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psnet.ahrq.gov/issue/support-strategies-health-care-professionals-who-are-second-victims
December 22, 2021 - March 18, 2020
Coping strategies in health care providers as second victims: a systematic … review.
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psnet.ahrq.gov/issue/wrong-sidewrong-site-wrong-procedure-and-wrong-patient-adverse-events-are-they-preventable
February 24, 2011 - April 30, 2008
Improving patient handovers from hospital to primary care: a systematic … review.
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psnet.ahrq.gov/issue/finding-dental-harm-patients-through-electronic-health-record-based-triggers
September 06, 2017 - Using electronic health records to identify adverse drug events in ambulatory care: a systematic … review.
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psnet.ahrq.gov/issue/zero-harm-health-care
August 12, 2020 - March 31, 2021
A systematic review exploring the content and outcomes of interventions
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psnet.ahrq.gov/issue/mortality-among-patients-acute-myocardial-infarction-influences-patient-centered-care-and
April 10, 2024 - A systematic review of the literature.
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psnet.ahrq.gov/issue/evaluating-iatrogenic-prescribing-development-oncology-focused-trigger-tool
December 23, 2020 - communication training interventions on safety culture and patient safety in emergency departments: a systematic … review.
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psnet.ahrq.gov/web-mm/getting-diagnosis-both-right-and-wrong
May 29, 2024 - Review of the laboratory results and chart revealed that the ICU team had ordered blood cultures and … A formal case review was conducted and the case was discussed at the departmental Morbidity and Mortality … The review revealed missed opportunities to detect sepsis at multiple points in the care of the patient … Defining and measuring diagnostic uncertainty in medicine: a systematic review.
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psnet.ahrq.gov/web-mm/multiple-missed-opportunities-suicide-risk-assessment-emergency-and-primary-care-settings
May 26, 2021 - Prediction models for suicide attempts and deaths: a systematic review and simulation. … Suicide prevention strategies: a systematic review. … Suicide and self-harm risk assessment: a systematic review of prospective research. … Suicide risk screening in the hospital setting: a review of brief validated tools. … WHO mental health gap action programme (mhGAP) intervention guide: updated systematic review on evidence
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psnet.ahrq.gov/node/49803/psn-pdf
January 01, 2018 - In the postincident review, the nurse described being rushed and because of that, she did not
properly … The schedules, exceptions, and catch-up strategies
are sufficiently complex so as to require systematic … Whether as part of student training, or as a matter of
periodic review, learning programs covering all … Brief clinical report: a systematic review and meta-analysis
of pain memory-reframing interventions
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psnet.ahrq.gov/web-mm/fluidity-diagnostic-wet-reads
April 24, 2018 - As it was a very busy clinic day, he did not review the final radiology report for the CT scan. … Only then did the PCP review the formal report from the earlier CT—which had documented "a suspicious … The concept of an initial "wet" interpretation has evolved over time as technology for image review has … adenocarcinoma in younger and nonsmoking individuals.( 8 ) This case is a reminder of the need for such a systematic … Addressing incidental and discrepant findings in a consistent manner is possible by adopting a systematic
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psnet.ahrq.gov/issue/abrupt-expansion-ambulatory-telemedicine-implications-patient-safety
July 13, 2022 - 2020
Impact of remote consultations on antibiotic prescribing in primary healthcare: systematic … review.
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psnet.ahrq.gov/perspective/annual-perspective-psychological-safety-healthcare-staff
November 16, 2022 - Psychological safety was noted as a frequent topic during the annual editorial review of featured articles … conversations, or overly shy team members (individual level)
An independent study involving a systematic … review of psychological safety studies in healthcare settings around the world identified a relatively … Interestingly, a barrier identified in the systematic analysis study that the authors described as “less … A systematic review of factors that enable psychological safety in healthcare teams.
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psnet.ahrq.gov/innovation/handshake-antimicrobial-stewardship-model-recognize-and-prevent-diagnostic-errors
September 08, 2021 - After primary review by one non-ASP pediatric infectious disease physician, 12% of “Good Catch” cases … Patient Safety Innovations
The e-Autopsy/e-Biopsy: A Systematic … Chart Review to Increase Safety and Diagnostic Accuracy Innovation
August 30, 2023
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psnet.ahrq.gov/node/33561/psn-pdf
September 15, 2024 - Health care facilities are accountable for correcting systematic problems that contributed to
the event … 15th-annual-public-report
https://psnet.ahrq.gov/issue/identifying-list-healthcare-never-events-effect-system-change-systematic-review-and-narrative
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psnet.ahrq.gov/node/49819/psn-pdf
February 01, 2018 - Review the evidence in support of handoff improvement programs and their associated impact on
medical … With their local graduate medical education office, they initiated a
literature review and began quality … A 2013 systematic review of 36 studies found few objective data to
inform a strategic approach to improving … The published literature on handoffs in hospitals: deficiencies identified in an
extensive review. … A systematic review of the literature on the evaluation of handoff
tools: implications for research
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psnet.ahrq.gov/issue/remembering-learn-overlooked-role-remembrance-safety-improvement
February 28, 2024 - July 1, 2017
Dual-process cognitive interventions to enhance diagnostic reasoning: a systematic … review.
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psnet.ahrq.gov/issue/changes-intensive-care-unit-nurse-task-activity-after-installation-third-generation-intensive
October 14, 2015 - Impact of alarm fatigue on the work of nurses in an intensive care environment--a systematic … review.
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psnet.ahrq.gov/issue/improving-patient-safety-shifting-power-health-professionals-patients
June 01, 2014 - Indication documentation and indication-based prescribing within electronic prescribing systems: a systematic … review and narrative synthesis.
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psnet.ahrq.gov/issue/second-victim-traumatic-experience
October 06, 2016 - August 5, 2020
Ethical issues in patient safety research: a systematic review of the
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psnet.ahrq.gov/issue/best-practices-patient-safety-2nd-global-ministerial-summit-patient-safety
June 27, 2018 - June 27, 2018
A systematic review of interventions used to enhance implementation of