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psnet.ahrq.gov/issue/resilience-and-regulation-odd-couple-consequences-safety-ii-governmental-regulation
October 06, 2021 - April 20, 2022
A resilience view on health system resilience: a scoping review of empirical … July 20, 2022
Learning from safety incidents in high reliability organizations: a systematic … review of learning tools that could be adapted and used in healthcare.
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psnet.ahrq.gov/issue/evaluation-predevelopment-service-delivery-intervention-application-improve-clinical
March 06, 2013 - April 22, 2017
Ranking hospitals based on preventable hospital death rates: a systematic … review with implications for both direct measurement and indirect measurement through standardized mortality … March 4, 2011
Doctors' handovers in hospitals: a literature review.
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psnet.ahrq.gov/issue/developing-critical-approach-patient-and-public-involvement-patient-safety-nhs-learning
February 20, 2019 - barriers and enablers for patient and public involvement across health, social care and patient safety: a systematic … review of reviews. … The role of organizational and professional cultures in medication safety: a scoping review
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psnet.ahrq.gov/issue/falls-english-and-welsh-hospitals-national-observational-study-based-retrospective-analysis
June 15, 2011 - Preventable deaths due to problems in care in English acute hospitals: a retrospective case record review … April 5, 2013
The effect of bedrails on falls and injury: a systematic review of clinical
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psnet.ahrq.gov/issue/unexpected-hypoglycemia-critically-ill-patient
July 25, 2018 - June 29, 2009
The safety of outpatient health care: review of electronic health records … impacts of prefilled syringes versus conventional medication administration methods: results from a systematic … literature review.
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psnet.ahrq.gov/issue/prevalence-and-causes-diagnostic-errors-hospitalized-patients-under-investigation-covid-19
September 23, 2020 - April 24, 2018
Effects of rapid response systems on clinical outcomes: systematic review … February 22, 2023
Implication of the COVID-19 Pandemic for Patient Safety: A Rapid Review
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psnet.ahrq.gov/issue/effect-hospital-acquired-clostridium-difficile-infection-hospital-mortality
April 22, 2011 - April 22, 2011
Quality gaps identified through mortality review. … September 11, 2009
A systematic review to evaluate the accuracy of electronic adverse
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psnet.ahrq.gov/issue/5th-national-audit-project-nap5-accidental-awareness-during-general-anaesthesia-patient
October 01, 2014 - Impact of interactions between drugs and laboratory test results on diagnostic test interpretation—a systematic … review. … November 27, 2009
Mapping changes in surgical mortality over 9 years by peer review audit
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psnet.ahrq.gov/issue/collapse-sensemaking-organizations-mann-gulch-disaster
May 21, 2019 - This article is a review and analysis of the Mann Gulch fire disaster, an event made famous in Norman … June 12, 2019
Promoting a culture of safety as a patient safety strategy: a systematic … review.
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psnet.ahrq.gov/issue/potential-costs-and-consequences-associated-medication-error-hospital-discharge-expert
September 05, 2018 - June 19, 2019
A scoping review of non-professional medication practices and medication … Effect of interventions to improve safety culture on healthcare workers in hospital settings: a systematic … review of the international literature.
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psnet.ahrq.gov/issue/trigger-tool-method-measure-harmful-medication-errors-children
August 03, 2022 - 2021
The barriers and enhancers to trust in a just culture in hospital settings: a systematic … review. … 30, 2022
Occupational therapy utilization in veterans with dementia: a retrospective review
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psnet.ahrq.gov/issue/we-cant-get-along-without-each-other-qualitative-interviews-physicians-about-device-industry
March 07, 2018 - reporting and resolution of incidents related to medical devices and other healthcare technologies: a systematic … review. … September 21, 2016
Managing and mitigating conflict in healthcare teams: an integrative review
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psnet.ahrq.gov/issue/simmeon-prep-study-simulation-medication-errors-oncology-prevention-antineoplastic
May 28, 2014 - February 1, 2012
Human-simulation-based learning to prevent medication error: a systematic … review. … A review of the literature.
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psnet.ahrq.gov/issue/centers-disease-control-and-prevention-guideline-prevention-surgical-site-infection-2017
June 27, 2018 - Review
Centers for Disease Control and Prevention Guideline for the Prevention of … July 19, 2023
Tipping the balance: a systematic review and meta-ethnography to unfold
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psnet.ahrq.gov/issue/information-exchange-among-physicians-caring-same-patient-community
March 28, 2011 - August 25, 2011
Quality gaps identified through mortality review. … November 11, 2015
A systematic review to evaluate the accuracy of electronic adverse
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psnet.ahrq.gov/issue/dollar-or-disease-burden-caps-healthcare-spending-may-save-money-what-cost-patients
March 01, 2011 - A scoping review. … Cost of adverse drug events related to potentially inappropriate medication use: a systematic … review.
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psnet.ahrq.gov/issue/effectiveness-and-cost-transitional-care-program-heart-failure-prospective-study-concurrent
April 24, 2019 - Evaluation of clinical practice guidelines on fall prevention and management for older adults: a systematic … review. … January 12, 2022
Clinical reasoning assessment methods: a scoping review and practical
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psnet.ahrq.gov/issue/study-multisite-prospective-adverse-event-surveillance-system
October 16, 2019 - October 13, 2018
A systematic review to evaluate the accuracy of electronic adverse drug … Impact of the COVID-19 pandemic on the experiences of hospitalized patients: a scoping review
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psnet.ahrq.gov/issue/human-errors-emergency-medical-services-qualitative-analysis-contributing-factors
July 07, 2021 - September 13, 2017
A scoping review of the methodological approaches used in retrospective … August 9, 2023
Types and effects of feedback for emergency ambulance staff: a systematic … mixed studies review and meta-analysis.
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psnet.ahrq.gov/issue/avoiding-unintended-consequences-growth-medical-care-how-might-more-be-worse
April 24, 2018 - Fisher and Welch review the growth in scope and complexity of health care delivery in the United States … The authors propose two levels of analysis for the growth of health care, “discrete” and “systematic” … They propose several mechanisms by which harm can occur, review examples illustrating each, and offer