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Showing results for "review of reported cases".

141. A System to Describe and Reduce Medical Errors in Primary Care (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kaprielian_9.pdf
     January 01, 2007 - Reviewers filled out a peer review sheet to indicate their opinion as to whether standard of care had … After each incident had been analyzed and peer review completed, the QI director assigned a primary … Each unit or division made local modifications to the reporting format and initial review process to … When a case was closed, it was cross-referenced in the peer review database of involved providers. … Additional physician and staff time are needed for coordination and department-level review.

142. Updating Systematic Reviews | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/evidence-based-reports/sysreviews.html
     April 01, 2018 - order to assess the extent to which they impact survival time (e.g., whether or not delays in the peer review … the occurrence of either a qualitative or quantitative signal for updating the original systematic review … No feature of the original review significantly predicted a signal for updating occurring within 2 years … or trials to see if any exist and determine if the results are consistent with the previous review. … Download Technical Review Updating Systematic Reviews Technical Review (Publication No. 07-0087)

143. Supporting recovery after adverse events: an essential component of surgeon well-being. | PSNet
     psnet.ahrq.gov/issue/supporting-recovery-after-adverse-events-essential-component-surgeon-well-being
     December 01, 2021 - April 5, 2023 Preventing patient harm via adverse event review: An APSA survey regarding … 23, 2019 Surgical safety checklists in children's surgery: surgeons' attitudes and review … March 17, 2021 Handoffs in the era of duty hours reform: a focused review and strategy … February 1, 2023 Transforming the medication regimen review process using telemedicine … May 11, 2022 Advanced medication reconciliation: a systematic review of the impact on

144. Occupational therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls leading to adverse events. | PSNet
     psnet.ahrq.gov/issue/occupational-therapy-utilization-veterans-dementia-retrospective-review-root-cause-analyses
     March 25, 2020 - Study Occupational therapy utilization in veterans with dementia: a retrospective review … Occupational therapy utilization in veterans with dementia: a retrospective review of root cause analyses … A systematic review at the Department of Veterans Affairs. … A scoping review. … September 14, 2022 Adverse event reporting priorities: an integrative review.

145. WebM&M Cases & Commentaries | PSNet
     psnet.ahrq.gov/Webmm
     May 01, 2021 - During medication review, the hospital team found that his prescribed warfarin dose was 4 mg daily on … The written radiology impression was not reviewed, nor did the care team independently review the CT

146. Screening for Syphilis Infection in Nonpregnant Adults: U.S. Preventive Services Task Force Recommendation Statement (pdf file)
     www.uspreventiveservicestaskforce.org/home/getfilebytoken/VhSwc46MPwjDPNsgVrVm-B
     June 07, 2016 - EVIDENCE REVIEW The USPSTF reviewed the evidence on screening for syphilis infection in asymptomatic, … Clinical Review & Education US Preventive Services Task Force | RECOMMENDATION STATEMENT jama.com ( … of expert review and public comment of the draft evidence report and draft recommendation statement … Screening for Syphilis in Nonpregnant Adolescents and Adults: Systematic Review to Update the 2004 US … Screening for syphilis: updated evidence report and systematic review for the US Preventive Services

147. C1 Prioritization Worksheet (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheet.pdf
     June 29, 2016 - Do we have a method to review PI progress on a regular basis? … Do we have a method to review PI progress on a regular basis? … Do we have a method to review PI progress on a regular basis? … Do we have a method to review PI progress on a regular basis? … Do we have a method to review PI progress on a regular basis?

148. Zero preventable deaths after traumatic injury: an achievable goal. | PSNet
     psnet.ahrq.gov/issue/zero-preventable-deaths-after-traumatic-injury-achievable-goal
     March 24, 2021 - Preventable deaths due to problems in care in English acute hospitals: a retrospective case record review … of prehospital triage tools for identifying major trauma in elderly injured patients: a systematic review … August 3, 2005 A systematic review of trauma crew resource management training: what … November 3, 2021 Accuracy of pediatric trauma field triage: a systematic review. … A systematic search and review.

149. Organisational factors associated with safety climate, patient satisfaction and self-reported medicines adherence in community pharmacies. | PSNet
     psnet.ahrq.gov/issue/organisational-factors-associated-safety-climate-patient-satisfaction-and-self-reported
     April 07, 2021 - management systems on work processes and safety of controlled medications in hospitals: a systematic review … 2022 Medicine self-administration errors in the older adult population: a systematic review … A systematic review and meta-analysis. … October 5, 2022 View More Related Resources A narrative review … January 25, 2023 Concerns regarding tablet splitting: a systematic review.

150. Findings | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/capacity/candor/demo-program/plan-grants/findings.html
     May 01, 2016 - of a “systemwide, evidence-based, ethical, and legally sound standardized recommended process.” 2 A review … Following the claims analysis and a literature review, two predischarge surveys were developed to identify … This project successfully developed a statewide pregnancy-associated mortality review (PAMR) system in … Experts in health care quality assurance and peer review developed criteria for such events that warrant … percent of respondents reporting being “very satisfied” or “satisfied” with the risk management/peer review

151. Are more experienced clinicians better able to tolerate uncertainty and manage risks? A vignette study of doctors in three NHS emergency departments in England. | PSNet
     psnet.ahrq.gov/issue/are-more-experienced-clinicians-better-able-tolerate-uncertainty-and-manage-risks-vignette
     March 08, 2023 - A systematic review. … A systematic review. … A systematic review and narrative synthesis. … A systematic review of the literature. … A review of evidence, practice and consumer perspectives.

