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Showing results for "review of reported cases".

61. Evaluating the implementation and impact of a pharmacy technician-supported medicines administration service designed to reduce omitted doses in hospitals: a qualitative study. | PSNet
    psnet.ahrq.gov/issue/evaluating-implementation-and-impact-pharmacy-technician-supported-medicines-administration
    August 11, 2021 - Prevalence and nature of medication administration errors in health care settings: a systematic review … March 27, 2013 Causes of medication administration errors in hospitals: a systematic review … Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic review … and preventable adverse drug events in paediatric and neonatal intensive care settings: a systematic review … nature and causes of avoidable significant harm in primary care in England: retrospective case note review

62. Malpractice cases in breast surgery: an assessment of litigation involving surgeons. | PSNet
    psnet.ahrq.gov/issue/malpractice-cases-breast-surgery-assessment-litigation-involving-surgeons
    August 24, 2022 - May 18, 2022 Adverse event reporting priorities: an integrative review. … Determination of unnecessary blood transfusion by comprehensive 15-hospital record review … acceptability of using telehealth for follow-up of patients following cancer surgery: a systematic review … July 29, 2020 Patient safety strategies targeted at diagnostic errors: a systematic review … February 6, 2008 Medication-related medical emergency team activations: a case review

63. Checklists to reduce diagnostic error: a systematic review of the literature using a human factors framework. | PSNet
    psnet.ahrq.gov/issue/checklists-reduce-diagnostic-error-systematic-review-literature-using-human-factors-framework
    February 22, 2023 - Review Checklists to reduce diagnostic error: a systematic review of the literature … Checklists to reduce diagnostic error: a systematic review of the literature using a human factors framework … This review applied the Systems Engineering Initiative for Patient Safety 2.0 (SEIPS 2.0) human factors … October 26, 2022 Measuring safety in older adult care homes: a scoping review of the … A systematic review.

64. Two Wrongs Don't Make a Right (Kidney) | PSNet
    psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
    April 01, 2010 - Case Objectives Review the current definition of wrong-site surgery. … identified were leadership, communication, and human factors ( Table 2 ).( 3 ) In a recent systematic review … Either way, the surgeon would have been given the opportunity to review the imaging and identify the … Avoiding wrong site surgery: a systematic review. Spine. 2010;35:S28-S36. [go to PubMed] 3. … orientation, in-service education, competency assessment, supervision, staff credentialing, and peer review

65. Assessing the clinical, economic, and health resource utilization impacts of prefilled syringes versus conventional medication administration methods: results from a systematic literature review. | PSNet
    psnet.ahrq.gov/issue/assessing-clinical-economic-and-health-resource-utilization-impacts-prefilled-syringes-versus
    August 18, 2021 - Review Assessing the clinical, economic, and health resource utilization impacts … syringes versus conventional medication administration methods: results from a systematic literature review … syringes versus conventional medication administration methods: results from a systematic literature review … This review evaluated medication errors, wastage, time savings , and contamination in pre-filled syringes … syringes versus conventional medication administration methods: results from a systematic literature review

66. 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.

67. Retained Surgical Items: Definition and Epidemiology. | PSNet
    psnet.ahrq.gov/primer/retained-surgical-items-definition-and-epidemiology
    September 07, 2019 - incidence of RSIs has been estimated as 1.3 per 10,000 surgical procedures, according to a systematic review … A systematic literature review. … June 24, 2009 Medication errors in older people with mental health problems: a review … Facilitators and barriers to the implementation of surgical safety checklist (SSC): an integrative review … 18, 2023 Perioperative team-based morbidity and mortality conferences: a systematic review

68. Periodic Issue | PSNet
    psnet.ahrq.gov/periodic-issue/periodic-issue-383
    March 15, 2023 - Review The relationship between job stress and patient safety culture among nurses … : a systematic review. … This systematic review of seven articles identified a negative relationship between job-related stress … : a systematic review. … A systematic review and meta-analysis. Haerdtlein A, Debold E, Rottenkolber M, et al.

69. Systematic review of safety checklists for use by medical care teams in acute hospital settings—limited evidence of effectiveness. | PSNet
    psnet.ahrq.gov/issue/systematic-review-safety-checklists-use-medical-care-teams-acute-hospital-settings-limited
    July 29, 2020 - Review Systematic review of safety checklists for use by medical care teams in acute … Systematic review of safety checklists for use by medical care teams in acute hospital settings--limited … This systematic review of nine published studies of checklists also strikes a cautionary note, finding … A systematic literature review. … A review of evidence, practice and consumer perspectives.

70. Reporting of sentinel events in Swedish hospitals: a comparison of severe adverse events reported by patients and providers. | PSNet
    psnet.ahrq.gov/issue/reporting-sentinel-events-swedish-hospitals-comparison-severe-adverse-events-reported
    December 09, 2020 - A literature review. … May 20, 2009 Machine learning in medication prescription: a systematic review. … April 1, 2009 Missed injuries in trauma patients: a literature review. … Systematic review and meta-analysis of randomised controlled trials. … October 14, 2020 Scoping review of patients' attitudes about their role and behaviours

71. Are operating room distractions, interruptions, and disruptions associated with performance and patient safety? A systematic review and meta-analysis. | PSNet
    psnet.ahrq.gov/issue/are-operating-room-distractions-interruptions-and-disruptions-associated-performance-and
    December 02, 2020 - A systematic review and meta-analysis. … A systematic review and meta-analysis. … A systematic review. … A systematic review and meta-analysis. … A systematic review of the literature.

