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psnet.ahrq.gov/issue/root-cause-analysis-using-prevention-and-recovery-information-system-monitoring-and-analysis
May 18, 2022 - prevention and recovery information system for monitoring and analysis method in healthcare facilities: a systematic … prevention and recovery information system for monitoring and analysis method in healthcare facilities: a systematic … Combining record reviews with provider interviews and using multiple PRISMA-trained researchers may increase … June 28, 2023
Structural racism and adverse maternal health outcomes: a systematic review … March 18, 2020
Systemic causes of in-hospital intravenous medication errors: a systematic
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psnet.ahrq.gov/node/852452/psn-pdf
August 16, 2023 - deprescribing-patient-safety-strategy
https://psnet.ahrq.gov/issue/adverse-outcomes-polypharmacy-older-people-systematic-review-reviews … https://psnet.ahrq.gov/issue/deprescribing-community-dwelling-older-adults-systematic-review-and-meta-analysis … https://psnet.ahrq.gov/issue/deprescribing-community-dwelling-older-adults-systematic-review-and-meta-analysis
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psnet.ahrq.gov/issue/pharmacist-led-educational-interventions-provided-healthcare-providers-reduce-medication
October 14, 2020 - Pharmacist-led educational interventions provided to healthcare providers to reduce medication errors: a systematic … Pharmacist-led educational interventions provided to healthcare providers to reduce medication errors: a systematic … October 14, 2020
Surgeon burnout, impact on patient safety and professionalism: a systematic … March 16, 2022
Tipping the balance: a systematic review and meta-ethnography to unfold … June 16, 2019
Economic evaluation of pharmacist-led medication reviews in residential
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psnet.ahrq.gov/issue/medicines-related-problems-mrps-originating-primary-care-settings-older-adults-systematic
March 04, 2015 - Medicines related problems (MRPs) originating in primary care settings in older adults - a systematic … Medicines related problems (MRPs) originating in primary care settings in older adults - a systematic … This systematic review including 21 studies on medication-related problems in in older adults identified … Medicines related problems (MRPs) originating in primary care settings in older adults - a systematic … May 5, 2021
In-home medication reviews: a novel approach to improving patient care through
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psnet.ahrq.gov/issue/using-machine-learning-or-deep-learning-models-hospital-setting-detect-inappropriate
January 17, 2024 - machine learning or deep learning models in a hospital setting to detect inappropriate prescriptions: a systematic … machine learning or deep learning models in a hospital setting to detect inappropriate prescriptions: a systematic … November 6, 2024
Components of pharmacist-led medication reviews and their relationship … to outcomes: a systematic review and narrative synthesis. … October 11, 2023
Medication errors in overweight and obese pediatric patients: a systematic
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psnet.ahrq.gov/issue/quantifying-burden-opioid-medication-errors-adult-oncology-and-palliative-care-settings
May 22, 2019 - Quantifying the burden of opioid medication errors in adult oncology and palliative care settings: a systematic … Quantifying the burden of opioid medication errors in adult oncology and palliative care settings: A systematic … Quantifying the burden of opioid medication errors in adult oncology and palliative care settings: A systematic … October 12, 2018
A realist synthesis of pharmacist-conducted medication reviews in primary … December 21, 2017
Managing diagnostic uncertainty in primary care: a systematic critical
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psnet.ahrq.gov/issue/intervention-pharmacist-included-multidisciplinary-team-reduce-adverse-drug-event-qualitative
February 12, 2020 - Intervention of pharmacist included in multidisciplinary team to reduce adverse drug event: a qualitative systematic … Intervention of pharmacist included in multidisciplinary team to reduce adverse drug event: a qualitative systematic … Prevalence of potentially inappropriate medication use in older adults living in nursing homes: a systematic … Related Resources
Exploring the impact of pharmacist-supported medication reviews … 2024
Clinical impact of medication review and deprescribing in older inpatients: a systematic
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psnet.ahrq.gov/issue/impact-introducing-automated-dispensing-cabinets-barcode-medication-administration-and-closed
March 10, 2021 - medication management systems on work processes and safety of controlled medications in hospitals: a systematic … medication management systems on work processes and safety of controlled medications in hospitals: a systematic … This systematic review sought to determine the impact of automated dispensing cabinets (ADCs), barcode … medication management systems on work processes and safety of controlled medications in hospitals: a systematic … June 29, 2022
Impact of medication reviews on potentially inappropriate medications and
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psnet.ahrq.gov/issue/prescription-drug-overload-critics-fighting-curb-epidemic-medication-side-effects
January 24, 2024 - This story discusses strategies such as brown bag reviews and deprescribing to minimize overprescribing … June 24, 2020
Adverse outcomes of polypharmacy in older people: systematic review of … reviews. … patients receiving home-based medical services
December 18, 2019
In-home medication reviews
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psnet.ahrq.gov/issue/effect-interventions-improve-safety-culture-healthcare-workers-hospital-settings-systematic
