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Incivility in healthcare: the impact of poor communication. | PSNet

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January 10, 2024 - Review Incivility in healthcare: the impact of poor communication. … January 30, 2008 Diagnostic difficulty and error in primary care—a systematic review. … A review of challenges and solutions. … October 4, 2017 Comparing VA and Non-VA quality of care: a systematic review. … August 2, 2023 Racism in health services for adolescents: a scoping review.

Reducing hospital harm: establishing a command centre to foster situational awareness. | PSNet

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January 17, 2024 - July 22, 2009 Fall prevention in hospitals: an integrative review. … October 6, 2010 Nurses' role in medical error recovery: an integrative review. … August 29, 2012 Barcode medication administration work-arounds: a systematic review and … A systematic review and meta-analysis. … August 24, 2022 A scoping review of real-time automated clinical deterioration alerts

Delayed medical emergency team calls and associated outcomes. | PSNet

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February 07, 2024 - Role of parents in the promotion of hand hygiene in the paediatric setting: a systematic literature review … Assessment of fidelity in interventions to improve hand hygiene of healthcare workers: a systematic review … March 21, 2007 Targeted chart review of pediatric patient safety events identified by … August 10, 2005 Adverse events in emergency department boarding: a systematic review. … March 1, 2023 Human factors in anaesthesia: a narrative review.

Weekly Resource | PSNet

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January 04, 2024 - Review Application of "Human Factor Analysis and Classification System" (HFACS) … model to the prevention of medical errors and adverse events: a systematic review. … Review Risk identification and prediction of complaints and misconduct against … health practitioners: a scoping review. … This scoping review examined risk factors and predictors of complaints and misconduct against health

Perspectives on perioperative team-based morbidity and mortality conferences: a mixed-methods study. | PSNet

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October 11, 2023 - Author(s) Perioperative team-based morbidity and mortality conferences: a systematic review … Automatable algorithms to identify nonmedical opioid use using electronic data: a systematic review … A systematic review and thematic synthesis of qualitative studies. … February 28, 2024 A systematic review of patient safety measures in adult primary care … March 29, 2023 Parent participation in morbidity and mortality review: parent and

Pharmacist-managed inpatient discharge medication reconciliation: a combined onsite and telepharmacy model. | PSNet

psnet.ahrq.gov/issue/pharmacist-managed-inpatient-discharge-medication-reconciliation-combined-onsite-and

December 20, 2023 - Sleep deprivation and medication administration errors in registered nurses- a scoping review … July 17, 2013 Operating room organization and surgical performance: a systematic review … April 26, 2017 Systematic review on the prevalence, frequency and comparative value of … November 8, 2023 Avoiding wrong site surgery: a systematic review. … November 22, 2017 Documentation of clinical review and vital signs after major surgery

Adopting high reliability organization principles to lead a large scale clinical transformation. | PSNet

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November 15, 2023 - October 20, 2010 Error disclosure in pathology and laboratory medicine: a review of the … A report card system using error profile analysis and concurrent morbidity and mortality review … October 31, 2018 Scoping review of studies evaluating frailty and its association with … March 7, 2007 Nursing handoffs: a systematic review of the literature. … January 20, 2021 Surgical site infection prevention: a review.

A systematic review on pediatric medication errors by parents or caregivers at home. | PSNet

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September 06, 2023 - Review A systematic review on pediatric medication errors by parents or caregivers … A systematic review on pediatric medication errors by parents or caregivers at home. … A systematic review on pediatric medication errors by parents or caregivers at home. … April 7, 2021 Pediatric surgical errors: a systematic scoping review. … A review and evaluation.

Financial incentives to promote health care quality: the hospital acquired conditions nonpayment policy. | PSNet

psnet.ahrq.gov/issue/financial-incentives-promote-health-care-quality-hospital-acquired-conditions-nonpayment

November 08, 2023 - Doctors' perceived working conditions and the quality of patient care: a systematic review … The effects of bar-coding technology on medication errors: a systematic literature review … September 27, 2017 Teamwork and patient safety in dynamic domains of healthcare: a review … May 9, 2012 In pursuit of quality and safety: an 8-year study of clinical peer review … A systematic literature review.

Identification of the barriers and enablers for receiving a speaking up message: a content analysis approach. | PSNet

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November 08, 2023 - March 29, 2023 A scoping review of clinical handover mnemonic devices. … inpatient outcomes - falls, pressure injuries and medication administration errors: an integrative review … New graduate registered nurses' knowledge of patient safety and practice: a literature review … A systematic review of the literature. … A scoping review.

Appropriate use of medical interpreters. | PSNet

psnet.ahrq.gov/issue/appropriate-use-medical-interpreters

December 13, 2023 - Highlighting benefits to utilizing professional interpreters in health care, this review describes … September 22, 2021 Ethical issues in patient safety research: a systematic review of … May 6, 2015 Faculty member review and feedback using a sign-out checklist: improving … September 24, 2014 Review of alternatives to root cause analysis: developing a robust … July 19, 2006 Effect of clinical decision-support systems: a systematic review.

