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psnet.ahrq.gov/node/867655/psn-pdf
February 26, 2025 - psnet.ahrq.gov/issue/national-and-institutional-trends-adverse-events-over-time-systematic-review-and-meta … culture, support from leadership, and the infrastructure, systems, and
resources that allow for data analysis … with varying
access policies, which means it can be difficult to identify the appropriate data for analysis … The role of a learning health system is to foster this analysis and shared learning. … As a result of this analysis, the learning health system made
an evidence-based change to limit hip
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psnet.ahrq.gov/node/33848/psn-pdf
December 01, 2017 - His root cause analysis (though the term was not
used in health care at that time) is an example of … https://psnet.ahrq.gov//#ref1
https://psnet.ahrq.gov//#ref2
https://psnet.ahrq.gov/primer/root-cause-analysis … rigor, blending qualitative observations pioneered by Bosk with new methods of data collection and
analysis … (e.g., registry data, electronic health record data, video analysis) is evidence of significant
progress … Perioperative and anaesthetic-related mortality in developed and developing
countries: a systematic review and meta-analysis
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psnet.ahrq.gov/web-mm/are-two-insulin-pumps-better-one
March 01, 2005 - versus multiple daily insulin injections in patients with diabetes mellitus: systematic review and meta-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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psnet.ahrq.gov/node/851568/psn-pdf
July 31, 2023 - preventing seizures
(e.g., relative risk [RR] 0.24, 95% confidence interval [CI] 0.07 to 0.88, in a meta-analysis … 1.89 days, 95% CI -3.52 to -0.27 days), compared to oral hygiene without toothbrushing, in a recent meta … In a retrospective analysis of six hospitals, the proportion of communication orders that contained … Pharmacological management of alcohol withdrawal: a meta-analysis and
evidence-based practice guideline … to reduce nurses’ medication administration
errors in inpatient settings: a systematic review and meta-analysis
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psnet.ahrq.gov/web-mm/life-threatening-infant-overdose-sodium-chloride
December 23, 2020 - The prevalence of medication-related adverse events in inpatients-a systematic review and meta-analysis … Association of Adverse Effects of Medical Treatment With Mortality in the United States: A Secondary Analysis … Prevalence of Medication Errors Among Paediatric Inpatients: Systematic Review and Meta-Analysis. … preventable adverse drug events and medication errors in hospital settings: a systematic review and meta-analysis
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psnet.ahrq.gov/node/867672/psn-pdf
February 26, 2025 - For example, the
authors of a 2008 meta-analysis found CT to be 91% sensitive and 90% specific for diagnosing … Case Analysis
This case involved a patient presenting with high-risk abdominal pain. … Acute appendicitis: meta-analysis of diagnostic
performance of CT and graded compression US related … Diagnostic utility of CT for small bowel obstruction: systematic
review and meta-analysis.
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psnet.ahrq.gov/web-mm/multiple-missed-opportunities-suicide-risk-assessment-emergency-and-primary-care-settings
May 26, 2021 - A recent meta-analysis examining the sensitivity of inquiring about suicidal thoughts showed that the … non-psychiatric settings (e.g., general medical practices), the sensitivity was only 22%. 4 Another meta-analysis … An analysis of > 200,000 PHQ-9s showed that a positive screen on question #9 was associated with an … Diagnostic error in medicine: analysis of 583 physician-reported errors. … Association between suicidal ideation and suicide: meta-analyses of odds ratios, sensitivity, specificity
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psnet.ahrq.gov/node/33604/psn-pdf
December 15, 2024 - A
meta-analysis of 13 studies of pharmacist interventions at transitions of care estimated a 37% reduction
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psnet.ahrq.gov/sites/default/files/2023-03/challenging_case_of_multiple_suicide_attempts_in_a_complex_patient_with_psychiatric_comorbidities.pdf
January 01, 2023 - Cross-national analysis of the associations among mental disorders and suicidal behavior: findings from … Characterizing the phenomenology of passive suicidal ideation: a systematic review and meta-analysis … Pharmacological Treatments for Borderline Personality Disorder: A Systematic Review and Meta-Analysis
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psnet.ahrq.gov/web-mm/more-treatment-better-care
August 11, 2021 - Statins and all-cause mortality in high-risk primary prevention: a meta-analysis of 11 randomized controlled … Primary Prevention ( 15 ) Use outside of selected high risk group or for too long than known benefit Meta-analysis … July 15, 2020
Economic analysis of the prevalence and clinical and economic burden of
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psnet.ahrq.gov/web-mm/perils-contrast-media
March 01, 2007 - In a root cause analysis (RCA), providers who reviewed the case believed a contrast CT scan should have … A recent meta-analysis suggested that N-acetylcysteine plus normal saline may be associated with greater … Effectiveness of prevention strategies for contrast-induced nephropathy: a systematic review and meta-analysis
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psnet.ahrq.gov/node/49760/psn-pdf
May 01, 2016 - managing dementia-related
behavioral symptoms while avoiding adverse effects from drug therapy.(8) An analysis … Pharmacological management of Lewy body dementia: a
systematic review and meta-analysis. … Meta-analysis of nonpharmacological interventions for neuropsychiatric
symptoms of dementia.