September 06, 2023 - Effect of interventions to improve safety culture on healthcare workers in hospital settings: a systematic … Effect of interventions to improve safety culture on healthcare workers in hospital settings: a systematic … Effect of interventions to improve safety culture on healthcare workers in hospital settings: a systematic … Related Resources From the Same Author(s)
Videos of simulated after action reviews … February 8, 2017
National and institutional trends in adverse events over time: a systematic
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psnet.ahrq.gov/issue/brave-men-and-emotional-women-theory-guided-literature-review-gender-bias-health-care-and
June 09, 2021 - June 9, 2021
Maternal mortality: near-miss events in middle-income countries, a systematic … of systematic reviews - identification of current research and possible directions for future research … October 16, 2024
Quality of life after maternal near miss: a systematic review. … February 23, 2022
Implicit bias in healthcare professionals: a systematic review. … July 8, 2020
Predictors and triggers of incivility within healthcare teams: a systematic
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psnet.ahrq.gov/issue/decision-fatigue-hospital-settings-scoping-review
November 16, 2022 - October 29, 2017
Information transfer at hospital discharge: a systematic review. … View More
Related Resources
Calculating the cost of medication errors: a systematic … review of systematic reviews. … Medication-related interventions delivered both in hospital and following discharge: a systematic … July 22, 2020
Impact of multidisciplinary team huddles on patient safety: a systematic
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psnet.ahrq.gov/node/852698/psn-pdf
August 30, 2023 - The e-Autopsy/e-Biopsy: A Systematic Chart Review to
Increase Safety and Diagnostic Accuracy Innovation … August 30, 2023
https://psnet.ahrq.gov/innovation/e-autopsye-biopsy-systematic-chart-review-increase-safety-and … Manual reviews average approximately 15–20 min per chart, depending on complexity. … The e-Autopsy/e-Biopsy: a systematic chart review to
increase safety and diagnostic accuracy. … The e-Autopsy/e-Biopsy: a systematic chart
review to increase safety and diagnostic accuracy.
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psnet.ahrq.gov/issue/first-know-thyself-cognition-and-error-medicine
March 09, 2022 - and Quality
April 26, 2023
Ethical issues in patient safety research: a systematic … March 8, 2017
Cognitive biases associated with medical decisions: a systematic review … A systematic review. … Interventions to reduce nurses' medication administration errors in inpatient settings: a systematic … reviews.
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psnet.ahrq.gov/node/50890/psn-pdf
February 12, 2020 - impact-pharmacist-led-multidisciplinary-medication-review-safety-and-
medication-cost-elderly
The value of medication reviews … ADEs) is now generally accepted
although robust evidence of cost or clinical effectiveness of such reviews … multidisciplinary-medication-review-nursing-home-residents-what-are-most-significant-drug
https://psnet.ahrq.gov/issue/systematic-review-prevalence-medication-errors-resulting-hospitalization-and-death-nursing
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psnet.ahrq.gov/primer/detection-safety-hazards
March 30, 2022 - This Primer reviews both prospective and retrospective methods to identify safety hazards that can lead … of screening administrative datasets, while the latter includes root cause analysis (RCA), mortality reviews … RCA is a formal multidisciplinary process that has the explicit goal of identifying systematic problems … Standardized mortality reviews may be used to analyze specific cases for systematic harm or to estimate … Reviews of closed malpractice claims and risk management databases have also yielded useful information
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psnet.ahrq.gov/issue/global-report-epidemiology-and-burden-sepsis-current-evidence-identifying-gaps-and-future
September 30, 2020 - August 24, 2022
Global Burden of Preventable Medication-related Harm in Health Care: A Systematic … February 15, 2023
Diagnostic Errors in the Emergency Department: A Systematic Review. … Interventions to reduce the incidence of medical error and its financial burden in health care systems: a systematic … review of systematic reviews.
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psnet.ahrq.gov/node/42947/psn-pdf
February 19, 2014 - This
systematic review focused specifically on whether the skill set obtained from simulation is transferable … A recent systematic review, published as part of the AHRQ Making Health Care Safer II
report, also found … David Cook reviews the literature on health care
simulation training. … simulation-training
https://psnet.ahrq.gov/issue/technology-enhanced-simulation-health-professions-education-systematic-review-and-meta … https://psnet.ahrq.gov/issue/simulation-exercises-patient-safety-strategy-systematic-review
https://
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psnet.ahrq.gov/issue/global-drug-shortages-due-covid-19-impact-patient-care-and-mitigation-strategies
November 04, 2020 - October 17, 2012
Advanced medication reconciliation: a systematic review of the impact … medication errors and medication-related harm following discharge from hospital to community settings: a systematic … January 23, 2019
Economic evaluation of pharmacist-led medication reviews in residential … September 6, 2016
Pharmacist medication reviews to improve safety monitoring in primary
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psnet.ahrq.gov/issue/relationship-between-safety-climate-and-safety-performance-review
February 03, 2021 - This systematic review explored the relationship between safety climate and safety-related behaviors … review of reviews. … medication management systems on work processes and safety of controlled medications in hospitals: a systematic … February 12, 2020
A systematic review exploring the content and outcomes of interventions … February 26, 2025
Psychosocial factors and safety in high-risk industries: a systematic