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April 17, 2024 - Review Unmasking bias in artificial intelligence: a systematic review of bias detection … In this systematic review, researchers describe possible types of bias (e.g., implicit, selection) that … International Meeting/Conference Certified Professional in Patient Safety Review

How different countries respond to adverse events whilst patients' rights are protected. | PSNet

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September 13, 2023 - In search of an international multidimensional action plan for second victim support: a narrative review … 2021 Health care professionals as second victims after adverse events: a systematic review … involved health care professionals (second victims) following an adverse health event: a literature review … August 30, 2017 Defining speaking up in the healthcare system: a systematic review. … A literature review.

Simulation-based clinical systems testing for healthcare spaces: from intake through implementation. | PSNet

psnet.ahrq.gov/issue/simulation-based-clinical-systems-testing-healthcare-spaces-intake-through-implementation

April 10, 2024 - July 6, 2022 Twenty-four/seven: a mixed-method systematic review of the off-shift literature … toward Clostridium difficile and methicillin-resistant Staphylococcus aureus: a structured literature review … Preventing pregnancy-related mental health deaths: insights from 14 US maternal mortality review … Identifying a list of healthcare 'never events' to effect system change: a systematic review … Impact of the COVID-19 pandemic on the experiences of hospitalized patients: a scoping review

Do malpractice claim clinical case vignettes enhance diagnostic accuracy and acceptance in clinical reasoning education during GP training? | PSNet

psnet.ahrq.gov/issue/do-malpractice-claim-clinical-case-vignettes-enhance-diagnostic-accuracy-and-acceptance

October 04, 2023 - Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review … May 18, 2022 Factors influencing in-hospital prescribing errors: a systematic review. … January 19, 2011 Patient record review of the incidence, consequences, and causes of … A systematic literature review. … October 4, 2023 A scoping review exploring the confidence of healthcare professionals

Medical misadventures as errors and mistakes and motor vehicular accidents in the disproportionate burden of childhood mortality among Blacks/African Americans in the United States: CDC Dataset, 1968-2015. | PSNet

psnet.ahrq.gov/issue/medical-misadventures-errors-and-mistakes-and-motor-vehicular-accidents-disproportionate

February 07, 2024 - Experiences and perspectives of transgender youths in accessing health care: a systematic review … May 11, 2016 Measuring team performance in healthcare: review of research and implications … January 17, 2018 Patient safety in dermatology: a review of the literature. … A review of the published literature and analysis of current original data. … 2005 Learning from safety incidents in high reliability organizations: a systematic review

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer | PSNet

psnet.ahrq.gov/innovation/ambulatory-safety-nets-reduce-missed-and-delayed-diagnoses-cancer

April 10, 2024 - ambulatory settings. 12 “Safety net” is defined many ways in healthcare settings, but a literature review … . 15 This review illuminated substantial opportunities within the existing systems of care. … After the innovation team developed colonoscopy registries, a chart review was conducted to confirm the … Mortality due to cancer treatment delay: systematic review and meta-analysis. … Safety netting for primary care: evidence from a literature review.

Patient participation in surgical site marking: can this be an additional tool to help avoid wrong-site surgery? | PSNet

psnet.ahrq.gov/issue/patient-participation-surgical-site-marking-can-be-additional-tool-help-avoid-wrong-site

November 01, 2023 - June 25, 2014 Evidence review conducted for the Agency for Healthcare Research and Quality … April 10, 2019 The Broselow tape as an effective medication dosing instrument: a review … June 7, 2006 Economic impact of medication error: a systematic review. … Study (INAES): the frequency and nature of adverse events in Irish hospitals—a retrospective record review … May 11, 2005 Look-alike, sound-alike drugs review: include look-alike packaging as an

Talking with patients about other clinicians' errors. | PSNet

psnet.ahrq.gov/issue/talking-patients-about-other-clinicians-errors

April 17, 2024 - October 21, 2009 Communicating with patients about medical errors: a review of the literature … characteristics that promote or prevent psychological safety and error reporting in healthcare: a systematic review … Barriers and facilitators to improving patient safety learning systems: a systematic review … Disclosing and reporting practice errors by nurses in residential long-term care settings: a systematic review … Improved incident reporting following the implementation of a standardized emergency department peer review

In Conversation With...Stephen Hines, PhD and Monika Haugstetter, MHA, MSN, RN, CPHQ about TeamSTEPPS 3.0 | PSNet

psnet.ahrq.gov/perspective/conversation-withstephen-hines-phd-and-monika-haugstetter-mha-msn-rn-cphq-about

February 28, 2024 - Given that TeamSTEPPS has been widely used across many care settings, what motivated AHRQ to review and … We also conducted an extensive literature review. … We consulted a useful literature review done as part of an AHRQ Making Healthcare Safer Report that … An integrative review concluded that the implementation of TeamSTEPPS has led to changes in clinical … Sentinel Event Data 2022 Annual Review. The Joint Commission; 2023. Accessed January 30, 2024.

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