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Total Results: over 10,000 records

Showing results for "review of reported cases".

121. Analysis of suicides reported as adverse events in psychiatry resulted in nine quality improvement initiatives. | PSNet
     psnet.ahrq.gov/issue/analysis-suicides-reported-adverse-events-psychiatry-resulted-nine-quality-improvement
     June 09, 2021 - Based on a multi-year chart review at one institution, the authors concluded that suicide risk assessment … May 4, 2022 Evolving factors in hospital safety: a systematic review and meta-analysis … June 9, 2021 A systematic review of methods for medical record analysis to detect adverse … June 15, 2022 Advanced medication reconciliation: a systematic review of the impact on … A systematic review and meta-analysis.

122. Opportunities to improve diagnosis in emergency transfers to the pediatric intensive care unit. | PSNet
     psnet.ahrq.gov/issue/opportunities-improve-diagnosis-emergency-transfers-pediatric-intensive-care-unit
     June 28, 2023 - online access to their electronic health records and linked online services: a systematic interpretative review … nature and causes of avoidable significant harm in primary care in England: retrospective case note review … The effectiveness and risks of long-term opioid therapy for chronic pain: a systematic review … September 13, 2023 Video review of simulated pediatric cardiac arrest to identify errors … Paediatric family activated rapid response interventions; qualitative systematic review

123. Vial Mistakes Involving Heparin | PSNet
     psnet.ahrq.gov/web-mm/vial-mistakes-involving-heparin
     October 04, 2023 - Nonetheless, review of a 207-hospital sample identified 15 different concentrations in drug libraries … A review of 54 hospitals' practices showed that 48% standardized units/hr for infusion pump programming … For example, orders for heparin are verbal, there is no pharmacist review, the heparin doses are prepared … October 31, 2023 Look-alike medications in the perioperative setting: scoping review … February 1, 2023 Medication errors: the year in review: January through December 2021

124. A model framework for patient safety training in chiropractic: a literature synthesis. | PSNet
     psnet.ahrq.gov/issue/model-framework-patient-safety-training-chiropractic-literature-synthesis
     November 07, 2018 - Review A model framework for patient safety training in chiropractic: a literature … This systematic review synthesizes prior literature to develop a framework for learning from adverse … November 7, 2018 Causes of use errors in ventilation devices--systematic review. … December 10, 2014 Systematic review of patient safety interventions in dentistry. … Scoping review.

125. A review of medication administration errors reported in a large psychiatric hospital in the United Kingdom. | PSNet
     psnet.ahrq.gov/issue/review-medication-administration-errors-reported-large-psychiatric-hospital-united-kingdom
     July 04, 2007 - Study A review of medication administration errors reported in a large psychiatric … A review of medication administration errors reported in a large psychiatric hospital in the United kingdom … A review of medication administration errors reported in a large psychiatric hospital in the United kingdom … Experiences and perspectives of transgender youths in accessing health care: a systematic review … A systematic review of current evidence.

126. Inaccuracy of ECG interpretations reported to the poison center. | PSNet
     psnet.ahrq.gov/issue/inaccuracy-ecg-interpretations-reported-poison-center
     January 20, 2021 - Automated detection of harm in healthcare with information technology: a systematic review … nature and causes of avoidable significant harm in primary care in England: retrospective case note review … and potential adverse events: incident reporting, pharmacist surveillance and local real-time record review … Analysis of a case and review of the literature. … emergency department visits and hospital admissions in pediatric patients: a qualitative systematic review

127. Radiographers' experience of preventing patient safety incidents in the context of radiological examinations. | PSNet
     psnet.ahrq.gov/issue/radiographers-experience-preventing-patient-safety-incidents-context-radiological
     December 20, 2017 - The efficacy of computer-enabled discharge communication interventions: a systematic review … Effect of burnout among physicians on observed adverse patient outcomes: a literature review … for comprehensive harm prevention strategies for adult patients in acute hospitals: an integrative review … 2019 Interorganizational complexity and organizational accident risk: a literature review … September 28, 2011 Is detection of adverse events affected by record review methodology

128. Annals Clinical Decision Making: avoiding cognitive errors in clinical decision making. | PSNet
     psnet.ahrq.gov/issue/annals-clinical-decision-making-avoiding-cognitive-errors-clinical-decision-making
     May 25, 2016 - June 6, 2018 Communicating uncertainty: a narrative review and framework for future research … April 19, 2023 Systematic review of malpractice litigation in the diagnosis and treatment … A systematic review of the literature. … February 1, 2023 Cognitive biases in surgery: systematic review. … March 19, 2014 A review of current and emerging approaches to address failure-to-rescue

129. Patient safety and diagnostic error: tips for your next shift. | PSNet
     psnet.ahrq.gov/issue/patient-safety-and-diagnostic-error-tips-your-next-shift
     March 06, 2005 - emergency department visits and hospital admissions in pediatric patients: a qualitative systematic review … Creating psychological safety in interprofessional simulation for health professional learners: a scoping review … February 19, 2014 Integrating human factors research and surgery: a review. … August 25, 2021 Errors in adult trauma resuscitation: a systematic review. … A review of evidence, practice and consumer perspectives.

130. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-277
     February 10, 2021 - : a systematic review and meta-analysis. … --a systematic review. … --a systematic review. … review and meta-analysis. … : a systematic review and meta-analysis.

