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Showing results for "reviews".

121. Comparison of military and civilian methods for determining potentially preventable deaths: a systematic review. | PSNet
     psnet.ahrq.gov/issue/comparison-military-and-civilian-methods-determining-potentially-preventable-deaths
     October 19, 2022 - This systematic review compared military mortality reviews to nonmilitary studies of pre- or in-hospital … mortality reviews.

122. Evolution of intravenous medication errors and preventive systemic defenses in hospital settings-a narrative review of recent evidence. | PSNet
     psnet.ahrq.gov/issue/evolution-intravenous-medication-errors-and-preventive-systemic-defenses-hospital-settings
     July 01, 2020 - This narrative review updates previous reviews characterizing the systematic causes of , and defenses … Compared to prior reviews, the researchers identified more studies using systems-based risk management

123. Use of an expedited review tool to screen for prior diagnostic error in emergency department patients. | PSNet
     psnet.ahrq.gov/issue/use-expedited-review-tool-screen-prior-diagnostic-error-emergency-department-patients
     December 16, 2020 - Retrospective case reviews are a common method to identify potential adverse events. … Because these reviews can be time-intensive, electronic trigger tools are frequently used to expedite

124. Focus on Patient Safety. | PSNet
     psnet.ahrq.gov/issue/focus-patient-safety
     January 23, 2008 - This volume includes research and reviews related to patient safety standards and practices in nursing … January 23, 2008 Are online patient reviews associated with health care outcomes?

125. National Healthcare Quality and Disparities Reports. | PSNet
     psnet.ahrq.gov/issue/national-healthcare-quality-and-disparities-reports
     December 24, 2008 - In this annual publication, AHRQ reviews the results of the National Healthcare Quality Report and National … It also reviews the current status of special areas of interest such as telehealth  and nursing home

126. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39995/psn-pdf
     November 10, 2010 - patient-safety-papers-4 https://psnet.ahrq.gov/issue/building-safer-systems-through-critical-occurrence-reviews-nine-years-learning … https://psnet.ahrq.gov/issue/building-safer-systems-through-critical-occurrence-reviews-nine-years-learning

127. Influence of a general practice pharmacist on medication management for patients at risk of medicine-related harm: a qualitative evaluation. | PSNet
     psnet.ahrq.gov/issue/influence-general-practice-pharmacist-medication-management-patients-risk-medicine-related
     May 19, 2021 - December 15, 2021 A realist synthesis of pharmacist-conducted medication reviews in primary … December 2, 2020 In-home medication reviews: a novel approach to improving patient care … October 28, 2009 Post-discharge medication reviews for patients with heart failure: a

128. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39828/psn-pdf
     January 12, 2012 - reviewing-methodologically-disparate-data-practical-guide-patient-safety- research-field This article serves as a tutorial for systematic reviews … and discusses the role of such reviews in patient safety improvement work.

129. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46822/psn-pdf
     April 12, 2019 - conducted a three-arm randomized controlled trial comparing the effect of pharmacist- delivered medication reviews … psnet.ahrq.gov/primer/medication-reconciliation https://psnet.ahrq.gov/issue/do-pharmacist-led-medication-reviews-hospitals-help-reduce-hospital-readmissions-systematic

130. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33830/psn-pdf
     March 22, 2016 - Some hospitals conduct standardized reviews of deaths in order to identify individual clinician issues … These may be performed as part of trigger tool-based reviews to identify broader safety issues or as … Structured retrospective death reviews can potentially be very useful, but are also quite labor intensive … Identifying preventable harm through death reviews should be viewed as part of an overall strategy to … Structured reviews of inpatient deaths are an important part of this process, but they tend to identify

131. Reviewing methodologically disparate data: a practical guide for the patient safety research field. | PSNet
     psnet.ahrq.gov/issue/reviewing-methodologically-disparate-data-practical-guide-patient-safety-research-field
     April 24, 2018 - This article serves as a tutorial for systematic reviews and discusses the role of such reviews in patient

132. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47154/psn-pdf
     May 23, 2018 - comparison-military-and-civilian-methods-determining-potentially-preventable- deaths This systematic review compared military mortality reviews … to nonmilitary studies of pre- or in-hospital mortality reviews.

133. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44463/psn-pdf
     September 16, 2015 - of context on the effectiveness of hospital quality improvement strategies: a review of systematic reviews … of context on the effectiveness of hospital quality improvement strategies: a review of systematic reviews

134. Reducing preventable harm in hospitals. | PSNet
     psnet.ahrq.gov/issue/reducing-preventable-harm-hospitals
     March 16, 2016 - safeguards to prevent system failures that can result in patient harm , this two-part newspaper article reviews … October 5, 2015 Driving Learning and Improvement After RCA2 Event Reviews.

135. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34691/psn-pdf
     May 18, 2016 - With reference to Reason, he briefly reviews the cognitive psychology of human error, distinguishing … He reviews several specific systems modifications to accomplish this transformation, as well as advocates

136. AHRQ PSNet Webinar (pdf file)
     psnet.ahrq.gov/sites/default/files/2025-03/PSNet%20Webinar%20Feb%202025_0.pdf
     January 01, 2025 - History of MHS • 1999 Institute of Medicine: To Err is Human • MHS Reports – collection of evidence reviews … 11 Rapid Reviews & Rapid Responses • For rapid reviews, strategic adjustments were made to streamline … • MHS IV Methods ➢ Searched PubMed & Cochrane Library for systematic reviews & primary studies ( … 2018-2023) ➢ 4 reviews, 19 primary studies 21 RRS versus no RRS: Mortality 22 Study Study Type … Slide 12: Rapid Reviews & Rapid Responses Slide 13: Topics Slide 14: Technical Expert Voting Slide

137. Recommendations for the safety of hospitalised patients in the context of the COVID-19 pandemic: a scoping review. | PSNet
     psnet.ahrq.gov/issue/recommendations-safety-hospitalised-patients-context-covid-19-pandemic-scoping-review
     April 14, 2021 - This review summarized safety recommendations from 125 studies, reviews, and expert consensus documents … August 16, 2023 Adverse event reviews in healthcare: what matters to patients and their

138. Email for communicating results of diagnostic medical investigations to patients. | PSNet
     psnet.ahrq.gov/issue/email-communicating-results-diagnostic-medical-investigations-patients
     December 14, 2016 - Cochrane Database of Systematic Reviews. 2012. doi:10.1002/14651858.cd007980.pub2. … Cochrane Database of Systematic Reviews . 2012. … Cochrane Database of Systematic Reviews. 2012. doi:10.1002/14651858.cd007980.pub2.

139. Implementing Optimal Team-Based Care to Reduce Clinician Burnout. | PSNet
     psnet.ahrq.gov/issue/implementing-optimal-team-based-care-reduce-clinician-burnout
     January 16, 2019 - This discussion paper reviews evidence-based characteristics of high-functioning teams and barriers to … April 1, 2020 Learning From Invited Reviews.

140. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838190/psn-pdf
     September 28, 2015 - use-expedited-review-tool-screen-prior-diagnostic-error-emergency- department-patients Retrospective case reviews … Because these reviews can be time-intensive, electronic trigger tools are frequently used to expedite