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psnet.ahrq.gov/issue/even-now-it-makes-me-angry-health-care-students-professionalism-dilemma-narratives
June 12, 2019 - Factors influencing family member perspectives on safety in the intensive care unit: a systematic … review.
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psnet.ahrq.gov/issue/description-and-factors-associated-missed-nursing-care-acute-care-community-hospital
August 15, 2012 - December 19, 2018
The association between nurse staffing and omissions in nursing care: a systematic … review.
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psnet.ahrq.gov/issue/addressing-nursing-shortages-and-patient-safety-using-maslows-hierarchy-needs
April 26, 2023 - Related Resources
Medication administration in aged care facilities: a mixed-methods systematic … review.
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psnet.ahrq.gov/issue/poor-resident-attending-intraoperative-communication-may-compromise-patient-safety
September 23, 2020 - Evaluation of clinical practice guidelines on fall prevention and management for older adults: a systematic … review.
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psnet.ahrq.gov/issue/ethical-dilemma-missed-melanoma-what-tell-patient-and-other-providers
March 17, 2021 - November 17, 2021
Structural racism and adverse maternal health outcomes: a systematic … review.
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psnet.ahrq.gov/issue/clean-care-safer-care-global-patient-safety-challenge-2005-2006
November 13, 2024 - Hospital organisation, management, and structure for prevention of health-care-associated infection: a systematic … review and expert consensus.
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psnet.ahrq.gov/issue/opioids-and-dentistry
November 12, 2014 - September 6, 2017
Patient safety incidents and adverse events in ambulatory dental care: a systematic … scoping review.
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psnet.ahrq.gov/issue/evidence-base-us-joint-commission-hospital-accreditation-standards-cross-sectional-study
June 09, 2021 - June 9, 2021
Artificial intelligence versus clinicians: systematic review of design,
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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/node/837215/psn-pdf
July 08, 2022 - telestroke systems that may include high-quality videoconferencing for patient assessments
and remote review … A systematic review and meta-analysis found no difference in mortality or in
functional independence … stroke team is not available, telestroke-guided
care by a remote stroke neurologist with the ability to review … Neurons Over Nephrons: Systematic review and meta-
analysis of contrast-induced nephropathy in patients … Safety and efficacy of thrombolysis in telestroke:
a systematic review and meta-analysis.
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psnet.ahrq.gov/node/49799/psn-pdf
July 01, 2017 - A later review revealed that the hospital microbiology laboratory was aware of the microbiology result … Morgan DJ, Dhruva SS, Wright SM, Korenstein D. 2016 Update on medical overuse: a systematic
review. … identified by MALDI-TOF mass spectrometry and their susceptibility profiles—a retrospective chart
review … centers for timely and accurate reporting of critical values: a laboratory medicine best practices
systematic … review and meta-analysis.
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psnet.ahrq.gov/primer/teamwork-training
September 15, 2024 - mandates a preoperative "time out," based on teamwork training principles, in which all team members review … interprofessional education interventions to improving the delivery of safe and effective patient care: a scoping review … in multidisciplinary healthcare teams is associated with reduced patient mortality: a quantitative systematic … review and meta-analysis. … Richard Ricciardi about Office-Based Patient Safety
January 31, 2024
Video 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/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/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/web-mm/sudden-collapse-during-upper-gastrointestinal-endoscopy-expect-unexpected
September 25, 2024 - A systematic assessment can help to identify patient and procedural risk factors that warrant additional … the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition is available for review … Air Insufflation for Pediatric Gastrointestinal Endoscopy: A Systematic Review and Meta-Analysis of Randomized … A systematic review to identify the factors that affect failure to rescue and escalation of care in surgery … Multidisciplinary Simulation-Based Team Training for Trauma Resuscitation: A Scoping Review.
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psnet.ahrq.gov/node/865411/psn-pdf
March 27, 2024 - The California Pregnancy-Associated Mortality Review: Report from 2002 - 2007 Maternal Death
Reviews … A systematic review of the relationship between blood
loss and clinical signs. … Simulation-based education to improve communication skills: a
systematic review and identification of … Early warning systems in obstetrics: a systematic literature
review.
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psnet.ahrq.gov/node/846915/psn-pdf
March 29, 2023 - role of the psychiatric consultant and the relationship to the referring physician are important to review … https://psnet.ahrq.gov/issue/patient-and-family-engagement-potential-approach-improving-patient-safety-systematic-review … Characterizing the phenomenology of passive suicidal ideation: a
systematic review and meta-analysis … Pharmacological treatments for borderline personality
disorder: a systematic review and meta-analysis
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psnet.ahrq.gov/innovation/abcdef-bundle-data-literacy-training-performance-measurement-tracking-and-performance
September 23, 2024 - The Innovation Team expected that enhanced real-time data flow, continuous review of performance metrics … These conversations should review the performance metrics data, address gaps, and discuss applicable … Lessons learned from a systematic, hospital-wide implementation of the ABCDEF bundle: a survey evaluation … Lessons Learned From a Systematic, Hospital-Wide Implementation of the ABCDEF Bundle: A Survey Evaluation … Patient Safety Innovations
The e-Autopsy/e-Biopsy: A Systematic
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psnet.ahrq.gov/web-mm/medication-errors-retail-pharmacies-wrong-patient-wrong-instructions
March 19, 2019 - A Systematic Approach to Improving Patient Safety
Although most medication errors can be directly … in all U.S. states, in order to qualify for federally funded Medicaid programs, prospective drug use review … Systematic review and meta-analysis of community pharmacy error rates in the USA: 1993-2015. … the Same Author(s)
Measuring the teamwork performance of teams in crisis situations: a systematic … review of assessment tools and their measurement properties.