131. Enhanced time out: an improved communication process. | PSNet
     psnet.ahrq.gov/issue/enhanced-time-out-improved-communication-process
     October 19, 2022 - February 7, 2007 An integrative review of the current evidence on the relationship between … intelligence to optimize medication alerts generated by clinical decision support systems: a scoping review … May 8, 2024 The safety of outpatient health care: review of electronic health records … Facilitators and barriers to the implementation of surgical safety checklist (SSC): an integrative review … checklist and patient outcomes after surgery: a prospective observational cohort study, systematic review

132. "Do no harm": promoting anti-racist policing in pediatric emergency departments through 20 practice change considerations. | PSNet
     psnet.ahrq.gov/issue/do-no-harm-promoting-anti-racist-policing-pediatric-emergency-departments-through-20-practice
     September 07, 2022 - Hospital- and system-wide interventions for health care-associated infections: a systematic review … September 15, 2015 A review of adverse event reports from emergency departments in the … March 16, 2022 Diagnostic error in the pediatric hospital: a narrative review. … February 17, 2021 Adverse events in emergency department boarding: a systematic review … June 9, 2021 The impact of medication reconciliation and review in patients using oral

133. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-315
     October 27, 2021 - This Week’s Featured Articles View the Weekly Issue Review … This review synthesizes research on nurses’ safety attitudes and subsequent impact on patient outcomes … Review Dashboards for visual display of patient safety data: a systematic review. … Review Systematic review: nurses' safety attitudes and their impact on patient outcomes … literature review.

134. Conversations on diagnostic uncertainty and its management among pediatric acute care physicians. | PSNet
     psnet.ahrq.gov/issue/conversations-diagnostic-uncertainty-and-its-management-among-pediatric-acute-care-physicians
     March 17, 2021 - November 16, 2022 Diagnostic error in pediatrics: a narrative review. … October 16, 2015 Diagnostic errors in pediatric critical care: a systematic review. … October 5, 2022 Diagnostic error in the pediatric hospital: a narrative review. … department medication orders that bypassed pharmacist review. … : An umbrella review on crew resource management and its effectiveness.

135. Nothing Called Small Surgery | PSNet
     psnet.ahrq.gov/web-mm/nothing-called-small-surgery
     February 01, 2023 - Safety of Epinephrine in Digital Nerve Blocks: A Literature Review. … A comprehensive review of epinephrine in the finger: to do or not to do. … Facilitators and barriers to the implementation of surgical safety checklist (SSC): an integrative review … March 8, 2023 Cognitive biases in surgery: systematic review. … causing variation in World Health Organization surgical safety checklist effectiveness-a rapid scoping review

136. Frederick mother's burning inspires daughter's activism. | PSNet
     psnet.ahrq.gov/issue/frederick-mothers-burning-inspires-daughters-activism
     July 10, 2019 - 2019 The potential of artificial intelligence to improve patient safety: a scoping review … Facilitators and barriers to the implementation of surgical safety checklist (SSC): an integrative review … March 15, 2023 Human factors in anaesthesia: a narrative review. … causing variation in World Health Organization surgical safety checklist effectiveness-a rapid scoping review

137. Patient safety in palliative care: a mixed-methods study of reports to a national database of serious incidents. | PSNet
     psnet.ahrq.gov/issue/patient-safety-palliative-care-mixed-methods-study-reports-national-database-serious
     May 16, 2018 - A systematic review. … April 28, 2010 Disclosure of patient safety incidents: a comprehensive review. … September 15, 2010 An international review of patient safety measures in radiotherapy … March 23, 2016 Paramedics and the effects of shift work on sleep: a literature review … March 27, 2024 The Top Five: A Review of Post-Pandemic Patient Safety Priorities.

138. Staff warned about the lack of psychiatric care at a VA clinic. They couldn’t prevent tragedy. | PSNet
     psnet.ahrq.gov/issue/staff-warned-about-lack-psychiatric-care-va-clinic-they-couldnt-prevent-tragedy
     December 12, 2018 - March 13, 2024 Certified Professional in Patient Safety Review Course. … June 1, 2022 Individualized medication review in older people with multimorbidity: a … December 23, 2020 Measuring safety in older adult care homes: a scoping review of the … October 5, 2022 Defining and studying errors in surgical care: a systematic review. … August 9, 2023 Racism in health services for adolescents: a scoping review.

139. Annual Perspective: Psychological Safety of Healthcare Staff | PSNet
     psnet.ahrq.gov/perspective/annual-perspective-psychological-safety-healthcare-staff
     November 16, 2022 - Psychological safety was noted as a frequent topic during the annual editorial review of featured articles … conversations, or overly shy team members (individual level) An independent study involving a systematic review … A systematic review of factors that enable psychological safety in healthcare teams. … February 1, 2023 Rooting an error review process in just culture: lessons learned. … Patient misidentification events in the Veterans Health Administration: a comprehensive review

140. Discrepancies between clinical and autopsy diagnosis and the value of post mortem histology: a meta-analysis and review. | PSNet
     psnet.ahrq.gov/issue/discrepancies-between-clinical-and-autopsy-diagnosis-and-value-post-mortem-histology-meta
     September 22, 2021 - Review Discrepancies between clinical and autopsy diagnosis and the value of post … mortem histology: a meta-analysis and review. … between clinical and autopsy diagnosis and the value of post mortem histology; a meta-analysis and review … A systematic review and meta-analysis. … A systematic review and meta-analysis.