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psnet.ahrq.gov/primer/detection-safety-hazards
March 30, 2022 - Prospective safety hazard detection methods Failure mode and effect analysis (FMEA) is a common approach … FMEA (or similar techniques) has been used in other high-risk industries for prospective safety analysis … trigger tools and methods of screening administrative datasets, while the latter includes root cause analysis … Culture of Safety September 15, 2024
Medication Reconciliation December 15, 2024
Root Cause Analysis … Editor's Picks
Variation in detected adverse events using trigger tools: a systematic review and meta-analysis
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psnet.ahrq.gov/web-mm/preventing-complications-during-aneurysm-clipping-role-neuromonitoring
July 02, 2011 - Risk factors for rebleeding of aneurysmal subarachnoid hemorrhage: a meta-analysis. … monitoring for detecting cerebral injury during adult aneurysm clipping surgery: a systematic review and meta-analysis
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psnet.ahrq.gov/web-mm/undiagnosed-vaginal-bleeding
July 06, 2022 - Meta-analysis of Pap test accuracy. Am J Epidemiol. 1995;141:680-9.[ go to PubMed ]
16. … Meta-analysis of correlates of provider behavior in medical encounters.
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psnet.ahrq.gov/node/851555/psn-pdf
July 31, 2023 - of age has been extensively debated in both pathology and critical
care literature.10-12 A recent meta-analysis … neutrophil index (DNI) as a novel diagnostic and prognostic
marker of infection: a systematic review and meta-analysis
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.458_slideshow.ppt
October 01, 2018 - performance improvement programs on compliance with sepsis bundles and mortality: a systematic review and meta-analysis … performance improvement programs on compliance with sepsis bundles and mortality: a systematic review and meta-analysis
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psnet.ahrq.gov/node/860015/psn-pdf
September 01, 2024 - Known risk factors for RSIs, according to a 2014 meta-analysis of three studies, include intraoperative … two-cases-retained-vaginal-packing-when-writing-order-not-enough
https://psnet.ahrq.gov/issue/risk-factors-retained-surgical-items-meta-analysis-and-proposed-risk-stratification-system
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psnet.ahrq.gov/primer/post-acute-transitional-services-safety-home-based-care-programs
April 24, 2024 - An older meta-analysis of 61 randomized control trials reported there was decreased mortality, lower … Additionally, a meta-analysis of hospital to home integrating a pharmacist into the model has been … Exploratory analysis of the relationship between home health agency engagement in a national campaign … for patients with chronic disease who present to the emergency department: a systematic review and meta-analysis … care program using root cause analysis and common cause analysis.
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psnet.ahrq.gov/web-mm/misdiagnosis-small-bowel-obstruction-setting-previous-abdominal-operations
September 27, 2023 - For example, the authors of a 2008 meta-analysis found CT to be 91% sensitive and 90% specific for diagnosing … Case Analysis This case involved a patient presenting with high-risk abdominal pain. … Acute appendicitis: meta-analysis of diagnostic performance of CT and graded compression US related to … Diagnostic utility of CT for small bowel obstruction: systematic review and meta-analysis.