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Showing results for "review of reported cases".

21. Root cause analyses of reported adverse events occurring during gastrointestinal scope and tube placement procedures in the Veterans Health Association. | PSNet
    psnet.ahrq.gov/issue/root-cause-analyses-reported-adverse-events-occurring-during-gastrointestinal-scope-and-tube
    November 17, 2021 - In this retrospective review of root cause analysis (RCA) reports of select gastrointestinal procedures … RIS Download Citation Related Resources From the Same Author(s) Review … November 24, 2021 A review of adverse event reports from emergency departments in the … A systematic review at the Department of Veterans Affairs. … July 22, 2020 Defining diagnostic error: a scoping review to assess the impact of the

22. The New York Model: Root Cause Analysis Driving Patient Safety Initiative to Ensure Correct Surgical and Invasive Procedures (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Faltz_56.pdf
    March 27, 2008 - .15 In January 2006, after a serious wrong-side surgery event at a New York hospital in 2005 and a review … The expert committee assembled to review the data derived from the RCAs, identified commonalities in … After review by the Department of Health and approval by the Commissioner of Health, the protocol was … One study estimated that 1,200 to 2,700 events occur annually in the United States.20 Based on a review … A follow-up review of wrong site surgery; Oakbrook Terrace, IL: The Joint Commission; 2001 Dec 5.

23. Screening for Pancreatic Cancer: A Systematic Evidence Review for the U.S. Preventive Services Task Force (pdf file)
    www.uspreventiveservicestaskforce.org/home/getfilebytoken/CPCr9xB4m5UcxxoN_WuUQt
    August 01, 2019 - Screening for Pancreatic Cancer: A Systematic Evidence Review for the U.S. … Screening for Pancreatic Cancer: A Systematic Evidence Review for the U.S. … Our review addresses the following Key Questions (KQs): 1. … and a scan of the research conducted since the previous review (Figure 1). … Systematic Review of Pancreatic Cyst Fluid Biomarkers: The Path Forward.

24. Unintentional therapeutic errors involving insulin in the ambulatory setting reported to poison centers. | PSNet
    psnet.ahrq.gov/issue/unintentional-therapeutic-errors-involving-insulin-ambulatory-setting-reported-poison-centers
    June 06, 2018 - August 25, 2010 Description and yield of current quality and safety review in selected … How to perform a root cause analysis for workup and future prevention of medical errors: a review … Medication safety incidents associated with the remote delivery of primary care: a rapid review … syringes versus conventional medication administration methods: results from a systematic literature review … Reducing potential errors associated with insulin administration: an integrative review

25. Screening for Atrial Fibrillation With Electrocardiography: Evidence Report and Systematic Review for the USPSTF (pdf file)
    www.uspreventiveservicestaskforce.org/home/getfilebytoken/crPsNJ_R5SFnJhuT2CEpkr
    March 01, 2019 - Screening for Atrial Fibrillation With Electrocardiography: Evidence Report and Systematic Review for … Figure 1 shows the analytic framework and key questions (KQs) that guided the review. … Outdated systematic review superseded by more recent data: Systematic review had been updated and a more … Systematic review did not meet relevance criteria: Systematic review did not meet relevance criteria. … Limitations This review has several limitations.

26. Overlooked guide wire: a multicomplicated Swiss Cheese Model example. Analysis of a case and review of the literature. | PSNet
    psnet.ahrq.gov/issue/overlooked-guide-wire-multicomplicated-swiss-cheese-model-example-analysis-case-and-review
    September 15, 2021 - Analysis of a case and review of the literature. … Analysis of a case and review of the literature. … Analysis of a case and review of the literature. … July 19, 2023 Defining and studying errors in surgical care: a systematic review. … August 17, 2022 Pediatric surgical errors: a systematic scoping review.

27. Noise in the operating room—what do we know? A review of the literature. | PSNet
    psnet.ahrq.gov/issue/noise-operating-room-what-do-we-know-review-literature
    August 13, 2014 - Review Noise in the operating room—what do we know? … A review of the literature. Citation Text: Hasfeldt D, Laerkner E, Birkelund R. … A review of the literature. J Perianesth Nurs. 2010;25(6):380-6. doi:10.1016/j.jopan.2010.10.001. … A review of the literature. … March 15, 2023 Human factors in anaesthesia: a narrative review.

28. Treatment of Depression in Children and Adolescents: A Systematic Review - Evidence Summary (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/Evidence%20Summary_0.pdf
    April 01, 2020 - Treatment of Depression in Children and Adolescents: A Systematic Review - Evidence Summary Purpose … of Review The purpose of the review is to examine the benefits and harms of pharmacological and nonpharmacological … Scope and Key Questions Scope of the Review This systematic review (SR) addresses the efficacy, comparative … Covidence systematic review software. … Comparative Effectiveness Review No. 224.

29. Treatment of Depression in Children and Adolescents: A Systematic Review - Evidence Summary (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/related_files/Evidence%20Summary_0_0.pdf
    April 01, 2020 - Treatment of Depression in Children and Adolescents: A Systematic Review - Evidence Summary Purpose … of Review The purpose of the review is to examine the benefits and harms of pharmacological and nonpharmacological … Scope and Key Questions Scope of the Review This systematic review (SR) addresses the efficacy, comparative … Covidence systematic review software. … Comparative Effectiveness Review No. 224.

