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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
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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.
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psnet.ahrq.gov/issue/systematic-review-malpractice-litigation-diagnosis-and-treatment-acute-stroke
October 19, 2022 - Journal Article
Systematic review of malpractice litigation in the diagnosis and … Systematic Review of Malpractice Litigation in the Diagnosis and Treatment of Acute Stroke. … Analyzing nearly 300 medical malpractice cases related to acute care of stroke patients, this review … Systematic Review of Malpractice Litigation in the Diagnosis and Treatment of Acute Stroke. … June 15, 2016
Artificial intelligence versus clinicians: systematic review of design,
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psnet.ahrq.gov/issue/retrospective-review-medication-dose-errors-pediatric-emergency-department-medication-orders
December 09, 2020 - Study
Retrospective review for medication dose errors in pediatric emergency department … medication orders that bypassed pharmacist review. … Retrospective review for medication dose errors in pediatric emergency department medication orders that … bypassed pharmacist review. … bypassed pharmacist review.
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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
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A narrative review … January 25, 2023
Concerns regarding tablet splitting: a systematic review.
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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.
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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
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psnet.ahrq.gov/issue/how-health-care-systems-let-our-patients-down-systematic-review-suicide-deaths
October 19, 2022 - Review
How health care systems let our patients down: a systematic review into suicide … How health care systems let our patients down: a systematic review into suicide deaths. … This systematic review examined common systems factors affecting suicide deaths in mental health care … How health care systems let our patients down: a systematic review into suicide deaths. … January 30, 2005
Systematic review and evaluation of physiological track and trigger
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psnet.ahrq.gov/issue/patient-safety-strategies-psychiatry-and-how-they-construct-notion-preventable-harm-scoping
November 10, 2021 - Review
Patient safety strategies in psychiatry and how they construct the notion … of preventable harm: a scoping review. … This scoping review explores patient safety strategies used in psychiatry. … A scoping review. … A systematic review and meta-analysis.
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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.
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psnet.ahrq.gov/issue/missed-nursing-care-emergency-departments-scoping-review
November 03, 2021 - Review
Missed nursing care in emergency departments: a scoping review. … Missed nursing care in emergency departments: a scoping review. … This systematic review summarizes missed nursing care in emergency departments (ED). … Missed nursing care in emergency departments: a scoping review. … March 20, 2024
The Top Five: A Review of Post-Pandemic Patient Safety Priorities.
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psnet.ahrq.gov/issue/healthcare-resilience-meta-narrative-systematic-review-and-synthesis-reviews
June 10, 2020 - Review
Healthcare resilience: a meta-narrative systematic review and synthesis of … Healthcare resilience: a meta-narrative systematic review and synthesis of reviews. … This review-of-reviews examines the definitions of resilience across the hierarchical levels of healthcare … Healthcare resilience: a meta-narrative systematic review and synthesis of reviews. … March 14, 2012
A systematic review of primary care safety climate survey instruments:
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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
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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
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psnet.ahrq.gov/issue/how-well-do-we-communicate-comparison-intraoperative-diagnoses-listed-pathology-reports-and
October 23, 2019 - October 19, 2016
A comparative review of patient safety initiatives for national health … : An umbrella review on crew resource management and its effectiveness. … March 1, 2017
On resident duty hour restrictions and neurosurgical training: review of … October 27, 2021
Systematic review of the impact of physician implicit racial bias on … September 23, 2009
Patient safety in the NICU: a comprehensive review.
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psnet.ahrq.gov/issue/electronic-diagnostic-support-emergency-physician-triage-qualitative-study-thematic-analysis
October 27, 2021 - 3, 2021
Including the reason for use on prescriptions sent to pharmacists: scoping review … clinician diagnostic performance with machine learning–based decision support systems: a systematic review … May 12, 2021
A 6-year thematic review of reported incidents associated with cardiopulmonary … July 21, 2021
Evolving factors in hospital safety: a systematic review and meta-analysis … of prehospital triage tools for identifying major trauma in elderly injured patients: a systematic review
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psnet.ahrq.gov/issue/interventions-improve-follow-laboratory-test-results-pending-discharge-systematic-review
May 19, 2021 - Review
Interventions to improve follow-up of laboratory test results pending at discharge … : a systematic review. … Interventions to Improve Follow-Up of Laboratory Test Results Pending at Discharge: A Systematic Review … Interventions to Improve Follow-Up of Laboratory Test Results Pending at Discharge: A Systematic Review … July 15, 2015
Cognitive interventions to reduce diagnostic error: a narrative review.
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psnet.ahrq.gov/issue/leading-causes-anesthesia-related-liability-claims-ambulatory-surgery-centers
March 29, 2023 - March 10, 2021
Safety in office-based anesthesia: an updated review of the literature … September 22, 2021
Institution of just culture physician peer review in an academic medical … October 19, 2022
Test-retest reliability of an experienced Global Trigger Tool review … May 19, 2021
A review of adverse event reports from emergency departments in the Veterans … February 15, 2006
Defining diagnostic error: a scoping review to assess the impact of
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psnet.ahrq.gov/issue/impact-improving-teamwork-patient-outcomes-surgery-systematic-review
May 13, 2020 - Review
The impact of improving teamwork on patient outcomes in surgery: a systematic … review. … The impact of improving teamwork on patient outcomes in surgery: A systematic review. … This review of teamwork training trials in surgical settings demonstrated mixed evidence as to whether … The impact of improving teamwork on patient outcomes in surgery: A systematic review.
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psnet.ahrq.gov/issue/human-factor
August 13, 2014 - clinical decision-making of people with serious mental illness and medical co-morbidities: a scoping review … 3, 2021
National and institutional trends in adverse events over time: a systematic review … and meta-analysis of longitudinal retrospective patient record review studies. … Epidemiology of healthcare harm in New Zealand general practice: a retrospective records review … May 15, 2019
Patient safety in the NICU: a comprehensive review.