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81. Death by suicide within 1 week of hospital discharge: a retrospective study of root cause analysis reports. | PSNet
    psnet.ahrq.gov/issue/death-suicide-within-1-week-hospital-discharge-retrospective-study-root-cause-analysis
    May 04, 2022 - Death by suicide within 1 week of hospital discharge: a retrospective study of root cause analysis … Death by Suicide Within 1 Week of Hospital Discharge: A Retrospective Study of Root Cause Analysis Reports … the Veterans Affairs root cause analysis system. … system for incident report analysis. … Analysis of incident reports from a patient safety organization.

82. A root cause analysis project in a medication safety course. | PSNet
    psnet.ahrq.gov/issue/root-cause-analysis-project-medication-safety-course
    October 07, 2020 - Commentary A root cause analysis project in a medication safety course. … A root cause analysis project in a medication safety course. … This commentary describes an initiative to integrate development of root cause analysis skills into … A root cause analysis project in a medication safety course. … , failure mode and effects analysis, and structured communications skills.

83. Operationalizing occupational fatigue in pharmacists: an exploratory factor analysis. | PSNet
    psnet.ahrq.gov/issue/operationalizing-occupational-fatigue-pharmacists-exploratory-factor-analysis
    March 23, 2022 - Study Operationalizing occupational fatigue in pharmacists: an exploratory factor analysis … Operationalizing occupational fatigue in pharmacists: an exploratory factor analysis. … Using exploratory factor analysis, this study found physical and mental fatigue were the primary drivers … Operationalizing occupational fatigue in pharmacists: an exploratory factor analysis. … April 7, 2021 Using failure mode and effects analysis to increase patient safety in cancer

84. 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.

85. Human reliability analysis: a critique and review for managers. | PSNet
    psnet.ahrq.gov/issue/human-reliability-analysis-critique-and-review-managers
    November 21, 2021 - Review Human reliability analysis: a critique and review for managers. … Human reliability analysis: A critique and review for managers. … This review discusses how human reliability analysis methodologies can be developed to improve safety … Human reliability analysis: A critique and review for managers. … Interview In Conversation with Jessica Behrhorst about The Evolution of Root Cause Analysis

86. Systematic review and meta-analysis of educational interventions designed to improve medication administration skills and safety of registered nurses. | PSNet
    psnet.ahrq.gov/issue/systematic-review-and-meta-analysis-educational-interventions-designed-improve-medication
    June 24, 2020 - Review Systematic review and meta-analysis of educational interventions designed … Systematic review and meta-analysis of educational interventions designed to improve medication administration … This meta-analysis found that a broad range of nursing education interventions, from simulation to traditional … Same Author(s) Differences between methods of detecting medication errors: a secondary analysis … staff following medication administration errors: a descriptive study using text-mining and content analysis

87. Learning from incident reporting? Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care. | PSNet
    psnet.ahrq.gov/issue/learning-incident-reporting-analysis-incidents-resulting-patient-injuries-web-based-system
    August 04, 2021 - Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care. … Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care. … Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care. … diagnostic errors in the emergency department: an analysis of serious adverse event reports. … October 14, 2020 Special Section: Event Analysis and Risk Management.

88. Outcomes and patient safety in overlapping vs. nonoverlapping total joint arthroplasty: a systematic review and meta-analysis. | PSNet
    psnet.ahrq.gov/issue/outcomes-and-patient-safety-overlapping-vs-nonoverlapping-total-joint-arthroplasty-systematic
    February 02, 2022 - patient safety in overlapping vs. nonoverlapping total joint arthroplasty: a systematic review and meta-analysis … patient safety in overlapping vs. nonoverlapping total joint arthroplasty: a systematic review and meta-analysis … Based on a meta-analysis of six articles reporting on nearly 36,000 joint replacement patients, the authors … A systematic review and meta-analysis. … A systematic review and meta-analysis.

89. Does root cause analysis improve patient safety? A systematic review at the Department of Veterans Affairs. | PSNet
    psnet.ahrq.gov/issue/does-root-cause-analysis-improve-patient-safety-systematic-review-department-veterans-affairs
    March 24, 2021 - Review Does root cause analysis improve patient safety? … Does root cause analysis improve patient safety? … Does root cause analysis improve patient safety? … of patient safety and root cause analysis reports in the Veterans Health Administration. … Analysis of incident reports from a patient safety organization.

