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121. 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

122. 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.

123. 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

124. 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.

125. 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 … January 22, 2017 Failure mode and effects analysis: an empirical comparison of failure

126. Root Cause Analysis Workbook for Community/Ambulatory Pharmacy. | PSNet
     psnet.ahrq.gov/issue/root-cause-analysis-workbook-communityambulatory-pharmacy
     June 07, 2017 - Book/Report Root Cause Analysis Workbook for Community/Ambulatory Pharmacy. … Citation Text: Root Cause Analysis Workbook for Community/Ambulatory Pharmacy. … Root cause analysis offers a structured way to detect and address system weaknesses . … This workbook illustrates how root cause analysis can be applied to community pharmacy services to … February 6, 2019 ISMP Gap Analysis Tool (GAT) for Safe IV Push Medication Practices.

127. Applying hierarchical task analysis to medication administration errors. | PSNet
     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.

128. Maximize Patient Safety with Advanced Root Cause Analysis. | PSNet
     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.

129. Operational Redesign Through Workflow Analysis (pdf file)
     digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/IFQHC_operational_redesign_patient_flow_worksheet.pdf
     January 01, 2007 - Operational Redesign Through Workflow Analysis OPERATIONAL REDESIGN … THROUGH WORKFLOW ANALYSIS Workbook apisarski Text Box … www.ifqhc.org/provider/documents/operational_redesign_patient_flow_worksheet.pdf PATIENT FLOW Analysis … Reminder to bring copy of insurance card Reminder that co-pay is due at time of visit Other Analysis … Analysis of the Provider Visit Check-In Rooming the Patient Provider Seeing the Patient Patient

130. Effectiveness and efficiency of root cause analysis in medicine. | PSNet
     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.

131. 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,

132. The Veterans Affairs root cause analysis system in action. | PSNet
     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

133. Antecedent treat-and-release diagnoses prior to sepsis hospitalization among adult emergency department patients: a look-back analysis employing insurance claims data using Symptom-Disease Pair Analysis of Diagnostic Error (SPADE) methodology. | PSNet
     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.

134. Nursing surveillance: a concept analysis | PSNet
     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.

135. Content analysis of patient complaints. | PSNet
     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

136. Analysis of staff safety concerns. | PSNet
     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

137. Medication communication: a concept analysis. | PSNet
     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

138. ISMP medication error report analysis. | PSNet
     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.

139. ISMP medication error report analysis. | PSNet
     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.

140. ISMP medication error report analysis. | PSNet
     psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-19
     June 16, 2019 - Commentary ISMP medication error report analysis. … Citation Text: ISMP medication error report analysis. Cohen MR. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.