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psnet.ahrq.gov/sites/default/files/2025-03/PSNet%20Webinar%20Feb%202025_0.pdf
January 01, 2025 - History of MHS
• 1999 Institute of Medicine: To Err is Human
• MHS Reports – collection of evidence reviews … 11
Rapid Reviews & Rapid Responses
• For rapid reviews, strategic adjustments were made to streamline … • MHS IV Methods
➢ Searched PubMed & Cochrane Library for systematic reviews & primary
studies (2018 … Systematic review Hospital mortality 7 of 13 studies showed
improvement
Adults
McGaughey et al. … Systematic review Hospital mortality No improvement Adults
Girotra et al.
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psnet.ahrq.gov/curated-library/interdisciplinary-teamwork
April 28, 2025 - This discussion paper reviews evidence-based characteristics of high-functioning teams and barriers to … review of reviews. … This systematic review of reviews and thematic... … review of reviews. … This systematic review of reviews and thematic analysis identified four key factors that frame the evidence
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psnet.ahrq.gov/issue/incidence-and-characteristics-adverse-events-paediatric-inpatient-care-systematic-review-and
September 21, 2022 - Incidence and characteristics of adverse events in paediatric inpatient care: a systematic … Incidence and characteristics of adverse events in paediatric inpatient care: a systematic review and … Incidence and characteristics of adverse events in paediatric inpatient care: a systematic review and … July 8, 2020
Systematic review and meta-analysis of interventions for operating room … review of systematic reviews.
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psnet.ahrq.gov/issue/carers-medication-administration-errors-domiciliary-setting-systematic-review
December 18, 2017 - Review
Carers' medication administration errors in the domiciliary setting: a systematic … Carers' Medication Administration Errors in the Domiciliary Setting: A Systematic Review. … This narrative systematic review found caregiver medication administration error rates ranging from 1.9% … Carers' Medication Administration Errors in the Domiciliary Setting: A Systematic Review. … review of reviews.
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psnet.ahrq.gov/node/72772/psn-pdf
February 24, 2021 - Measurement and monitoring patient safety in prehospital
care: a systematic review. … Measurement and monitoring patient safety in prehospital
care: a systematic review. … https://psnet.ahrq.gov/issue/measurement-and-monitoring-patient-safety-prehospital-care-systematic- … This systematic review identified a variety of methods
for measuring and monitoring patient safety in … They include surveys, patient record reviews, incident reporting systems, interviews,
and checklists
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psnet.ahrq.gov/issue/towards-conceptualizing-patients-partners-health-systems-systematic-review-and-descriptive
February 10, 2021 - Review
Towards conceptualizing patients as partners in health systems: a systematic … Towards conceptualizing patients as partners in health systems: a systematic review and descriptive synthesis … review of reviews. … January 25, 2023
Structural racism and adverse maternal health outcomes: a systematic … A systematic review and realist synthesis of interventions to enhance patient safety.
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psnet.ahrq.gov/issue/patient-safety-strategies-targeted-diagnostic-errors-systematic-review
March 20, 2013 - Review
Patient safety strategies targeted at diagnostic errors: a systematic review … Patient safety strategies targeted at diagnostic errors: a systematic review. … Conducted as part of the AHRQ Making Health Care Safer II report, this article reviews the expanding … Patient safety strategies targeted at diagnostic errors: a systematic review. … June 16, 2010
Improving patient handovers from hospital to primary care: a systematic
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psnet.ahrq.gov/issue/identifying-potential-prescribing-safety-indicators-related-mental-health-disorders-and
July 22, 2020 - Identifying potential prescribing safety indicators related to mental health disorders and medications: a systematic … Identifying potential prescribing safety indicators related to mental health disorders and medications: A systematic … This systematic review described and categorized patient safety indicators for prescribing psychiatric … February 2, 2022
Tipping the balance: a systematic review and meta-ethnography to unfold … December 18, 2017
Economic evaluation of pharmacist-led medication reviews in residential
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psnet.ahrq.gov/issue/systematic-review-types-safety-incidents-and-processes-and-systems-used-safety-incident
September 11, 2024 - Review
Systematic review of types of safety incidents and the processes and systems … Systematic review of types of safety incidents and the processes and systems used for safety incident … This systematic review of 106 studies examined the characteristics of incident reporting processes in … Systematic review of types of safety incidents and the processes and systems used for safety incident … review of reviews.
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psnet.ahrq.gov/issue/interventions-reduce-nurses-medication-administration-errors-inpatient-settings-systematic
October 13, 2021 - Interventions to reduce nurses' medication administration errors in inpatient settings: a systematic … Interventions to reduce nurses' medication administration errors in inpatient settings: A systematic … Interventions to reduce nurses' medication administration errors in inpatient settings: A systematic … October 13, 2021
Drug administration errors in hospital inpatients: a systematic review … reviews.
