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psnet.ahrq.gov/issue/sarasota-memorial-hospital-reviewed-after-restrained-patient-dies
January 24, 2007 - Newspaper/Magazine Article
Sarasota Memorial Hospital reviewed after restrained patient
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psnet.ahrq.gov/issue/analysis-23364-patient-generated-physician-reviewed-malpractice-claims-non-tort-blame-free
July 26, 2023 - Study
Analysis of 23,364 patient-generated, physician-reviewed malpractice claims … Analysis of 23 364 patient-generated, physician-reviewed malpractice claims from a non-tort, blame-free … Analysis of 23 364 patient-generated, physician-reviewed malpractice claims from a non-tort, blame-free
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psnet.ahrq.gov/sites/default/files/2022-02/final_cme_reviewed_spotlight_loss_of_trust_and_a_missed_diagnosis_02.14.20221_-_clean_-_revised.pdf
January 01, 2022 - Microsoft PowerPoint - FINAL CME Reviewed Spotlight_Loss of Trust and a Missed Diagnosis_02.14.20221
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psnet.ahrq.gov/issue/improving-diagnosis-health-care-implementation-workshop
August 19, 2020 - This workshop discussed progress since the report's release and reviewed strategies for building on those
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psnet.ahrq.gov/issue/joint-commission-journal-quality-and-patient-safetytm
March 06, 2005 - Facebook
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This monthly peer-reviewed
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psnet.ahrq.gov/issue/surgical-simulation-systematic-review
June 27, 2007 - The analysts reviewed 30 randomized controlled trials and found that surgical simulation has not been
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.33_slideshow.ppt
October 01, 2003 - After the patient was intubated for general anesthesia, the trainee reviewed her chart and noted that … Case (cont.): Wrong Side Surgery
The trainee informed the attending that he had just reviewed the chart … ” and did not reveal any evidence of cancer; whereas the pre-operative biopsies the pathologist had reviewed
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psnet.ahrq.gov/web-mm/false-assumptions-result-missed-pneumothorax-after-bronchoscopy-transbronchial-biopsy
March 15, 2023 - The fellow assumed that the attending physician had reviewed the CXR and submitted the discharge orders … discussion among the care team members, it was apparent the fellow and attending each thought the other had reviewed … reviewed a cohort of 234 patients finding 89.7% of these patients had minimal bleeding (<5ml), 8.1% had … routine CXRs are taken after transbronchial biopsies for the evaluation of pneumothorax, they must be reviewed
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psnet.ahrq.gov/issue/how-well-quality-improvement-described-perioperative-care-literature-systematic-review
January 19, 2022 - patient safety in the perioperative setting , but many of these initiatives are not reported in peer-reviewed … The results suggest that standardized reporting guidelines may improve peer-reviewed articles about
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.127_slideshow.ppt
May 01, 2006 - The consulting orthopedist reviewed the x-ray report then briefly examined the patient. … Prior to making an incision, the orthopedist reviewed the x-ray and was shocked to notice that it was … A preoperative verification process to ensure that all studies and records are available, have been reviewed … the last moment when the orthopedist discovered that the presumptive diagnosis was wrong
The surgeon reviewed
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psnet.ahrq.gov/issue/role-organizational-and-professional-cultures-medication-safety-scoping-review-literature
February 12, 2020 - The authors reviewed over 40 articles and identified four themes influencing medication safety: (1) professional
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psnet.ahrq.gov/issue/developing-reporting-culture-learning-close-calls-and-hazardous-conditions
March 27, 2024 - An Annual Perspective reviewed the context of the no-blame movement and the recent shift toward a framework
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psnet.ahrq.gov/issue/nurse-workarounds-electronic-health-record-integrative-review
March 29, 2023 - The authors reviewed studies using qualitative and quantitative methods to describe nursing workarounds
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psnet.ahrq.gov/issue/prevalence-nature-severity-and-risk-factors-prescribing-errors-hospital-inpatients
October 22, 2014 - In this prospective study, pharmacists in 20 hospitals in the United Kingdom reviewed medication orders … More than 120,000 orders were reviewed over the 7-day study period, and prescribing errors were found … A 2014 AHRQ PSNet Annual Perspective reviewed current trends to address patient safety in medical education
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psnet.ahrq.gov/web-mm/over-counter-oversight
February 01, 2006 - During the preoperative visit, the patient's prescription medications were reviewed and updated in his … Postoperatively, the attending surgeon reviewed the patient's medications with him in detail and specifically … Even though he underwent a preoperative assessment during which his prescription medications were reviewed
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psnet.ahrq.gov/issue/evaluation-outpatient-computerized-physician-medication-order-entry-systems-systematic-review
February 14, 2024 - The authors reviewed the literature on computerized physician order entry (CPOE) in the outpatient
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psnet.ahrq.gov/issue/6-year-thematic-review-reported-incidents-associated-cardiopulmonary-resuscitation-calls
January 25, 2023 - A research team in one large UK tertiary hospital reviewed cardiac arrest calls and cardiopulmonary resuscitation
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psnet.ahrq.gov/issue/how-safe-prehospital-care-systematic-review
February 24, 2021 - This systematic review including both peer-reviewed studies and grey literature found that the incidence
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psnet.ahrq.gov/issue/negative-impact-nurse-physician-disruptive-behavior-patient-safety-review-literature
August 18, 2021 - The authors reviewed the existing literature on disruptive behavior by physicians, and concluded that
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psnet.ahrq.gov/issue/medication-related-medical-emergency-team-activations-case-review-study-frequency-and
August 03, 2022 - MET activations were prospectively reviewed at two Australian hospitals to determine the proportion of