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  1. psnet.ahrq.gov/primer/checklists
    September 15, 2024 - Citation UC Davis PSNet Editorial Team | December 15, 2024 PSNet primers are regularly reviewed … Last reviewed in 2024.
  2. psnet.ahrq.gov/primer/teamwork-training
    September 15, 2024 - Citation UC Davis PSNet Editorial Team | September 15, 2024 PSNet primers are regularly reviewed … Last reviewed in 2024.
  3. psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery
    September 15, 2024 - Citation UC Davis PSNet Editorial Team | December 15, 2024 PSNet primers are regularly reviewed … Last reviewed in 2024.
  4. psnet.ahrq.gov/primer/rapid-response-systems
    July 18, 2024 - Citation UC Davis PSNet Editorial Team | September 15, 2024 PSNet primers are regularly reviewed … Last reviewed in 2024.
  5. psnet.ahrq.gov/primer/disclosure-errors
    September 15, 2024 - Citation UC Davis PSNet Editorial Team | June 15, 2024 PSNet primers are regularly reviewed … Last reviewed in 2024. Background Many patients harmed by a medical error never learn of the error.
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33569/psn-pdf
    June 15, 2024 - /psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge PSNet primers are regularly reviewed … Last reviewed in 2024. Background Being discharged from the hospital can be dangerous.
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33568/psn-pdf
    June 15, 2024 - https://psnet.ahrq.gov/primer/root-cause-analysis PSNet primers are regularly reviewed and updated by … Last reviewed in 2024.  
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33567/psn-pdf
    June 15, 2024 - https://psnet.ahrq.gov/primer/handoffs PSNet primers are regularly reviewed and updated by the UC Davis … Last reviewed in 2024.
  9. psnet.ahrq.gov/sites/default/files/2024-03/delayed_diagnosis_and_treatment_of_sle.pdf
    January 01, 2024 - • The patient was discharged on hospital 10, but none of the treating physicians reviewed the test … may be implemented in electronic health record (EHR) systems to ensure that laboratory results are reviewed … (and marked as reviewed) … • If a critical laboratory result has not been reviewed within a certain time period, automatic prompts
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36629/psn-pdf
    January 05, 2017 - Patients' responses to open-ended questions were reviewed by physicians, who classified reported adverse
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37695/psn-pdf
    April 11, 2011 - Trained reviewers retrospectively reviewed all charts where a trigger was found for evidence of an adverse
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46897/psn-pdf
    October 13, 2018 - An Annual Perspective reviewed the context of the no-blame movement and the recent shift toward a framework
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36308/psn-pdf
    January 05, 2017 - If any of these triggers were present, the relevant portion of the chart was reviewed using methodology
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37004/psn-pdf
    July 08, 2008 - This study reviewed discharges from the medical service at an academic hospital to determine how often
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37386/psn-pdf
    January 06, 2017 - errors discovered at the time of reconciliation and noted a rate of 31 changes per 100 medications reviewed
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38538/psn-pdf
    January 02, 2017 - The investigators reviewed recommendations from 26 organizations and found wide variation in the types
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38295/psn-pdf
    May 27, 2010 - This study reviewed statutes from all 50 states to determine the current legal climate regarding physician
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45207/psn-pdf
    August 17, 2016 - systems and root cause analyses remain the main mechanisms by which adverse events are identified and reviewed
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39294/psn-pdf
    January 03, 2017 - This study reviewed nearly 400 articles to outline the seven primary functions of handoffs with each
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43859/psn-pdf
    May 28, 2015 - A prior AHRQ WebM&M perspective reviewed best practices for creating effective checklists.

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