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psnet.ahrq.gov/issue/investigation-interventions-reduce-nurses-medication-errors-adult-intensive-care-units
September 29, 2021 - Investigation of interventions to reduce nurses' medication errors in adult intensive care units: a systematic … Investigation of interventions to reduce nurses’ medication errors in adult intensive care units: a systematic … March 24, 2021
A systematic review of interventions used to enhance implementation of … review of systematic reviews. … August 31, 2022
Systematic review and meta-analysis of interventions for operating room
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psnet.ahrq.gov/node/41745/psn-pdf
October 10, 2012 - Cochrane Database of Systematic Reviews. 2012.
doi:10.1002/14651858.cd007980.pub2. … patients via email has been proposed as a strategy to prevent
failure to follow up on test results, this systematic … email-communicating-results-diagnostic-medical-investigations-patients
https://psnet.ahrq.gov/issue/failure-follow-test-results-ambulatory-patients-systematic-review
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psnet.ahrq.gov/issue/prevalence-and-nature-medication-errors-and-medication-related-harm-following-discharge
August 11, 2021 - medication errors and medication-related harm following discharge from hospital to community settings: a systematic … medication errors and medication-related harm following discharge from hospital to community settings: a systematic … This systematic review of 54 studies found that over half of adult and pediatric patients experienced … Frequency and nature of medication errors and adverse drug events in mental health hospitals: a systematic … review of systematic reviews.
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psnet.ahrq.gov/node/851193/psn-pdf
July 05, 2023 - Overlapping surgery in arthroplasty - a systematic review
and meta-analysis. … Overlapping surgery in arthroplasty – a systematic review and meta-
analysis. … This systematic
review and meta-analysis was performed to determine differences in risk of complications … Consistent with prior studies and reviews, there were no significant differences in adverse events or … https://psnet.ahrq.gov/issue/overlapping-surgery-arthroplasty-systematic-review-and-meta-analysis
https
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psnet.ahrq.gov/issue/disclosing-and-reporting-practice-errors-nurses-residential-long-term-care-settings
April 02, 2015 - Disclosing and reporting practice errors by nurses in residential long-term care settings: a systematic … Disclosing and reporting practice errors by nurses in residential long-term care settings: a systematic … This systematic review identified five articles exploring factors influencing error disclosure and … Disclosing and reporting practice errors by nurses in residential long-term care settings: a systematic … review of reviews.
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psnet.ahrq.gov/node/73119/psn-pdf
April 07, 2021 - computerised physician order entry (CPOE) on
the incidence of chemotherapy-related medication errors:
a systematic … computerised physician order entry
(CPOE) on the incidence of chemotherapy-related medication errors: a systematic … using-implementation-safety-indicators-cpoe-implementation
https://psnet.ahrq.gov/issue/effects-cpoe-based-medication-ordering-outcomes-overview-systematic-reviews
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psnet.ahrq.gov/node/42038/psn-pdf
June 03, 2013 - A systematic review of simulation for multidisciplinary
team training in operating rooms. … A systematic review of simulation for multidisciplinary team training
in operating rooms. … https://psnet.ahrq.gov/issue/systematic-review-simulation-multidisciplinary-team-training-operating-rooms … Despite widespread implementation, previous systematic reviews have raised
concerns about variation … https://psnet.ahrq.gov/issue/systematic-review-simulation-multidisciplinary-team-training-operating-rooms
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psnet.ahrq.gov/node/39828/psn-pdf
January 12, 2012 - reviewing-methodologically-disparate-data-practical-guide-patient-safety-
research-field
This article serves as a tutorial for systematic … reviews and discusses the role of such reviews in patient
safety improvement work.
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psnet.ahrq.gov/node/60033/psn-pdf
March 11, 2020 - Interventions to reduce adverse drug event-related
outcomes in older adults: a systematic review and … Interventions to Reduce Adverse Drug Event-Related Outcomes in
Older Adults: A Systematic Review and … https://psnet.ahrq.gov/issue/interventions-reduce-adverse-drug-event-related-outcomes-older-adults-
systematic-review-and … This systematic review included seven studies that examined interventions designed to reduce adverse … Interventions included medication reviews by
pharmacists, primary care physicians or research teams
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psnet.ahrq.gov/node/73366/psn-pdf
June 09, 2021 - Medicine self-administration errors in the older adult
population: a systematic review. … Medicine self-administration errors in the older adult population: a systematic review. … https://psnet.ahrq.gov/issue/medicine-self-administration-errors-older-adult-population-systematic-review … https://psnet.ahrq.gov/issue/medicine-self-administration-errors-older-adult-population-systematic-review … seniors-managing-multiple-medications-using-mixed-methods-view-home-care-safety-lens
https://psnet.ahrq.gov/issue/impact-medication-reviews-delivered-community-pharmacist-elderly-patients-polypharmacy-meta