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psnet.ahrq.gov/issue/reevaluating-recovery-perceived-violations-and-preemptive-interventions-emergency-psychiatry
September 17, 2008 - Cases
Cognitive Overload in the ICU
August 21, 2016
A systematic … review of the literature on the evaluation of handoff tools: implications for research and practice.
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psnet.ahrq.gov/issue/ahrq-focuses-ambulatory-patient-safety
January 31, 2024 - March 5, 2013
Primary care–relevant interventions to prevent falling in older adults: a systematic … evidence review for the U.S.
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psnet.ahrq.gov/issue/doctors-unconscious-bias-affects-quality-health-care-services-research-shows
October 21, 2020 - A systematic review and realist synthesis of interventions to enhance patient safety.
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psnet.ahrq.gov/issue/checklist-recognize-limits-harness-its-power
September 07, 2016 - Barriers and facilitators related to the implementation of surgical safety checklists: a systematic … review of the qualitative evidence.
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psnet.ahrq.gov/web-mm/transition-nowhere
March 21, 2009 - Supiano, MD, for their critical review of this commentary. References 1. … Promoting effective transitions of care at hospital discharge: a review of key issues for hospitalists … Interventions to reduce 30-day rehospitalization: a systematic review. … A systematic review of curricular interventions teaching transitional care to physicians-in-training
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psnet.ahrq.gov/issue/predictors-prescription-errors-involving-anticancer-chemotherapy-agents
February 01, 2012 - May 28, 2014
Human-simulation-based learning to prevent medication error: a systematic … review.
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psnet.ahrq.gov/issue/report-burden-endemic-health-care-associated-infection-worldwide
November 02, 2022 - pharmacy team working in an acute or emergency medicine department improves outcomes for patients: a systematic … review.
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psnet.ahrq.gov/issue/preventing-health-care-associated-harm-children
March 14, 2022 - Resources
Harnessing implementation science to improve care quality and patient safety: a systematic … review of targeted literature.
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psnet.ahrq.gov/issue/strategies-improve-patient-safety-evidence-base-matures
March 16, 2013 - This editorial introduces a special supplement of systematic reviews exploring the evidence base … Related Resources From the Same Author(s)
Making Health Care Safer: A Critical Review
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psnet.ahrq.gov/issue/how-real-time-data-can-change-patient-safety-game
July 07, 2021 - Understanding teamwork in rapidly deployed interprofessional teams in intensive and acute care: a systematic … review of reviews.
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psnet.ahrq.gov/issue/surgical-complications-disclosing-adverse-events-and-medical-errors
September 23, 2020 - September 29, 2017
Wrong-site surgery, retained surgical items, and surgical fires: a systematic … review of surgical never events.
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psnet.ahrq.gov/issue/acute-care-patients-discuss-patient-role-patient-safety
October 12, 2011 - A systematic review of the literature.
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psnet.ahrq.gov/issue/burnout-syndrome-among-healthcare-professionals
September 01, 2018 - July 20, 2022
Diagnostic reliability in teledermatology: a systematic review and a meta-analysis
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psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
January 31, 2024 - PubMedId RIS
Download Citation
Introduction
During an annual editorial review … A comparative effectiveness review by one of AHRQ’s Evidence-Based Practice Centers on diagnostic errors … A systematic review of diagnostic safety checklists exposed gaps in the way these checklists are used … Cognitive biases and heuristics in medical decision making: a critical review using a systematic search … February 22, 2023
Checklists to reduce diagnostic error: a systematic review of the literature
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psnet.ahrq.gov/node/33569/psn-pdf
June 15, 2024 - Systematic problems in care transitions are at the root of most adverse events that arise after discharge … Preventing Adverse Events After Discharge
Ensuring safe care transitions requires a systematic approach … medication-reconciliation
https://psnet.ahrq.gov/issue/promoting-effective-transitions-care-hospital-discharge-review-key-issues-hospitalists
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psnet.ahrq.gov/print/pdf/node/74277
January 01, 2021 - https://psnet.ahrq.gov/issue/role-organizational-and-professional-cultures-medication-safety-scoping-review-literature … https://psnet.ahrq.gov/issue/role-organizational-and-professional-cultures-medication-safety-scoping-review-literature … This scoping review discussed how organizational and professional culture influences medication safety … Medication safety in neonatal care: a review of medication errors among neonates. … This systematic review found that incidence rates of medication errors in primary care ranged between
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psnet.ahrq.gov/web-mm/medical-devices-wild
March 27, 2024 - States economy, with device-associated errors among the top 10 contributors to this number.( 1 ) A systematic … review found that more than 23% of errors in the operating rooms involve device-related issues.( 2 ) … design features for each of their products, safety requirements could be identified in an organized, systematic … A more robust and efficient knowledge market is needed in health care, which should include a systematic … Surgical technology and operating-room safety failures: a systematic review of quantitative studies.
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psnet.ahrq.gov/primer/high-reliability
January 29, 2020 - November 1, 2023
Interventions into reliability-seeking health care organizations: a systematic review … November 9, 2022
Learning from safety incidents in high reliability organizations: a systematic review
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psnet.ahrq.gov/issue/electronic-health-record-usability-contributions-patient-safety-and-clinician-burnout-path
December 21, 2022 - Impact of providing patients access to electronic health records on quality and safety of care: a systematic … review and meta-analysis.
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psnet.ahrq.gov/issue/multi-professional-patterns-and-methods-communication-during-patient-handoffs
January 30, 2019 - January 30, 2019
The influence of bullying on nursing practice errors: a systematic review