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psnet.ahrq.gov/issue/root-cause-analysis-playbook
July 05, 2017 - Book/Report
Root Cause Analysis Playbook. … Citation Text:
Root Cause Analysis Playbook. … 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. … May 21, 2019
Improving reliability with root cause analysis.
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psnet.ahrq.gov/issue/assisting-beginners-root-cause-analysis-operations-analysis-and-recommendations-regarding
June 08, 2022 - Commentary
Assisting beginners in root cause analysis operations: analysis and recommendations … Assisting beginners in root cause analysis operations: analysis and recommendations regarding the spread … Assisting beginners in root cause analysis operations: analysis and recommendations regarding the spread … program using root cause analysis and common cause analysis. … of patient safety and root cause analysis reports in the Veterans Health Administration.
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psnet.ahrq.gov/issue/qualitative-content-analysis-retained-surgical-items-learning-root-cause-analysis
December 06, 2023 - Study
A qualitative content analysis of retained surgical items: learning from root … cause analysis investigations. … A qualitative content analysis of retained surgical items: learning from root cause analysis investigations … A qualitative content analysis of retained surgical items: learning from root cause analysis investigations … A content analysis of accreditation reports.
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hcup-us.ahrq.gov/tech_assist/trends/interactive/index.html
March 06, 2024 - Multi-year Analysis (Trends)
Enable Javascript support in the browser.
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/root-cause-analysis
January 01, 2023 - Root Cause Analysis
Acronym
RCA
Examples
Latino RJ. The "5 PS" concept. … Patient safety: the PROACT root cause analysis approach. … Patient safety: the PROACT root cause analysis approach. … The goal of a root cause analysis is to identify a problems origin by following a series of steps. … Root cause analysis and disclosure. In: O'Mara P, editor.
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/hierarchical-task-analysis
January 01, 2023 - Hierarchical Task Analysis
Acronym
HTA
Examples
Chung P, Zhang J, Johnson … An extended hierarchical task analysis for error prediction in medical devices. … Once the analysis is complete, the task activity is described in detail. … DEFINE TASK BEING ANALYZED, as well as the purpose of the task analysis.
2. … DEVELOP PLANS ANALYSIS. After describing all subgoals and operations, add the plans.
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/cognitive-task-analysis
January 01, 2023 - Cognitive Task Analysis
Acronym
CTA
Examples
Rinkus SM, Chitwood A. … Using cognitive task analysis to facilitate the integration of decision support systems into the neonatal … Description
A cognitive task analysis (CTA) provides a means of capturing the way the mind works. … Working minds: a practitioner's guide to cognitive task analysis. London: The MIT Press; 2006.
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digital.ahrq.gov/health-it-tools-and-resources/ahrq-funded-project-resources-archives/data-analysis-summary
January 01, 2023 - Data Analysis Summary
Description
This is a protocol for data analysis which includes … measures, statistical analysis and performance indicators. … Decision Support System
Electronic Health Record/Electronic Medical Record
PDF
Data Analysis
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-37
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.
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/event-tree-analysis
January 01, 2023 - Event Tree Analysis
Acronym
ETA
Description
An event tree analysis (ETA) examines … The tool was originally developed for use in system reliability analysis, but event trees are also useful … DEFINE SCENARIO(S) UNDER ANALYSIS. … Storyboards can be used when conducting an event tree analysis of a proposed system design.
3.
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/potential-problem-analysis
January 01, 2023 - Potential Problem Analysis
Acronym
PPA
Description
A potential problem analysis
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/groupware-task-analysis
January 01, 2023 - Groupware Task Analysis
Acronym
GTA
Description
Groupware task analysis (GTA … DEFINE SYSTEM UNDER ANALYSIS.
2. DATA COLLECTION PHASE. … Prior to the construction of task model 1, collect data about the current system under analysis.
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/force-field-analysis
January 01, 2023 - Force-Field Analysis
Description
A force-field analysis identifies the forces that … The force-field analysis attempts to uncover means of diminishing forces that impede change and foster … Health care improvement project: force-field analysis. 2008 [cited 2009 July 28];
Bauer J, Duffy G
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/value-added-analysis
January 01, 2023 - Value-Added Analysis
Description
Value-added analysis is a method for identifying problems … The analysis allows a team to examine individual process steps so it can separate the steps that add
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/tabular-task-analysis
January 01, 2023 - Tabular Task Analysis
Acronym
TTA
Description
A tabular task analysis (TTA) … DEFINE THE TASK(S) UNDER ANALYSIS. … COLLECT SPECIFIC DATA REGARDING THE TASK(S) UNDER ANALYSIS.
3. … CONDUCT A HIERARCHICAL TASK ANALYSIS (HTA) for the task being analyzed. … Offers comprehensive analysis.
Disadvantages
Is time consuming.
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/verbal-protocol-analysis
January 01, 2023 - Verbal Protocol Analysis
Acronym
VPA
Description
A verbal protocol analysis … DEFINE SCENARIO UNDER ANALYSIS. … Consider using a hierarchical task analysis (HTA) for this step.
2. TRAIN THE PARTICIPANT. … Brief them about what they need to do during the analysis. … Task analysis methods. Human factors methods: a practical guide for engineering and design.
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psnet.ahrq.gov/issue/review-alternatives-root-cause-analysis-developing-robust-system-incident-report-analysis
November 14, 2018 - Review
Review of alternatives to root cause analysis: developing a robust system … for incident report analysis. … Review of alternatives to root cause analysis: developing a robust system for incident report analysis … with root cause analysis, such as time commitment and lack of follow up. … Review of alternatives to root cause analysis: developing a robust system for incident report analysis
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digital.ahrq.gov/research-method/analysis
January 01, 2023 - Analysis
A systems theoretic process analysis of the medication use … A systems theoretic process analysis of the medication use process in the operating room. … Principal Investigator
Toh, Darren
Project Name
Improving Missing Data Analysis in Distributed
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psnet.ahrq.gov/issue/root-cause-analysis-using-prevention-and-recovery-information-system-monitoring-and-analysis
May 18, 2022 - Review
Root cause analysis using the prevention and recovery information system for … monitoring and analysis method in healthcare facilities: a systematic literature review. … Root cause analysis using the prevention and recovery information system for monitoring and analysis … Root cause analysis using the prevention and recovery information system for monitoring and analysis … of patient safety and root cause analysis reports in the Veterans Health Administration.
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
August 01, 2022 - Module 4: Event Reporting, Event Investigation and Analysis
AHRQ Communication and Optimal Resolution … Say:
Module 4 of the CANDOR Toolkit covers the Event Reporting, Event Investigation, and Analysis … Identify the key components of an effective event analysis. … In the remainder of this module, we will discuss Event Investigation and Analysis activities. … a systems review analysis.