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  1. 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.
  2. 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).
  3. 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.
  4. 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].
  5. 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.
  6. 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.
  7. 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
  8. 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.
  9. 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
  10. 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
  11. 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.
  12. 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.
  13. 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
  14. 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.
  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.
  16. 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.
  17. 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.
  18. 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.
  19. 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
  20. 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

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