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Patient safety culture in nephrology nurse practice settings: initial findings. | PSNet

psnet.ahrq.gov/issue/patient-safety-culture-nephrology-nurse-practice-settings-initial-findings

February 23, 2022 - for comprehensive harm prevention strategies for adult patients in acute hospitals: an integrative review … November 19, 2014 Fatigue in nurses and medication administration errors: a scoping review … 2020 Frequency of medication administration timing error in hospitals: a systematic review … October 17, 2018 A review of organizational culture instruments for nurse executives. … April 17, 2013 Review into the Quality of Care and Treatment Provided by 14 Hospital

Department of Defense Health Care Quality. | PSNet

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June 10, 2020 - August 12, 2020 Adverse Events Toolkit: Medical Record Review Methodology. … Healthcare Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review … January 14, 2015 Review of Alleged Patient Deaths, Patient Wait Times, and Scheduling … July 23, 2014 Interim Report: Review of VHA's Patient Wait Times, Scheduling Practices … The Report of the Independent Medicines and Medical Devices Safety Review.

Insulin pump risks and benefits: a clinical appraisal of pump safety standards, adverse event reporting, and research needs: a joint statement of the European Association for the Study of Diabetes and the American Diabetes Association Diabetes Technology Working Group. | PSNet

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June 03, 2020 - Review Insulin pump risks and benefits: a clinical appraisal of pump safety standards … November 10, 2021 Pediatric surgical errors: a systematic scoping review. … July 17, 2013 Description and yield of current quality and safety review in selected … May 10, 2017 A literature review of the individual and systems factors that contribute … March 1, 2023 Human factors in anaesthesia: a narrative review.

Spinal Epidural Abscess | PSNet

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July 01, 2004 - Subsequent review of the initial MRI to determine why the lesion was initially missed found that the … compared with cervical or lumbar spine) is of particular concern, as it is generally associated with more rapid … characteristic signs and symptoms through clinical judgment and vigilance can lead to prompt diagnosis, allowing rapid … Thoracic epidural abscesses: a systematic review. Global Spine J. 2018;8(suppl 4):68S-84S.

Translating staff experience into organisational improvement: the HEADS-UP stepped wedge, cluster controlled, non-randomised trial. | PSNet

psnet.ahrq.gov/issue/translating-staff-experience-organisational-improvement-heads-stepped-wedge-cluster

April 26, 2017 - September 8, 2010 Improving the quality and safety of care on the medical ward: a review … A review of challenges and solutions. … A systematic review of the literature. … December 17, 2014 Aviation and healthcare: a comparative review with implications for … A systematic review.

Disclosure of Errors | PSNet

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September 07, 2019 - of adverse events, appropriate investigations, implementation of systems to avoid recurrences, and rapid … Preferences and perceptions of medical error disclosure among marginalized populations: a narrative review

Classics and Emerging Classics | PSNet

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August 01, 2023 - of the PSNet Collection, AHRQ PSNet editors and advisors have given the designation of “Classic” to review … This review describes categories of... … Intensivists and Other ICU Strategies (1) Specialized Teams (19) Rapid … antibiotic prescribing in primary healthcare: systematic review. … A systematic review and meta-analysis.

Medication dose calculation errors and other numeracy mishaps in hospitals: analysis of the nature and enablers of incident reports. | PSNet

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August 04, 2021 - March 24, 2021 Retrospective review for medication dose errors in pediatric emergency … department medication orders that bypassed pharmacist review. … October 27, 2021 A review of adverse event reports from emergency departments in the … December 16, 2020 Twelve-month review of infusion pump near-miss medication and dose … A systematic review and meta-analysis.

Interventions to improve communication at hospital discharge and rates of readmission: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/interventions-improve-communication-hospital-discharge-and-rates-readmission-systematic

January 12, 2022 - Review Interventions to improve communication at hospital discharge and rates of … readmission: a systematic review and meta-analysis. … This systematic review assessed the impact of discharge communication on hospital readmissions, adherence … February 3, 2021 Second victims and mindfulness: a systematic review. … July 18, 2018 Staffing levels and nursing-sensitive patient outcomes: umbrella review

Improving patient safety culture in primary care: a systematic review. | PSNet

psnet.ahrq.gov/issue/improving-patient-safety-culture-primary-care-systematic-review

June 17, 2015 - Review Improving patient safety culture in primary care: a systematic review. … Improving Patient Safety Culture in Primary Care: A Systematic Review. … Improving Patient Safety Culture in Primary Care: A Systematic Review. … A retrospective patient record review study of changes to patient safety over time. … and meta-analysis of longitudinal retrospective patient record review studies.

Death by PCA | PSNet

psnet.ahrq.gov/web-mm/death-pca

November 05, 2014 - Favorable attributes of PCA use include rapid onset of analgesia, avoidance of first-pass hepatic effect … A systematic review. Arch Dis Child. 2012;97:833-837. [go to PubMed] 11. … Include review of medication errors as part of P&T function. … Develop policies and procedures that review automated dispensing device overrides and variances.( 3 ) … Review annual competency by staff.

