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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73589/psn-pdf
    August 11, 2021 - ://psnet.ahrq.gov/issue/suicide-and-suicide-attempts-hospital-grounds-and-clinic-areas Researchers reviewed
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848814/psn-pdf
    May 10, 2023 - In this peer-reviewed commentary, the authors critique several components of the report.
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50911/psn-pdf
    February 19, 2020 - This article reviewed existing medication reconciliation strategies and found that many have poor accuracy
  4. Psn-Pdf (pdf file)

    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
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73984/psn-pdf
    October 20, 2021 - Using the Diagnostic Error Evaluation and Research (DEER) taxonomy, researchers reviewed 16 records
  6. Psn-Pdf (pdf file)

    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
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849136/psn-pdf
    May 17, 2023 - This peer-reviewed article discusses how one organization implemented an M&M program.
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36368/psn-pdf
    July 08, 2008 - https://psnet.ahrq.gov/issue/systematic-review-medication-errors-pediatric-patients The authors reviewed
  9. 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
  10. 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
  11. cdsic.ahrq.gov/sites/default/files/2023-07/StakeholderCenter2023Q2Report.pdf
    January 01, 2023 - The Workgroup support team completed a scoping review, including 58 peer-reviewed publications and 132 … The product will be reviewed by AHRQ’s Office of Communications prior to being finalized for posting … The reporting tool and accompanying narrative were tested and reviewed by six key informants for ease … Draft materials were also reviewed by Workgroup leads, members, and CDSiC leadership. … To develop the product, the Workgroup support team screened 70 peer-reviewed articles, conducted key
  12. 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
  13. Psn-Pdf (pdf file)

    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
  14. Psn-Pdf (pdf file)

    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
  15. Psn-Pdf (pdf file)

    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
  16. 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
  17. Psn-Pdf (pdf file)

    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
  18. Psn-Pdf (pdf file)

    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
  19. Psn-Pdf (pdf file)

    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
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40633/psn-pdf
    July 20, 2011 - /psnet.ahrq.gov/issue/report-burden-endemic-health-care-associated-infection-worldwide This report reviewed