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psnet.ahrq.gov/issue/impact-perioperative-catastrophes-anesthesiologists-results-national-survey
August 06, 2008 - August 6, 2008
The effect of structured medication review followed by face-to-face feedback … January 25, 2023
The safety of outpatient health care: review of electronic health records … August 10, 2016
Drug administration errors in hospital inpatients: a systematic review … September 24, 2008
Systematic review of medication errors in pediatric patients. … March 15, 2023
Human factors in anaesthesia: a narrative review.
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psnet.ahrq.gov/web-mm/liposuction-gone-awry
March 29, 2023 - One recent study used an internet and peer review reporting system to analyze 400,000 cases (since the … The role of subcutaneous infiltration in suction-assisted lipoplasty: a review. … Analysis of outpatient surgery center safety using an internet-based quality improvement and peer review … Quality Assessment and Quality Improvement Is there a type of peer review plan in effect … January 18, 2006
High Quality Care for All: NHS Next Stage Review Final Report.
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psnet.ahrq.gov/issue/family-matters-pharmacy-mix-ups
November 05, 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. … May 15, 2019
Patient safety in the NICU: a comprehensive review. … February 22, 2023
Concerns regarding tablet splitting: a systematic review.
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psnet.ahrq.gov/issue/use-expedited-review-tool-screen-prior-diagnostic-error-emergency-department-patients
December 16, 2020 - Study
Use of an expedited review tool to screen for prior diagnostic error in emergency … Use of an expedited review tool to screen for prior diagnostic error in emergency department patients … Use of the trigger tool reduces the mean review time by nearly ten minutes. … A systematic review and meta-analysis. … A systematic review and meta-analysis.
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psnet.ahrq.gov/issue/hastened-death-due-disease-burden-and-distress-has-not-received-timely-quality-palliative
July 08, 2020 - reduce the incidence of medical error and its financial burden in health care systems: a systematic review … April 21, 2021
A mixed-methods systematic review of interventions to address incivility … A systematic review and meta-analysis. … A systematic review and meta-analysis. … August 25, 2021
Use of an expedited review tool to screen for prior diagnostic error
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psnet.ahrq.gov/issue/resident-duty-hour-restrictions-and-neurosurgical-training-review-literature
September 23, 2020 - Review
On resident duty hour restrictions and neurosurgical training: review of the … On resident duty hour restrictions and neurosurgical training: review of the literature. … On resident duty hour restrictions and neurosurgical training: review of the literature. … : An umbrella review on crew resource management and its effectiveness. … Systematic review and meta-analysis of randomised controlled trials.
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psnet.ahrq.gov/issue/prevalence-triggers-and-patient-harm-identified-global-trigger-tool-specialized-palliative
June 14, 2023 - July 17, 2013
Is detection of adverse events affected by record review methodology? … integrated health information technologies across the phases of medication management: a systematic review … April 23, 2014
A literature review of the individual and systems factors that contribute … and meta-analysis of longitudinal retrospective patient record review studies. … Results from a retrospective records review using the Global Trigger Tool.
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psnet.ahrq.gov/issue/working-fixed-operating-room-team-consecutive-similar-cases-and-effect-case-duration-and
December 19, 2012 - September 16, 2015
The effect of structured medication review followed by face-to-face … August 29, 2021
Twenty-four/seven: a mixed-method systematic review of the off-shift … A narrative review. … October 14, 2016
Factors determining safety culture in hospitals: a scoping review. … and validity of adverse event detection with record review.
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psnet.ahrq.gov/issue/automated-capture-intraoperative-adverse-events-using-artificial-intelligence-systematic
March 22, 2023 - : a systematic review and meta-analysis. … A systematic review and meta-analysis. … A systematic review and meta-analysis. … A systematic review and meta-analysis. … March 15, 2023
Cognitive biases in surgery: systematic review.
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psnet.ahrq.gov/issue/adverse-events-anesthesia-integrative-review
February 24, 2021 - Review
Adverse Events in Anesthesia: An Integrative Review. … Adverse Events in Anesthesia: An Integrative Review. … Adverse Events in Anesthesia: An Integrative Review. … A narrative review. … March 15, 2023
Human factors in anaesthesia: a narrative review.
