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  1. psnet.ahrq.gov/primer/triggers-and-trigger-tools
    September 15, 2024 - Citation UC Davis PSNet Editorial Team | March 15, 2025 PSNet primers are regularly reviewed … Last reviewed in 2025.   … After a trigger is identified, the entire chart is reviewed to determine whether an adverse event took
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39711/psn-pdf
    July 28, 2010 - https://psnet.ahrq.gov/issue/revisiting-old-slides-how-worthwhile-it This study reviewed more than 2400
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36196/psn-pdf
    November 01, 2012 - https://psnet.ahrq.gov/issue/myths-and-realities-80-hour-work-week The authors reviewed the literature
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36456/psn-pdf
    May 27, 2011 - psnet.ahrq.gov/issue/evaluation-and-certification-computerized-physician-order-entry-systems The authors reviewed
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36151/psn-pdf
    September 29, 2010 - psnet.ahrq.gov/issue/communication-and-teamwork-patient-care-how-much-can-we-learn-aviation The authors reviewed
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35806/psn-pdf
    March 29, 2006 - follow-markedly-elevated-serum-potassium-results-ambulatory-setting- implications-patient The investigators reviewed
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44820/psn-pdf
    March 08, 2017 - information about the third cycle of an NQF patient safety project that solicited new measures and reviewed
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34603/psn-pdf
    September 29, 2017 - policy-part-2-3 The process for crafting a policy to support effective disclosure initiatives is reviewed
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37099/psn-pdf
    October 04, 2011 - errors-mri-evaluation-musculoskeletal-tumors-and-tumorlike-lesions In this study, experienced musculoskeletal radiologists re-reviewed
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35197/psn-pdf
    December 09, 2008 - psnet.ahrq.gov/issue/analysis-errors-enacted-surgical-trainees-during-skills-training-courses The authors reviewed
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35891/psn-pdf
    May 03, 2006 - https://psnet.ahrq.gov/issue/costs-and-benefits-health-information-technology The authors reviewed the
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36037/psn-pdf
    June 25, 2009 - psnet.ahrq.gov/issue/preventable-deaths-patients-admitted-emergency-department The authors retrospectively reviewed
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851886/psn-pdf
    August 02, 2023 - adults (those at least 70 years old) receiving cancer care who had an unplanned hospital admission were reviewed
  14. psnet.ahrq.gov/issue/introduction-improved-fda-prescription-drug-labeling
    September 29, 2010 - This teleconference discussed the 2006 FDA medication package insert design program and reviewed prescription
  15. psnet.ahrq.gov/issue/physician-burnout
    May 01, 2017 - An Annual Perspective discussed the relationship between burnout and patient safety and reviewed strategies
  16. psnet.ahrq.gov/issue/after-roe-challenges-provision-lifesaving-care
    September 23, 2015 - This webinar discussed a range of factors affected by abortion restrictions and reviewed options to
  17. psnet.ahrq.gov/issue/development-medical-checklists-improved-quality-patient-care
    March 23, 2011 - The authors reviewed the literature to determine a methodology for developing checklists that support
  18. psnet.ahrq.gov/issue/inter-rater-reliability-classification-system-hospital-adverse-drug-event-reports
    March 30, 2011 - Pharmacists and physicians reviewed medication error reports prepared by pharmacists to determine causative
  19. psnet.ahrq.gov/issue/developing-patient-safety-surveillance-system-identify-adverse-events-intensive-care-unit
    February 19, 2014 - This study reviewed the literature on different error surveillance systems and highlights what each
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49529/psn-pdf
    February 01, 2007 - Having not received a verbal signout from the primary intern, the cross-covering intern reviewed the … services, the pharmacist provides a chart note with specific recommendations about dosing, which is then reviewed … nurse noticed that no warfarin order was written, as part of her scope of practice, she should have reviewed … The covering intern should have reviewed the laboratory results prior to ordering the medication. … Take-Home Points When a medication, especially a high-risk one, is not ordered, the chart should be reviewed

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