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  1. Concept analysis: wrong-site surgery. | PSNet

    psnet.ahrq.gov/issue/concept-analysis-wrong-site-surgery
    June 11, 2014 - Review Concept analysis: wrong-site surgery. … Concept analysis: wrong-site surgery. AORN J. 2015;101(6):650-6. doi:10.1016/j.aorn.2015.03.012. … Concept analysis: wrong-site surgery. … May 26, 2016 Applying fault tree analysis to the prevention of wrong-site surgery. … May 8, 2013 Time out: an analysis.

  2. ISMP medication error report analysis. | PSNet

    psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-18
    December 30, 2014 - 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.

  3. An analysis of adverse events in the rehabilitation department: using the Veterans Affairs root cause analysis system. | PSNet

    psnet.ahrq.gov/issue/analysis-adverse-events-rehabilitation-department-using-veterans-affairs-root-cause-analysis
    June 21, 2017 - Affairs root cause analysis system. … Analysis System. … This analysis of the Veterans Health Administration root cause analysis database identified adverse … Analysis System. … for incident report analysis.

  4. Allocation of Function Analysis | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/allocation-of-function-analysis
    January 01, 2023 - Allocation of Function Analysis Description An allocation of function analysis is used … During the analysis, each task must be considered, weighing the advantages and disadvantages of the task … DEFINE THE TASK(S) UNDER ANALYSIS. 2. … CONDUCT A HIERARCHICAL TASK ANALYSIS (HTA) FOR THE TASK(S) UNDER ANALYSIS. 3. … CONDUCT STAKEHOLDER ANALYSIS FOR FUNCTION ALLOCATION. 4.

  5. Critical-to-Quality Analysis | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/critical-to-quality-analysis
    January 01, 2023 - Critical-to-Quality Analysis Acronym CTQ Description A critical-to-quality … (CTQ) analysis is a means of examining a process’s flowchart in order to find quality features or

  6. Radiotherapy Incident Reporting and Analysis System. | PSNet

    psnet.ahrq.gov/issue/radiotherapy-incident-reporting-and-analysis-system
    February 05, 2020 - Multi-use Website Radiotherapy Incident Reporting and Analysis System. … Citation Text: Radiotherapy Incident Reporting and Analysis System. … Patient Safety Organizations enable robust data collection and analysis to support learning from medical … Cite Citation Citation Text: Radiotherapy Incident Reporting and Analysis

  7. Data Entry and Analysis Tools | Agency for Healthcare Research and Quality

    www.ahrq.gov/sops/resources/data-entry-analysis-tools.html
    September 01, 2022 - Data Entry and Analysis Tools The Data and Entry and Analysis Tools may be used after you administered … As an example, the image below shows the Hospital Survey 2.0 Data Entry and Analysis Tool menu, with … Screenshot of Hospital Survey 2.0 Data Entry and Analysis Tool

  8. Quantitative analysis of adverse events in neurosurgery. | PSNet

    psnet.ahrq.gov/issue/quantitative-analysis-adverse-events-neurosurgery
    September 25, 2019 - Study Quantitative analysis of adverse events in neurosurgery. … Quantitative analysis of adverse events in neurosurgery. … Analysis of cases from neurosurgery morbidity and mortality conferences found that while the overall … Quantitative analysis of adverse events in neurosurgery. … July 22, 2015 Disorganized care: the findings of an iterative, in-depth analysis of surgical

  9. Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events. | PSNet

    psnet.ahrq.gov/issue/root-cause-analysis-health-care-joint-commission-guide-analysis-and-corrective-action
    November 27, 2018 - Book/Report Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis … Citation Text: Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective … Root cause analysis has been widely adopted as a strategy to investigate events, despite questions … This revised publication provides information about updated approaches to root cause analysis with … It highlights the use of failure mode and effects analysis as a complementary sentinel event examination

  10. Health Care Failure Mode and Effect Analysis: a useful proactive risk analysis in a pediatric oncology ward. | PSNet

    psnet.ahrq.gov/issue/health-care-failure-mode-and-effect-analysis-useful-proactive-risk-analysis-pediatric
    June 13, 2011 - Study Health Care Failure Mode and Effect Analysis: a useful proactive risk analysis … Health Care Failure Mode and Effect Analysis: a useful proactive risk analysis in a pediatric oncology … The authors applied the VA's Health Care Failure Mode and Effect Analysis (HFMEA) process to vincristine … Health Care Failure Mode and Effect Analysis: a useful proactive risk analysis in a pediatric oncology … June 13, 2011 Prospective risk analysis of health care processes: a systematic evaluation