90. Using Failure Mode, Effect and Criticality Analysis to improve safety in the cancer treatment prescription and administration process. | PSNet
    psnet.ahrq.gov/issue/using-failure-mode-effect-and-criticality-analysis-improve-safety-cancer-treatment
    October 21, 2020 - Study Using Failure Mode, Effect and Criticality Analysis to improve safety in the … Using Failure Mode, Effect and Criticality Analysis to improve safety in the cancer treatment prescription … Using Failure Mode, Effect and Criticality Analysis to improve safety in the cancer treatment prescription … July 27, 2022 Healthcare failure mode and effect analysis in the chemotherapy preparation … January 16, 2013 Using failure mode and effects analysis to increase patient safety in

91. Prospective risk analysis of health care processes: a systematic evaluation of the use of HFMEA in Dutch health care. | PSNet
    psnet.ahrq.gov/issue/prospective-risk-analysis-health-care-processes-systematic-evaluation-use-hfmea-dutch-health
    March 10, 2010 - Study Prospective risk analysis of health care processes: a systematic evaluation … Prospective risk analysis of health care processes: a systematic evaluation of the use of HFMEA in Dutch … This study analyzed 13 failure mode and effect analysis (FMEA) efforts to understand how to improve … for Patient Safety's prospective risk analysis system. … July 31, 2013 Health Care Failure Mode and Effect Analysis: a useful proactive risk analysis

92. Controlled interventions to reduce burnout in physicians: a systematic review and meta-analysis. | PSNet
    psnet.ahrq.gov/issue/controlled-interventions-reduce-burnout-physicians-systematic-review-and-meta-analysis
    September 28, 2022 - 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. … This systematic review and meta-analysis found that although interventions designed to mitigate burnout … Controlled Interventions to Reduce Burnout in Physicians: A Systematic Review and Meta-analysis. … The role of claims analysis in patient safety.

93. Strategies and tips for maximizing failure mode and effect analysis in your organization. | PSNet
    psnet.ahrq.gov/issue/strategies-and-tips-maximizing-failure-mode-and-effect-analysis-your-organization
    January 13, 2016 - Book/Report Strategies and tips for maximizing failure mode and effect analysis in … Citation Text: Strategies and tips for maximizing failure mode and effect analysis in your organization … July 5, 2017 Root Cause Analysis Playbook. … Center for Patient Safety's prospective risk analysis system. … analysis in a pediatric oncology ward.

94. 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.

95. 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].

96. Failure Mode and Effects Analysis in Health Care: Proactive Risk Reduction, Third Edition. | PSNet
    psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-health-care-proactive-risk-reduction-third-edition
    May 18, 2016 - Book/Report Failure Mode and Effects Analysis in Health Care: Proactive Risk Reduction … Citation Text: Failure Mode and Effects Analysis in Health Care: Proactive Risk Reduction, Third Edition … This publication provides strategies for organizations to utilize the Failure Mode and Effects Analysis … November 27, 2018 Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis … February 2, 2022 Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis

97. Learning from preventable deaths: exploring case record reviewers' narratives using change analysis. | PSNet
    psnet.ahrq.gov/issue/learning-preventable-deaths-exploring-case-record-reviewers-narratives-using-change-analysis
    June 17, 2014 - Learning from preventable deaths: exploring case record reviewers' narratives using change analysis … Learning from preventable deaths: exploring case record reviewers' narratives using change analysis. … Researchers applied change analysis , a type of root cause analysis , to their review of preventable … Learning from preventable deaths: exploring case record reviewers' narratives using change analysis. … The role of claims analysis in patient safety.

98. Failure mode and effects analysis: too little for too much? | PSNet
    psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-too-little-too-much
    November 25, 2009 - Commentary Failure mode and effects analysis: too little for too much? … Failure mode and effects analysis: too little for too much? … Failure mode and effects analysis: too little for too much? … February 2, 2022 Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis … April 7, 2010 Is failure mode and effect analysis reliable?

99. Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality analysis. | PSNet
    psnet.ahrq.gov/issue/risk-assessment-acute-stroke-diagnostic-process-using-failure-modes-effects-and-criticality
    July 21, 2021 - Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality analysis … Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality analysis … This article describes how interdisciplinary teams used a failure modes, effects, and criticality analysis … August 12, 2020 Using Failure Mode, Effect and Criticality Analysis to improve safety … October 23, 2019 Symptom–Disease Pair Analysis of Diagnostic Error (SPADE): a conceptual

100. Healthcare failure mode and effect analysis in the chemotherapy preparation process. | PSNet
     psnet.ahrq.gov/issue/healthcare-failure-mode-and-effect-analysis-chemotherapy-preparation-process
     March 09, 2022 - Study Healthcare failure mode and effect analysis in the chemotherapy preparation … Healthcare failure mode and effect analysis in the chemotherapy preparation process. … Researchers in this study used healthcare failure mode and effect analysis (HFMEA) to identify and … Healthcare failure mode and effect analysis in the chemotherapy preparation process. … December 2, 2020 Using Failure Mode, Effect and Criticality Analysis to improve safety