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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Akins.pdf
January 01, 2003 - and
examiners for the MBNQA are selected on the basis of their experience, quality
expertise, and peer … Secretary of
Commerce) ensures national impact, visibility and prestige for the award winners,
wide peer … The first-round
questionnaire was based on a literature review and the MBNQA criteria for
excellence … patient safety goals are
integrated in institution’s everyday
healthcare delivery functions, regularly
reviewed … Coronary
angiography: a literature review and ratings of
appropriateness and necessity.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Hundt.pdf
January 01, 2003 - what outcomes are more common and/or should
ideally be avoided.7 Similarly a review of the anesthesia literature … patient safety in the outpatient surgery
population since, to our knowledge (and based on extensive literature … During the development process, internal peer review resulted in numerous,
substantial revisions to
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Feldstein.pdf
January 01, 2004 - Working with
groups of expert pharmacists and physicians, we reviewed available data
regarding the … appears to be an important predictor of intervention success
with practicing clinicians,8 and little literature … We collected evidence from
the peer-reviewed published literature as well as data from the HMO to
demonstrate … from the interviews;
counter-arguments were derived from our own research group’s experience and
the literature
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Escobar.pdf
February 01, 2005 - The first concern
was that any report involving public presentation or publication in the peer-
reviewed … literature should be restricted to outcomes having only a weak
association with human error. … For example, if a department ordinarily reviewed 1,000 charts to
identify 12 events, it would be useful … ventilation and have submitted this for publication
elsewhere.29
In the case of adverse drug events, some peer-reviewed … In: Peer review and
mediation to promote patient safety. Houston J.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Savino.pdf
July 01, 2003 - Educational program
The investigators systematically reviewed the literature related to SSI; the … Review of the continuing medical education (CME) literature
revealed that efforts to modify physician … In rare cases of noncompliance, departmental peer review was
conducted by QCRM staff. … All
records reviewed by the nurses were checked for SSI. … The elements in the
database were derived from the literature review that identified a variety of pre
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nguyen.pdf
May 01, 2003 - There are regular calls in the
literature about how physician’s need help and are unable to comfortably
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Shaha.pdf
May 01, 2004 - First, the literature is replete with alarm over the need to face
and eliminate medication-related errors … forums,
including presentations at national and international conferences, and in
submissions to peer-reviewed … All medication orders
for all patient charts were reviewed on a pediatric intensive case unit for 14 … Users’ guides to the
medical literature: essentials of evidence-based
clinical practice.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Donaldson.pdf
January 01, 2003 - A preliminary and comprehensive course blueprint was developed and reviewed
extensively before undergoing … Literature
reviews related to learning styles and strategies, learning preferences, and
continuing … Multiple learning style inventories have been used in the literature to discuss
learning styles. … Using a case example to stimulate a peer discussion of the
positives and negatives of potential treatments … Self-directed learning in nurse education: a
review of the literature.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Quinn.pdf
January 01, 2004 - We also reviewed all cases of perioperative MI. … , we developed a multifaceted educational
intervention using grand rounds, academic detailing, and peer … Much of the published literature
has focused on the dissemination strategies for clinical guidelines … , the providers
expressed skepticism regarding the strength of the supporting literature. … addressed the problem of poor
documentation of patient’s baseline medications and dosing in many of the
reviewed
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Carpenter.pdf
January 01, 2004 - Literature was reviewed from health care, sociology,
organizational development, psychology, and social … Tools currently used in field-specific
instances were reviewed. … a
dissemination plan that reaches beyond the traditional ways of getting the
message out (e.g., peer-reviewed … We further reviewed relevant literature from health care,
sociology, organizational development, change … Although much literature has been produced on
the implementation of research results, a pragmatic assessment
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer1.pdf
April 01, 2004 - EPC), which was commissioned by the Agency for Healthcare Research
and Quality (AHRQ) to review the peer-reviewed … medical literature for evidence-
Safe Practices for Better Health Care
25
based safe practices … .11 This literature review was conducted independently by the
UCSF-Stanford EPC, and not under the direction … This prolonged
the project, as additional sources of information were reviewed that were not
considered … The practices have been carefully reviewed by a diverse
group of health care stakeholders pursuant to
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield2.pdf
January 01, 2003 - A panel of nurse experts reviewed
the items and, following revisions, the survey was pilot tested on … Validity
When the initial survey was designed, and subsequently refined, individual
items were reviewed … After the subscales were
initially created using exploratory factor analysis, they were also reviewed … What we know about
medication errors: a literature review. … Factors contributing to medication errors: a
literature review.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Zierler_81.pdf
September 01, 2008 - the VTE Safety Toolkit and On-line Provider Training
Module on VTE Prophylaxis will be reported in peer … management and prevention of
VTE, morbidity and mortality remain high.15, 16,17 A considerable body of literature … of all available
evidence.14, 19, 25
Development of the VTE Safety Toolkit
Despite substantial literature … Greenhalgh and colleagues’ recent systematic review of the diffusion of innovation literature
emphasized … influence (peer to peer).34 On the other hand, nurses operate
more commonly in informal, vertical networks
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Devine_83.pdf
April 06, 2008 - provider
order entry (CPOE) systems, which have been studied as a proxy for EHRs.9
The limited body of literature … Peer pressure created an incentive for
adoption.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Conlon_50.pdf
May 06, 2008 - The literature indicates that medical errors are severely underreported.5 It was determined that
traditional … Review Protection
As PEERs was developed, Trinity Health worked to maintain the peer review protection … This tool allows the coordinator to assign the report to others involved in the peer review process … within the Trinity Health facilities, and as such,
they are protected under State laws that govern peer … PEERs
reports and has been given the role of “medication administrator,” providing support to the peer
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Schade_63.pdf
January 01, 2007 - reporting and provide concise, action-oriented feedback through quarterly composite
reports, including peer … 2
We conducted a structured literature review using PubMed to identify appropriate denominators
for … The literature review covered English language articles published between 1995 and 2004 that
addressed … One author
reviewed the abstracts and confirmed those that appeared to have specific information from … Using the results of the systematic literature
search, we chose appropriate denominators for comparing
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kaprielian_9.pdf
January 01, 2007 - A search of the existing literature revealed two potentially applicable taxonomies for medical
errors … Since all unexpected deaths and quality-
related patient complaints were reviewed, this category was … In order to identify patterns of similar issues, cases for each individual were re-
reviewed. … and medium-size primary care
environments share best practices and qualitative information in the literature … Classification of medical errors and
preventable adverse events in primary care: A
synthesis of the literature
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Dingley_14.pdf
February 06, 2008 - but felt intimidated and unable to
effectively communicate their concerns.6
The growing body of literature … _______________________________
_______________________________________________________
Current literature … Current literature supports the value of multidisciplinary rounding. … Peer-reviewed case studies revealed that the absence of a standardized and well-defined
communication … Further results from other evaluation methods will be reviewed
in future publications.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Meyer_41.pdf
March 03, 2008 - Based on the literature review and input from our physician
we developed a simple set of
1. … The extant literature on incentives is clea
one point: incentives alone are not sufficient to improve … there was a need to strike an appropriate balance, this
time between transparency and the appropriate peer … goals
ongoing performance surveillance into the institution’s quality and safety dashboard, which w
be reviewed … Strategies to support quality-based purchasing: a
review of the literature.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-StJacques_105.pdf
March 29, 2008 - Health care standards
should be reviewed to ensure full support of perioperative requirements. … Various health care standards should be reviewed to ensure full
support of perioperative requirements … • Meta-analysis of peer-reviewed literature on surgery and
perioperative use of technology.