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Showing results for "review of reported cases".

61. Prevalence of triggers and patient harm identified by Global Trigger Tool in specialized palliative care. | PSNet
    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.

62. Incident and error reporting systems in intensive care: a systematic review of the literature. | PSNet
    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.

63. Automated capture of intraoperative adverse events using artificial intelligence: a systematic review and meta-analysis. | PSNet
    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.

64. Archived: Final Evidence Review: Gonorrhea: Screening | United States Preventive Services Taskforce
    www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-review40/gonorrhea-screening
    May 15, 2005 - archived Final Evidence Review Gonorrhea: Screening May 15, 2005 Recommendations … Download Final Evidence Review (PDF) Table of Contents Preface … This review is an update and includes only studies published since the last recommendations of the U.S … Papers were selected for full review if they addressed key questions in the target populations. … Preventive Services Task Force: a review of the process.

65. Archived: Final Evidence Review: Gonorrhea: Screening | United States Preventive Services Taskforce
    www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-review40/gonorrhea-screening-2005
    May 15, 2005 - WhatsApp Share to Email Print archived Final Evidence Review … Download Final Evidence Review (PDF) Table of Contents Preface … This review is an update and includes only studies published since the last recommendations of the U.S … Papers were selected for full review if they addressed key questions in the target populations. … Preventive Services Task Force: a review of the process.

66. Infants at risk: when nurse fatigue jeopardizes quality care. | PSNet
    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.

67. On resident duty hour restrictions and neurosurgical training: review of the literature. | PSNet
    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.

68. Adverse Events in Anesthesia: An Integrative Review. | PSNet
    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.

69. Family matters: pharmacy mix-ups. | PSNet
    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.

70. Published Projects | SRDR
    srdrplus.ahrq.gov/published_projects?page=9
    January 17, 2023 - Our review addressed three key questions: 1) Does screening for COPD improve health-related quality of … Because the previous review did not include non-pharmacologic interventions, we supplemented these searches … In addition, to review evidence for CRC incidence and mortality associated with aspirin use in primary … To further review harms associated with aspirin use. … Results of our review indicate differences in the risk-benefit profile between treatment formulations

71. Clinical handover of patients arriving by ambulance to the emergency department: a literature review. | PSNet
    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.

72. The New York Model: Root Cause Analysis Driving Patient Safety Initiative to Ensure Correct Surgical and Invasive Procedures (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-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.

73. Screening for Syphilis Infection in Nonpregnant Adults and Adolescents: Updated Evidence Report and Systematic Review for the USPSTF (pdf file)
    www.uspreventiveservicestaskforce.org/home/getfilebytoken/AYu2UEtRFR765BEXVyftT2
    April 13, 2021 - for Syphilis Infection in Nonpregnant Adults and Adolescents: Updated Evidence Report and Systematic Review … for Syphilis Infection in Nonpregnant Adults andAdolescents: Updated Evidence Report and Systematic Review … Questions around the diagnostic accuracy were not addressed in this review. … All poor-quality studies were excluded from this review. … It did not undergo additional peer review after submission to JAMA. 1.

74. Impact of age on anaesthesiologists' competence: a narrative review. | PSNet
    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.

75. Chapter 2. Determine Surgical Site Infection Rates (continued) | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/final-reports/ssi/ssi2a.html
    April 01, 2018 - Of all of the charts that the algorithm deemed positive and queued for review, we randomly selected up … 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.

76. Pathologic Mistake | PSNet
    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.

77. Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks of Improper Medication Labeling in an Operating Room | PSNet
    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

78. Learning from tragedy: the Julia Berg story. | PSNet
    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.

79. 40 of K | PSNet
    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.

80. The nature of reported safety events related to care coordination in the operating room setting in a tertiary academic center. | PSNet
    psnet.ahrq.gov/issue/nature-reported-safety-events-related-care-coordination-operating-room-setting-tertiary
    May 11, 2022 - March 16, 2022 Qualitative content analysis: a framework for the substantive review of … November 16, 2022 Systematic review and meta-analysis of interventions for operating … July 28, 2021 Advanced medication reconciliation: a systematic review of the impact on … September 1, 2021 Distraction in the operating room: a narrative review of environmental … A systematic review and meta-analysis.