Results

Total Results: over 10,000 records

Showing results for "review of reported cases".

9981. Facilitating Patient Understanding of Discharge Instructions: Workshop Summary. | PSNet
      psnet.ahrq.gov/issue/facilitating-patient-understanding-discharge-instructions-workshop-summary
      October 08, 2014 - September 28, 2022 Peer Review of a Report on Strategies to Improve Patient Safety. … Healthcare Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review … April 17, 2024 Certified Professional in Patient Safety Review Course. … August 19, 2020 The safety of health care for ethnic minority patients: a systematic review

9982. Assessment of requests for medication-related follow-up after hospital discharge, and the relation to unplanned hospital revisits, in older patients: a multicentre retrospective chart review. | PSNet
      psnet.ahrq.gov/issue/assessment-requests-medication-related-follow-after-hospital-discharge-and-relation-unplanned
      November 29, 2023 - and the relation to unplanned hospital revisits, in older patients: a multicentre retrospective chart review … and the relation to unplanned hospital revisits, in older patients: a multicentre retrospective chart review … November 29, 2023 The effect of structured medication review followed by face-to-face … October 27, 2021 Reliability and usability of a 7-minute chart review tool to identify … June 16, 2021 A scoping review of communication tools applicable to patients and their

9983. Medicare payment for selected adverse events: building the business case for investing in patient safety. | PSNet
      psnet.ahrq.gov/issue/medicare-payment-selected-adverse-events-building-business-case-investing-patient-safety
      November 02, 2005 - Determination of unnecessary blood transfusion by comprehensive 15-hospital record review … March 11, 2015 Diagnostic errors in the pediatric and neonatal ICU: a systematic review … September 24, 2014 A systematic review of behavioural marker systems in healthcare: what … March 10, 2010 Clinical review: Checklists—translating evidence into practice. … May 14, 2014 A systematic review of the effects of resident duty hour restrictions in

9984. Using an MET service to manage an acute thromboembolic stroke. | PSNet
      psnet.ahrq.gov/issue/using-met-service-manage-acute-thromboembolic-stroke
      July 26, 2006 - July 15, 2009 Documentation of clinical review and vital signs after major surgery. … February 7, 2024 Medication-related medical emergency team activations: a case review … February 7, 2024 Quality and reporting of large-scale improvement programmes: a review … March 2, 2011 Human reliability analysis: a critique and review for managers. … Scoping review. August 28, 2019 Patient error: a preliminary taxonomy.

9985. Four-year impact of an alert notification system on closed-loop communication of critical test results. | PSNet
      psnet.ahrq.gov/issue/four-year-impact-alert-notification-system-closed-loop-communication-critical-test-results
      October 28, 2015 - June 8, 2016 Collaborative case review: a systems-based approach to patient safety event … Interventions to improve follow-up of laboratory test results pending at discharge: a systematic review … evaluations of interventions to prevent and control health-care-associated infections: a systematic review … Artificial intelligence systems for complex decision-making in acute care medicine: a review … ECG and Missed Diagnosis Lead to Dangerous Delay March 1, 2018 A systematic review

9986. An electronic trigger based on care escalation to identify preventable adverse events in hospitalised patients. | PSNet
      psnet.ahrq.gov/issue/electronic-trigger-based-care-escalation-identify-preventable-adverse-events-hospitalised
      May 02, 2018 - The authors conclude that this modified trigger tool and record review procedure advances the methodology … June 30, 2021 Dashboards for visual display of patient safety data: a systematic review … March 13, 2013 A comparative review of patient safety initiatives for national health … March 6, 2019 System-related interventions to reduce diagnostic errors: a narrative review … events in healthcare: development and application of a classification schema based on retrospective review

9987. Patient Safety in Canada: An Update. | PSNet
      psnet.ahrq.gov/issue/patient-safety-canada-update
      December 04, 2019 - Electronic Medication Administration Records for the Prevention of Medication Transcription Errors: Review … December 21, 2005 AHRQ Health Information Technology Research: 2018 Year in Review. … September 4, 2019 Review of Alleged Patient Deaths, Patient Wait Times, and Scheduling … A systematic review of the literature. … September 4, 2013 Review into the Quality of Care and Treatment Provided by 14 Hospital

9988. A process for analysis of sentinel events due to health care–associated infection. | PSNet
      psnet.ahrq.gov/issue/process-analysis-sentinel-events-due-health-care-associated-infection
      January 22, 2014 - 2, 2022 E-prescribing and medication safety in community settings: a rapid scoping review … Drivers of unprofessional behaviour between staff in acute care hospitals: a realist review … Associations of physician burnout with career engagement and quality of patient care: systematic review … A systematic review. … September 30, 2020 A narrative review of strategies to increase patient safety event

9989. The threat within: mitigating the risk of medical error. | PSNet
      psnet.ahrq.gov/issue/threat-within-mitigating-risk-medical-error
      July 15, 2020 - March 24, 2021 Misdiagnosis of acute myocardial infarction: a systematic review of the … The efficacy of mindful practice in improving diagnosis in healthcare: a systematic review … January 20, 2021 Opioids and falls risk in older adults: a narrative review. … July 13, 2022 Interventions targeted at reducing diagnostic error: systematic review. … June 8, 2022 Impact of pharmacist-led multidisciplinary medication review on the safety

9990. Patient Safety Resource Centre. | PSNet
      psnet.ahrq.gov/issue/patient-safety-resource-centre
      February 10, 2010 - October 4, 2006 Strategies for Hospitals to Improve Patient Safety: A Review of the Literature … September 6, 2023 - September 7, 2023 Independent Mortality Review of Cardiac Surgery … between health information technology and safer-prescribing in the long-term care setting: a systematic review … potentially harmful preventable problems in primary care from the patient's perspective with clinician review

9991. Project BOOST implementation: lessons learned. | PSNet
      psnet.ahrq.gov/issue/project-boost-implementation-lessons-learned
      August 21, 2013 - June 14, 2017 Promoting effective transitions of care at hospital discharge: a review … August 22, 2018 I-CaRe: a case review tool focused on improving inpatient care. … May 23, 2012 Sleep and circadian misalignment for the hospitalist: a review. … February 11, 2009 The hospital discharge: a review of a high risk care transition with … August 17, 2016 Sleep and circadian misalignment for the hospitalist: a review.

