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psnet.ahrq.gov/web-mm/it-safe-be-direct
September 30, 2015 - A recent systematic review revealed the frequent failure of information transfer that occurs during hospital … this case had an EKG performed in the office, it was not available for the admitting hospitalist to review … May 19, 2021
A systematic review of the effects of resident duty hour restrictions in
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psnet.ahrq.gov/perspective/patient-safety-and-evolution-webmm-and-psnet
April 01, 2008 - order entry combined with clinical decision support systems to improve medication safety: a narrative review … Hospital-initiated transitional care interventions as a patient safety strategy: a systematic … review. … A systematic review.
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psnet.ahrq.gov/node/33739/psn-pdf
October 01, 2012 - A review of the research literature on evidence-based healthcare
design. … Systematic review of studies on compliance with hand hygiene
guidelines in hospital care. … fall
prevention model, incorporating the physical environment, the care process and technology: a systematic … review.
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psnet.ahrq.gov/node/49669/psn-pdf
November 01, 2012 - Incorporating recent, emerging evidence and this systematic review, the AABB (formerly, the American … A systematic review evaluated 19 studies that examined various behavioral interventions aimed
at reducing … Reducing the amount of blood transfused: a systematic
review of behavioral interventions to change physicians
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psnet.ahrq.gov/web-mm/slow-down-right-drug-wrong-formulation
October 13, 2018 - As part of the clinical review process, the case was discussed in a morbidity and mortality conference … The review revealed the patient's home medication was metoprolol succinate 300 mg. … order entry at reducing preventable adverse drug events and medication errors in hospital settings: a systematic … review and meta-analysis. … Health information technology: an updated systematic review with a focus on meaningful use.
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psnet.ahrq.gov/web-mm/copy-and-paste-notes-and-autopopulated-text-electronic-health-record
May 26, 2021 - Upon further review, the physician found that this history had been recorded in the patient’s record … During a thorough review of the electronic health records, clinic staff found that the patient’s wife … However, the time and cognitive effort required to review a block of pasted text may exceed the time … Little systematic data allow us to compare the quality of note content before and after the CMS policy … ChatGPT utility in healthcare education, research, and practice: systematic review on the promising perspectives
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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/dont-wait-collect-accurate-weight-case-subtherapeutic-insulin-therapy
July 01, 2008 - Management of diabetic ketoacidosis in adults: a narrative review. … bypassed pharmacist review. … August 30, 2023
The neglected barrier to medication use: a systematic review of difficulties … impacts of prefilled syringes versus conventional medication administration methods: results from a systematic … literature review.
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psnet.ahrq.gov/innovation/i-readi-quality-and-safety-framework-strong-communications-channels-and-effective
February 26, 2025 - crises. 1
The I-READI acronym outlines the steps (i.e., Integration, Root-Cause Analysis, Evidence Review … innovation also requires that team members have skills and experience with aggregate root-cause analysis to review … systems to monitor care delivery, quality, and safety metrics in real time
Daily board rounds with review … of real-time patient data and systematic patient safety checklists
Ability to convene emergency meetings … Strategies for monitoring and updating clinical practice guidelines: a systematic review.
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psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
May 01, 2017 - The effectiveness and risks of long-term opioid therapy for chronic pain: a systematic review for a National … review. … review. … review. … review for a National Institutes of Health Pathways to Prevention Workshop.
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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
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psnet.ahrq.gov/issue/staffing-teamwork-and-scope-practice-analysis-association-patient-safety-context
September 20, 2017 - September 7, 2022
The association between nurse staffing and omissions in nursing care: a systematic … review.
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psnet.ahrq.gov/issue/role-policy-ai-assisted-medical-diagnosis
October 02, 2013 - December 8, 2021
Diagnostic errors in the intensive care unit: a systematic review of
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psnet.ahrq.gov/issue/effect-genetic-diagnosis-patients-previously-undiagnosed-disease
October 19, 2022 - November 16, 2011
Potential role of pharmacogenomics in reducing adverse drug reactions: a systematic … review.
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psnet.ahrq.gov/issue/cumulative-effect-flexible-duty-hour-policies-resident-outcomes-long-term-follow-results
July 15, 2020 - 2011 duty hours restrictions and their effects on surgical residency training and patients outcomes: a systematic … review.
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psnet.ahrq.gov/issue/diagnostic-accuracy-large-language-model-pediatric-case-studies
May 25, 2016 - March 2, 2022
A systematic review to identify the factors that affect failure to rescue
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psnet.ahrq.gov/issue/knowledge-retention-after-simulated-crisis-importance-independent-practice-and-simulated
September 13, 2017 - December 21, 2018
Effects of reducing or eliminating resident work shifts over 16 hours: a systematic … review.
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psnet.ahrq.gov/issue/chemotherapy-medication-errors-pediatric-cancer-treatment-center-prospective-characterization
January 22, 2017 - July 26, 2023
Overlapping surgery in arthroplasty - a systematic review and meta-analysis
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psnet.ahrq.gov/issue/linking-acknowledgement-action-closing-loop-non-urgent-clinically-significant-test-results
July 02, 2019 - information technology interventions to improve medication laboratory monitoring for ambulatory patients: a systematic … review.
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psnet.ahrq.gov/issue/adherence-drug-drug-interaction-alerts-high-risk-patients-trial-context-enhanced-alerting
February 21, 2018 - January 31, 2024
Nurse burnout and patient safety, satisfaction, and quality of care: a systematic … review and meta-analysis.