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psnet.ahrq.gov/issue/nurses-communication-safety-events-nursing-home-residents-and-families
September 23, 2020 - A previous WebM&M commentary reviewed efforts to enhance nursing home care quality.
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psnet.ahrq.gov/issue/advancing-diagnostic-excellence-older-adults-proceedings-workshop-brief
April 20, 2022 - The existing evidence base and strategies for the future are reviewed.
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psnet.ahrq.gov/issue/surgical-confusions-ophthalmology
November 16, 2022 - This retrospective study reviewed more than 100 cases to characterize common sources of confusion in
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psnet.ahrq.gov/issue/errors-mri-evaluation-musculoskeletal-tumors-and-tumorlike-lesions
September 04, 2019 - In this study, experienced musculoskeletal radiologists re-reviewed magnetic resonance imaging (MRI)
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psnet.ahrq.gov/issue/evidence-based-toolkit-development-effective-and-sustainable-root-cause-analysis-system
June 01, 2019 - The authors reviewed 334 root cause analyses (RCA) using systems science principles to create a toolkit
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psnet.ahrq.gov/issue/long-working-hours-safety-and-health-toward-national-research-agenda
November 16, 2022 - The authors reviewed literature and sought expert opinion to identify the reasons for and effects of
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psnet.ahrq.gov/issue/lessons-learned-medical-malpractice-claims-involving-critical-care-nurses
July 15, 2020 - This study reviewed medical malpractice claims data between 2007 and 2016 to describe the types of
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psnet.ahrq.gov/issue/unintentionally-retained-foreign-objects-descriptive-study-308-sentinel-events-and
March 20, 2019 - Researchers retrospectively reviewed 308 events involving unintentionally retained foreign objects that
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psnet.ahrq.gov/issue/medication-discrepancies-pediatric-hospital-discharge
January 29, 2020 - In this prospective study of pediatric inpatients, a significant proportion of records reviewed had at
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psnet.ahrq.gov/issue/association-between-opioid-prescribing-patterns-and-abuse-ophthalmology
April 12, 2019 - An Annual Perspective reviewed problematic prescribing practices that likely contribute to adverse
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psnet.ahrq.gov/issue/key-potentially-inappropriate-drugs-pediatrics-kids-list
September 23, 2020 - Pediatric Pharmacy Association developed an evidence-based list of candidate drugs which was then peer-reviewed
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psnet.ahrq.gov/issue/patient-safety-teams-recognised-bmj-awards
October 19, 2022 - problems related to medication errors, equipment, communication, or organization of care, which was then reviewed
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psnet.ahrq.gov/node/60615/psn-pdf
June 24, 2020 - Pediatric Pharmacy Association developed an evidence-based list of
candidate drugs which was then peer-reviewed
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psnet.ahrq.gov/node/60628/psn-pdf
July 14, 2020 - The
session reviewed how examining liability results can proactively focus organizational training and
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psnet.ahrq.gov/node/45993/psn-pdf
January 01, 2021 - In this retrospective
observational study, physicians reviewed medical records to determine underlying
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psnet.ahrq.gov/node/50685/psn-pdf
November 20, 2019 - The Leapfrog Hospital Safety Grade is peer-reviewed, fully
transparent and free to the public.
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psnet.ahrq.gov/node/865967/psn-pdf
May 29, 2024 - Cases
reviewed by the DMT were twice as likely to have a diagnostic conclusion (i.e., ruled in or ruled
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psnet.ahrq.gov/node/865869/psn-pdf
May 15, 2024 - outpatient
care (e.g., primary, radiology, emergency, ambulatory surgery) in Massachusetts in 2018, were reviewed
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psnet.ahrq.gov/node/867096/psn-pdf
November 06, 2024 - Of the
HAIs reviewed, non-COVID associated rates of ventilator-associated pneumonia not present on admission
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psnet.ahrq.gov/issue/systematic-review-effects-resident-work-hours-patient-safety
February 03, 2011 - The authors reviewed seven studies relating to the ACGME work hour limits and found that the research