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psnet.ahrq.gov/issue/use-patient-pictures-and-verification-screens-reduce-computerized-provider-order-entry-errors
November 16, 2022 - Key use cases for artificial intelligence to reduce the frequency of adverse drug events: a scoping review … The efficacy of computer-enabled discharge communication interventions: a systematic review … December 7, 2016
Uncovering system errors using a rapid response team: cross-coverage … events in healthcare: development and application of a classification schema based on retrospective review … A systematic review and meta-analysis.
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psnet.ahrq.gov/issue/medication-errors-resulting-harm-using-chargemaster-data-determine-association-cost
August 14, 2013 - 7, 2024
Understanding ultrarare adverse events - lessons learned from a twelve-year review … A systematic review and meta-analysis. … November 24, 2010
Caring for our own: deploying a systemwide second victim rapid response … Related Resources
Medication-related medical emergency team activations: a case review … February 28, 2018
Safe care for pediatric patients: a scoping review across multiple
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psnet.ahrq.gov/issue/team-disclosure-error-educational-activity-objective-outcomes
January 31, 2018 - Teamwork matters: team situation awareness to build high-performing healthcare teams, a narrative review … August 25, 2021
Vital sign abnormalities, rapid response, and adverse outcomes in hospitalized … Experiences and perspectives of transgender youths in accessing health care: a systematic review … September 26, 2018
Description and yield of current quality and safety review in selected … October 7, 2020
Effectiveness of acute care remote triage systems: a systematic review
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psnet.ahrq.gov/issue/out-hospital-medication-errors-among-young-children-united-states-2002-2012
June 14, 2017 - March 6, 2005
Directed peer review in surgical pathology. … December 2, 2020
Outcomes associated with the nationwide introduction of rapid response … October 30, 2013
Systematic review of safety checklists for use by medical care teams … Evaluation of clinical practice guidelines on fall prevention and management for older adults: a systematic review … March 9, 2022
Defining diagnostic error: a scoping review to assess the impact of the
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psnet.ahrq.gov/issue/roles-and-role-ambiguity-patient-and-caregiver-performed-outpatient-parenteral-antimicrobial
September 19, 2018 - July 20, 2022
Ambulatory medication safety in primary care: a systematic review. … February 6, 2019
Clinical review: Checklists—translating evidence into practice. … November 19, 2008
A systematic review of the literature on multidisciplinary rounds to … Interventions to improve follow-up of laboratory test results pending at discharge: a systematic review … Demonstrating the value of a standardized cognitive assessment tool through the use of interprofessional rapid
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psnet.ahrq.gov/issue/communication-failures-operating-room-observational-classification-recurrent-types-and
October 19, 2005 - June 3, 2020
Measures of patient safety in developing and emerging countries: a review … Personal protective equipment (PPE) for surgeons during COVID-19 pandemic: a systematic review … reduction in cardiac arrests and duration of clinical instability after implementation of a paediatric rapid … Debriefing to improve interprofessional teamwork in the operating room: a systematic review … Facilitators and barriers to the implementation of surgical safety checklist (SSC): an integrative review
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psnet.ahrq.gov/issue/perceptions-hospital-safety-climate-and-incidence-readmission
March 25, 2015 - July 18, 2012
Interdisciplinary teamwork in hospitals: a review and practical recommendations … Interventions to improve follow-up of laboratory test results pending at discharge: a systematic review … training interventions on safety culture and patient safety in emergency departments: a systematic review … June 1, 2011
Sleep and circadian misalignment for the hospitalist: a review. … February 6, 2013
Impact of an intensivist-led multidisciplinary extended rapid response
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psnet.ahrq.gov/issue/one-stop-diagnostic-breast-clinics-how-often-are-breast-cancers-missed
August 04, 2021 - Personal protective equipment (PPE) for surgeons during COVID-19 pandemic: a systematic review … May 18, 2005
Measures of patient safety in developing and emerging countries: a review … June 3, 2020
Effectiveness of acute care remote triage systems: a systematic review. … September 12, 2007
Communication in healthcare: a narrative review of the literature … reduction in cardiac arrests and duration of clinical instability after implementation of a paediatric rapid
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psnet.ahrq.gov/issue/multidisciplinary-team-approach-retained-foreign-objects
July 16, 2008 - November 2, 2022
Achieving rapid door-to-balloon times: how top hospitals improve complex … Preventing pregnancy-related mental health deaths: insights from 14 US maternal mortality review … February 2, 2022
Routine multidisciplinary review of severe maternal morbidity is associated … 6, 2023
Understanding ultrarare adverse events - lessons learned from a twelve-year review … 2016
Surgical count process for prevention of retained surgical items: an integrative review
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psnet.ahrq.gov/issue/association-between-transfer-emergency-department-boarders-inpatient-hallways-and-mortality-4
March 03, 2017 - June 29, 2016
Systematic review of safety checklists for use by medical care teams in … May 25, 2011
Effect of a rapid response system for patients in shock on time to treatment … Medication errors and processes to reduce them in care homes in the United Kingdom: a scoping review … 25, 2018
Prescription opioid analgesics commonly unused after surgery: a systematic review … March 26, 2014
Hospital board oversight of quality and patient safety: a narrative review
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psnet.ahrq.gov/issue/opioid-prescribing-and-potential-overdose-errors-among-children-0-36-months-old
March 23, 2016 - Systematic review and meta-analysis of randomised controlled trials. … Effects of shift length on quality of patient care and health provider outcomes: systematic review … reduction in cardiac arrests and duration of clinical instability after implementation of a paediatric rapid … December 16, 2009
Description and yield of current quality and safety review in selected … September 12, 2018
Preventable adverse drug events among inpatients: a systematic review
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psnet.ahrq.gov/issue/change-shift-nursing-handoff-interruptions-implications-evidence-based-practice
July 19, 2023 - July 25, 2007
Patient safety on the otolaryngology service: the role of an established rapid … Personal protective equipment (PPE) for surgeons during COVID-19 pandemic: a systematic review … checklist and patient outcomes after surgery: a prospective observational cohort study, systematic review … Comparison of military and civilian methods for determining potentially preventable deaths: a systematic review … A scoping review.
