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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/vol2/Advances-Williams_115.pdf
    June 19, 2008 - The Rural Physician Peer Review Model©: A Virtual Solution The Rural Physician Peer Review Model©: … peer review deliberations within a hospital’s peer review processes. … Peer Review Within Specialty A major advantage of the Rural Physician Peer Review Model is that rural … If the participating physicians have any questions pertaining to the review or the peer review program … Pitfalls of peer review.
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Hougland_26.pdf
    October 01, 2011 - and tested on trial charts prior to initiation of formal chart review. … The same reviewers were used throughout the chart review process. … Reviewers were required to demonstrate competency before the chart review began. … Obviously, these codes can only be used for retrospective chart review. … Case record review of adverse events: A new approach.
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Cunningham_11.pdf
    January 29, 2008 - especially useful in improving organizational safety is goal setting (see Locke and Latham23 for a review … making an additional 67.5 hours of nursing time available each month.47 This is not an exhaustive review … Subsequently, the checklist is used to conduct systematic peer-to-peer behavioral observations, followed by a review … Diffusion of innovation in service organizations: Systematic review and recommendations. … The 100,000 lives campaign: A scientific and policy review.
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Rivard_97.pdf
    April 28, 2008 - Teaching hospitals and quality of care: A review of the literature. … Quality of care in teaching hospitals: A literature review. Acad Med 2005; 80: 458-466. 3. … Administrative data based patient safety research: A critical review. … A systematic review and methodologic critique of the literature. … Systematic review: Effects of resident work hours on patient safety.
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Donaldson_87.pdf
    April 23, 2008 - CalNOC’s experience prior to this project supported the findings of a systematic review suggesting that … Based on self-assessment and review of detailed CalNOC falls data from each hospital, site-specific … Site teams review, translate, and adapt literature; critique current practices and integrate potential … A systematic review of theoretic concepts, practical experience and research evidence in the adoption … Effect of clinical guidelines on medical practice: A systematic review of rigorous evaluations.
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Tupper_73.pdf
    March 20, 2008 - such as bar-coded systems for medications and patient identification and intensive medical record review … The study identified a set of 26 priority interventions based on a comprehensive review of the literature … hospitals indicated some resistance to change from nurses and physicians but found buy-in through the review … The review process was “jump-started” by the shared protocols, and each hospital review team was able
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Webster_76.pdf
    July 18, 2008 - include cancer in the differential diagnosis, and inadequate followup.8 In the ambulatory setting, a review … improving quality and safety will most likely target portions of the error chain.9 A literature review … translates well to (pre-procedure) brief prior to a surgical case, outpatient procedure, clinical shift, or review … Interventions in primary care to reduce medication related adverse events and hospital admissions: Systematic review
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-King_1.pdf
    April 07, 2008 - An earlier paper appeared in the Human Resources Management Review in 2006 and provides a similar review … A comprehensive review of the literature on the evidence-based relationship between teamwork and patient … An earlier review by Pizzi and colleagues33 had been published in an AHRQ report,34 which identified … Because this review focused only on CRM, a broader review was needed. … In addition to the literature review, DoD sought to examine their existing medical team training programs
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Scanlon_62.pdf
    March 25, 2008 - Chart review has been used in a number of studies to identify errors as a numerator. … In order for chart review to identify all errors, the following sequence of events must occur: Error … Reviewer recognizes each documented event during review. Error is attributed correctly. … The need for each of these additional steps to occur perfectly makes it less likely that chart review … Targeted chart review of pediatric patient safety events identified by the AHRQ PSI methodology.
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-woods_79.pdf
    May 30, 2008 - This set of categories, developed through a review of patient safety events, is appropriate for health … They are then modified iteratively through the review of a dedicated risk assessment team, according
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Dickerman_84.pdf
    June 04, 2008 - While the research base is small, a review of those studies and work published since demonstrates a … A review of the history of health care design (conducted by the authors) clearly supports the contention … On a more current note, a review of the American Institute of Architects’ Guidelines for Design and … , the apprentice or intern architect finds that every nonresidential building design must pass the review … (We are not suggesting waivers to life or public safety requirements, but rather to the review process
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Hueckel_27.pdf
    April 01, 2008 - Adding a proactive component to the RRS allows for a systematic review of patients at risk for clinical … a critical care resource to the medical and nursing staff outside of the ICU and to systematically review … Rapid Response and Rover Teams offer a critical-care resource to non-ICU providers for systematic review … Even though no patients were identified, these encounters still allowed for review of the patients,
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Simmons_66.pdf
    April 03, 2008 - small mistakes and problems, rather than from consequential adverse events, are rare.”1 The timely review … The employee can use this unique tracking number to re- access the system and review followup notes if
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Mokkarala_103.pdf
    June 16, 2008 - Identifying Source Ontologies Identification of source ontologies started with a literature review using … The taxonomies obtained from the literature review were evaluated for model coverage, utility, and validity … ultimate goal of preventing errors and improving patient safety. 13 Following a literature review
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Browne_5.pdf
    January 20, 2008 - Conducted annually, CCA consists of a review of all RCA findings from the previous year. … To understand how we have adapted CCA, it is important to first review our RCA methodology. … The goal is to have a thorough review through repeated questioning. … In a review of the process, these themes account for the majority of identified vulnerabilities and … Common cause analysis: A review and extension of existing methods.
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Stalhandske_71.pdf
    February 23, 2008 - We also conducted a review of the VA’s own tort claims settlement, which provided additional support … This led us to also perform a literature and regulatory review regarding emergency airway management … This was identified in our review of adverse events as a factor in some cases of failed management. … In the review of adverse outcomes in the VHA, several cases had presumed successful intubations only … However, a review of closed malpractice claims performed by the American Society of Anesthesiologists
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Hagg_80.pdf
    January 01, 2007 - A literature review. Jt Comm J Qual Patient Saf 2005; 31: 690-699. 22.
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Deis_82.pdf
    June 03, 2008 - Methods: A Mortality Review Task Force selects cases for presentation at the monthly MM&I. … The MM&I is part of our formal peer review and quality improvement processes sponsored by the offices … The resident coordinators also spend an additional 2 to 3 hours preparing a brief literature review … For example, pediatric radiologists are asked to review the appropriate imaging studies related to the … As part of the institution’s peer review and quality improvement processes, the MM&I discussion is
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Campbell-R_106.pdf
    April 14, 2008 - Efficacy of a clinical medication review on the number of potentially inappropriate prescriptions prescribed
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Engleman_86.pdf
    June 04, 2008 - labeling, changing suppliers to obtain parts, and current and future design improvements) came out of review … With the health care system’s permission, LabNet is piloting the use of a MedSun representative to review

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