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141. 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

142. Use of dimensional analysis to reduce medication errors. | PSNet
     psnet.ahrq.gov/issue/use-dimensional-analysis-reduce-medication-errors
     August 06, 2014 - Study Use of dimensional analysis to reduce medication errors. … Citation Text: Use of dimensional analysis to reduce medication errors. … students on medication dosage calculation and found that those students who were taught using dimensional analysis … URL Cite Citation Citation Text: Use of dimensional analysis

143. 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.

144. Systems Analysis of Critical Incidents: the London Protocol. | PSNet
     psnet.ahrq.gov/issue/systems-analysis-critical-incidents-london-protocol
     April 06, 2016 - Book/Report Systems Analysis of Critical Incidents: the London Protocol. … Citation Text: Systems Analysis of Critical Incidents: the London Protocol. … This revised report documents a process for adverse event analysis that risk managers and others may … Copy URL Cite Citation Citation Text: Systems Analysis … May 24, 2015 Systematic Systems Analysis: A Practical Approach to Patient Safety Reviews

145. 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.

146. Evaluation of the suitability of root cause analysis frameworks for the investigation of community-acquired pressure ulcers: a systematic review and documentary analysis. | PSNet
     psnet.ahrq.gov/issue/evaluation-suitability-root-cause-analysis-frameworks-investigation-community-acquired
     June 16, 2021 - Review Evaluation of the suitability of root cause analysis frameworks for the investigation … of community-acquired pressure ulcers: a systematic review and documentary analysis. … pressure ulcers: a systematic review and documentary analysis. … pressure ulcers: a systematic review and documentary analysis. … July 7, 2021 Root cause analysis for hospital-acquired pressure injury.

147. Analysis of paediatric long-term ventilation incidents in the community | PSNet
     psnet.ahrq.gov/issue/analysis-paediatric-long-term-ventilation-incidents-community
     November 06, 2024 - Study Analysis of paediatric long-term ventilation incidents in the community … Analysis of paediatric long-term ventilation incidents in the community. … This analysis of 220 national incident data from England and Wales’ National Reporting and Learning … Analysis of paediatric long-term ventilation incidents in the community. … February 17, 2016 Developing person-centred analysis of harm in a paediatric hospital

148. 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.

149. The RCA ReCAst: a root cause analysis simulation for the interprofessional clinical learning environment. | PSNet
     psnet.ahrq.gov/issue/rca-recast-root-cause-analysis-simulation-interprofessional-clinical-learning-environment
     May 18, 2022 - Study The RCA ReCAst: a root cause analysis simulation for the interprofessional … The RCA ReCAst: a root cause analysis simulation for the interprofessional clinical learning environment … Root cause analysis (RCA) is a common method to investigate adverse events and identify contributing … program using root cause analysis and common cause analysis. … of patient safety and root cause analysis reports in the Veterans Health Administration.

150. 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.

151. ISMP medication error report analysis. | PSNet
     psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-4
     October 25, 2023 - Commentary ISMP medication error report analysis. … Citation Text: ISMP medication error report analysis. Cohen M. … April 6, 2016 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.

152. Root Cause Analysis: Advanced Principles and Practices. | PSNet
     psnet.ahrq.gov/issue/root-cause-analysis-advanced-principles-and-practices
     October 06, 2022 - International Meeting/Conference Root Cause Analysis: Advanced Principles and Practices … September 29, 2022. 12:00pm-5:00pm (EST) Root cause analysis (RCA) is an established adverse … will introduce RCA techniques, patient communication strategies and the importance of appropriate post-analysis

153. Error analysis leading technology development. | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/promoting-patient-safety-web-based-patient-profiles/citation/error-analysis
     January 01, 2023 - Error analysis leading technology development. Citation Carstens D. … Error analysis leading technology development. TIES 2006;7(6):525-49.

154. Failure Mode and Effects Analysis | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/fmea-analysis
     January 01, 2023 - Failure Mode and Effects Analysis Acronym FMEA Also Known As Failure Mode … , Effects, and Criticality Analysis (FMECA) Potential Failure Modes and Effects Analysis Examples … Using failure mode and effects analysis to plan implementation of smart IV pump technology. … Patient Safety: Patient safety: the PROACT root cause analysis approach. … Process analysis tools: failure modes and effects analysis (FMEA). 2009 [cited 2009 July 22]; Available

155. Cost-of-Poor-Quality Analysis | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/cost-of-poor-quality-analysis
     January 01, 2023 - Cost-of-Poor-Quality Analysis Also Known As Cost-of-Quality Analysis Description … A cost-of-poor-quality analysis evaluates the flowchart of a particular process to discover flaws … This allows anyone performing the analysis to find improvement opportunities by critically analyzing

156. Special Section: Event Analysis and Risk Management. | PSNet
     psnet.ahrq.gov/issue/special-section-event-analysis-and-risk-management
     March 11, 2020 - Book/Report Special Section: Event Analysis and Risk Management. … Citation Text: Special Section: Event Analysis and Risk Management. Alemi F ed. … Adverse event analysis is core for organizational learning from poor performance. … This special section discusses how examination tools such as failure mode and effect analysis and root … cause analysis may be amended to optimize how lessons can be drawn from failure to inform improvement

157. 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.

158. 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.

159. 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

160. 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.