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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.
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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.
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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.
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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.
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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.
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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
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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-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
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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-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
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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.
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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
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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
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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-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,
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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
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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
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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.
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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
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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.
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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
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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
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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