  11. Nurse well-being: a concept analysis. | PSNet

    psnet.ahrq.gov/issue/nurse-well-being-concept-analysis
    August 25, 2021 - Study Nurse well-being: a concept analysis. … Nurse well-being: a concept analysis. … In this study, researchers used a concept analysis to identify attributes of nurse well-being at the … Nurse well-being: a concept analysis. … Surgeon burnout, impact on patient safety and professionalism: a systematic review and meta-analysis

  12. Time out: an analysis. | PSNet

    psnet.ahrq.gov/issue/time-out-analysis
    October 19, 2022 - Commentary Time out: an analysis. Citation Text: Dillon KA. … Time out: an analysis. AORN J. 2008;88(3):437-442. doi:10.1016/j.aorn.2008.03.003. … Time out: an analysis. AORN J. 2008;88(3):437-442. doi:10.1016/j.aorn.2008.03.003. … structure and construct validity of a hospital survey on patient safety culture using exploratory factor analysis

  13. Intimidation: a concept analysis. | PSNet

    psnet.ahrq.gov/issue/intimidation-concept-analysis
    May 20, 2020 - Review Intimidation: a concept analysis. … Intimidation: a concept analysis. … Intimidation: a concept analysis. … May 20, 2020 Analysis of staff safety concerns. … A quality improvement project and difference-in-difference analysis.

  14. Fluorouracil Incident Root Cause Analysis Report. | PSNet

    psnet.ahrq.gov/issue/fluorouracil-incident-root-cause-analysis-report
    September 02, 2014 - Citation Text: Fluorouracil Incident Root Cause Analysis Report. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … May 2, 2018 ISMP medication error report analysis.

  15. Healthcare Failure Mode and Effect Analysis. | PSNet

    psnet.ahrq.gov/issue/healthcare-failure-mode-and-effect-analysis
    May 24, 2017 - Toolkit Healthcare Failure Mode and Effect Analysis. … Citation Text: Healthcare Failure Mode and Effect Analysis. … These materials provide an introduction to the purpose of healthcare failure mode and effect analysis … September 1, 2021 Using Health Care Failure Mode and Effect Analysis: the VA National … Center for Patient Safety's prospective risk analysis system.

  16. Apparent cause analysis: a safety tool. | PSNet

    psnet.ahrq.gov/issue/apparent-cause-analysis-safety-tool
    June 27, 2018 - Study Apparent cause analysis: a safety tool. … Apparent cause analysis: a safety tool. … This article explores one hospital’s use of facilitated apparent cause analysis  (ACA), which is defined … The article compares ACA versus root cause analysis   and describes the process for completing facilitated … Apparent cause analysis: a safety tool.

  17. Drill down with root cause analysis. | PSNet

    psnet.ahrq.gov/issue/drill-down-root-cause-analysis
    June 15, 2016 - Commentary Drill down with root cause analysis. … Drill down with root cause analysis. Nurs Manage. 2005;36(10):26-32. … program using root cause analysis and common cause analysis. … March 2, 2022 Assisting beginners in root cause analysis operations: analysis and recommendations … July 19, 2010 Random safety auditing, root cause analysis, failure mode and effects analysis

  18. Improving reliability with root cause analysis. | PSNet

    psnet.ahrq.gov/issue/improving-reliability-root-cause-analysis
    January 17, 2017 - Newspaper/Magazine Article Improving reliability with root cause analysis. … Citation Text: Improving reliability with root cause analysis. … This article relates how root cause analysis , typically used after an adverse event, can be utilized … to Analysis and Corrective Action of Sentinel and Adverse Events. … September 14, 2016 Wrong-side thoracentesis: lessons learned from root cause analysis

  19. Gap Analysis for Antibiotic Stewardship Programs (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/gap_analysis_tool.docx
    November 01, 2019 - Gap Analysis for Antibiotic Stewardship Programs AHRQ Safety Program for Improving Antibiotic Use … Gap Analysis for Antibiotic Stewardship Programs Instructions: Complete this document to assess your

  20. 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
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