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101. Radiology failure mode and effect analysis: what is it? | PSNet
     psnet.ahrq.gov/issue/radiology-failure-mode-and-effect-analysis-what-it
     May 03, 2017 - Commentary Radiology failure mode and effect analysis: what is it? … Radiology failure mode and effect analysis: what is it? … This article introduces the concept of failure mode and effect analysis , outlines the process, and … Radiology failure mode and effect analysis: what is it? … analysis.

102. Medical Device Use Error: Root Cause Analysis. | PSNet
     psnet.ahrq.gov/issue/medical-device-use-error-root-cause-analysis
     January 10, 2018 - Book/Report Medical Device Use Error: Root Cause Analysis. … Citation Text: Medical Device Use Error: Root Cause Analysis. Wiklund M, Dwyer A, Davis E. … Cite Citation Citation Text: Medical Device Use Error: Root Cause Analysis … May 17, 2023 More than algorithms: an analysis of safety events involving ML-enabled … May 3, 2023 Using the Generic Analysis Method to analyze sentinel event reports across

103. A tool for the concise analysis of patient safety incidents. | PSNet
     psnet.ahrq.gov/issue/tool-concise-analysis-patient-safety-incidents
     August 09, 2018 - Study A tool for the concise analysis of patient safety incidents. … A Tool for the Concise Analysis of Patient Safety Incidents. … In this study, researchers tested a concise incident analysis method, drawing on multiple existing incident … investigation frameworks including the Canadian Incident Analysis Framework and the WHO High 5s program … A Tool for the Concise Analysis of Patient Safety Incidents.

104. High rate of implementation of proposed actions for improvement with the Healthcare Failure Mode Effect Analysis method: evaluation of 117 analyses. | PSNet
     psnet.ahrq.gov/issue/high-rate-implementation-proposed-actions-improvement-healthcare-failure-mode-effect-analysis
     December 09, 2020 - rate of implementation of proposed actions for improvement with the Healthcare Failure Mode Effect Analysis … Rate of Implementation of Proposed Actions for Improvement With the Healthcare Failure Mode Effect Analysis … Failure mode effect analysis is a widely used method of prospectively detecting safety hazards , but … Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care. … January 13, 2021 A practical guide to Failure Mode and Effects Analysis in health care

105. Long-term care healthcare-associated infections in 2022: an analysis of 20,216 reports. | PSNet
     psnet.ahrq.gov/issue/long-term-care-healthcare-associated-infections-2022-analysis-20216-reports
     July 24, 2024 - Study Long-term care healthcare-associated infections in 2022: an analysis of 20,216 … Long-term care healthcare-associated iInfections in 2022: an analysis of 20,216 reports. … Based on incident data from the Pennsylvania Patient Safety Reporting System (PA-PSRS), this analysis … Long-term care healthcare-associated iInfections in 2022: an analysis of 20,216 reports. … July 8, 2020 Long-term care healthcare-associated infections in 2021: an analysis of

106. The role of failure mode and effects analysis in health care. | PSNet
     psnet.ahrq.gov/issue/role-failure-mode-and-effects-analysis-health-care
     December 22, 2021 - Newspaper/Magazine Article The role of failure mode and effects analysis in health … The role of failure mode and effects analysis in health care. Physician Exec. 2014;40(4):28-32. … Failure mode and effects analysis (FMEA) has been recommended as a method to detect safety hazards … The role of failure mode and effects analysis in health care. Physician Exec. 2014;40(4):28-32. … of patient safety and root cause analysis reports in the Veterans Health Administration.

107. Reducing failures in daily medical practice: healthcare failure mode and effect analysis combined with computer simulation. | PSNet
     psnet.ahrq.gov/issue/reducing-failures-daily-medical-practice-healthcare-failure-mode-and-effect-analysis-combined
     August 10, 2022 - Reducing failures in daily medical practice: healthcare failure mode and effect analysis … Reducing failures in daily medical practice: healthcare failure mode and effect analysis combined with … Failure mode and effect analysis (FMEA) is widely used to identify latent safety hazards. … The authors of this study proposed combining healthcare failure mode and effect analysis (HFMEA) with … A systematic review and meta-analysis.

108. Root cause analysis to identify contributing factors for the development of hospital acquired pressure injuries. | PSNet
     psnet.ahrq.gov/issue/root-cause-analysis-identify-contributing-factors-development-hospital-acquired-pressure
     July 20, 2022 - Study Root cause analysis to identify contributing factors for the development of … Root cause analysis to identify contributing factors for the development of hospital acquired pressure … June 15, 2016 Root cause analysis for hospital-acquired pressure injury. … of patient safety and root cause analysis reports in the Veterans Health Administration. … September 30, 2020 Root cause analysis for hospital-acquired pressure injury.

109. Common Cause Analysis: Focus on Institutional Change (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Browne_5.pdf
     January 20, 2008 - Common Cause Analysis: Focus on Institutional Change Common Cause Analysis: Focus on Institutional … • Sorting and analysis of data to identify common themes. … Source: NCPS Triage Cards for Root Cause Analysis. … Common cause analysis: Years 1 and 2. … Common cause analysis: What’s next?

