-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Dingley_14.pdf
February 06, 2008 - health care professionals is one
of the leading causes of medical errors and patient harm.1, 2, 3 A review … focus on the key concepts of
leadership, briefings, monitoring, cross-checking, decisionmaking, and review … • Review appropriate parts of
the medical record (eg, flow
sheet, MAR, physician
notes/orders, … Huddles were utilized to review pertinent issues of the day (e.g., inoperable equipment or
rooms), to … Brief bulleted statements served as a guide for more detailed review.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Woods_78.pdf
July 23, 2008 - Overall review of the transcripts.
2. … Detailed review of a few text reports to formulate meaning.
3. … Review of additional reports to develop preliminary categories.
4. … Deductive review for parallelism and clarity of categories.
7. … These were refined through review by the remaining Peds Consortium investigators (Steps 4–6).
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Meyer_41.pdf
March 03, 2008 - Based on the literature review and input from our physician
we developed a simple set of
1. … Based on our review of ot
is
conducted a review of the literature for guidance and engaged in an extensive … review and
revision process with physician representatives. … Physicians who billed privately were required to submit wRVU data for review to be
eligible for the … Strategies to support quality-based purchasing: a
review of the literature.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-fairbanks_20.pdf
February 21, 2008 - We provide a review of
the current literature supporting the use of the EPh. … Medications are often dispensed directly, without
prospective pharmacy review of orders.
2
http … The
become more involved with review of medication instructions
t
inpatient pharmacy services … However, participants did not express a need for 100 percent review of orders but rather a
focus on … Medication errors
in emergency department settings – 5 year review
[abstract].
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Walsh_74.pdf
May 28, 2008 - Field, et al
200731
Chart review,
computer-generated
signals, and incident
report review
Medicare … , computer generated signal review, and incident report review, and found
a rate of 13.8 adverse drug … review—for the detection of medication errors in hospitals and skilled nursing facilities. … Using chart review to screen for
medication errors and adverse drug events. … Clinical reports and literature review. Clin
Pediatr 1989; 28: 525-528.
28.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Paige_6.pdf
January 24, 2008 - simulation-based
training at the point of care.
2
Prior to implementation, we obtained institutional review … A review of the individual item statements and corresponding
results revealed that participants perceived … Literature review. AHRQ Publication No. 05-
0053.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_15.pdf
February 26, 2008 - The
probabilities for error are identified based on a comprehensive review of the literature on human … follow good manufacturing practices.17
In 2002, the Joint Commission issued an alert based on the review … Based on a literature review, we
expected to find that nurses would
be able to identify the presence … Methods
The present study employed questionnaires (approved by the University of Utah Institutional
Review … their choosing), nurses completed the consent form required by the University of Utah’s
Institutional Review
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Sehgal_64.pdf
April 02, 2008 - perioperative beta-blocker use was identified as an important patient safety
intervention in an AHRQ technical review … The
taxonomy was designed by consensus and iterative review by our editorial team.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Campbell_47.pdf
March 11, 2008 - teaching hospital L&D unit between March 2005 and
August 2006 with approval of the hospital Institutional Review … Determinants of success of inpatient clinical
information systems: A literature review. … The impact of
electronic health records on time efficiency of
physicians and nurses: A systematic review … A systematic
review of computer-based patient record systems and
quality of care: More randomized clinical … Computer-based
guideline implementation systems: A systematic
review of functionality and effectiveness
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-StJacques_105.pdf
March 29, 2008 - as a physician creates
a clinical order, that order is sent directly to the pharmacy for pharmacist review
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_38.pdf
March 26, 2008 - A review of
infusion safety system software datasets from more than 100 individual hospitals revealed … infusion-related
medication errors.4, 10
5
Based on our institution’s best practice guidelines, a review … In-hospital
cardiopulmonary resuscitation: A 30-year review. … USP Quality
Review. Rockville, MD: USP Center for the
Advancement of Patient Safety; 2004.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_111.pdf
June 18, 2008 - In 2002, following an extensive review and systematic evaluation of its nursing practice by the
American … Respiratory depression associated with
patient-controlled analgesia: A review of eight cases. … In-hospital
cardiopulmonary resuscitation: A 30-year review.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Davis_60.pdf
April 07, 2008 - proactively identify and assess the severity of risks and prioritize actions.
1
Our literature review … The RCA was conducted based on the information
obtained during debriefings, the FMEA team’s review of … interpreter
on the phone, rather than wait for them to arrive on site; and having engineers do a site review
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-McCabe_39.pdf
March 28, 2008 - A
unifying review and some new results. Ind Eng Chem
Proc Des Dev 1982; 21: 308-323.
15.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Graham_77.pdf
March 05, 2008 - The Beth Israel Deaconess Medical Center
institutional review board approved the study in advance. … Interactions between herbal
medicines and prescribed drugs: A systematic review. … Herb-drug interactions:
Review and assessment of report reliability. … Detecting drug interactions:
A review of the literature. DICP 1990; 24: 982-989.
26.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Hook_25.pdf
February 26, 2008 - Despite an attempt to strictly limit the review to evidence relevant to the acute
care setting, many … Most authors reported that interventions were established based
on literature review and consensus … Risk factors and
risk assessment tools for falls in hospital in-patients: A
systematic review. … Falls risk
factors in the hospital setting: A systematic review. … A systematic review. J
Am Geriatr Soc 2000; 48: 1679-1689.
41. Lyons SS.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kline_32.pdf
March 03, 2008 - If a patient fell anywhere in the hospital during the pilot
period, a team responded to review the patient … The nurse leader and clinical nurse specialist on the unit review every patient fall according to
the … This review method has produced some noteworthy
results that have already led to system change.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Shah_99.pdf
March 23, 2008 - of Medical Specialties – Council of Medical Specialty
Societies (ABMS-CMSS) semantic and literature review … Sections
were developed and ordered based on a review of patient safety literature. … The Institutional Review
Board at the participating health care system approved the study.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Harney_89.pdf
May 01, 2007 - Ninety-four percent were
screened in real-time; 6 percent were evaluated by retrospective review. … The retrospective review included a review of
medical records of patients aged 18 years or younger that … On review of data obtained from the CHB Safety Events Reporting
System, adverse event rates in FY 2005 … A review of all readmissions since October 2004 that occurred within 3 months of original
diagnosis … The review revealed that due to the
complexity of six of these cases, clinical outcomes could not be
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Valade_46.pdf
May 05, 2008 - The Commission had 14 months in which to take public testimony, conduct a
complementary literature review … A
thorough review of these efforts is beyond the scope of this paper. … In its first round of deliberations, the Review Panel considered a series of reports—one for each
of … Additional
information or clarification requested by the Review Panel in its first round of meetings … To reach final consensus, the Review Panel and full Commission conducted a piece-by-piece
review of