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181. Failure Mode and Effects Analysis in Health Care: Proactive Risk Reduction, Third Edition. | PSNet
     psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-health-care-proactive-risk-reduction-third-edition
     May 18, 2016 - Book/Report Failure Mode and Effects Analysis in Health Care: Proactive Risk Reduction … Citation Text: Failure Mode and Effects Analysis in Health Care: Proactive Risk Reduction, Third Edition … This publication provides strategies for organizations to utilize the Failure Mode and Effects Analysis … November 27, 2018 Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis … February 2, 2022 Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis

182. Learning from preventable deaths: exploring case record reviewers' narratives using change analysis. | PSNet
     psnet.ahrq.gov/issue/learning-preventable-deaths-exploring-case-record-reviewers-narratives-using-change-analysis
     June 17, 2014 - Learning from preventable deaths: exploring case record reviewers' narratives using change analysis … Learning from preventable deaths: exploring case record reviewers' narratives using change analysis. … Researchers applied change analysis , a type of root cause analysis , to their review of preventable … Learning from preventable deaths: exploring case record reviewers' narratives using change analysis. … The role of claims analysis in patient safety.

183. Failure mode and effects analysis: too little for too much? | PSNet
     psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-too-little-too-much
     November 25, 2009 - Commentary Failure mode and effects analysis: too little for too much? … Failure mode and effects analysis: too little for too much? … Failure mode and effects analysis: too little for too much? … February 2, 2022 Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis … April 7, 2010 Is failure mode and effect analysis reliable?

184. Risks and medication errors analysis to evaluate the impact of a chemotherapy compounding workflow management system on cancer patients' safety. | PSNet
     psnet.ahrq.gov/issue/risks-and-medication-errors-analysis-evaluate-impact-chemotherapy-compounding-workflow
     January 27, 2019 - Study Risks and medication errors analysis to evaluate the impact of a chemotherapy … Risks and medication errors analysis to evaluate the impact of a chemotherapy compounding workflow management … This study applied failure mode, effect, and criticality analysis   (FMECA) methodology to identify … February 20, 2019 Using Failure Mode and Effects Analysis for safe administration of … May 27, 2011 Health Care Failure Mode and Effect Analysis: a useful proactive risk analysis

185. Impact of an original methodological tool on the identification of corrective and preventive actions after root cause analysis of adverse events in health care facilities: results of a randomized controlled trial. | PSNet
     psnet.ahrq.gov/issue/impact-original-methodological-tool-identification-corrective-and-preventive-actions-after
     March 15, 2017 - original methodological tool on the identification of corrective and preventive actions after root cause analysis … Original Methodological Tool on the Identification of Corrective and Preventive Actions After Root Cause Analysis … Although root cause analysis of adverse events is a foundational patient safety activity, recent studies … June 28, 2013 Root cause analysis of cases involving diagnosis. … November 1, 2017 Root-cause analysis: swatting at mosquitoes versus draining the swamp

186. 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 (

187. 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)

188. Root Cause Analysis: The Core of Problem Solving and Corrective Action, Second Edition. | PSNet
     psnet.ahrq.gov/issue/root-cause-analysis-core-problem-solving-and-corrective-action-second-edition
     June 09, 2011 - Book/Report Classic Root Cause Analysis: The Core of Problem … Citation Text: Root Cause Analysis: The Core of Problem Solving and Corrective Action, Second Edition … Root cause analysis is a widely used patient safety and quality improvement process for investigating … September 23, 2020 Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis … September 2, 2016 A system analysis of a suboptimal surgical experience.

189. Wrong-side thoracentesis: lessons learned from root cause analysis. | PSNet
     psnet.ahrq.gov/issue/wrong-side-thoracentesis-lessons-learned-root-cause-analysis
     July 16, 2015 - Study Wrong-side thoracentesis: lessons learned from root cause analysis. … Wrong-side thoracentesis: lessons learned from root cause analysis. … This analysis of 14 cases of wrong-site thoracenteses, a procedure to remove fluid from around the lung … Root cause analysis of the errors found that clinicians often failed to perform a time out and did not … Wrong-side thoracentesis: lessons learned from root cause analysis.

190. Failure mode and effects analysis: an empirical comparison of failure mode scoring procedures. | PSNet
     psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-empirical-comparison-failure-mode-scoring-procedures
     January 03, 2017 - Study Failure mode and effects analysis: an empirical comparison of failure mode … Failure Mode and Effects Analysis. … Failure Mode and Effects Analysis. … An analysis of staff and patient survey data and routinely collected outcomes. … June 15, 2012 Health Care Failure Mode and Effect Analysis: a useful proactive risk analysis

191. User Guide: Supplemental Variables for Revisit Analysis (pdf file)
     hcup-us.ahrq.gov/toolssoftware/revisit/UserGuide-SuppRevisitFilesCD.pdf
     October 01, 2024 - User Guide: Supplemental Variables for Revisit Analysis … .................................................... 5 Selecting States for a Revisit/Readmission Analysis … A separate analysis examined whether verification rates were better for certain ranges of children, … It may be appropriate to exclude these records from the analysis. 4. … The tables allow the analyst to determine the best possible States for a revisit analysis.

