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ce.effectivehealthcare.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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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Stalhandske_71.pdf
February 23, 2008 - The results
mirrored rates of complications recorded in the literature (i.e., difficulties in over 10 … This led us to also perform a literature and
regulatory review regarding emergency airway management … After reviewing survey data, tort
claim data, and the medical literature and regulatory documents, we … Again, these are consistent with other studies and literature on
this subject.1
At most VA medical … policy, testing the policy within
their local facilities, and acting as ombudsmen with their respective peer
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Jones_29.pdf
February 23, 2008 - We reviewed the list to verify each participant’s eligibility according to
the categories described … We used an integrated approach to coding these
comments by starting with a literature-based organizing
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ce.effectivehealthcare.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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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Cunningham_11.pdf
January 29, 2008 - are critically reviewed. … Upward
communication
among team
members
• CRM training
• Team perception
survey feedback
• Peer-to-peer … Subsequently, the checklist is used to
conduct systematic peer-to-peer behavioral observations, followed … Both the observer and the person observed learn valuable error-reduction information throughout
this peer-to-peer … Peer-to-peer coaching can also ensure compliance with recommended practices and offer
opportunities
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Tupper_73.pdf
March 20, 2008 - The study
identified a set of 26 priority interventions based on a comprehensive review of the literature … • Peer-to-peer collaboration and technical assistance among the hospitals.
3
The THA and … The meeting format
provided structure, a reporting mechanism, peer communication, support and engagement
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Deis_82.pdf
June 03, 2008 - potential teaching value and often lack identification and discussion
of adverse outcomes.5, 6, 7 Biddle reviewed … The MM&I is part of our
formal peer review and quality improvement processes sponsored by the offices … The
resident coordinators also spend an additional 2 to 3 hours preparing a brief literature review … As part
of the institution’s peer review and quality improvement processes, the MM&I discussion is … Appropriate data are reviewed, including vital signs measurements, nursing
Table 1.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Valade_46.pdf
May 05, 2008 - The Commission had 14 months in which to take public testimony, conduct a
complementary literature review … Commission members’
commitment to shared
decisionmaking arose not
from familiarity with the
literature … For example, with support from the literature, public testimony specific to
nursing education evolved … excerpts from the testimony, draft recommendations and related rationales, evidence
a Note: Analysts reviewed … use data
about errors and near
misses
• Establish and fund a statewide voluntary, confidential,
peer-protected
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Pichert_51.pdf
March 22, 2008 - First, the
substantial literature on patient-centered care and patient empowerment suggests that patients … of reasons that have been reviewed elsewhere.18 We simply suggest
that patient concerns might supplement … , not supplant, traditional peer review. … Physicians with an index
greater than the 95th percentile are candidates for peer-to-peer intervention … A systematic review of the
literature on multidisciplinary rounds to design
information technology.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Williams_115.pdf
June 19, 2008 - Over 3 years, 934 patient cases have been reviewed in 209
teleconferences. … Currently, the RCHI physician who
leads a review meeting searches the literature, with the assistance … The physician-moderator also responds to requests for specific types
of literature from participating … Introducing ideas and
data from the literature has proven beneficial in getting “best practices” used … April 2007), 934 patient cases have been reviewed in
209 teleconferences.
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ce.effectivehealthcare.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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ce.effectivehealthcare.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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ce.effectivehealthcare.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.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-King_1.pdf
April 07, 2008 - identified nontechnical skill requirements for
teams in acute medicine.16
In 2005, Baker and colleagues reviewed … Therefore, Baker and colleagues4
reviewed the larger discipline of teamwork and team training. … Peer and instructor feedback serves to reinforce
understanding of the content, along with refinement … medical community) of the implementation of CRM training in
hospitals and clinics were systematically reviewed … Peer and instructor feedback serves to reinforce understanding of the content, along with refinement
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ce.effectivehealthcare.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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ce.effectivehealthcare.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.