110. Preparing Data from CAHPS Surveys for Analysis (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/preparing-data-for-analysis.pdf
     May 15, 2017 - Preparing Data from CAHPS Surveys for Analysis Preparing Data from CAHPS® Surveys for Analysis Contents … Overview of the CAHPS Analysis Program The CAHPS Analysis Program was developed by AHRQ’s CAHPS Consortium … Consider using the CAHPS Analysis Program if: • You are including more than 2-3 entities in your analysis … To determine whether using the CAHPS Analysis Program would benefit you, review the “Pre-Analysis Decisions … Preparing Data from CAHPS® Surveys for Analysis Contents Introduction Creating Your Analysis Dataset

111. Preparing Data from CAHPS Surveys for Analysis (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/helpful-resources/analysis/preparing-data-for-analysis.pdf
     May 15, 2017 - Preparing Data from CAHPS Surveys for Analysis Preparing Data from CAHPS® Surveys for Analysis Contents … Overview of the CAHPS Analysis Program The CAHPS Analysis Program was developed by AHRQ’s CAHPS Consortium … Consider using the CAHPS Analysis Program if: • You are including more than 2-3 entities in your analysis … To determine whether using the CAHPS Analysis Program would benefit you, review the “Pre-Analysis Decisions … Preparing Data from CAHPS® Surveys for Analysis Contents Introduction Creating Your Analysis Dataset

112. Rate of sepsis hospitalizations after misdiagnosis in adult emergency department patients: a look-forward analysis with administrative claims data using Symptom-Disease Pair Analysis of Diagnostic Error methodology in an integrated health system. | PSNet
     psnet.ahrq.gov/issue/rate-sepsis-hospitalizations-after-misdiagnosis-adult-emergency-department-patients-look
     December 08, 2021 - of sepsis hospitalizations after misdiagnosis in adult emergency department patients: a look-forward analysis … with administrative claims data using Symptom-Disease Pair Analysis of Diagnostic Error methodology … with administrative claims data using Symptom-Disease Pair Analysis of Diagnostic Error methodology … This study used a Symptom-Disease Pair Analysis of Diagnostic Error (SPADE) “look-forward” analysis … with administrative claims data using Symptom-Disease Pair Analysis of Diagnostic Error methodology

113. The fusion of incident learning and failure mode and effects analysis for data-driven patient safety improvements. | PSNet
     psnet.ahrq.gov/issue/fusion-incident-learning-and-failure-mode-and-effects-analysis-data-driven-patient-safety
     November 17, 2021 - Study The fusion of incident learning and failure mode and effects analysis for data-driven … The fusion of incident learning and failure mode and effects analysis for data-driven patient safety … The fusion of incident learning and failure mode and effects analysis for data-driven patient safety … November 17, 2021 Using Failure Mode, Effect and Criticality Analysis to improve safety … December 16, 2020 Using failure mode and effects analysis to increase patient safety

114. Simulation-based event analysis improves error discovery and generates improved strategies for error prevention. | PSNet
     psnet.ahrq.gov/issue/simulation-based-event-analysis-improves-error-discovery-and-generates-improved-strategies
     July 07, 2021 - Study Simulation-based event analysis improves error discovery and generates improved … Simulation-based event analysis improves error discovery and generates improved strategies for error … Root cause analysis (RCA) is a vital tool to assess errors and prevent their recurrence . … Simulation-based event analysis improves error discovery and generates improved strategies for error … for monitoring and analysis method in healthcare facilities: a systematic literature review.

115. Systematic root cause analysis of adverse drug events in a tertiary referral hospital. | PSNet
     psnet.ahrq.gov/issue/systematic-root-cause-analysis-adverse-drug-events-tertiary-referral-hospital
     November 16, 2022 - Study Classic Systematic root cause analysis of adverse … Systematic Root Cause Analysis of Adverse Drug Events in a Tertiary Referral Hospital. … This study examines the utility of root cause analysis (RCA) to identify, investigate, and address … The authors conclude that systematic application of root cause analysis, coupled with implementation … Systematic Root Cause Analysis of Adverse Drug Events in a Tertiary Referral Hospital.

116. A risk analysis method to evaluate the impact of a Computerized Provider Order Entry system on patient safety. | PSNet
     psnet.ahrq.gov/issue/risk-analysis-method-evaluate-impact-computerized-provider-order-entry-system-patient-safety
     September 15, 2021 - Study A risk analysis method to evaluate the impact of a Computerized Provider Order … A risk analysis method to evaluate the impact of a computerized provider order entry system on patient … This study conducted a detailed quantitative analysis, following a failure mode and effect analysis ( … A risk analysis method to evaluate the impact of a computerized provider order entry system on patient … A systematic review and meta-analysis.

117. A case of transfusion error in a trauma patient with subsequent root cause analysis leading to institutional change. | PSNet
     psnet.ahrq.gov/issue/case-transfusion-error-trauma-patient-subsequent-root-cause-analysis-leading-institutional
     March 30, 2022 - Commentary A case of transfusion error in a trauma patient with subsequent root cause analysis … A case of transfusion error in a trauma patient with subsequent root cause analysis leading to institutional … findings of the subsequent root cause analysis , which determined training weaknesses, time pressures … April 6, 2022 Root cause analysis to identify contributing factors for the development … September 23, 2020 Application of failure mode effect analysis to improve the care of

118. Associations of physician burnout with career engagement and quality of patient care: systematic review and meta-analysis. | PSNet
     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,

119. Gap Analysis for Antibiotic Stewardhip in Ambulatory Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/gap-analysis-tool.pdf
     September 01, 2022 - Gap Analysis for Antibiotic Stewardhip in Ambulatory Care AHRQ Safety Program for Improving Antibiotic … Use Gap Analysis for Antibiotic Stewardship in Ambulatory Care Instructions: Complete this … ☐ Yes ☐ No ☐ N/A 2 Gap Analysis AHRQ Safety Program for Improving Antibiotic Use … ☐ Monthly ☐ Quarterly ☐ Annually ☐ Never ☐ Other: 3 Gap Analysis AHRQ Safety Program … Connects the Antibiotic Stewardship Team to relevant stakeholders ☐ Other: 4 Gap Analysis

120. 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.