72. Factors causing variation in World Health Organization surgical safety checklist effectiveness-a rapid scoping review. | PSNet
    psnet.ahrq.gov/issue/factors-causing-variation-world-health-organization-surgical-safety-checklist-effectiveness
    December 08, 2021 - Review Factors causing variation in World Health Organization surgical safety checklist … effectiveness-a rapid scoping review. … This scoping review identified five categories of barriers to successful implementation of the WHO … A scoping review. … : An umbrella review on crew resource management and its effectiveness.

73. The “Great Pretender” (Syphilis) is Still Stumping Healthcare Providers | PSNet
    psnet.ahrq.gov/web-mm/great-pretender-syphilis-still-stumping-healthcare-providers
    April 01, 2018 - Even without a more in-depth history or physical examination findings, timely review of the laboratory … results, which were consistent with late latent syphilis, should have prompted a review of the patient … to recognize that the patient’s screening history interval was greater than one year; Failure to review … Implementing a robust system to review and verbally communicate laboratory results to patients, as per … Stigma in the HIV/AIDS epidemic: a review of the literature and recommendations for the way forward.

74. Over-the-Counter Oversight | PSNet
    psnet.ahrq.gov/web-mm/over-counter-oversight
    February 01, 2006 - can reduce medication errors.( 13-15 ) Moreover, a meta-analysis of 19 studies found that pharmacist review … medication reconciliation interventions involving pharmacy staff.( 17 ) While pharmacist medication review … provided to those obtaining a medication history, and processes must be in place to ensure careful review … Hospital-based medication reconciliation practices: a systematic review. … Blur June 24, 2020 Impact of pharmacist-led multidisciplinary medication review

75. How to perform a root cause analysis for workup and future prevention of medical errors: a review. | PSNet
    psnet.ahrq.gov/issue/how-perform-root-cause-analysis-workup-and-future-prevention-medical-errors-review
    May 17, 2017 - errors: a review. … May 3, 2023 Cognitive biases in surgery: systematic review. … A systematic review at the Department of Veterans Affairs. … A systematic review and meta-analysis. … A systematic review and meta-analysis.

76. Facilitated self-reported anaesthetic medication errors before and after implementation of a safety bundle and barcode-based safety system. | PSNet
    psnet.ahrq.gov/issue/facilitated-self-reported-anaesthetic-medication-errors-and-after-implementation-safety
    February 09, 2011 - March 1, 2023 Human factors in anaesthesia: a narrative review. … checklist and patient outcomes after surgery: a prospective observational cohort study, systematic review … Personal protective equipment (PPE) for surgeons during COVID-19 pandemic: a systematic review … September 1, 2010 Undermining and bullying in surgical training: a review and recommendations … Anaesthesia and patient safety in the socio-technical operating theatre: a narrative review

77. Types of diagnostic errors reported by paediatric emergency providers in a global paediatric emergency care research network. | PSNet
    psnet.ahrq.gov/issue/types-diagnostic-errors-reported-paediatric-emergency-providers-global-paediatric-emergency
    December 16, 2020 - January 15, 2020 System-related interventions to reduce diagnostic errors: a narrative review … August 28, 2013 Cognitive interventions to reduce diagnostic error: a narrative review … September 30, 2020 Patient-initiated second opinions: systematic review of characteristics … emergency department with cardiovascular and cerebrovascular or neurological symptoms: a systematic review … January 25, 2023 Diagnostic Errors in the Emergency Department: A Systematic Review.

78. Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia. | PSNet
    psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-anesthesia
    March 29, 2023 - Psychoactive substance use by truck drivers: a systematic review. … Effects of reducing or eliminating resident work shifts over 16 hours: a systematic review. … The impact of daytime napping on athletic performance - a narrative review. … January 31, 2024 Systematic review of the impact of physician work schedules on … June 28, 2023 Impact of fatigue on anaesthesia providers: a scoping review.

79. Preventing patient positioning injuries in the nonoperating room setting. | PSNet
    psnet.ahrq.gov/issue/preventing-patient-positioning-injuries-nonoperating-room-setting
    August 12, 2020 - This review presents strategies to prevent pressure injuries in the nonoperating room anesthesia (NORA … March 24, 2021 Safety in office-based anesthesia: an updated review of the literature … February 10, 2021 Patient engagement in the inpatient setting: a systematic review. … April 21, 2021 Ethical issues in patient safety research: a systematic review of the … November 23, 2005 Review of reported adverse events occurring among the homeless veteran

80. The Helsinki Declaration on Patient Safety in Anaesthesiology: the past, present and future. | PSNet
    psnet.ahrq.gov/issue/helsinki-declaration-patient-safety-anaesthesiology-past-present-and-future
    June 23, 2010 - Reduction in omission events after implementing a rapid response system: a mortality review … March 15, 2023 A mixed-methods systematic review of interventions to address incivility … and potential adverse events: incident reporting, pharmacist surveillance and local real-time record review … March 8, 2023 Human factors in anaesthesia: a narrative review. … August 11, 2021 Systematic review of intraoperative anesthesia handoffs and handoff tools