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Showing results for "reviewed".

1. Psn-Pdf (pdf file)
   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

2. Prevalence, nature, severity and risk factors for prescribing errors in hospital inpatients: prospective study in 20 UK hospitals. | PSNet
   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

3. Microsoft PowerPoint - FINAL CME Reviewed Spotlight_Loss of Trust and a Missed Diagnosis_02.14.20221 - clean - REVISED.pptx (pdf file)
   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

4. Psn-Pdf (pdf file)
   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

5. Analysis of 23,364 patient-generated, physician-reviewed malpractice claims from a non-tort, blame-free, national patient insurance system: lessons learned from Sweden. | PSNet
   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

6. How well is quality improvement described in the perioperative care literature? A systematic review. | PSNet
   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

7. Screening for medication errors using an outlier detection system. | PSNet
   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

8. Incidence and types of preventable adverse events in elderly patients: population based review of medical records. | PSNet
   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.

9. Psn-Pdf (pdf file)
   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

10. Psn-Pdf (pdf file)
    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

11. Psn-Pdf (pdf file)
    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.

12. Psn-Pdf (pdf file)
    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

13. Psn-Pdf (pdf file)
    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

14. Adverse Events, Near Misses, and Errors | PSNet
    psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors
    March 30, 2022 - Citation UC Davis PSNet Editorial Team | December 15, 2024 PSNet primers are regularly reviewed … Last reviewed in 2024. … The physicians who reviewed his medical record judged that proper diagnostic management might have discovered … epidemiology of adverse events use a two-stage record review process in which patient charts are independently reviewed

15. A systematic review of the literature on multidisciplinary rounds to design information technology. | PSNet
    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

16. Developing a reporting culture: learning from close calls and hazardous conditions. | PSNet
    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

17. False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy. | PSNet
    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

18. Care Concerns and Deficiencies in Facility Leaders’ and Staff’s Responses Following a Medical Emergency at the Carl T. Hayden VA Medical Center in Phoenix, Arizona. | PSNet
    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

19. Evidence-based Recommendations for Best Practices in Weight Loss Surgery.  | PSNet
    psnet.ahrq.gov/issue/expert-panel-weight-loss-surgery-betsy-lehman-center-patient-safety-and-medical-error
    April 03, 2019 - Relevant literature was collected and reviewed to provide evidence-based recommendations.

20. Targeted Medication Safety Best Practices for Hospitals. | PSNet
    psnet.ahrq.gov/issue/targeted-medication-safety-best-practices-hospitals
    January 26, 2023 - The set of recommended practices has been reviewed and updated every two years since it was first developed