30. 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.

31. Role of nursing home quality on COVID-19 cases and deaths: evidence from Florida nursing homes. | PSNet
    psnet.ahrq.gov/issue/role-nursing-home-quality-covid-19-cases-and-deaths-evidence-florida-nursing-homes
    August 12, 2020 - September 16, 2020 Impact of pharmacist-led multidisciplinary medication review on the … family involvement in serious incident investigations from the perspectives of key stakeholders: a review … A systematic review and realist synthesis of interventions to enhance patient safety. … June 15, 2022 A systematic review on pediatric medication errors by parents or caregivers … February 23, 2022 Review of reported adverse events occurring among the homeless veteran

32. Frequency and type of errors and near errors reported by critical care nurses. | PSNet
    psnet.ahrq.gov/issue/frequency-and-type-errors-and-near-errors-reported-critical-care-nurses
    June 21, 2006 - November 11, 2020 The e-Autopsy/e-Biopsy: a systematic chart review to increase safety … September 14, 2022 Scoping review of studies evaluating frailty and its association with … October 16, 2019 Second victims and mindfulness: a systematic review. … involved health care professionals (second victims) following an adverse health event: a literature review … A systematic literature review.

33. A review of adverse event reports from emergency departments in the Veterans Health Administration. | PSNet
    psnet.ahrq.gov/issue/review-adverse-event-reports-emergency-departments-veterans-health-administration
    March 25, 2020 - Study A review of adverse event reports from emergency departments in the Veterans … A review of adverse event reports from emergency departments in the Veterans Health Administration. … A review of adverse event reports from emergency departments in the Veterans Health Administration. … November 22, 2017 Adverse event reporting priorities: an integrative review. … A systematic review at the Department of Veterans Affairs.

34. Insulin pumps have most reported problems in FDA database. | PSNet
    psnet.ahrq.gov/issue/insulin-pumps-have-most-reported-problems-fda-database
    December 18, 2019 - November 4, 2020 Defining diagnostic error: a scoping review to assess the impact of … COVID-19 and its associated safety-related research dimensions: a scientometric analysis and scoping review … April 27, 2022 The neglected barrier to medication use: a systematic review of difficulties … Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review … December 15, 2021 Causes of use errors in ventilation devices--systematic review.

35. Wrong-site craniotomy: analysis of 35 cases and systems for prevention. | PSNet
    psnet.ahrq.gov/issue/wrong-site-craniotomy-analysis-35-cases-and-systems-prevention
    November 16, 2022 - September 16, 2020 Prevention of failure to rescue in obstetric patients: a realist review … 2, 2020 Understanding ultrarare adverse events - lessons learned from a twelve-year review … April 10, 2024 Pediatric surgical errors: a systematic scoping review. … The need for surgical safety checklists in neurosurgery now and in the future - a systematic review … 2014 Effectiveness of the surgical safety checklist in correcting errors: a literature review

36. Safety cases for digital health innovations: can they work? | PSNet
    psnet.ahrq.gov/issue/safety-cases-digital-health-innovations-can-they-work
    April 13, 2022 - medication safety and patient outcomes on transition from adult intensive care settings: a systematic review … December 22, 2021 Systematic review and meta-analysis of interventions for operating … January 26, 2022 Interventions targeted at reducing diagnostic error: systematic review … August 3, 2022 A scoping review of real-time automated clinical deterioration alerts … April 7, 2021 Documenting the indication for antimicrobial prescribing: a scoping review

37. Reducing potential errors associated with insulin administration: an integrative review. | PSNet
    psnet.ahrq.gov/issue/reducing-potential-errors-associated-insulin-administration-integrative-review
    March 31, 2021 - review. … A systematic review and meta-analysis. … An integrative review and proposed model. … A systematic literature review. … A systematic review and meta-analysis.

38. Are online patient reviews associated with health care outcomes? A systematic review of the literature. | PSNet
    psnet.ahrq.gov/issue/are-online-patient-reviews-associated-health-care-outcomes-systematic-review-literature
    October 12, 2011 - A Systematic Review of the Literature. … A Systematic Review of the Literature. … A systematic review and meta-analysis. … A systematic review and meta-analysis. … A systematic review and meta-analysis.

39. Quali-quantitative analysis: a new model for evaluation of unusual cases in hospital performance? | PSNet
    psnet.ahrq.gov/issue/quali-quantitative-analysis-new-model-evaluation-unusual-cases-hospital-performance
    August 08, 2018 - Review Quali-quantitative analysis: a new model for evaluation of unusual cases in … Based on a review of hospital error literature, the author describes five criteria of high-quality hospital … October 8, 2014 A systematic review of evidence on the links between patient experience … June 16, 2010 Fatigue in nurses and medication administration errors: a scoping review … A systematic review.

40. Infections Avoided, Excess Costs Averted, and Changes in Mortality Rate | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicomp4c.html
    January 01, 2013 - Systematic Review Flowchart Appendix C. … Although prior systematic reviews have been conducted, this review differed in that it focused solely … Literature Review—Methods PubMed, EconLit, Biological Abstract and Science Direct were searched. … Literature Review—Results A total of 841 unique abstracts were identified. … A flowchart of the article review process can be found in Appendix B , and all excluded articles and