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Showing results for "reviews".

141. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44242/psn-pdf
     January 08, 2016 - This guideline synthesized the literature on surgical pathology and cytology case reviews to determine … anatomic pathologists in developing procedures to detect disagreements and errors, conducting case reviews

142. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45446/psn-pdf
     November 16, 2016 - Evidence-based interventions to reduce adverse events in hospitals: a systematic review of systematic reviews … Evidence-based interventions to reduce adverse events in hospitals: a systematic review of systematic reviews

143. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44246/psn-pdf
     November 15, 2016 - stakeholders created these guidelines, which emphasize the importance of actions taken in response to RCA reviews … provides strategies for applying efficient and effective RCAs, and it includes tools for evaluating RCA reviews

144. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/852698/psn-pdf
     August 30, 2023 - include voluntary reporting, malpractice claims, patient complaints, physician surveys, random quality reviews … Conducting Manual Reviews The manual review process is conducted by physician reviewers using the electronic … Manual reviews average approximately 15–20 min per chart, depending on complexity. … clinical leaders on the disease being reviewed, and specialty physicians to conduct the manual chart reviews … eA/eB team creates an electronic review tool with specialty experts to standardize the manual chart reviews

145. Error in medicine. | PSNet
     psnet.ahrq.gov/issue/error-medicine
     November 02, 2014 - 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

146. IHI Framework for Improving Joy in Work. | PSNet
     psnet.ahrq.gov/issue/ihi-framework-improving-joy-work
     September 06, 2017 - This white paper highlights the importance of enabling joy at work , reviews examples of organizations … Understanding the knowledge gaps in whistleblowing and speaking up in health care: narrative reviews

147. Surgical Innovation, New Techniques and Technologies: A Guide to Good Practice. | PSNet
     psnet.ahrq.gov/issue/surgical-innovation-new-techniques-and-technologies-guide-good-practice
     April 10, 2019 - Citation Related Resources From the Same Author(s) Learning From Invited Reviews … October 23, 2019 Learning From Invited Reviews.

148. Avoiding Unconscious Bias: a Guide for Surgeons. | PSNet
     psnet.ahrq.gov/issue/avoiding-unconscious-bias-guide-surgeons
     May 29, 2019 - May 29, 2019 Learning From Invited Reviews. … August 28, 2019 Learning From Invited Reviews.

149. RCA2: Improving Root Cause Analyses and Actions to Prevent Harm. | PSNet
     psnet.ahrq.gov/issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm
     June 21, 2016 - stakeholders created these guidelines, which emphasize the importance of actions taken in response to RCA reviews … provides strategies for applying efficient and effective RCAs, and it includes tools for evaluating RCA reviews

150. The American College of Surgeons' closed claims study: new insights for improving care. | PSNet
     psnet.ahrq.gov/issue/american-college-surgeons-closed-claims-study-new-insights-improving-care
     March 02, 2011 - Anesthesia and obstetrics and gynecology have also used closed claim reviews to identify opportunities … From the Same Author(s) Violations of behavioral practices revealed in closed claims reviews

151. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42759/psn-pdf
     April 24, 2017 - https://psnet.ahrq.gov/issue/longitudinal-study-clinical-peer-reviews-impact-quality-and-safety-us-hospitals … https://psnet.ahrq.gov/issue/longitudinal-study-clinical-peer-reviews-impact-quality-and-safety-us-hospitals

152. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74226/psn-pdf
     February 01, 2019 - care coordination Comprehensive Addiction and Recovery Act (CARA)-mandated pre-opioid initiation reviews … Case reviews are conducted by an interdisciplinary team and include follow-up to ensure a treatment plan … CARA-mandated point-of- care reviews are intended to be done by the prescriber or someone closely involved … The size expansion was a challenge for sites as they adjusted to the additional volume of reviews and … These teams work together in clinical case reviews to coordinate and improve the patient’s care.

153. Measuring and Responding to Deaths From Medical Errors | PSNet
     psnet.ahrq.gov/perspective/measuring-and-responding-deaths-medical-errors
     April 01, 2008 - 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

154. Clinical outcomes of a home-based medication reconciliation program after discharge from a skilled nursing facility. | PSNet
     psnet.ahrq.gov/issue/clinical-outcomes-home-based-medication-reconciliation-program-after-discharge-skilled
     March 21, 2017 - Related Resources Exploring the impact of pharmacist-supported medication reviews … August 30, 2023 Impact of medication reviews on potentially inappropriate medications … June 13, 2011 Post-discharge medication reviews for patients with heart failure: a pilot

155. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33582/psn-pdf
     September 15, 2024 - This Primer reviews both prospective and retrospective methods to identify safety hazards that can lead … screening administrative datasets, while the latter includes root cause analysis (RCA), mortality reviews … Hospitals also routinely conduct root cause analyses (RCAs) and mortality reviews when patients experience … Standardized mortality reviews may be used to analyze specific cases for systematic harm or to estimate … Reviews of  closed malpractice claims and risk management databases have also yielded useful information

156. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43653/psn-pdf
     January 01, 2015 - to characterize patient safety included the review of individual cases of patient deaths; mortality reviews … discussion-medical-errors-morbidity-and-mortality-conferences https://psnet.ahrq.gov/issue/saving-lives-studying-deaths-using-standardized-mortality-reviews-improve-inpatient-safety

157. Standardising wristbands improves patient safety. | PSNet
     psnet.ahrq.gov/issue/standardising-wristbands-improves-patient-safety
     January 19, 2022 - January 19, 2022 Advancing Patient Safety: Reviews From the Agency for Healthcare Research … June 17, 2014 Critical Incident Reviews, Significant Adverse Event Reports and Action

158. Interpretive diagnostic error reduction in surgical pathology and cytology: guideline from the College of American Pathologists Pathology and Laboratory Quality Center and the Association of Directors of Anatomic and Surgical Pathology. | PSNet
     psnet.ahrq.gov/issue/interpretive-diagnostic-error-reduction-surgical-pathology-and-cytology-guideline-college
     February 10, 2012 - This guideline synthesized the literature on surgical pathology and cytology case reviews to determine … anatomic pathologists in developing procedures to detect disagreements and errors, conducting case reviews

159. Strong for Surgery. | PSNet
     psnet.ahrq.gov/issue/strong-surgery
     October 15, 2018 - May 29, 2019 Learning From Invited Reviews. … May 20, 2019 Learning From Invited Reviews.

160. Patterns and predictors of medication discrepancies in primary care. | PSNet
     psnet.ahrq.gov/issue/patterns-and-predictors-medication-discrepancies-primary-care
     October 19, 2022 - May 2, 2012 In-home medication reviews: a novel approach to improving patient care through … July 24, 2011 Post-discharge medication reviews for patients with heart failure: a pilot