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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/cost-of-poor-quality-analysis
January 01, 2023 - Cost-of-Poor-Quality Analysis
Also Known As
Cost-of-Quality Analysis
Description … A cost-of-poor-quality analysis evaluates the flowchart of a particular process to discover flaws … This allows anyone performing the analysis to find improvement opportunities by critically analyzing
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/fmea-analysis
January 01, 2023 - Failure Mode and Effects Analysis
Acronym
FMEA
Also Known As
Failure Mode … , Effects, and Criticality Analysis (FMECA)
Potential Failure Modes and Effects Analysis
Examples … Using failure mode and effects analysis to plan implementation of smart IV pump technology. … Patient Safety: Patient safety: the PROACT root cause analysis approach. … Process analysis tools: failure modes and effects analysis (FMEA). 2009 [cited 2009 July 22]; Available
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digital.ahrq.gov/ahrq-funded-projects/promoting-patient-safety-web-based-patient-profiles/citation/error-analysis
January 01, 2023 - Error analysis leading technology development.
Citation
Carstens D. … Error analysis leading technology development. TIES 2006;7(6):525-49.
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psnet.ahrq.gov/issue/failure-mode-and-effect-analysis-reliable
August 15, 2012 - Study
Is failure mode and effect analysis reliable? … Is failure mode and effect analysis reliable? … Failure mode and effect analysis (FMEA) is a widely used tool for hazard analysis. … Is failure mode and effect analysis reliable? … May 10, 2013
Failure mode and effects analysis outputs: are they valid?
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digital.ahrq.gov/research-method/meta-analysis
January 01, 2023 - Meta-Analysis
Combining meta-analysis with multiple imputation for one-step … Combining meta-analysis with multiple imputation for one-step, privacy-protecting estimation of causal … Principal Investigator
Toh, Darren
Project Name
Improving Missing Data Analysis in Distributed … Appropriate use of cardiac stress testing with imaging: a systematic review and meta-analysis … Appropriate use of cardiac stress testing with imaging: a systematic review and meta-analysis.
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psnet.ahrq.gov/issue/system-analysis-suboptimal-surgical-experience
March 23, 2011 - Study
A system analysis of a suboptimal surgical experience. … A system analysis of a suboptimal surgical experience. … A system analysis of a suboptimal surgical experience. … Interview
In Conversation with Jessica Behrhorst about The Evolution of Root Cause Analysis … 27, 2024
Investigation of urology intraoperative events leading to root cause analysis
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psnet.ahrq.gov/issue/systems-analysis-adverse-drug-events
February 10, 2011 - Study
Classic
Systems analysis of adverse drug events. … Systems analysis of adverse drug events. ADE Prevention Study Group. JAMA. 1995;274(1):35-43. … The authors report a "systems analysis" of the adverse drug events (ADEs) detected in their seminal … The authors report their analysis of the underlying, or "system," causes of the ADEs as distinct from … Systems analysis of adverse drug events. ADE Prevention Study Group. JAMA. 1995;274(1):35-43.
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psnet.ahrq.gov/issue/perception-feeling-safe-perioperatively-concept-analysis
December 21, 2022 - Review
Perception of feeling safe perioperatively: a concept analysis. … Perception of feeling safe perioperatively: a concept analysis. … This concept analysis describes defining attributes (participation, control, presence) of patients … Perception of feeling safe perioperatively: a concept analysis. … November 15, 2023
Team experiences of the root cause analysis process after a sentinel
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psnet.ahrq.gov/issue/patient-misidentification-laboratory-medicine-qualitative-analysis-227-root-cause-analysis
August 28, 2024 - Study
Patient misidentification in laboratory medicine: a qualitative analysis of … 227 root cause analysis reports in the Veterans Health Administration. … Patient misidentification in laboratory medicine: a qualitative analysis of 227 root cause analysis reports … Patient misidentification in laboratory medicine: a qualitative analysis of 227 root cause analysis reports … April 30, 2014
Root cause analysis reports help identify common factors in delayed diagnosis
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psnet.ahrq.gov/issue/experience-feedback-committees-way-implementing-root-cause-analysis-practice-hospital-medical
October 30, 2024 - Study
Experience feedback committees: a way of implementing a root cause analysis … Experience feedback committees: A way of implementing a root cause analysis practice in hospital medical … An Annual Perspective discussed the limitations of root cause analysis and how this tool can be improved … Experience feedback committees: A way of implementing a root cause analysis practice in hospital medical … November 1, 2017
Root-cause analysis: swatting at mosquitoes versus draining the swamp
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psnet.ahrq.gov/issue/root-cause-analysis-cases-involving-diagnosis
August 28, 2019 - Commentary
Root cause analysis of cases involving diagnosis. … Root cause analysis of cases involving diagnosis. … Root cause analysis (RCA) is a widely used approach to retrospectively analyze safety events like surgical … Root cause analysis of cases involving diagnosis.
