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  1. 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.

  2. Burnout in mental health professionals: a systematic review and meta-analysis of prevalence and determinants. | PSNet

    psnet.ahrq.gov/issue/burnout-mental-health-professionals-systematic-review-and-meta-analysis-prevalence-and
    July 15, 2020 - Classic Burnout in mental health professionals: a systematic review and meta-analysis … Burnout in mental health professionals: a systematic review and meta-analysis of prevalence and determinants … This systematic review and meta-analysis found high rates of burnout among mental health professionals … Burnout in mental health professionals: a systematic review and meta-analysis of prevalence and determinants … August 17, 2022 Analysis of suicides reported as adverse events in psychiatry resulted

  3. 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

  4. 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.

  5. Improving Patient Experience: Data Analysis Methods webcast - Closing (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/data-analysis-webcast-closing-5.pdf
    June 02, 2025 - Improving Patient Experience: Data Analysis Methods webcast - Closing CAHPS Improvement Resources

  6. 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.

  7. 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.

  8. 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.

  9. 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

  10. 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

  11. 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.

  12. 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.

  13. 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.

  14. 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

  15. 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.

  16. 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

  17. 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.

  18. 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

  19. Analysis of reported suicide safety events among veterans who received treatment through Department of Veterans Affairs-contracted community care. | PSNet

    psnet.ahrq.gov/issue/analysis-reported-suicide-safety-events-among-veterans-who-received-treatment-through
    August 21, 2019 - Study Analysis of reported suicide safety events among veterans who received treatment … Analysis of reported suicide safety events among veterans who received treatment through Department of … In this retrospective analysis of suicide-related events reported to the Veterans Health Administration … of patient safety and root cause analysis reports in the Veterans Health Administration. … Analysis of incident reports from a patient safety organization.

  20. 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
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