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psnet.ahrq.gov/node/50911/psn-pdf
February 19, 2020 - This article reviewed existing
medication reconciliation strategies and found that many have poor accuracy
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psnet.ahrq.gov/node/74710/psn-pdf
January 26, 2022 - evolution-anesthesia-patient-safety-movement-america-lessons-learned-and-
considerations
The legacy of anesthesiology as a leader in patient safety is reviewed
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psnet.ahrq.gov/node/73984/psn-pdf
October 20, 2021 - Using the
Diagnostic Error Evaluation and Research (DEER) taxonomy, researchers reviewed 16 records
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psnet.ahrq.gov/node/837426/psn-pdf
June 15, 2022 - training in the United Kingdom identified a high rate of
prescribing errors (8.9% of prescriptions reviewed
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psnet.ahrq.gov/node/849136/psn-pdf
May 17, 2023 - This peer-reviewed article discusses how one organization implemented an
M&M program.
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psnet.ahrq.gov/node/839818/psn-pdf
November 09, 2022 - systems, error types associated with immobilization systems, and the influence of treatment position are
reviewed
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psnet.ahrq.gov/node/35841/psn-pdf
March 28, 2011 - https://psnet.ahrq.gov/issue/measuring-safety-climate-health-care
The authors reviewed 12 studies that
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digital.ahrq.gov/ahrq-funded-projects/enabling-health-care-decisionmaking-through-use-health-information-technology/annual-summary/2011
January 01, 2011 - The EPC conducted the comprehensive systematic literature search, reviewed and analyzed the existing … The final report synthesizes key knowledge gaps and existing peer-reviewed research to provide critical
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www.uspreventiveservicestaskforce.org/uspstf/public-comments-and-nominations/opportunity-for-public-comment
March 01, 2013 - finalizes the Evidence Review and prepares a manuscript summarizing the evidence for publication in a peer-reviewed … The final Recommendation Statement is reviewed and voted on by the full Task Force, and posted on this
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psnet.ahrq.gov/node/36368/psn-pdf
July 08, 2008 - https://psnet.ahrq.gov/issue/systematic-review-medication-errors-pediatric-patients
The authors reviewed
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/health-information-exchange_research-protocol.pdf
April 20, 2015 - To ensure accuracy, all excluded abstracts will
be reviewed by a second person. … Each
full-text article will be independently reviewed for eligibility by two team
members using the … Review of Key Questions
For all EPC reviews, KQs were reviewed and refined as needed by the EPC with … Key Informants are not
involved in analyzing the evidence or writing the report and have not reviewed … The Task Order Officer reviewed contract deliverables for adherence to
contract requirements and quality
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psnet.ahrq.gov/web-mm/missing-abscess-radiology-reads-digital-era
January 01, 2009 - substantially in the PACS/digital environment.( 8 ) Before the advent of PACS, a radiologist typically reviewed … separation of the report (EHR) from the images (PACS) has increased the frequency with which reports are reviewed … by clinicians without the images (as in this case) and images are reviewed without the report. … In this case, the gynecologist should have reviewed the images personally before entering the OR for … quickly and efficiently launch the EHR and find pertinent information based on the imaging study being reviewed
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/pressure-ulcer-prevention_research-protocol.pdf
January 10, 2012 - To ensure accuracy, all excluded abstracts will be dual reviewed. … Each full-text article will be independently reviewed for eligibility by two team members. … Each study evaluated will be dual reviewed for quality by two team members. … Review of Key Questions
For all EPC reviews, KQs were reviewed and refined as needed by the EPC … Key
Informants are not involved in analyzing the evidence or writing the report and have not
reviewed
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psnet.ahrq.gov/node/35727/psn-pdf
February 22, 2006 - psnet.ahrq.gov/issue/risk-medication-errors-hospital-discharge-and-barriers-problem-resolution
The authors reviewed
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psnet.ahrq.gov/node/35592/psn-pdf
June 17, 2010 - noise-levels-johns-hopkins-hospital
The investigators conducted a noise survey at Johns Hopkins Hospital and reviewed
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psnet.ahrq.gov/node/35457/psn-pdf
January 05, 2017 - examining-nurses-decision-process-medication-management-home-care
In this AHRQ-funded study, the investigators reviewed
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.33_slideshow.ppt
October 01, 2003 - After the patient was intubated for general anesthesia, the trainee reviewed her chart and noted that … Case (cont.): Wrong Side Surgery
The trainee informed the attending that he had just reviewed the chart … ” and did not reveal any evidence of cancer; whereas the pre-operative biopsies the pathologist had reviewed
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psnet.ahrq.gov/node/37459/psn-pdf
June 29, 2011 - https://psnet.ahrq.gov/issue/development-medical-checklists-improved-quality-patient-care
The authors reviewed
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psnet.ahrq.gov/node/33894/psn-pdf
April 11, 2011 - prevention-medication-errors-pediatric-inpatient-setting
Key areas of recommendations to improve medication safety are reviewed
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psnet.ahrq.gov/node/35873/psn-pdf
April 18, 2011 - https://psnet.ahrq.gov/issue/non-technical-skills-intensive-care-unit
The authors reviewed studies on