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psnet.ahrq.gov/node/846563/psn-pdf
March 21, 2023 - A systematic review and scoping reviews.
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psnet.ahrq.gov/node/33611/psn-pdf
July 01, 2005 - mistakes, and medication errors, we used a combination of direct observations of the interns,
daily chart reviews
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psnet.ahrq.gov/node/33729/psn-pdf
May 01, 2012 - an adverse
event, the trigger tool approach provides an efficient variation on retrospective chart reviews
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psnet.ahrq.gov/sites/default/files/2024-03/uterine_artery_injury.pdf
January 01, 2024 - The California Pregnancy-Associated Mortality Review: Report from 2002 - 2007 Maternal Death Reviews.
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psnet.ahrq.gov/node/49558/psn-pdf
April 01, 2008 - Reviews of published QI efforts show them to be moderately effective in reducing inappropriate prescribing
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psnet.ahrq.gov/node/33685/psn-pdf
May 01, 2009 - WW: They do some chart reviews that get the QIOs [Quality Improvement Organizations] involved in
examining
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psnet.ahrq.gov/web-mm/real-heartache
October 01, 2018 - It's also a helpful reminder about how retrospective case reviews can capture not only individual provider
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psnet.ahrq.gov/web-mm/bowel-injury-after-laparoscopic-surgery
January 19, 2016 - This should trigger a set of clinical and system responses, including reviews by senior clinicians.
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psnet.ahrq.gov/web-mm/shortcuts-acetaminophen-induced-liver-failure
July 01, 2017 - Some examples include simulation training, morbidity and mortality reviews, critical thinking training
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psnet.ahrq.gov/perspective/adverse-events-dentistry
December 22, 2020 - This was then followed by chart reviews, i.e., actually looking through the charts, and an expert panel … From the work we are doing with the triggers or through electronic health record random chart reviews
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psnet.ahrq.gov/perspective/patient-safety-events-and-role-patient-safety-organizations-during-covid-19-pandemic
January 12, 2022 - The PSO team conducts reviews of incident reports as well as cause analysis investigations. … invited providers to come with what they had learned from their own local investigations and event reviews
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psnet.ahrq.gov/perspective/conversation-chalapathy-venkatesan-and-kathy-helak-about-application-safety-ii
August 28, 2024 - Kathy Helak: One example is that we don't refer to event reviews as investigations. … Getting started can be as simple as opening safety event reviews following undesirable outcomes with
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psnet.ahrq.gov/perspective/risk-management-and-patient-safety
December 01, 2010 - malpractice claim file contains medical documentation, depositions from patients and providers, and expert reviews … The reviews from experts speak to whether or not the provider met the standard of care and, more important
-
psnet.ahrq.gov/perspective/conversation-elsabeth-kalenderian-dds-mph-phd-and-muhammad-f-walji-phd
December 22, 2020 - This was then followed by chart reviews, i.e., actually looking through the charts, and an expert panel … From the work we are doing with the triggers or through electronic health record random chart reviews
-
psnet.ahrq.gov/node/866839/psn-pdf
September 25, 2024 - https://cdn.who.int/media/docs/default-source/essential-medicines/2021-eml-expert-committee/expert-reviews … https://cdn.who.int/media/docs/default-source/essential-medicines/2021-eml-expert-committee/expert-reviews
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psnet.ahrq.gov/perspective/conversation-withgeri-amori-phd
December 01, 2010 - malpractice claim file contains medical documentation, depositions from patients and providers, and expert reviews … The reviews from experts speak to whether or not the provider met the standard of care and, more important
-
psnet.ahrq.gov/perspective/application-safety-ii-principles
August 28, 2024 - Kathy Helak: One example is that we don't refer to event reviews as investigations. … Getting started can be as simple as opening safety event reviews following undesirable outcomes with
-
psnet.ahrq.gov/node/836877/psn-pdf
May 16, 2022 - others that they
may have been hearing, pulling those in, and then performing those quality management reviews … A lot of that was just done by these manual reviews, or perhaps supervisors would go out into
the field
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psnet.ahrq.gov/perspective/conversation-poonam-sharma-md-mph-senior-clinical-data-analyst-atrium-health-and-rhonda
January 12, 2022 - The PSO team conducts reviews of incident reports as well as cause analysis investigations. … invited providers to come with what they had learned from their own local investigations and event reviews
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psnet.ahrq.gov/issue/final-report-ockenden-review
January 13, 2021 - Book/Report
Final Report of the Ockenden Review.
Citation Text:
Final Report of the Ockenden Review. London UK: Crown Copyright; March 30, 2022. ISBN: 9781528632294.
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