152. Responding to serious medical error in general practice—consequences for the GPs involved: analysis of 75 cases from Germany. | PSNet
     psnet.ahrq.gov/issue/responding-serious-medical-error-general-practice-consequences-gps-involved-analysis-75-cases
     October 07, 2020 - October 19, 2022 Cognitive biases in internal medicine: a scoping review. … March 22, 2017 Evidence review conducted for the Agency for Healthcare Research and Quality … Automated capture of intraoperative adverse events using artificial intelligence: a systematic review … March 10, 2021 Systematic review and meta-analysis of interventions for operating room … July 21, 2021 Systematic review of intraoperative anesthesia handoffs and handoff tools

153. Screening for Chlamydial Infection: An Evidence Update (pdf file)
     www.uspreventiveservicestaskforce.org/home/getfilebytoken/REES__d2DxtDLhZCXQjpPW
     July 01, 2007 - Purpose: To summarize a systematic evidence review commis- sioned by the USPSTF in preparation for an … For studies of screening in non- pregnant women at increased risk, review was limited to random- ized … Preventive Services Task Force (USPSTF) commissioned a systematic review of the evi- dence regarding … This review considered screening in nonpregnant women, pregnant women, and men and rated the overall … Excluded on the basis of complete article review ( n = 16)* Included in systematic review ( n

154. Chapter 2. Determine Surgical Site Infection Rates (continued) | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/research/findings/final-reports/ssi/ssi2a.html
     April 01, 2018 - Study Sections for Scientific Peer Review Award Process Post-Award Grant Management … Sixty procedures were associated with SSI after manual chart review using NHSN methodology. … The modified algorithm flagged 804 procedures (or 37 percent of total charts) for review. … Assuming 20 minutes per chart for manual review, 57 work days (8 hours/day) of chart review would have … Algorithms could also facilitate review by annotating important aspects of the case.

155. Chapter 2. Determine Surgical Site Infection Rates (continued) | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssi2a.html
     April 01, 2018 - Study Sections for Scientific Peer Review Award Process Post-Award Grant Management … Sixty procedures were associated with SSI after manual chart review using NHSN methodology. … The modified algorithm flagged 804 procedures (or 37 percent of total charts) for review. … Assuming 20 minutes per chart for manual review, 57 work days (8 hours/day) of chart review would have … Algorithms could also facilitate review by annotating important aspects of the case.

156. Final Progress Report: The Role of Collective Mindfulness in Delivering Reliable and Safe Perioperative Care to Neonates (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/26069-France-draft-1.pdf
     March 29, 2022 - assessed our experts’ intra-rater reliability (IRR > 0.7) using existing methods.77,108,109,120 A review … processes, used the instrument to rate audible and observed high-reliability behaviors during the review … Patient safety in the NICU: a comprehensive review. Journal of Perinatal & Neonatal Nursing. … A systematic review of behavioural marker systems in healthcare: what do we know about their attributes … Method agreement analysis: a review of correct methodology. Theriogenology.

157. Final Progress Report: The Role of Collective Mindfulness in Delivering Reliable and Safe Perioperative Care to Neonates (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/26069-France-report.pdf
     March 29, 2022 - assessed our experts’ intra-rater reliability (IRR > 0.7) using existing methods.77,108,109,120 A review … processes, used the instrument to rate audible and observed high-reliability behaviors during the review … Patient safety in the NICU: a comprehensive review. Journal of Perinatal & Neonatal Nursing. … A systematic review of behavioural marker systems in healthcare: what do we know about their attributes … Method agreement analysis: a review of correct methodology. Theriogenology.

158. Communicating with patients about medical errors: a review of the literature. | PSNet
     psnet.ahrq.gov/issue/communicating-patients-about-medical-errors-review-literature
     March 06, 2005 - errors: a review of the literature. … Communicating with patients about medical errors: a review of the literature. … Communicating with patients about medical errors: a review of the literature. … A systematic review and meta-analysis. … A review of evidence, practice and consumer perspectives.

159. How will state medical boards handle cases involving disclosure and apology for medical errors? | PSNet
     psnet.ahrq.gov/issue/how-will-state-medical-boards-handle-cases-involving-disclosure-and-apology-medical-errors
     September 07, 2022 - Preferences and perceptions of medical error disclosure among marginalized populations: a narrative review … 3, 2022 Medication errors in overweight and obese pediatric patients: a systematic review … September 8, 2021 Advanced medication reconciliation: a systematic review of the impact … training interventions on safety culture and patient safety in emergency departments: a systematic review … December 16, 2020 Institution of just culture physician peer review in an academic medical

160. Surgical specimen management: a descriptive study of 648 adverse events and near misses. | PSNet
     psnet.ahrq.gov/issue/surgical-specimen-management-descriptive-study-648-adverse-events-and-near-misses
     December 22, 2021 - In this retrospective review, researchers looked at 648 reported adverse events and near misses involving … October 12, 2016 The effect of structured medication review followed by face-to-face … September 28, 2022 Pathology trainees rarely report safety incidents: a review of 13,722 … September 8, 2021 Advanced medication reconciliation: a systematic review of the impact … March 14, 2018 A systematic review of interventions to follow-up test results pending