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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44773/psn-pdf
    January 13, 2016 - A tool for the concise analysis of patient safety incidents. … A Tool for the Concise Analysis of Patient Safety Incidents. … https://psnet.ahrq.gov/issue/tool-concise-analysis-patient-safety-incidents Once identified, adverse … investigation frameworks including the Canadian Incident Analysis Framework and the WHO High 5s program … https://psnet.ahrq.gov/issue/tool-concise-analysis-patient-safety-incidents https://psnet.ahrq.gov/primer

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41941/psn-pdf
    February 11, 2013 - A cross-sectional study on the relationship between utilization of root cause analysis and patient safety … A cross-sectional study on the relationship between utilization of root cause analysis and patient safety … https://psnet.ahrq.gov/issue/cross-sectional-study-relationship-between-utilization-root-cause-analysis-and … - patient-safety Root cause analysis (RCA) has been a Joint Commission mandated tool for examining … https://psnet.ahrq.gov/primer/root-cause-analysis https://psnet.ahrq.gov/issue/sentinel-event https:

  3. 2009 National Patient Safety Goals. | PSNet

    psnet.ahrq.gov/issue/2009-national-patient-safety-goals
    August 03, 2016 - 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.

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37872/psn-pdf
    January 11, 2017 - The effectiveness of root cause analysis: what does the literature tell us? … The effectiveness of root cause analysis: what does the literature tell us? … https://psnet.ahrq.gov/issue/effectiveness-root-cause-analysis-what-does-literature-tell-us This review … analyzes whether the available research on root cause analysis (RCA) substantiates its effectiveness … /primer/root-cause-analysis https://psnet.ahrq.gov/issue/effectiveness-and-efficiency-root-cause-analysis-medicine

  5. Gastric-Cancers-Supplementary-App-I (xls file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/gastric-cancers-supplementary-app-i.xlsx
    January 01, 2019 - Analysis does not appear to adjust for multiplicity. … N/A N/A Very low credibility Evaluation of modification is a post-hoc analysis. … Analysis is specified as post-hoc. … Based on post-hoc analysis. … Analysis is specified as post-hoc.

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39537/psn-pdf
    October 01, 2013 - Conducting root cause analysis with nursing students: best practice in nursing education. … Conducting root cause analysis with nursing students: best practice in nursing education. … https://psnet.ahrq.gov/issue/conducting-root-cause-analysis-nursing-students-best-practice-nursing- … education This commentary describes the use of root cause analysis to engage nursing students in identifying … https://psnet.ahrq.gov/primer/root-cause-analysis

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41297/psn-pdf
    September 19, 2012 - Failure mode and effects analysis: too little for too much? … Failure mode and effects analysis: too little for too much? … the benefits and drawbacks of using failure mode and effects analysis as a prospective risk assessment … https://psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-too-little-too-much https://psnet.ahrq.gov … /issue/failure-mode-and-effect-analysis-reliable https://psnet.ahrq.gov/issue/using-health-care-failure-mode-and-effect-analysis-va-national-center-patient-safetys

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38655/psn-pdf
    November 25, 2009 - Is failure mode and effect analysis reliable? November 25, 2009 Shebl NA, Franklin BD, Barber N. … Is failure mode and effect analysis reliable? … https://psnet.ahrq.gov/issue/failure-mode-and-effect-analysis-reliable Failure mode and effect analysis … (FMEA) is a widely used tool for hazard analysis. … https://psnet.ahrq.gov/issue/failure-mode-and-effect-analysis-reliable https://psnet.ahrq.gov/issue/using-health-care-failure-mode-and-effect-analysis-va-national-center-patient-safetys

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35479/psn-pdf
    June 14, 2011 - Implementing root cause analysis in an area health service: views of the participants. … Implementing root cause analysis in an area health service: views of the participants. … https://psnet.ahrq.gov/issue/implementing-root-cause-analysis-area-health-service-views-participants … https://psnet.ahrq.gov/issue/implementing-root-cause-analysis-area-health-service-views-participants … https://psnet.ahrq.gov/primer/root-cause-analysis https://psnet.ahrq.gov/primer/root-cause-analysis

  10. Drug related admissions to a cardiology department; frequency and avoidability. | PSNet

    psnet.ahrq.gov/issue/drug-related-admissions-cardiology-department-frequency-and-avoidability
    August 20, 2018 - 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.