The Leapfrog Hospital Survey. | PSNet

psnet.ahrq.gov/issue/leapfrog-hospital-survey

June 21, 2023 - transition programs and the risk of readmission or death after discharge from an ICU: a systematic review … January 30, 2013 Impact of an intensivist-led multidisciplinary extended rapid response

Systemic causes of in-hospital intravenous medication errors: a systematic review. | PSNet

psnet.ahrq.gov/issue/systemic-causes-hospital-intravenous-medication-errors-systematic-review

July 01, 2020 - review. … Systemic causes of in-hospital intravenous medication errors: a systematic review. … Systemic causes of in-hospital intravenous medication errors: a systematic review. … A systematic review and meta-analysis. … A systematic review at the Department of Veterans Affairs.

Influence of house-staff experience on teaching-hospital mortality: the "July Phenomenon" revisited. | PSNet

psnet.ahrq.gov/issue/influence-house-staff-experience-teaching-hospital-mortality-july-phenomenon-revisited

January 04, 2012 - A recent systematic review found evidence that patient outcomes do worsen in association with the academic … January 4, 2012 Quality gaps identified through mortality review. … A scoping review. … Systematic review and meta-analysis of randomised controlled trials. … Results from a retrospective records review using the Global Trigger Tool.

The effectiveness of root cause analysis: what does the literature tell us? | PSNet

psnet.ahrq.gov/issue/effectiveness-root-cause-analysis-what-does-literature-tell-us

January 09, 2013 - Review The effectiveness of root cause analysis: what does the literature tell us … This review analyzes whether the available research on root cause analysis (RCA) substantiates its … A literature review. … September 22, 2010 Measuring patient safety climate: a review of surveys. … A systematic review at the Department of Veterans Affairs.

Impact of an original methodological tool on the identification of corrective and preventive actions after root cause analysis of adverse events in health care facilities: results of a randomized controlled trial. | PSNet

psnet.ahrq.gov/issue/impact-original-methodological-tool-identification-corrective-and-preventive-actions-after

March 15, 2017 - A call for the application of patient safety culture in medical humanitarian action: a literature review … March 19, 2014 Economic evaluation in patient safety: a literature review of methods. … November 30, 2016 A systematic review of adult admissions to ICUs related to adverse … A systematic review at the Department of Veterans Affairs. … April 15, 2020 Medical teamwork and the evolution of safety science: a critical review

Exploring stakeholder perceptions around implementation of the Operating Room Black Box for patient safety research: a qualitative study using the theoretical domains framework. | PSNet

psnet.ahrq.gov/issue/exploring-stakeholder-perceptions-around-implementation-operating-room-black-box-patient

November 04, 2020 - 2019 Measuring the teamwork performance of teams in crisis situations: a systematic review … management simulation-based training for interprofessional and interdisciplinary teams: a systematic review … Effect of the surgical safety checklist on provider and patient outcomes: a systematic review … , 2005 Prevalence of harmful diagnostic errors in hospitalised adults: a systematic review … April 1, 2020 An integrative review of the current evidence on the relationship between

Undertaking risk and relational work to manage vulnerability: acute medical patients' involvement in patient safety in the NHS. | PSNet

psnet.ahrq.gov/issue/undertaking-risk-and-relational-work-manage-vulnerability-acute-medical-patients-involvement

June 16, 2021 - November 12, 2014 A systematic review of methods for medical record analysis to detect … September 2, 2020 The e-Autopsy/e-Biopsy: a systematic chart review to increase safety … A systematic review and realist synthesis of interventions to enhance patient safety. … September 6, 2023 Video review of simulated pediatric cardiac arrest to identify errors … patient safety resource--a qualitative interview study on hospital managers' perception of the nurse-led Rapid

Cancer diagnostic delay in Northern and Central Italy during the 2020 lockdown due to the coronavirus disease 2019 pandemic. | PSNet

psnet.ahrq.gov/issue/cancer-diagnostic-delay-northern-and-central-italy-during-2020-lockdown-due-coronavirus

March 08, 2023 - A systematic review and meta-analysis. … The barriers and enhancers to trust in a just culture in hospital settings: a systematic review … August 17, 2022 Rapid-cycle improvement during the COVID-19 pandemic: using safety reports … A systematic review and meta-analysis. … June 30, 2021 Missing diagnoses during the COVID-19 pandemic: a year in review.

We asked the experts: the WHO Surgical Safety Checklist and the COVID-19 pandemic: recommendations for content and implementation adaptations. | PSNet

psnet.ahrq.gov/issue/we-asked-experts-who-surgical-safety-checklist-and-covid-19-pandemic-recommendations-content

May 19, 2021 - Impact of the WHO Surgical Safety Checklist relative to its design and intended use: a systematic review … 9, 2011 When disasters strike the emergency department: a case series and narrative review … safety implications of wearing a face mask for prevention in the era of COVID-19 pandemic: a systematic review … December 15, 2021 Enhancing departmental preparedness for COVID-19 using rapid-cycle … training interventions on safety culture and patient safety in emergency departments: a systematic review

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