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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/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/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.
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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/issue/fatal-flaws-clinical-decision-making
March 03, 2011 - Citation
Related Resources From the Same Author(s)
Surgical simulation: a systematic … review.
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psnet.ahrq.gov/innovation/battle-buddies-rapid-deployment-psychological-resilience-intervention-health-care
September 09, 2020 - to manage psychological distress among healthcare workers during the COVID-19 pandemic: a narrative review … relationship between health information technology and safer-prescribing in the long-term care setting: a systematic … review. … considerations and patient safety concerns for cancelling non-urgent surgeries during the COVID-19 pandemic: a review
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psnet.ahrq.gov/web-mm/deadly-duo
April 28, 2021 - Recognition of depression by non-psychiatric physicians—a systematic literature review and meta-analysis … Toxicity of tricyclic antidepressants—kinetics, mechanism, intervention: a review. … Evaluation of clinical practice guidelines on fall prevention and management for older adults: a systematic … review. … January 12, 2022
Association between physician depressive symptoms and medical errors: A systematic
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psnet.ahrq.gov/issue/application-aviation-black-box-principle-pediatric-cardiac-surgery-tracking-all-failures
October 07, 2013 - Interventions to improve safe and effective medicines use by consumers: an overview of systematic
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psnet.ahrq.gov/perspective/conversation-reed-v-tuckson-md
September 01, 2016 - 36%.( 1 ) Another systematic review found that, compared with usual care, telemonitoring for patients … Cost comparison between telemonitoring and usual care of heart failure: a systematic review. … The impact of telehealthcare on the quality and safety of care: a systematic overview. … Patient safety and telephone medicine: some lessons from closed claim case review. … review.
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psnet.ahrq.gov/perspective/telemedicine-and-patient-safety
September 01, 2016 - 36%.( 1 ) Another systematic review found that, compared with usual care, telemonitoring for patients … Cost comparison between telemonitoring and usual care of heart failure: a systematic review. … The impact of telehealthcare on the quality and safety of care: a systematic overview. … Patient safety and telephone medicine: some lessons from closed claim case review. … review.
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psnet.ahrq.gov/issue/frequency-missed-test-results-and-associated-treatment-delays-highly-computerized-health
July 22, 2009 - November 21, 2012
A systematic review of interventions to follow-up test results pending
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psnet.ahrq.gov/issue/framework-analysing-risk-and-safety-clinical-medicine
March 05, 2014 - June 29, 2016
Systematic Systems Analysis: A Practical Approach to Patient Safety Reviews
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psnet.ahrq.gov/web-mm/lack-sepsis-recognition-leads-delay-care-following-cesarean-delivery
November 30, 2021 - No-fault errors seemed to play a role, although as noted in this review of NF, delays in recognition … improved communication effectiveness for nurse-physician and physician-physician interactions. 17 A systematic … Systematic review of handoff mnemonics literature. … November 30, 2021
The impact of critical incidents on nurses and midwives: a systematic … review.
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psnet.ahrq.gov/perspective/conversation-thomas-j-nasca-md-macp
July 10, 2024 - We spoke with him about the ACGME's Clinical Learning Environment Review (CLER) program and its impact … Therefore, we chose to provide a peer review reflection back to the training environment so that they … We do not frequently see systematic incorporation of resident engagement into safety and quality beyond … what traditionally exists, for instance Morbidity and Mortality Review and the like—conference-based … So whether it's reporting unsafe conditions or systematic provision of the opportunity for residents
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psnet.ahrq.gov/web-mm/infection-after-carpal-tunnel-surgery
May 28, 2014 - A systematic review of randomised control trials evaluating the efficacy and safety of open and endoscopic … The influence of corticosteroid injections on postoperative outcomes of carpal tunnel release: a systematic … review. … 2022
Worldwide incidence of surgical site infections in general surgical patients: a systematic … review and meta-analysis of 488,594 patients.
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psnet.ahrq.gov/issue/patterns-disrespectful-physician-behavior-academic-medical-center-implications-training
June 14, 2023 - June 26, 2019
A systematic literature review and narrative synthesis on the risks of
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psnet.ahrq.gov/issue/pharmacist-led-admission-medication-reconciliation-and-after-implementation-electronic
January 15, 2025 - Efficacy, tolerability, and dose-dependent effects of opioid analgesics for low back pain: a systematic … review and meta-analysis.
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psnet.ahrq.gov/primer/root-cause-analysis
March 30, 2022 - protocol that begins with data collection and reconstruction of the event in question through record review … how the event occurred (through identification of active errors) and why the event occurred (through systematic … This led the hospital to implement a series of systematic changes to reduce the likelihood of a similar