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psnet.ahrq.gov/issue/clinical-handover-patients-arriving-ambulance-emergency-department-literature-review
October 27, 2010 - Review
Clinical handover of patients arriving by ambulance to the emergency department … : a literature review. … Clinical handover of patients arriving by ambulance to the emergency department - a literature review … A scoping review. … A review of evidence, practice and consumer perspectives.
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psnet.ahrq.gov/issue/infants-risk-when-nurse-fatigue-jeopardizes-quality-care
September 13, 2006 - 2005
Psychosocial factors and safety in high-risk industries: a systematic literature review … 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. … September 2, 2015
12 h shifts and rates of error among nurses: a systematic review.
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psnet.ahrq.gov/issue/impact-age-anaesthesiologists-competence-narrative-review
December 12, 2012 - Review
Impact of age on anaesthesiologists' competence: a narrative review. … Impact of age on anaesthesiologists' competence: A narrative review. … This review discusses the impact of aging on anesthesiologists , criteria to assess competencies, … Impact of age on anaesthesiologists' competence: A narrative review. … March 22, 2023
Human factors in anaesthesia: a narrative review.
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psnet.ahrq.gov/issue/incident-and-error-reporting-systems-intensive-care-systematic-review-literature
July 15, 2015 - Review
Incident and error reporting systems in intensive care: a systematic review … Incident and error reporting systems in intensive care: a systematic review of the literature. … Incident and error reporting systems in intensive care: a systematic review of the literature. … A narrative review. … July 26, 2017
Adverse Events in Anesthesia: An Integrative Review.
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psnet.ahrq.gov/web-mm/pathologic-mistake
July 01, 2017 - The review reported reactive lymph nodes with hyalinization but no other features of Castleman, and normal … The error rates in pathology also vary by the type of review. … Preventive strategies such as double-reading (by two separate pathologists), case conference review ( … Castleman's disease—hyaline vascular type—clinical, cytological and histological features with review … A systematic review.
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psnet.ahrq.gov/issue/learning-tragedy-julia-berg-story
October 28, 2020 - This commentary provides a clinical review of a missed diagnosis of Epstein-Barr virus infection that … January 16, 2019
Diagnostic error in pediatrics: a narrative review. … March 27, 2013
Patient-initiated second opinions: systematic review of characteristics … March 5, 2014
Cognitive interventions to reduce diagnostic error: a narrative review. … A review of evidence, practice and consumer perspectives.
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psnet.ahrq.gov/issue/can-we-make-postoperative-patient-handovers-safer-systematic-review-literature
June 10, 2015 - Review
Can we make postoperative patient handovers safer? … A systematic review of the literature. … A systematic review of the literature. … A systematic review of the literature. … May 25, 2016
2017 update on pediatric medical overuse: a review.
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psnet.ahrq.gov/web-mm/saline-flush-leads-acute-paralysis-awake-patient-risks-improper-medication-labeling
February 01, 2019 - Facilitators and barriers to the implementation of surgical safety checklist (SSC): an integrative review … 15, 2023
Perioperative team-based morbidity and mortality conferences: a systematic review … October 11, 2023
Look-alike medications in the perioperative setting: scoping review … facilitators associated with the implementation of surgical safety checklists: a qualitative systematic review … Perioperative handoff enhancement opportunities through technology and artificial intelligence: a narrative review
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psnet.ahrq.gov/issue/deficiencies-provider-reported-interpreter-use-clinical-trial-comparing-telephonic-and-video
November 25, 2020 - 12, 2020
Medication errors in overweight and obese pediatric patients: a systematic review … December 2, 2020
A comprehensive departmental care review model: requirements, structure … Preferences and perceptions of medical error disclosure among marginalized populations: a narrative review … August 10, 2011
Advanced medication reconciliation: a systematic review of the impact … May 4, 2022
Anesthesiology patient handoff education interventions: a systematic review
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psnet.ahrq.gov/web-mm/40-k
April 01, 2015 - No Pharmacist Order Review and Uncontrolled Automatic Dispensing Cabinet Medications
Pharmacist review … When not performed (ie, due to emergency), order review should occur as quickly as possible. … In this case, the pharmacist review detected the error, but it was too late. … When medications must be obtained from an ADD and administered prior to pharmacist review, the order … should be sent to the pharmacy for review as soon as possible.