-
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
-
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
-
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
-
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
-
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
-
psnet.ahrq.gov/node/35806/psn-pdf
March 29, 2006 - follow-markedly-elevated-serum-potassium-results-ambulatory-setting-
implications-patient
The investigators reviewed
-
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
-
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
-
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
-
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
-
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
-
psnet.ahrq.gov/node/36037/psn-pdf
June 25, 2009 - psnet.ahrq.gov/issue/preventable-deaths-patients-admitted-emergency-department
The authors retrospectively reviewed
-
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
-
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
-
psnet.ahrq.gov/issue/physician-burnout
May 01, 2017 - An Annual Perspective discussed the relationship between burnout and patient safety and reviewed strategies
-
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
-
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
-
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
-
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
-
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