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psnet.ahrq.gov/issue/inappropriate-preinjury-warfarin-use-trauma-patients-call-safety-initiative
August 04, 2021 - Systematic review and meta-analysis of randomised controlled trials. … reduction in cardiac arrests and duration of clinical instability after implementation of a paediatric rapid … Personal protective equipment (PPE) for surgeons during COVID-19 pandemic: a systematic review … December 12, 2021
Errors in adult trauma resuscitation: a systematic review. … Prevalence, risk factors, and outcomes of idle intravenous catheters: an integrative review
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psnet.ahrq.gov/issue/identification-latent-safety-threats-using-high-fidelity-simulation-based-training
March 03, 2017 - September 27, 2023
Clinical reasoning assessment methods: a scoping review and practical … March 1, 2023
Human factors in anaesthesia: a narrative review. … 5, 2022
Understanding ultrarare adverse events - lessons learned from a twelve-year review … Preventing pregnancy-related mental health deaths: insights from 14 US maternal mortality review … January 28, 2015
Achieving rapid door-to-balloon times: how top hospitals improve complex
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psnet.ahrq.gov/issue/accelerating-what-works-using-qualitative-research-methods-developing-change-package-learning
September 16, 2009 - September 16, 2009
Cognitive interventions to reduce diagnostic error: a narrative review … January 23, 2019
System-related interventions to reduce diagnostic errors: a narrative review … March 22, 2023
The neglected barrier to medication use: a systematic review of difficulties … March 4, 2015
Undermining and bullying in surgical training: a review and recommendations … May 13, 2020
Adapting rapid assessment procedures for implementation research using a
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psnet.ahrq.gov/issue/patient-safety-during-sedation-anesthesia-professionals-during-routine-upper-endoscopy-and
October 04, 2017 - Pharmacist–physician communications in a highly computerised hospital: sign-off and action of electronic review … June 7, 2017
Effectiveness of acute care remote triage systems: a systematic review. … Patient Safety Innovations
The e-Autopsy/e-Biopsy: A Systematic Chart Review … June 14, 2023
Reduction in omission events after implementing a rapid response system … : a mortality review in a department of gastrointestinal surgery.
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psnet.ahrq.gov/issue/clinical-case-electronic-health-record-drug-alert-fatigue-consequences-patient-outcome
August 02, 2023 - September 6, 2017
Effect of a rapid response team on hospital-wide mortality and code … Patient outcomes in dose reduction or discontinuation of long-term opioid therapy: a systematic review … Identifying what is known about improving operating room to intensive care handovers: a scoping review … Impact of alarm fatigue on the work of nurses in an intensive care environment--a systematic review … Systemic defenses to prevent intravenous medication errors in hospitals: a systematic review
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psnet.ahrq.gov/issue/veterans-affairs-national-quality-scholars-program-model-interprofessional-education-quality
May 02, 2012 - March 25, 2015
Patient safety incidents associated with obesity: a review of reports … May 1, 2019
A controlled trial of a rapid response system in an academic medical center … Benefits and risks of using smart pumps to reduce medication error rates: a systematic review … August 14, 2019
Intentional rounding—an integrative literature review. … October 10, 2018
Impact of nurse peer review on a culture of safety.
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psnet.ahrq.gov/issue/differences-medication-errors-between-central-and-remote-site-telepharmacies
September 21, 2011 - physician order entry (CPOE) on the incidence of chemotherapy-related medication errors: a systematic review … December 15, 2021
Rapid response team in a rural hospital. … July 28, 2021
A systematic review of the effect of telepharmacy services in the community … 2021
Medicine self-administration errors in the older adult population: a systematic review … October 30, 2019
Community pharmacy medication review, death and re-admission after hospital
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psnet.ahrq.gov/issue/how-best-measure-surgical-quality-comparison-agency-healthcare-research-and-quality-patient
August 04, 2010 - A systematic review of definitions. … April 20, 2011
Transforming the medication regimen review process using telemedicine … October 31, 2012
Evaluating implementation of a rapid response team: considering alternative … A systematic review. … Automated capture of intraoperative adverse events using artificial intelligence: a systematic review