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  1. 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 review of the literature supports the notion that specialized training of all personnel involved with … An initial file functionality review led to a change in file formats, from Word-based to HTML-based … application and theoretical) content development • Based on HRSA/AHRQ grant #1 D51 HP 1000401 Literature review … Self-directed learning in nurse education: a review of the literature.
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Behara.pdf
    January 01, 2004 - Institutional review board approval was obtained prior to the start of the study at all participating … by the affinity diagram technique.18 A series of meetings was held with the entire research team to review … Finally, as the framework took shape, a review of the original data was conducted to ensure that the
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Devine.pdf
    July 01, 2003 - Defining and establishing data elements The research team conducted a comprehensive review of the … Packet included an example of the signature of each prescriber whose prescriptions were undergoing review … Implementing ACPOE 193 Study methods Approval for the study was obtained from the Human Subjects Review … Because comprehensive review of each medication regimen was burdensome, review was narrowed to focus … The number of months included in the retrospective review of the CMR was decreased from 15 to 6, unless
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bayley.pdf
    January 01, 2004 - included a member-checking step in our analysis plan, whereby a liaison at each site was asked to review … The second was a review of charts within the residency program implementing the IT solution, to determine … Respondents also believed that PCPs might not carefully review discharge orders when they are received … Several of the failures emerging from the FMEA were corroborated via chart review. … A critical review of admission and discharge medications in an elderly Australian population.
  5. 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 - The guideline was largely adopted from the clinical review by Auerbach and Goldman and then adjusted … B-blockers and reduction of cardiac events in noncardiac surgery: scientific review. … The inability to contact providers or review medications would preclude safe decisionmaking regarding … A systematic review of the effect of continuing medical education strategies. … B-blockers and reduction of cardiac events in noncardiac surgery: scientific review.
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Baker.pdf
    February 01, 2005 - Specifically, we examine the purpose and strategy of each and then review the reported empirical evidence … 10 To facilitate this goal, ACRM training provides trainees with critical incident case studies to review … training module is comprised of a similar structure: pre-assigned readings, course introduction and review … Coaching, mentoring, and review sessions are also provided during regular work shifts.20 Table 1. … An extensive review of the literature produced one study on MedTeams—while another is ongoing—and one
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Karsh.pdf
    April 08, 2004 - programs are incorporating patient safety into medical education.4 The purpose of this chapter is to review
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schiff.pdf
    January 01, 2005 - Results: The authors summarize challenges encountered from their review of diagnosis error cases, presenting … We cannot afford to wait for a death, lawsuit, or manual review. … Administrative data based patient safety research: a critical review. … Changes in rates of autopsy-detected diagnostic errors over time: a systematic review. … Care record review of adverse events: a new approach. Qual Saf Health Care 2003;12:411–5. 49.
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Rogers.pdf
    January 01, 2003 - Usability Testing and the Relation of Clinical Information Systems to Patient Safety 365 Usability Testing and the Relation of Clinical Information Systems to Patient Safety Michelle L. Rogers, Emily Patterson, Roger Chapman, Marta Render Abstract Background: The success of clinical information systems depend…
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Kravitz.pdf
    February 09, 2005 - Baseline clinical data are obtained by chart review. … Anti-coagulation pharmacists routinely review the hospital charts of the vast majority of inpatients … Themes were identified through an iterative process of transcript review. … A descriptive feast but an evaluative famine: systematic review of published articles on primary care … Evaluating informatics applications— clinical decision support systems literature review.
  11. 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 - All of these sources were synthesized through a process of refinement, expert review, and testing. … In a systematic review of 102 controlled trials examining the effectiveness of strategies for changing … Conclusion and future developments In their review, experts confirmed the need for a planning tool. … No magic bullets: a systematic review of 102 trials of interventions to improve professional practice
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Patey.pdf
    January 01, 2004 - nontechnical skills and the use of behavioral marker systems in anesthesia was established, with a review … The identification and measurement of anaesthetists’ non- technical skills: a review of current literature
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Seger.pdf
    January 01, 2003 - rules were run on 4 months of data at both sites, possible ADEs were identified and validated by chart review … In addition, if a trigger had greater than 20 results and after review, no events were identified, the … We would review the programming process at both sites to ensure we were obtaining similar output from … Each site selected 50 random rule hits from the total results returned for chart review and at both … In addition, fewer resources are needed to capture events compared to chart review.
  14. 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 - Stanford EPC), which was commissioned by the Agency for Healthcare Research and Quality (AHRQ) to review … for evidence- Safe Practices for Better Health Care 25 based safe practices.11 This literature review … NQF Safe Practices Steering Committee, although by that time it was too late to influence how the review … Advances in Patient Safety: Vol. 4 26 must be done has to be clear enough that an auditor can review … minimum—being available for consultation with prescribers on medication ordering, interpretation and review
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Graham.pdf
    April 01, 2004 - Patient Safety Executive Walkarounds 223 Patient Safety Executive Walkarounds Suzanne Graham, John Brookey, Catherine Steadman Abstract Since the release of the IOM report To Err Is Human in 1999, significant progress has been made in patient safety. One of the remaining challenges is the need to continually…
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meurer.pdf
    January 01, 2004 - Each manual contains evidence- based guidelines, intervention recommendations, and review articles specific … Educational manuals and newsletters Using extensive literature review and examples of hospital best … Plan for prevention: measure, analyze, and review prior research and baseline data; identify areas for … • References, systematic scientific review articles, specific guidelines, predictors of medical injuries
  17. 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 - Based on an updated literature review and feedback, 10 items were added to the “Reasons Errors Occur … Following approval by the Institutional Review Board, faculty agreed to allow the investigators to approach … Adverse events in drug administration: a literature review. J Nurs Manag 2003;11:130–40. 8. … What we know about medication errors: a literature review. … Factors contributing to medication errors: a literature review.
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Lavelle_33.pdf
    March 12, 2008 - We obtained Institutional Review Board approval to share the results. … Preparation for the workshops included review of standardized medications and supplies. … Preparation for workshops Review • List of standardized medications on code carts and in pharmacy … • Providers request “nitroglycerin sublingual” Difficulty injecting dextrose through small IVs • Review … Patient safety concerns were identified through a review of the clinic quality incidents, observations
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Jack_28.pdf
    February 21, 2008 - Review the appropriate steps for what to do if a problem arises. … In the summer of 2006, the RED project was presented to the national health care community for review … Med Care Res & Review 2004; 61: 225-240. 10. Sox HC. … Pre-voting review for safe practices for better healthcare – 2006. … The hospital discharge: A review of a high-risk care transition with highlights of a re-engineered
  20. 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 - VTE Safety Toolkit and On-line Provider Training Module on VTE Prophylaxis will be reported in peer review … standards have also been clearly defined for both inpatients and outpatients, based on a complete review … Providers who are randomized to the intervention group will then review interactive case studies followed … Greenhalgh and colleagues’ recent systematic review of the diffusion of innovation literature emphasized … Diffusion of innovations in service organizations: Systematic review and recommendations.

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