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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.
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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
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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
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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.
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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.
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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
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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
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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.
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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…
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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.
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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
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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
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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.
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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
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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…
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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
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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.
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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
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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
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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.