9992. Surgical safety does not happen by accident: learning from perioperative near miss case studies. | PSNet
      psnet.ahrq.gov/issue/surgical-safety-does-not-happen-accident-learning-perioperative-near-miss-case-studies
      August 04, 2021 - September 7, 2022 Interventions to reduce pediatric medication errors: a systematic review … March 1, 2023 Human factors in anaesthesia: a narrative 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 … October 11, 2023 Look-alike medications in the perioperative setting: scoping review

9993. A cross-sectional study on the relationship between utilization of root cause analysis and patient safety at 139 Department of Veterans Affairs medical centers. | PSNet
      psnet.ahrq.gov/issue/cross-sectional-study-relationship-between-utilization-root-cause-analysis-and-patient-safety
      June 25, 2008 - Systemic vulnerabilities to suicide among veterans from the Iraq and Afghanistan conflicts: review … March 1, 2023 Review of alternatives to root cause analysis: developing a robust system … August 11, 2021 Strategies to reduce diagnostic errors: a systematic review October … July 19, 2023 Defining and studying errors in surgical care: a systematic review. … July 20, 2022 Pediatric surgical errors: a systematic scoping review.

9994. Clinical Pharmacy Specialists Provide Transitional Care and Improve Medication Safety After Discharge at Memphis Veterans Affairs Medical Center | PSNet
      psnet.ahrq.gov/innovation/clinical-pharmacy-specialists-provide-transitional-care-and-improve-medication-safety
      April 24, 2024 - A retrospective review over the course of a year following implementation of the TCC found the readmission … Veterans Affairs Medical Center ( VAMC) patients, are at increased risk for ADEs. 10 A systematic review … A review of the role of the pharmacist in heart failure transition of care. … Incidence of medication-related harm in older adults after hospital discharge: a systematic review. … Risk Mitigation Using the Anesthesia Risk Alert Program: Applying a Proactive Approach With Data Review

9995. MRI safety 10 years later. | PSNet
      psnet.ahrq.gov/issue/mri-safety-10-years-later
      December 10, 2014 - Preferences and perceptions of medical error disclosure among marginalized populations: a narrative review … August 10, 2022 A scoping review of real-time automated clinical deterioration alerts … Medication-related interventions delivered both in hospital and following discharge: a systematic review … 24, 2015 National and institutional trends in adverse events over time: a systematic review … and meta-analysis of longitudinal retrospective patient record review studies.

9996. Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults. | PSNet
      psnet.ahrq.gov/issue/cascade-iatrogenesis-factors-leading-development-adverse-events-hospitalized-older-adults
      May 30, 2012 - A systematic review of the literature. … August 1, 2012 Surgical adverse events: a systematic review. … : a systematic review. … September 11, 2013 The contribution of nurses to incident disclosure: a narrative review … July 10, 2013 A systematic review of the literature on the evaluation of handoff tools

9997. Reviewing methodologically disparate data: a practical guide for the patient safety research field. | PSNet
      psnet.ahrq.gov/issue/reviewing-methodologically-disparate-data-practical-guide-patient-safety-research-field
      April 26, 2017 - A systematic review of the literature. … A review of challenges and solutions. … A systematic review. … March 16, 2011 Systematic review of medication errors in pediatric patients. … validity of adverse event detection with record review.

9998. Inpatient notes: just what the doctor ordered—checklists to improve diagnosis. | PSNet
      psnet.ahrq.gov/issue/inpatient-notes-just-what-doctor-ordered-checklists-improve-diagnosis
      April 12, 2023 - April 10, 2024 Patient-initiated second opinions: systematic review of characteristics … March 5, 2014 Cognitive interventions to reduce diagnostic error: a narrative review. … 16, 2020 Closing the loop on test results to reduce communication failures: a rapid review … A review of evidence, practice and consumer perspectives. … Interventions to improve follow-up of laboratory test results pending at discharge: a systematic review

9999. Improving resident handoffs for children transitioning from the intensive care unit. | PSNet
      psnet.ahrq.gov/issue/improving-resident-handoffs-children-transitioning-intensive-care-unit
      October 19, 2022 - July 12, 2017 A systematic review on pediatric medication errors by parents or caregivers … March 28, 2018 Patient safety in marginalised groups: a narrative scoping review … May 26, 2010 Managing and mitigating conflict in healthcare teams: an integrative review … March 2, 2011 Clinical pharmacists and inpatient medical care: a systematic review. … July 2, 2014 A retrospective review of crisis events in diagnostic radiology: an analysis

10000. Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events. | PSNet
       psnet.ahrq.gov/issue/improving-situation-awareness-reduce-unrecognized-clinical-deterioration-and-serious-safety
       August 01, 2012 - May 18, 2022 Diagnostic error in pediatrics: a narrative review. … January 4, 2021 Diagnostic errors in the pediatric and neonatal ICU: a systematic review … evaluations of interventions to prevent and control health-care-associated infections: a systematic review … April 5, 2017 Effectiveness of random and focused review in detecting surgical pathology … August 28, 2013 PCA safety data review after clinical decision support and smart pump