192. The effectiveness of root cause analysis: what does the literature tell us? | PSNet
     psnet.ahrq.gov/issue/effectiveness-root-cause-analysis-what-does-literature-tell-us
     February 11, 2013 - Review The effectiveness of root cause analysis: what does the literature tell us … The effectiveness of root cause analysis: what does the literature tell us? … The effectiveness of root cause analysis: what does the literature tell us? … June 8, 2022 Does root cause analysis improve patient safety? … March 4, 2020 Root cause analysis for hospital-acquired pressure injury.

193. Evaluation of safety in a radiation oncology setting using failure mode and effects analysis. | PSNet
     psnet.ahrq.gov/issue/evaluation-safety-radiation-oncology-setting-using-failure-mode-and-effects-analysis
     January 22, 2017 - Evaluation of safety in a radiation oncology setting using failure mode and effects analysis … Evaluation of safety in a radiation oncology setting using failure mode and effects analysis. … Failure mode and effects analysis was used to prospectively analyze an external beam radiation therapy … Evaluation of safety in a radiation oncology setting using failure mode and effects analysis. … January 4, 2010 Radiology failure mode and effect analysis: what is it?

194. Improving Patient Experience: Data Analysis Methods webcast - Intro (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/data-analysis-webcast-intro-1.pdf
     March 03, 2021 - Improving Patient Experience: Data Analysis Methods webcast - Intro Improving Patient Experience: … Data Analysis Methods A Webcast Presented by the AHRQ CAHPS User Network March 3, 2021 1:00 – 2:00

195. Improving Patient Experience: Data Analysis Methods webcast - Wellstar (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/data-analysis-webcast-advancing-methods-4.pdf
     March 03, 2021 - Improving Patient Experience: Data Analysis Methods webcast - Wellstar Advancing Methods of Implementing … Goal: Listen Carefully re: Care Problems Threshold +5% Target +10% Max +15% Problem Analysis … update with any changes Manager Working on – update at next staff mtg 5 Whys Approach to Cause Analysis … •The process was not defined, and responsibility was not delegated Fishbone Approach to Cause Analysis … Fishbone Approach to Cause Analysis Issues and Challenges in Data Evaluation Outcomes and Data Evaluation

196. Improving Patient Experience: Data Analysis Methods webcast - VA (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/data-analysis-webcast-examples-3.pdf
     March 03, 2021 - Improving Patient Experience: Data Analysis Methods webcast - VA Examples of Patient Experience Improvement … SHEP | Overview of Driver Analysis What is a Driver’s Analysis (DA)? … fruitful point of intervention to help increase Overall Hospital Rating scores. 18 SHEP Driver Analysis … SHEP –Over 1.8 Million Surveys Sent Annually SHEP| OverviewofDriverAnalysis SHEP Driver Analysis | … InpatientIPSOS Bayes Net (IBN) Structural Map SHEP Driver Analysis | Inpatient IPSOS Bayes Net (IBN)

197. Analysis of unintended events in hospitals: inter-rater reliability of constructing causal trees and classifying root causes. | PSNet
     psnet.ahrq.gov/issue/analysis-unintended-events-hospitals-inter-rater-reliability-constructing-causal-trees-and
     April 30, 2014 - Study Analysis of unintended events in hospitals: inter-rater reliability of constructing … Analysis of unintended events in hospitals: inter-rater reliability of constructing causal trees and … Root cause analysis is commonly used to identify underlying system causes of adverse events. … Analysis of unintended events in hospitals: inter-rater reliability of constructing causal trees and … October 14, 2009 Unit-based incident reporting and root cause analysis: variation at

198. Building patient safety skills: common pitfalls when conducting a root cause analysis. | PSNet
     psnet.ahrq.gov/issue/building-patient-safety-skills-common-pitfalls-when-conducting-root-cause-analysis
     May 07, 2018 - Article Building patient safety skills: common pitfalls when conducting a root cause analysis … Citation Text: Building patient safety skills: common pitfalls when conducting a root cause analysis … January 29, 2020 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 Improving reliability with root cause analysis.

199. Developing a tool for assessing competency in root cause analysis. | PSNet
     psnet.ahrq.gov/issue/developing-tool-assessing-competency-root-cause-analysis
     May 01, 2014 - Study Developing a tool for assessing competency in root cause analysis. … Developing a tool for assessing competency in root cause analysis. … Root cause analysis (RCA) is being increasingly applied in health care systems to improve the quality … Developing a tool for assessing competency in root cause analysis. … March 18, 2020 Simulation-based event analysis improves error discovery and generates

200. A review of the current evidence base for significant event analysis. | PSNet
     psnet.ahrq.gov/issue/review-current-evidence-base-significant-event-analysis
     October 14, 2009 - Review A review of the current evidence base for significant event analysis. … A review of the current evidence base for significant event analysis. … This review assessed research on the benefits and disadvantages of significant event analysis and identified … A review of the current evidence base for significant event analysis. … March 28, 2011 Meta-analysis: effect of interactive communication between collaborating