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  1. ISMP medication error report analysis. | PSNet

    psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-28
    June 16, 2019 - Commentary ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.

  2. ISMP medication error report analysis. | PSNet

    psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-30
    June 16, 2019 - Commentary ISMP medication error report analysis. … Citation Text: ISMP medication error report analysis. Smetzer JL, 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.

  3. ISMP medication error report analysis. | PSNet

    psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-39
    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.

  4. ISMP medication error report analysis. | PSNet

    psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-38
    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.

  5. 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,

  6. 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

  7. 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.

  8. Overlapping surgery in arthroplasty - a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/overlapping-surgery-arthroplasty-systematic-review-and-meta-analysis
    October 19, 2022 - Review Overlapping surgery in arthroplasty - a systematic review and meta-analysis … Overlapping surgery in arthroplasty – a systematic review and meta-analysis. … Overlapping surgery in arthroplasty – a systematic review and meta-analysis. … A systematic review and meta-analysis. … A systematic review and meta-analysis.

  9. 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.

  10. 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.

  11. 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

  12. 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

  13. A review of modifiable health care factors contributing to inpatient suicide: an analysis of coroners' reports using the Human Factors Analysis and Classification System for Healthcare | PSNet

    psnet.ahrq.gov/issue/review-modifiable-health-care-factors-contributing-inpatient-suicide-analysis-coroners
    July 19, 2023 - A review of modifiable health care factors contributing to inpatient suicide: an analysis … of coroners' reports using the Human Factors Analysis and Classification System for Healthcare … A review of modifiable health care factors contributing to inpatient suicide: an analysis of coroners … ' reports using the Human Factors Analysis and Classification System for Healthcare. … ' reports using the Human Factors Analysis and Classification System for Healthcare.

  14. 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

  15. 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.

  16. 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.

  17. 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.

  18. Hospital-Level Gap Analysis for MRSA and SSI Prevention (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/132-gap-analysis-hospital-level.pdf
    April 01, 2025 - Hospital-Level Gap Analysis for MRSA and SSI Prevention … AHRQ Safety Program for MRSA Prevention: Targeting SSI Hospital-Level Gap Analysis … employees do not follow policies and procedures  Yes, other: The next few questions are about data analysis …  Yes  No AHRQ Safety Program for MRSA Prevention | Surgical Services | 2 Gap Analysis (Hospital-Level … ]  Yes  No AHRQ Safety Program for MRSA Prevention | Surgical Services | 11 Gap Analysis (

  19. Gap Analysis for MRSA and SSI Prevention (Surgical Services) (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/146-gap-analysis-surgical-services.pdf
    April 01, 2025 - Gap Analysis for MRSA and SSI Prevention (Surgical Services) … AHRQ Safety Program for MRSA Prevention: Targeting SSI Surgical Services Gap Analysis … AHRQ Safety Program for MRSA Prevention | Surgical Services | 4 Gap Analysis (Surgical Services) …  Other: AHRQ Safety Program for MRSA Prevention | Surgical Services | 5 Gap Analysis (Surgical … AHRQ Safety Program for MRSA Prevention | Surgical Services | 6 Gap Analysis (Surgical Services)

  20. Systems engineering analysis of diagnostic referral closed-loop processes. | PSNet

    psnet.ahrq.gov/issue/systems-engineering-analysis-diagnostic-referral-closed-loop-processes
    December 07, 2022 - Study Systems engineering analysis of diagnostic referral closed-loop processes. … Systems engineering analysis of diagnostic referral closed-loop processes. … A systems engineering analysis was conducted to identify vulnerabilities in the referral process and … Systems engineering analysis of diagnostic referral closed-loop processes. … 2022 Patient and caregiver factors in ambulatory incident reports: a mixed-methods analysis
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