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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/node/38009/psn-pdf
August 27, 2008 - 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 … https://psnet.ahrq.gov/issue/analysis-23364-patient-generated-physician-reviewed-malpractice-claims-non … https://psnet.ahrq.gov/issue/analysis-23364-patient-generated-physician-reviewed-malpractice-claims-non-tort-blame-free … https://psnet.ahrq.gov/issue/analysis-23364-patient-generated-physician-reviewed-malpractice-claims-non-tort-blame-free
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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/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/issue/analysis-23364-patient-generated-physician-reviewed-malpractice-claims-non-tort-blame-free
December 18, 2017 - 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/node/44324/psn-pdf
September 09, 2015 - 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/issue/screening-medication-errors-using-outlier-detection-system
December 18, 2019 - The charts were reviewed using a coding system to evaluate the utility of the alerts generated. … About 75% of the chart-reviewed alerts created by the screening system identified possible medication
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psnet.ahrq.gov/issue/incidence-and-types-preventable-adverse-events-elderly-patients-population-based-review
June 23, 2015 - This retrospective study reviewed 15,000 medical records following hospital discharge to determine the … These events were subsequently reviewed by two study investigators to judge preventability.
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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
Twitter
Linkedin
Email
Print
This monthly peer-reviewed
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psnet.ahrq.gov/node/33592/psn-pdf
December 15, 2024 - https://psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors
PSNet primers are regularly reviewed … Last reviewed in 2024. … The
physicians who reviewed his medical record judged that proper diagnostic management might have … of adverse events use a two-stage record review process in which patient
charts are independently reviewed
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psnet.ahrq.gov/node/44930/psn-pdf
June 01, 2016 - 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/node/34651/psn-pdf
March 04, 2011 - incidence-and-types-preventable-adverse-events-elderly-patients-population-
based-review
This retrospective study reviewed … These events were subsequently reviewed by two study investigators to judge preventability.
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psnet.ahrq.gov/issue/systematic-review-literature-multidisciplinary-rounds-design-information-technology
November 20, 2024 - The authors reviewed the literature on information tools used during multidisciplinary rounding and suggest
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psnet.ahrq.gov/node/45356/psn-pdf
May 09, 2017 - The charts
were reviewed using a coding system to evaluate the utility of the alerts generated. … About 75% of the chart-
reviewed alerts created by the screening system identified possible medication
-
psnet.ahrq.gov/node/33591/psn-pdf
March 15, 2025 - https://psnet.ahrq.gov/primer/triggers-and-trigger-tools
PSNet primers are regularly reviewed and updated … Last reviewed in 2025.
… After
a trigger is identified, the entire chart is reviewed to determine whether an adverse event took
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psnet.ahrq.gov/issue/developing-reporting-culture-learning-close-calls-and-hazardous-conditions
February 26, 2025 - 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/systematic-review-antimicrobial-urinary-catheters-prevent-catheter-associated-urinary-tract
October 19, 2022 - The investigators reviewed the literature on two types of antimicrobial urinary catheters and found that
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psnet.ahrq.gov/issue/care-concerns-and-deficiencies-facility-leaders-and-staffs-responses-following-medical
January 16, 2025 - Report No. 23-02958-203
This investigation from the VA Office of Inspector General (OIG) reviewed