  11. Medication errors related to product names. | PSNet

    psnet.ahrq.gov/issue/medication-errors-related-product-names
    January 02, 2017 - 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.

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44025/psn-pdf
    February 22, 2018 - The causes of their death appear (unto our shame perpetual): why root cause analysis is not the best … The Causes of Their Death Appear (Unto Our Shame Perpetual): Why Root Cause Analysis Is Not the Best … https://psnet.ahrq.gov/issue/causes-their-death-appear-unto-our-shame-perpetual-why-root-cause- analysis-not-best-model … Root cause analysis is a longstanding approach to in-depth investigation of adverse events, with evidence … method may not be helpful, their findings also emphasize the importance of implementing root cause analysis

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37562/psn-pdf
    June 14, 2011 - Effectiveness and efficiency of root cause analysis in medicine. June 14, 2011 Wu AW. … Effectiveness and Efficiency of Root Cause Analysis in Medicine. JAMA. 2008;299(6):685-687. … https://psnet.ahrq.gov/issue/effectiveness-and-efficiency-root-cause-analysis-medicine Application of … root cause analysis (RCA) continues to serve an important role in improving patient safety and quality … /primer/root-cause-analysis https://psnet.ahrq.gov/issue/veterans-affairs-root-cause-analysis-system-action

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40068/psn-pdf
    January 19, 2011 - Application of root cause analysis on malpractice claim files related to diagnostic failures. … Application of root cause analysis on malpractice claim files related to diagnostic failures. … https://psnet.ahrq.gov/issue/application-root-cause-analysis-malpractice-claim-files-related-diagnostic … - failures This study applied root cause analysis to cases of diagnostic failure, and discusses the … https://psnet.ahrq.gov/primer/root-cause-analysis https://psnet.ahrq.gov/primer/diagnostic-errors

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40060/psn-pdf
    December 15, 2010 - Failure mode and effects analysis: an empirical comparison of failure mode scoring procedures. … Failure Mode and Effects Analysis. J Patient Saf. 2010;6(4):210-215. … https://psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-empirical-comparison-failure-mode-scoring … - procedures This study empirically demonstrated that different failure mode effect analysis (FMEA) … https://psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-empirical-comparison-failure-mode-scoring-procedures

  16. Slide 1

    effectivehealthcare.ahrq.gov/sites/default/files/sensitivity-analysis-chapter-11.pptx
    January 01, 2013 - Sensitivity analysis. In: Velentgas P and Dreyer NA, eds. … Sensitivity analysis. In: Velentgas P and Dreyer NA, eds. … Sensitivity analysis. In: Velentgas P and Dreyer NA, eds. … sources as a sensitivity analysis. … Instrumental variable analysis This type of analysis is based on different assumptions than conventional

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33825/psn-pdf
    January 01, 2017 - Rethinking Root Cause Analysis January 1, 2016 Gupta K, Lyndon A. Rethinking Root Cause Analysis. … https://psnet.ahrq.gov/perspective/rethinking-root-cause-analysis https://psnet.ahrq.gov/issue/effectiveness-and-efficiency-root-cause-analysis-medicine … Problems With Root Cause Analysis in Health Care 1. … The problem with root cause analysis. BMJ Qual Saf. 2017;26:417-422. … /canadian-incident-analysis-framework https://psnet.ahrq.gov/issue/canadian-incident-analysis-framework

  18. Medication errors and drug-dispensing systems in a hospital pharmacy. | PSNet

    psnet.ahrq.gov/issue/medication-errors-and-drug-dispensing-systems-hospital-pharmacy
    November 18, 2016 - 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.

  19. Drug package inserts get mixed reception. | PSNet

    psnet.ahrq.gov/issue/drug-package-inserts-get-mixed-reception
    September 12, 2016 - 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.

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41126/psn-pdf
    February 01, 2013 - The AMÉLIE project: failure mode, effects and criticality analysis: a model to evaluate the nurse medication … The AMÉLIE project: failure mode, effects and criticality analysis: a model to evaluate the nurse medication … https://psnet.ahrq.gov/issue/amelie-project-failure-mode-effects-and-criticality-analysis-model-evaluate … - nurse-medication This study reports on a multidisciplinary failure mode and effect analysis of nursing … https://psnet.ahrq.gov/issue/using-health-care-failure-mode-and-effect-analysis-va-national-center-patient-safetys
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