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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73473/psn-pdf
    January 01, 2022 - Improving safety recommendations before implementation: a simulation-based event analysis to optimize … Improving safety recommendations before implementation: a simulation-based event analysis to optimize … https://psnet.ahrq.gov/issue/improving-safety-recommendations-implementation-simulation-based-event- analysis-optimize … Prior research has found that simulation-based event analysis (SBEA) can identify novel sources of … https://psnet.ahrq.gov/issue/improving-safety-recommendations-implementation-simulation-based-event-analysis-optimize

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73485/psn-pdf
    July 14, 2021 - The RCA ReCAst: a root cause analysis simulation for the interprofessional clinical learning environment … The RCA ReCAst: a root cause analysis simulation for the interprofessional clinical learning environment … https://psnet.ahrq.gov/issue/rca-recast-root-cause-analysis-simulation-interprofessional-clinical-learning … - environment Root cause analysis (RCA) is a common method to investigate adverse events and identify … https://psnet.ahrq.gov/issue/rca-recast-root-cause-analysis-simulation-interprofessional-clinical-learning-environment

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837668/psn-pdf
    July 13, 2022 - Factors associated with malpractice claim payout: an analysis of closed emergency department claims. … Factors associated with malpractice claim payout: an analysis of closed emergency department claims. … https://psnet.ahrq.gov/issue/factors-associated-malpractice-claim-payout-analysis-closed-emergency- … department-claims Analysis of closed malpractice claims can be used to identify potential safety hazards … This analysis of closed emergency department malpractice claims indicates that diagnostic errors dominate

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74084/psn-pdf
    November 17, 2021 - Healthcare failure mode and effect analysis in the chemotherapy preparation process. … Healthcare failure mode and effect analysis in the chemotherapy preparation process. … https://psnet.ahrq.gov/issue/healthcare-failure-mode-and-effect-analysis-chemotherapy-preparation- process … Researchers in this study used healthcare failure mode and effect analysis (HFMEA) to identify and … https://psnet.ahrq.gov/issue/healthcare-failure-mode-and-effect-analysis https://psnet.ahrq.gov/issue

  5. AHRQ's Guide to Evaluating Health Information Exchange Projects - Appendix A - Workbook (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/guide-to-evaluating-hie-projects-appendix-a.pdf
    June 16, 2021 - Analysis: • For quantitative methods: What types of statistical analysis will you perform on your data … • Who will lead the data analysis? • Who will present the findings? … : Measure 2 - Analysis: Measure 3 - Analysis: Measure 4 - Analysis: Measure 1 - Statistical Analysis … : Measure 2 - Statistical Analysis: Measure 3 - Statistical Analysis: Measure 4 - Statistical Analysis … : Measure 2 - Lead for Data Analysis: Measure 3 - Lead for Data Analysis: Measure 4 - Lead for

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47096/psn-pdf
    November 14, 2018 - analysis system. … Analysis System. … - cause-analysis This analysis of the Veterans Health Administration root cause analysis database identified … https://psnet.ahrq.gov/issue/analysis-adverse-events-rehabilitation-department-using-veterans-affairs-root-cause-analysis … https://psnet.ahrq.gov/issue/analysis-adverse-events-rehabilitation-department-using-veterans-affairs-root-cause-analysis

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35721/psn-pdf
    March 28, 2011 - Health Care Failure Mode and Effect Analysis: a useful proactive risk analysis in a pediatric oncology … Health Care Failure Mode and Effect Analysis: a useful proactive risk analysis in a pediatric oncology … https://psnet.ahrq.gov/issue/health-care-failure-mode-and-effect-analysis-useful-proactive-risk-analysis … https://psnet.ahrq.gov/issue/health-care-failure-mode-and-effect-analysis-useful-proactive-risk-analysis-pediatric … https://psnet.ahrq.gov/issue/health-care-failure-mode-and-effect-analysis-useful-proactive-risk-analysis-pediatric

  8. Preparing your hospital for compliance with The Joint Commission's National Patient Safety Goals. | PSNet

    psnet.ahrq.gov/issue/preparing-your-hospital-compliance-joint-commissions-national-patient-safety-goals
    December 30, 2014 - 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. … June 16, 2019 ISMP medication error report analysis.

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39303/psn-pdf
    February 17, 2010 - Patient misidentification in laboratory medicine: a qualitative analysis of 227 root cause analysis … Patient misidentification in laboratory medicine: a qualitative analysis of 227 root cause analysis … https://psnet.ahrq.gov/issue/patient-misidentification-laboratory-medicine-qualitative-analysis-227-root … https://psnet.ahrq.gov/issue/patient-misidentification-laboratory-medicine-qualitative-analysis-227-root-cause-analysis … root-cause-analysis https://psnet.ahrq.gov/primer/root-cause-analysis

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43281/psn-pdf
    May 28, 2015 - A method for prioritizing interventions following root cause analysis (RCA): lessons from philosophy … A method for prioritizing interventions following root cause analysis (RCA): lessons from philosophy … https://psnet.ahrq.gov/issue/method-prioritizing-interventions-following-root-cause-analysis-rca-lessons … This commentary suggests a three-step approach for optimizing root cause analysis results to detect … https://psnet.ahrq.gov/primer/root-cause-analysis https://psnet.ahrq.gov/issue/effectiveness-and-efficiency-root-cause-analysis-medicine