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psnet.ahrq.gov/issue/human-reliability-analysis-critique-and-review-managers
November 21, 2021 - Review
Human reliability analysis: a critique and review for managers. … Human reliability analysis: A critique and review for managers. … This review discusses how human reliability analysis methodologies can be developed to improve safety … Human reliability analysis: A critique and review for managers. … Interview
In Conversation with Jessica Behrhorst about The Evolution of Root Cause Analysis
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psnet.ahrq.gov/issue/evaluation-suitability-root-cause-analysis-frameworks-investigation-community-acquired
June 16, 2021 - Review
Evaluation of the suitability of root cause analysis frameworks for the investigation … of community-acquired pressure ulcers: a systematic review and documentary analysis. … pressure ulcers: a systematic review and documentary analysis. … pressure ulcers: a systematic review and documentary analysis. … July 7, 2021
Root cause analysis for hospital-acquired pressure injury.
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psnet.ahrq.gov/issue/implementation-standardized-tool-root-cause-analysis-selection
November 06, 2024 - Study
Implementation of a standardized tool for root cause analysis selection. … Implementation of a standardized tool for root cause analysis selection. … The root cause analysis or RCA 2 framework is a standardized approach to identify patient safety … Implementation of a standardized tool for root cause analysis selection. … Veterans Affairs root cause analysis system.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/167-hospital-level-gap-analysis.pdf
June 02, 2025 - Gap Analysis for MRSA Prevention (Hospital-Level) … AHRQ Safety Program for
MRSA Prevention
Gap Analysis for MRSA Prevention
(Hospital-Level)
ICU & … Yes
No
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU | 2
GAP Analysis
(Hospital-Level … AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU | 3
GAP Analysis
(Hospital-Level) … The next few questions are about data analysis and management.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/122-unit-level-gap-analysis.pdf
June 02, 2025 - Gap Analysis for MRSA Prevention (Unit-Level) … AHRQ Safety Program for
MRSA Prevention
Gap Analysis for MRSA Prevention
(Unit-Level … ]
Yes
No
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU | 2
GAP Analysis
(Unit-Level … ]
Yes
No
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU | 3
GAP Analysis
(Unit-Level … AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU | 9
GAP Analysis
(Unit-Level)
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool1_data_analysis_final.xlsx
June 02, 2025 - Tool 1: Readmission Data Analysis and Interpretation
Instructions
Tool 1. … Readmission Data Analysis and Interpretation
Brief Description: A quantitative readmission analysis … This straightforward analysis will highlight high-leverage opportunities to reduce readmissions for the … This tool can be modified for your hospital's particular data analysis needs.
Instructions:
1. … Ask a data analyst (in quality or finance) to conduct this analysis.
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psnet.ahrq.gov/issue/root-cause-analysis-hospital-acquired-pressure-injury
July 07, 2021 - Review
Root cause analysis for hospital-acquired pressure injury. … Root cause analysis for hospital-acquired pressure injury. … The author suggests that common cause analysis is an effective method to utilize root cause analysis … Root cause analysis for hospital-acquired pressure injury. … program using root cause analysis and common cause analysis.
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psnet.ahrq.gov/issue/weekend-effect-hospitalized-patients-meta-analysis
September 23, 2020 - Review
The weekend effect in hospitalized patients: a meta-analysis. … The Weekend Effect in Hospitalized Patients: A Meta-Analysis. … This meta-analysis of 97 studies found that all-cause mortality is higher for patients hospitalized on … The Weekend Effect in Hospitalized Patients: A Meta-Analysis.
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psnet.ahrq.gov/issue/complications-surgery-root-cause-analysis-and-preventive-measures
November 24, 2021 - Commentary
Complications in surgery: root cause analysis and preventive measures. … Complications in surgery: root cause analysis and preventive measures. … Complications in surgery: root cause analysis and preventive measures. … care program using root cause analysis and common cause analysis. … July 20, 2022
Assisting beginners in root cause analysis operations: analysis and recommendations