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psnet.ahrq.gov/perspective/update-patient-engagement-safety
January 01, 2017 - An exception comes from the quality improvement literature—a robust meta-analysis examined which patient
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psnet.ahrq.gov/node/49788/psn-pdf
March 01, 2017 - Pharmacy-led medication reconciliation programmes at hospital
transitions: a systematic review and meta-analysis … Reading and writing: qualitative analysis of
pharmacists' use of the EHR when preparing for team rounds
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psnet.ahrq.gov/node/74242/psn-pdf
January 07, 2022 - Ductal carcinoma in situ at core-needle biopsy: meta-
analysis of underestimation and predictors of … Necessity of sentinel lymph node biopsy in ductal carcinoma in situ
patients: a retrospective analysis
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.464_slideshow.ppt
January 01, 2019 - .
*
Case: Diagnostic Misstep (7)
A formal root cause analysis of the case found many errors that led … Meta-analyses of agreement between diagnoses made from clinical evaluations and standardized diagnostic … medical clearance testing for psychiatric admission: National Hospital Ambulatory Medical Care Survey analysis … medical clearance testing for psychiatric admission: National Hospital Ambulatory Medical Care Survey analysis … medical clearance testing for psychiatric admission: National Hospital Ambulatory Medical Care Survey analysis
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psnet.ahrq.gov/web-mm/deadly-duo
April 28, 2021 - Recognition of depression by non-psychiatric physicians—a systematic literature review and meta-analysis … Association between physician depressive symptoms and medical errors: A systematic review and meta-analysis
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psnet.ahrq.gov/node/49597/psn-pdf
February 01, 2010 - for sexual assault per 100,000 females aged 15-17 years and 18-19
years, respectively.(27) A 2009 meta-analysis … between consumption of sugar-sweetened drinks and
childhood obesity: a prospective, observational analysis … Childhood sexual abuse and adolescent pregnancy: a meta-analytic
update.
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psnet.ahrq.gov/sites/default/files/2024-04/spotlight_case_missed_connection-a_case_of_inadequate_ecg_oversight_in_cardiac_surgery_slides_-_final.pdf
January 01, 2024 - Dexmedetomidine Reduces Atrial Fibrillation After Adult Cardiac Surgery: A Meta-Analysis of Randomized … Influence of Dexmedetomidine on Post-operative Atrial Fibrillation After Cardiac Surgery: A Meta-Analysis
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psnet.ahrq.gov/sites/default/files/2023-04/failure_to_ensure_patient_safety_leads_to_patient_falls_in_nursing_homes.pdf
January 01, 2023 - low bed heights may
also limit function.13
– Two recent systematic reviews on falls,9,15 one with a meta-analysis … and fractures in hospitals and care homes and effect of cognitive impairment:
systematic review and meta-analyses … Falls in Long-Term Care Residents With Mild to Moderate Cognitive
Impairment or Dementia: Subgroup Analysis
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psnet.ahrq.gov/web-mm/pitfalls-diagnosing-necrotizing-fasciitis
March 24, 2021 - March 24, 2021
Potentially inappropriate prescribing among older persons: a meta-analysis … impact of potentially inappropriate prescribing among older persons in primary care settings: multilevel meta-analysis
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psnet.ahrq.gov/node/865429/psn-pdf
April 24, 2024 - Dexmedetomidine reduces atrial fibrillation after adult cardiac surgery:
a meta-analysis of randomized … Influence of dexmedetomidine on post-operative atrial fibrillation after
cardiac surgery: a meta-analysis
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psnet.ahrq.gov/node/850361/psn-pdf
June 14, 2023 - Nevertheless, root cause analysis of this case
revealed several figurative Swiss cheese holes that aligned … severity, and nature of preventable patient harm
across medical care settings: systematic review and meta-analysis … The bystander-effect: a meta-analytic review on
bystander intervention in dangerous and non-dangerous
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psnet.ahrq.gov/node/50927/psn-pdf
February 21, 2020 - psnet.ahrq.gov//#_edn3
https://psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-among-older-persons-meta-analysis-observational-studies … practices may
consider include interactive educational webinars, provider coaching, use of root cause analysis
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psnet.ahrq.gov/node/33666/psn-pdf
October 01, 2008 - Trends in MRSA in England and Wales:
analysis of morbidity and mortality data for 1993-2002. … associated with methicillin-resistant and methicillin-susceptible Staphylococcus aureus
bacteremia: a meta-analysis
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psnet.ahrq.gov/web-mm/point-care-mixup-1-shot-turns-3
February 14, 2024 - In a recent extensive analysis of more than 600 outpatient pediatric vaccination error reports, look-alike … Brief clinical report: a systematic review and meta-analysis of pain memory-reframing interventions for
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psnet.ahrq.gov/web-mm/diagnosing-missed-diagnosis
October 26, 2022 - Lithium toxicity profile: a systematic review and meta-analysis. Lancet. 2012;379:721-728. … HW, Mathews SC, et al. 25-year summary of US malpractice claims for diagnostic errors 1986–2010: an analysis … systems affect thinking Recognizing and compensating for system flaws Openness to discussing error Analysis … external demands "Cognitive autopsy" (chart-stimulated recall and narrative writing) Root cause analysis
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psnet.ahrq.gov/node/73456/psn-pdf
June 30, 2021 - web-mm/anesthesia-weighty-issue
https://psnet.ahrq.gov/issue/management-difficult-airway-closed-claims-analysis … Management of the difficult airway: a closed claims
analysis. … predictors of difficult laryngoscopy in adult
patients undergoing general anesthesia: a single center analysis … Overweight, Obesity and lung function in children and adults- a
meta-analysis.
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psnet.ahrq.gov/node/49437/psn-pdf
March 01, 2004 - Sending a venous blood sample for gas analysis is another option. … Simultaneous analysis of radial artery blood improves the accuracy of this
technique. … The major drawback to blood gas analysis is time delay, which can be minimized when point-of-
care testing … Ultrasound guidance for placement of central
venous catheters: a meta-analysis of the literature.
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psnet.ahrq.gov/node/865455/psn-pdf
March 27, 2024 - and inhibitors in hospital-to-home transitional care for elderly
patients with chronic diseases: a meta-synthesis … Effectiveness of discharge education for patients undergoing
general surgery: a systematic review and meta-analysis
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psnet.ahrq.gov/perspective/communication-during-transitions-care
July 10, 2024 - and inhibitors in hospital-to-home transitional care for elderly patients with chronic diseases: a meta-synthesis … Effectiveness of discharge education for patients undergoing general surgery: a systematic review and meta-analysis
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psnet.ahrq.gov/node/50841/psn-pdf
January 29, 2020 - A broad root cause analysis:
1. … Root Cause Analysis of this Case
The root cause analysis of this Case (Figure 1) reveals two steps at … Figure 1: Root cause analysis of this near-miss Case
https://psnet.ahrq.gov//#12
https://psnet.ahrq.gov … acknowledges the contribution of Ying Liu, MD, and Nam Tran, PhD for
their assistance on the Root Cause Analysis … laboratory testing identification errors: alaboratory medicine best practices systematic review
and meta-analysis