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psnet.ahrq.gov/issue/impact-hindsight-bias-diagnosis-perioperative-events-anesthesia-providers-multicenter
December 16, 2020 - Study
The impact of hindsight bias on the diagnosis of perioperative events by anesthesia providers: a multicenter randomized crossover study.
Citation Text:
Millan PD, Kleiman AM, Friedman JF, et al. The impact of hindsight bias on the diagnosis of perioperative events by anesthesia pro…
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psnet.ahrq.gov/issue/patient-safety-incidents-endoscopy-human-factors-analysis-non-procedural-significant-harm
January 29, 2020 - Study
Patient safety incidents in endoscopy: a human factors analysis of non-procedural significant harm incidents from the National Reporting and Learning System (NRLS).
Citation Text:
Ravindran S, Matharoo M, Rutter MD, et al. Patient safety incidents in endoscopy: a human factors anal…
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psnet.ahrq.gov/issue/prospective-study-factors-influencing-outcome-patients-after-medical-emergency-team-review
March 05, 2010 - Study
A prospective study of factors influencing the outcome of patients after a Medical Emergency Team review.
Citation Text:
Calzavacca P, Licari E, Tee A, et al. A prospective study of factors influencing the outcome of patients after a Medical Emergency Team review. Intensive Care …
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psnet.ahrq.gov/issue/potential-improved-teamwork-reduce-medical-errors-emergency-department
July 07, 2021 - Review
Classic
The potential for improved teamwork to reduce medical errors in the emergency department.
Citation Text:
Risser DT, Rice MM, Salisbury ML, et al. The potential for improved teamwork to reduce medical errors in the emergency department. Ann Emerg M…
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psnet.ahrq.gov/issue/expand-evidence-base-about-harms-tests-and-treatments
May 19, 2021 - Commentary
To expand the evidence base about harms from tests and treatments.
Citation Text:
Korenstein D, Harris RP, Elshaug AG, et al. To expand the evidence base about harms from tests and treatments. J Gen Intern Med. 2021;36(7):2105-2110. doi:10.1007/s11606-021-06597-9.
Copy Citat…
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psnet.ahrq.gov/issue/barriers-and-facilitators-implementing-interventions-reducing-avoidable-hospital-readmission
April 25, 2018 - Review
Barriers and facilitators to implementing interventions for reducing avoidable hospital readmission: systematic review of qualitative studies.
Citation Text:
Fu BQ, Zhong CCW, Wong CHL, et al. Barriers and facilitators to implementing interventions for reducing avoidable hospital …
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psnet.ahrq.gov/issue/classification-patient-safety-incidents-primary-care
October 12, 2016 - Review
Emerging Classic
Classification of patient-safety incidents in primary care.
Citation Text:
Cooper J, Williams H, Hibbert P, et al. Classification of patient-safety incidents in primary care. Bull World Health Organ. 2018;96(7):498-505. doi:10.2471/BLT.17…
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psnet.ahrq.gov/issue/can-medical-record-reviewers-reliably-identify-errors-and-adverse-events-ed
October 11, 2023 - Study
Can medical record reviewers reliably identify errors and adverse events in the ED?
Citation Text:
Klasco RS, Wolfe RE, Lee T, et al. Can medical record reviewers reliably identify errors and adverse events in the ED? Am J Emerg Med. 2016;34(6):1043-8. doi:10.1016/j.ajem.2016.03.00…
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psnet.ahrq.gov/issue/interventions-reducing-wrong-site-surgery-and-invasive-procedures
September 07, 2011 - Review
Interventions for reducing wrong-site surgery and invasive procedures.
Citation Text:
Algie CM, Mahar RK, Wasiak J, et al. Interventions for reducing wrong-site surgery and invasive clinical procedures. Cochrane Database Syst Rev. 2015;3)(3):CD009404. doi:10.1002/14651858.CD009404…
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psnet.ahrq.gov/issue/society-critical-care-medicine-guidelines-recognizing-and-responding-clinical-deterioration
April 24, 2018 - Organizational Policy/Guidelines
Society of Critical Care Medicine Guidelines on Recognizing and Responding to Clinical Deterioration Outside the ICU: 2023.