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45967/psn-pdf
    July 05, 2017 - Root-cause analysis: swatting at mosquitoes versus draining the swamp. … Root-cause analysis: swatting at mosquitoes versus draining the swamp. … https://psnet.ahrq.gov/issue/root-cause-analysis-swatting-mosquitoes-versus-draining-swamp Although … A recent Annual Perspective discussed ongoing problems with the root cause analysis process and described … /issue/our-current-approach-root-cause-analysis-it-contributing-our-failure-improve-patient-safety https

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41022/psn-pdf
    December 21, 2011 - Key performance outcomes of patient safety curricula: root cause analysis, failure mode and effects … analysis, and structured communications skills. … Key performance outcomes of patient safety curricula: root cause analysis, failure mode and effects … analysis, and structured communications skills. … https://psnet.ahrq.gov/primer/root-cause-analysis

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39542/psn-pdf
    May 19, 2010 - Random safety auditing, root cause analysis, failure mode and effects analysis. … Random Safety Auditing, Root Cause Analysis, Failure Mode and Effects Analysis. … https://psnet.ahrq.gov/issue/random-safety-auditing-root-cause-analysis-failure-mode-and-effects-analysis … This essay introduces three primary analysis techniques from industry that demonstrate effectiveness … https://psnet.ahrq.gov/issue/random-safety-auditing-root-cause-analysis-failure-mode-and-effects-analysis

  14. The health information infrastructure in America today . . . . (pdf file)

    hcup-us.ahrq.gov/datainnovations/clinicaldata/AdvisoryCouncilmeeting12032009_rev.pdf
    December 31, 2007 - Agency for Health Care Administration Florida Center for Health Information and Policy Analysis AHRQ … Agency for Health Care Administration Florida Center for Health Information and Policy Analysis Data … Agency for Health Care Administration Florida Center for Health Information and Policy Analysis Lab … 3M HIS Data Analysis Approach  Since the analysis is based on risk adjustment at the time of … HIS Data Analysis Process  Step 1: Assign Admission APR DRG and Risk of Mortality Subclass

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47075/psn-pdf
    November 21, 2018 - Integrating systemic accident analysis into patient safety incident investigation practices. … Integrating systemic accident analysis into patient safety incident investigation practices. … https://psnet.ahrq.gov/issue/integrating-systemic-accident-analysis-patient-safety-incident-investigation … Systems Theoretic Accident Modelling and Processes (STAMP) analysis—for the same adverse event. … https://psnet.ahrq.gov/primer/root-cause-analysis https://psnet.ahrq.gov/primer/systems-approach

  16. Covariate Selection for Observational Comparative Effectiveness Research

    effectivehealthcare.ahrq.gov/sites/default/files/considerations-for-statistical-chapter-10.pptx
    January 01, 2013 - Considerations for statistical analysis. In: Velentgas P and Dreyer NA, eds. … Considerations for statistical analysis. In: Velentgas P and Dreyer NA, eds. … Considerations for statistical analysis. In: Velentgas P and Dreyer NA, eds. … Adjusted Analysis Adjusted Analysis Traditional Multivariable Regression Regression analysis is often … missing data, called a complete-case analysis.

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43667/psn-pdf
    November 12, 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 … https://psnet.ahrq.gov/issue/investigation-and-analysis-critical-incidents-and-adverse-events-healthcare … https://psnet.ahrq.gov/primer/root-cause-analysis

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47230/psn-pdf
    August 15, 2018 - Experience feedback committees: a way of implementing a root cause analysis practice in hospital medical … Experience feedback committees: A way of implementing a root cause analysis practice in hospital medical … This study describes how a French hospital implemented a multidisciplinary root cause analysis infrastructure … An Annual Perspective discussed the limitations of root cause analysis and how this tool can be improved … https://psnet.ahrq.gov/primer/root-cause-analysis https://psnet.ahrq.gov/perspective/rethinking-root-cause-analysis

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47508/psn-pdf
    October 24, 2018 - Root cause analysis of reported patient falls in ORs in the Veterans Health Administration. … Root Cause Analysis of Reported Patient Falls in ORs in the Veterans Health Administration. … https://psnet.ahrq.gov/issue/root-cause-analysis-reported-patient-falls-ors-veterans-health-administration … Root cause analysis has been widely promoted as a failure analysis tool for use in a variety of settings … https://psnet.ahrq.gov/perspective/rethinking-root-cause-analysis

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46346/psn-pdf
    October 29, 2017 - Root cause analysis of ICU adverse events in the Veterans Health Administration. … Root Cause Analysis of ICU Adverse Events in the Veterans Health Administration. … https://psnet.ahrq.gov/issue/root-cause-analysis-icu-adverse-events-veterans-health-administration Root … cause analysis is widely utilized in health care to examine adverse events. … /issue/veterans-affairs-root-cause-analysis-system-action
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