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psnet.ahrq.gov/issue/missed-ischemic-stroke-diagnosis-emergency-department-emergency-medicine-and-neurology
August 03, 2017 - This retrospective chart review study found that nearly a quarter of ischemic strokes were initially … presenting to the emergency department with cardiovascular and cerebrovascular or neurological symptoms: a systematic … review.
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psnet.ahrq.gov/issue/targeting-improvements-patient-safety-large-academic-center-institutional-handoff-curriculum
August 03, 2017 - order entry on medication prescription errors and clinical outcome in pediatric and intensive care: a systematic … review. … November 26, 2014
Handoffs in the era of duty hours reform: a focused review and strategy
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psnet.ahrq.gov/issue/do-no-harm-promoting-anti-racist-policing-pediatric-emergency-departments-through-20-practice
August 12, 2020 - June 23, 2021
Adverse events in emergency department boarding: a systematic review. … August 12, 2020
Comparing patient-reported hospital adverse events with medical record review
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psnet.ahrq.gov/issue/what-are-we-doing-when-we-double-check
June 10, 2020 - Addressing patient safety hazards using critical incident reporting in hospitals: a systematic … review. … The role of organizational and professional cultures in medication safety: a scoping review
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psnet.ahrq.gov/issue/catching-and-correcting-near-misses-collective-vigilance-and-individual-accountability-trade
March 24, 2012 - March 24, 2012
Understanding medication safety in healthcare settings: a critical review … 23, 2011
The efficacy of computer-enabled discharge communication interventions: a systematic … review.
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psnet.ahrq.gov/issue/patient-safety-home-health-care-grounded-theory-study
September 25, 2019 - June 5, 2024
Systematic review on the frequency and quality of reporting patient and … The impact of the built environment on patient falls in hospital rooms: an integrative review
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psnet.ahrq.gov/issue/assessment-fda-risk-evaluation-and-mitigation-strategy-transmucosal-immediate-release
January 22, 2020 - prescribing Risk Evaluation and Mitigation Strategy Program by the US Food and Drug Administration: a review … Outcomes and patient safety in overlapping vs. nonoverlapping total joint arthroplasty: a systematic … review and meta-analysis.
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psnet.ahrq.gov/issue/building-safer-systems-ecological-design-using-restoration-science-develop-medication-safety
February 14, 2024 - Evaluation of clinical practice guidelines on fall prevention and management for older adults: a systematic … review. … January 12, 2022
The effect of structured medication review followed by face-to-face
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psnet.ahrq.gov/issue/bringing-change-shift-report-bedside-patient-and-family-centered-approach
August 18, 2021 - July 10, 2019
Barriers to and facilitators of bedside nursing handover: a systematic … review and meta-synthesis. … July 6, 2011
Nursing peer review: developing a framework for patient safety.
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psnet.ahrq.gov/issue/medication-errors-intravenous-drug-preparation-and-administration-multicentre-audit-uk
December 04, 2015 - January 7, 2011
Systematic evidence review of rates and burden of harm of intravenous … May 7, 2018
Look alike/sound alike drugs: a literature review on causes and solutions
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psnet.ahrq.gov/issue/learning-every-death
June 28, 2011 - This commentary describes how design and implementation of an institutional mortality review system … February 13, 2019
Information transfer at hospital discharge: a systematic review.
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psnet.ahrq.gov/issue/improving-resident-education-and-patient-safety-method-balance-initial-caseloads-academic
January 27, 2016 - A systematic review. … March 9, 2022
Year-end resident clinic handoffs: narrative review and recommendations
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psnet.ahrq.gov/issue/human-factors-engineering-conceptual-framework-nursing-workload-and-patient-safety-intensive
March 11, 2020 - Review
A human factors engineering conceptual framework of nursing workload and patient … September 26, 2018
Nursing resources and patient outcomes in intensive care: a systematic … review of the literature.
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psnet.ahrq.gov/issue/what-stands-way-technology-mediated-patient-safety-improvements-study-facilitators-and
May 16, 2012 - development of a sociotechnical systems model of interruptions in the emergency department through a systematic … review. … September 10, 2009
A review of medical error reporting system design considerations and
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psnet.ahrq.gov/issue/enhancing-pediatric-safety-using-simulation-assess-radiology-resident-preparedness
July 08, 2009 - Evaluation of clinical practice guidelines on fall prevention and management for older adults: a systematic … review. … events in healthcare: development and application of a classification schema based on retrospective review
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psnet.ahrq.gov/issue/adverse-events-associated-procedural-sedation-and-analgesia-pediatric-emergency-department
June 12, 2019 - Evaluation of clinical practice guidelines on fall prevention and management for older adults: a systematic … review. … April 19, 2013
The safety of outpatient health care: review of electronic health records
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psnet.ahrq.gov/issue/are-amended-surgical-pathology-reports-getting-correct-responsible-care-provider
September 04, 2024 - In this chart review study, amended pathology reports with clinically significant patient results did … 5, 2013
The safety implications of missed test results for hospitalised patients: a systematic … review.
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psnet.ahrq.gov/issue/rates-new-or-missed-colorectal-cancers-after-colonoscopy-and-their-risk-factors-population
August 28, 2024 - Resources
Patient Safety Innovations
The e-Autopsy/e-Biopsy: A Systematic … Chart Review to Increase Safety and Diagnostic Accuracy Innovation
August 30, 2023 … November 18, 2013
Outside case review of surgical pathology for referred patients: the
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psnet.ahrq.gov/issue/mortality-rate-after-nonelective-hospital-admission
January 22, 2016 - September 27, 2016
Interdisciplinary teamwork in hospitals: a review and practical recommendations … A systematic review.
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psnet.ahrq.gov/issue/development-instrument-measure-unintended-consequences-ehrs
June 22, 2011 - Overriding drug-drug interaction alerts in clinical decision support systems: a scoping review … A systematic review and meta-analysis.