Citation Text:
Honarmand K, Wax RS, Penoyer D, et al. Society of Critical Care Medicine Guidelines on Recognizing and Responding to…
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/PAOfficeVisit.pdf
December 18, 2021 - PA Office Visist
Physician Assistant (PA) Office Visit
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ic
al
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up
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rt
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ta
ff
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si
ci
an
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ss
is
ta
nt
P
at
ie
nt
Arrive and check
in at reception
Note patient has
arrived on EHR
schedule
Greet and
escort patient to
exam area …
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psnet.ahrq.gov/node/39392/psn-pdf
September 20, 2011 - Effect of point-of-care computer reminders on physician
behaviour: a systematic review.
September 20, 2011
Shojania KG, Jennings A, Mayhew A, et al. Effect of point-of-care computer reminders on physician
behaviour: a systematic review. CMAJ. 2010;182(5):E216-25. doi:10.1503/cmaj.090578.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/47723/psn-pdf
January 01, 2020 - Psychological and psychosomatic symptoms of second
victims of adverse events: a systematic review and meta-
analysis.
May 1, 2019
Busch IM, Moretti F, Purgato M, et al. Psychological and Psychosomatic Symptoms of Second Victims of
Adverse Events. J Patient Saf. 2020;16(2):e61-e74. doi:10.1097/pts.0000000000000589.…
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psnet.ahrq.gov/node/867009/psn-pdf
October 23, 2024 - Specialized nurses' role in ensuring patient safety within
the context of telehealth in home care: a scoping review.
October 23, 2024
Vaismoradi M, Rae J, Turunen H, et al. Specialized nurses’ role in ensuring patient safety within the
context of telehealth in home care: a scoping review. Digit Health. 2024;10:2055…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/uti-discussion-guide.docx
September 01, 2022 - Urinary Tract Infections – Discussion Guide
Urinary Tract Infections: Discussion Guide
During a regularly scheduled staff meeting, the stewardship leader(s) is encouraged to ask all clinical staff which of the components of the AHRQ Toolkit To Improve Antibiotic Use in Ambulatory Ca…
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psnet.ahrq.gov/node/865454/psn-pdf
March 27, 2024 - Ensuring Patient and Workforce Safety Culture in
Healthcare
March 27, 2024
Murray J, Sorra J, Gale B, et al. Ensuring Patient and Workforce Safety Culture in Healthcare. PSNet
[internet]. 2024.
https://psnet.ahrq.gov/perspective/ensuring-patient-and-workforce-safety-culture-healthcare
Introduction
In 2020, the I…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/unc-webcast-transcript.pdf
January 01, 2020 - He reviews good catches, provides lessons learned, talks about
improvement projects, recognize best … I think I mentioned it just a minute ago that there was pockets of very different types of event reviews
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/KFZpoMBYuoo8TRW6nhRev8
October 23, 2023 - DATA SOURCES Ovid MEDLINE, Cochrane Database of Systematic Reviews, Cochrane Central
Register of Controlled … Search Strategies
A research librarian searched Ovid MEDLINE, the Cochrane Data-
base of Systematic Reviews … reduce risk for
HIV infection
1 2
Candidate for
PrEP Adherence
Not a candidate
for PrEP
Evidence reviews
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digital.ahrq.gov/sites/default/files/docs/publication/r03hs018830-nemeth-final-report-2013.pdf
January 01, 2013 - outreach
• Patient update
forms, bring all
meds, labs in
advance
• Long
appointments for
med reviews
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/registry-of-patient-registries_research-2012-2_1.pdf
January 01, 2012 - listed over time, the RoPR will
likely become the key source for identifying registries for systematic reviews