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psnet.ahrq.gov/web-mm/right-place-right-drug-wrong-strength
March 26, 2015 - incidence of ADC-specific errors in pediatrics has not been well studied or described.( 5-7 ) A 2016 review … Medication errors in paediatric care: a systematic review of epidemiology and an evaluation of evidence … Medication safety in neonatal care: a review of medication errors among neonates. … March 15, 2023
Clinical impact of medication review and deprescribing in older … inpatients: a systematic review and meta-analysis.
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psnet.ahrq.gov/perspective/are-residency-duty-hour-rules-improving-patient-safety
April 01, 2013 - Systematic review: effects of resident work hours on patient safety. … Effects of work hour reduction on residents' lives: a systematic review. JAMA. 2005;294:1088-1100. … Systematic review: association of shift length, protected sleep time, and night float with patient care … systems are effective in reducing medication errors and adverse drug events, according to the most recent systematic … Sections
Perspective
Related Resources From the Same Author(s)
Systematic
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psnet.ahrq.gov/web-mm/returning-home-safely
December 22, 2018 - Transitional care of older adults in skilled nursing facilities: a systematic review. … Impact of transitional care services for chronically ill older patients: a systematic evidence review … Interventions to reduce 30-day rehospitalization: a systematic review.
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psnet.ahrq.gov/node/49806/psn-pdf
September 01, 2017 - formerly the Institute of Medicine) reports that approximately 1 in 10 diagnoses are
incorrect, and a systematic … review of autopsies found 9% of patients experienced a major diagnostic error.(
11,12) Diagnostic errors … Diagnostic accuracy and effectiveness of automated electronic
sepsis alert systems: a systematic review … Changes in rates of autopsy-detected diagnostic
errors over time: a systematic review.
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psnet.ahrq.gov/node/49688/psn-pdf
August 21, 2013 - This commentary will
review key factors that hinder communication, the implications of failures in this … Additional strategies to support information delivery include opportunities to review, such as a teach … Opportunities to review (e.g., a teach-back), follow-up contact with a patient after discharge, and … Health literacy and emergency department outcomes: a systematic
review. … A systematic review of interventions to improve recall of medical advice in
healthcare consultations
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psnet.ahrq.gov/web-mm/mitigating-risk-intrahospital-transport-pediatric-patients-risk-physiologic-instability
May 27, 2020 - Adverse Events During Intrahospital Transport of Critically Ill Children: A Systematic Review. … A systematic review of failures in handoff communication during intrahospital transfers. … Effectiveness of using simulation in the development of clinical reasoning in undergraduate nursing students: a systematic … review.
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psnet.ahrq.gov/web-mm/forgotten-line
March 11, 2011 - The campaign built on work by Pronovost and others demonstrating that systematic implementation of protocols … assigning roles to team members (e.g., the nurses talk about pain, family issues, lines; the pharmacists review … Systematic review of safety checklists for use by medical care teams in acute hospital settings—limited … April 21, 2015
The impact of rationing nursing care on patient safety: a systematic review
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psnet.ahrq.gov/node/60376/psn-pdf
July 30, 2020 - A
recent systematic review and meta-analysis of the literature related to healthcare staff working with … relatively minimal resources to employ during the COVID-
19 pandemic, include prominent signage, workflow review … applied when determining color(s) and font sizes on,
terminology for and placement of signs.3
Workflow review … Lorri Zipperer on behalf of the AHRQ PSNet team
Digital Project and Systematic Search Librarian, University … Healthcare signage design: a review on recommendations
for effective signing systems.
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psnet.ahrq.gov/node/40692/psn-pdf
October 04, 2011 - Patient safety incidents associated with obesity: a review
of reports to the National Patient Safety … Patient safety incidents associated with obesity: a review of
reports to the National Patient Safety … https://psnet.ahrq.gov/issue/patient-safety-incidents-associated-obesity-review-reports-national-patient … https://psnet.ahrq.gov/issue/patient-safety-incidents-associated-obesity-review-reports-national-patient-safety-agency-and … https://psnet.ahrq.gov/issue/patient-safety-incidents-associated-obesity-review-reports-national-patient-safety-agency-and
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psnet.ahrq.gov/node/72517/psn-pdf
November 25, 2020 - No-fault errors seemed to play a
role, although as noted in this review of NF, delays in recognition … prematurely attributing the constellation of symptoms to another etiology), failure to periodically review … adverse-events-near-misses-and-errors
https://psnet.ahrq.gov/issue/cognitive-biases-associated-medical-decisions-systematic-review … improved
communication effectiveness for nurse-physician and physician-physician interactions.17 A systematic … Systematic review of handoff mnemonics literature.
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psnet.ahrq.gov/web-mm/robotic-surgery-risks-vs-rewards
October 31, 2023 - lower positive surgical margin rates) than with open and pure laparoscopic procedures ( 11 ), large systematic … The use of robotics in surgery: a review. Int J Clin Pract. 2014;68:1376-1382. [go to PubMed] 2. … The role of robotics in surgery: a review. Mo Med. 2007;104:166-172. [Available at] 4. … Systematic review and meta-analysis of studies reporting oncologic outcome after robot-assisted radical … Training and learning robotic surgery, time for a more structured approach: a systematic review.
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psnet.ahrq.gov/issue/redesign-health-care-systems-reduce-diagnostic-errors-leveraging-human-experience-and
December 04, 2016 - , 2024
Question answering systems for health professionals at the point of care - a systematic … review.
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psnet.ahrq.gov/perspective/conversation-withvineet-arora-md-ma
March 01, 2011 - force development of the current 2010 guidelines , I received funding from the ACGME to perform a systematic … review of the literature and recommendations to improve inpatient handovers.( 9 ) The review summarized … Residents' and attending physicians' handoffs: a systematic review of the literature. … Hospitalist handoffs: a systematic review and task force recommendations. … August 21, 2019
A systematic literature review and narrative synthesis on the risks of
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psnet.ahrq.gov/node/49578/psn-pdf
January 01, 2009 - In one study, a pharmacist intervention to review medications with
patients at discharge and screen … to fewer medication discrepancies and fewer preventable ADEs.(3) It is not known
whether a similar review … However, even if there had been final pharmacy review, the
pharmacist may not have had access to the … Finally, pharmacist review of all medication orders should be required for
potential interactions and … Systematic review of the
incidence and characteristics of preventable adverse drug events in ambulatory
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psnet.ahrq.gov/issue/when-health-care-moves-online-many-patients-are-left-behind
August 19, 2020 - A systematic review of the literature.
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psnet.ahrq.gov/issue/suboptimal-prescribing-elderly-outpatients-potentially-harmful-drug-drug-and-drug-disease
July 29, 2020 - of Medication Organisation Devices Compared with Usual Care for Older People in a Community Setting: Systematic … Review, Stakeholder Focus Groups and Feasibility RCT.
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psnet.ahrq.gov/issue/teamwork-and-error-operating-room-analysis-skills-and-roles
April 15, 2009 - February 4, 2015
Interventions employed to improve intrahospital handover: a systematic … review.
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psnet.ahrq.gov/issue/human-factors-engineering-healthcare-systems-problem-human-error-and-accident-management
June 13, 2011 - November 27, 2013
Drug administration errors in hospital inpatients: a systematic review
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psnet.ahrq.gov/issue/medication-errors-nursing-part-1-and-part-2
March 23, 2016 - View More
Related Resources
Medication errors involving nursing students: a systematic … review.
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psnet.ahrq.gov/issue/implementation-patient-centeredness-enhance-patient-safety
June 24, 2010 - December 9, 2020
A systematic review of interventions used to enhance implementation