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101. Adverse events associated with patient isolation: a systematic literature review and meta-analysis. | PSNet
     psnet.ahrq.gov/issue/adverse-events-associated-patient-isolation-systematic-literature-review-and-meta-analysis
     May 19, 2021 - Adverse events associated with patient isolation: a systematic literature review and meta-analysis. … A systematic review and meta-analysis. … A systematic review and meta-analysis. … A systematic review and meta-analysis. … September 28, 2022 Nurse well-being: a concept analysis.

102. Hemodialysis bleeding events and deaths: an 18-year retrospective analysis of patient safety and root cause analysis reports in the Veterans Health Administration. | PSNet
     psnet.ahrq.gov/issue/hemodialysis-bleeding-events-and-deaths-18-year-retrospective-analysis-patient-safety-and
     June 23, 2021 - Study Hemodialysis bleeding events and deaths: an 18-year retrospective analysis … of patient safety and root cause analysis reports in the Veterans Health Administration. … Hemodialysis bleeding events and deaths: an 18-year retrospective analysis of patient safety and root … cause analysis reports in the Veterans Health Administration. … cause analysis reports in the Veterans Health Administration.

103. 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

104. 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

105. 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?

106. Implementing root cause analysis and action: integrating human factors to create strong interventions and reduce risk of patient harm. | PSNet
     psnet.ahrq.gov/issue/implementing-root-cause-analysis-and-action-integrating-human-factors-create-strong
     December 23, 2020 - Study Implementing root cause analysis and action: integrating human factors to create … Implementing root cause analysis and action: integrating human factors to create strong interventions … Implementing root cause analysis and action: integrating human factors to create strong interventions … of patient safety and root cause analysis reports in the Veterans Health Administration. … for monitoring and analysis method in healthcare facilities: a systematic literature review.

107. Outcomes of medication misadventure among people with cognitive impairment or dementia: a systematic review and meta-analysis. | PSNet
     psnet.ahrq.gov/issue/outcomes-medication-misadventure-among-people-cognitive-impairment-or-dementia-systematic
     March 08, 2023 - medication misadventure among people with cognitive impairment or dementia: a systematic review and meta-analysis … medication misadventure among people with cognitive impairment or dementia: a systematic review and meta-analysis … This meta-analysis of five studies concluded that exposure to potentially inappropriate medications ( … and patient outcomes on transition from adult intensive care settings: a systematic review and meta-analysis … A systematic review and meta-analysis.

108. Root cause analysis of ICU adverse events in the Veterans Health Administration. | PSNet
     psnet.ahrq.gov/issue/root-cause-analysis-icu-adverse-events-veterans-health-administration
     June 23, 2021 - Study Root cause analysis of ICU adverse events in the Veterans Health Administration … Root Cause Analysis of ICU Adverse Events in the Veterans Health Administration. … Root cause analysis is widely utilized in health care to examine adverse events . … Root Cause Analysis of ICU Adverse Events in the Veterans Health Administration. … of patient safety and root cause analysis reports in the Veterans Health Administration.

109. 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

110. 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

111. 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

112. 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.

113. 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.

114. 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

115. Trend analysis of radiation therapy incidents over seven years. | PSNet
     psnet.ahrq.gov/issue/trend-analysis-radiation-therapy-incidents-over-seven-years
     December 20, 2023 - Study Trend analysis of radiation therapy incidents over seven years. … Trend analysis of radiation therapy incidents over seven years. … Analysis of voluntary error reports indicated a decrease in safety incidents at a high-volume radiation … Trend analysis of radiation therapy incidents over seven years. … Medical Oncology Radiology Epidemiology of Errors and Adverse Events Error Reporting and Analysis

116. An Overview of the CAHPS Analysis Program 5.0 - Yount (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-analysis-program-yount-slides.pdf
     August 01, 2020 - An Overview of the CAHPS Analysis Program 5.0 - Yount What is the CAHPS Analysis Program? … Guidance Documents 16 Analysis Guidance Documents 1. … / 17 http://www.ahrq.gov/cahps/surveys-guidance/helpful-resources/analysis/ Preparing Data for Analysis … What’s Included in the CAHPS Analysis Program What do I need to do? … Documents Analysis Guidance Documents Preparing Data for Analysis Instructions for Analyzing CAHPS

117. An Overview of the CAHPS Analysis Program 5.0 - Intro (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-analysis-program-intro-slides.pdf
     November 19, 2020 - An Overview of the CAHPS Analysis Program 5.0 - Intro An Overview of the CAHPS® Analysis Program 5.0 … Senior Study Director, Westat 4 Focus for Today • Overview of the CAHPS Analysis Program • Analysis

118. 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.

119. 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.

120. Data Analysis Protocol (Preliminary Draft) (pdf file)
     digital.ahrq.gov/sites/default/files/docs/resource/B7_Archives_Pohl_HS17034_1013_1.pdf
     February 14, 2011 - Data Analysis Protocol (Preliminary Draft) 1 “A Partnership for Clinician EHR Use & Quality of … Care” DATA ANALYSIS PROTOCOL Revision Date: February 14, 2011 DATA COLLECTED Note: All … Each quality measure may be individually analyzed and/or aggregated for protocol-level analysis. … The primary unit of analysis will be the clinician. … This methodology encourages data analysis in parallel with data collection.