribing and administering drugs in paediatric wards … Failure mode and effect analysis identified calculation errors as a major source of medication errors … Use of FMEA analysis to reduce risk of errors in prescribing and administering drugs in paediatric wards … December 9, 2020
The AMÉLIE project: failure mode, effects and criticality analysis:
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psnet.ahrq.gov/issue/associations-physician-burnout-career-engagement-and-quality-patient-care-systematic-review
February 02, 2022 - of physician burnout with career engagement and quality of patient care: systematic review and meta-analysis … of physician burnout with career engagement and quality of patient care: systematic review and meta-analysis … This systematic review and meta-analysis showed physicians with burnout were significantly more dissatisfied … of physician burnout with career engagement and quality of patient care: systematic review and meta-analysis … April 5, 2023
A systems analysis of work-related violence in hospitals: stakeholders,
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psnet.ahrq.gov/issue/policy-and-practice-use-root-cause-analysis-investigate-clinical-adverse-events-mind-gap
December 09, 2020 - Study
Policy and practice in the use of root cause analysis to investigate clinical … Policy and practice in the use of root cause analysis to investigate clinical adverse events: mind the … This study explores the tensions between the theory of root cause analysis and its use in practice … Policy and practice in the use of root cause analysis to investigate clinical adverse events: mind the … October 31, 2011
Analysis of unintended events in hospitals: inter-rater reliability
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psnet.ahrq.gov/issue/implementing-patient-and-family-involvement-interventions-promoting-patient-safety-systematic
February 02, 2022 - patient and family involvement interventions for promoting patient safety: a systematic review and meta-analysis … This meta-analysis found that patient and family involvement interventions can significantly reduce adverse … and patient outcomes on transition from adult intensive care settings: a systematic review and meta-analysis … A systematic review and meta-analysis. … July 8, 2020
Systematic review and meta-analysis of interventions for operating room
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psnet.ahrq.gov/issue/factors-associated-malpractice-claim-payout-analysis-closed-emergency-department-claims
May 18, 2022 - Study
Factors associated with malpractice claim payout: an analysis of closed emergency … Factors associated with malpractice claim payout: an analysis of closed emergency department claims. … Analysis of closed malpractice claims can be used to identify potential safety hazards in a variety … Factors associated with malpractice claim payout: an analysis of closed emergency department claims. … Analysis of incident reports from a patient safety organization.
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psnet.ahrq.gov/issue/impact-pharmacist-interventions-medication-errors-hospitalized-pediatric-patients-systematic
August 04, 2021 - interventions on medication errors in hospitalized pediatric patients: a systematic review and meta-analysis … interventions on medication errors in hospitalized pediatric patients: a systematic review and meta-analysis … Results of a meta-analysis found that pharmacist involvement was associated with a significant reduction … interventions on medication errors in hospitalized pediatric patients: a systematic review and meta-analysis … Surgeon burnout, impact on patient safety and professionalism: a systematic review and meta-analysis
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psnet.ahrq.gov/issue/veterans-affairs-root-cause-analysis-system-action
June 22, 2022 - Study
Classic
The Veterans Affairs root cause analysis … The Veterans Affairs Root Cause Analysis System in Action. … This article focuses on the application of root cause analysis (RCA) and the relationship between the … The Veterans Affairs Root Cause Analysis System in Action. … April 30, 2014
Root cause analysis reports help identify common factors in delayed diagnosis
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psnet.ahrq.gov/issue/antecedent-treat-and-release-diagnoses-prior-sepsis-hospitalization-among-adult-emergency
May 12, 2021 - employing insurance claims data using Symptom-Disease Pair Analysis of Diagnostic Error (SPADE) methodology … employing insurance claims data using Symptom-Disease Pair Analysis of Diagnostic Error (SPADE)…. … employing insurance claims data using Symptom-Disease Pair Analysis of Diagnostic Error (SPADE)…. … with administrative claims data using Symptom-Disease Pair Analysis of Diagnostic Error methodology … diagnostic errors in the emergency department: an analysis of serious adverse event reports.
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psnet.ahrq.gov/issue/nursing-surveillance-concept-analysis
May 26, 2021 - Review
Nursing surveillance: a concept analysis
Citation Text:
Halverson … Nursing surveillance: a concept analysis. Nurs Forum. 2022;57(3):454-460. doi:10.1111/nuf.12702. … Nursing surveillance: a concept analysis.
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psnet.ahrq.gov/issue/content-analysis-patient-complaints
January 18, 2023 - Study
Content analysis of patient complaints. … Content analysis of patient complaints. … Content analysis of patient complaints. … October 13, 2018
Evolving factors in hospital safety: a systematic review and meta-analysis … 2017
Structuring patient and family involvement in medical error event disclosure and analysis
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psnet.ahrq.gov/issue/analysis-staff-safety-concerns
July 19, 2023 - Study
Analysis of staff safety concerns. … Analysis of Staff Safety Concerns. … Analysis of Staff Safety Concerns. … December 6, 2017
Thematic analysis of nurses' experiences with The Joint Commission's
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psnet.ahrq.gov/issue/medication-communication-concept-analysis
June 16, 2021 - Review
Medication communication: a concept analysis. … Medication communication: a concept analysis. … Medication communication: a concept analysis. … Engaging with ethnic minority consumers to improve safety in cancer services: a national stakeholder analysis
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-23
June 16, 2019 - Commentary
ISMP medication error report analysis. … Citation Text:
ISMP medication error report analysis. Cohen MR, Smetzer JL. … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis. … June 9, 2010
ISMP medication error report analysis.
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-22
June 16, 2019 - Commentary
ISMP medication error report analysis. … Citation Text:
ISMP medication error report analysis. Cohen MR; Smetzer JL. … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis. … June 9, 2010
ISMP medication error report analysis.