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psnet.ahrq.gov/issue/exploring-stakeholder-perceptions-around-implementation-operating-room-black-box-patient
November 04, 2020 - November 4, 2020
Interventions for improving teamwork in intrapartem care: a systematic … resource management simulation-based training for interprofessional and interdisciplinary teams: a systematic … reviews. … October 27, 2022
Systematic review of intraoperative anesthesia handoffs and handoff … A systematic review.
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psnet.ahrq.gov/node/837335/psn-pdf
June 08, 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
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psnet.ahrq.gov/node/43268/psn-pdf
June 11, 2014 - https://psnet.ahrq.gov/issue/interventions-improve-safe-and-effective-medicines-use-consumers-overview-systematic-reviews
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psnet.ahrq.gov/issue/engaging-patients-safety-partners-some-considerations-ensuring-culturally-and-linguistically
February 12, 2020 - This article reviews the concept of patient participation in safety in the context of factors affecting … February 12, 2020
Engaging patients as vigilant partners in safety: a systematic review … August 21, 2018
Towards conceptualizing patients as partners in health systems: a systematic … October 18, 2016
Systematic review of the effectiveness of strategies to encourage patients … A systematic review.
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psnet.ahrq.gov/node/60637/psn-pdf
July 01, 2020 - impact-pharmacist-administered-deprescribing-intervention-nursing-home-residents-randomized
https://psnet.ahrq.gov/issue/adverse-outcomes-polypharmacy-older-people-systematic-review-reviews … psnet.ahrq.gov/issue/health-outcomes-deprescribing-interventions-among-older-residents-nursing-homes-systematic
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psnet.ahrq.gov/node/33582/psn-pdf
September 15, 2024 - This Primer reviews both prospective and retrospective methods to identify safety hazards that can lead … screening administrative datasets, while the
latter includes root cause analysis (RCA), mortality reviews … https://psnet.ahrq.gov/issue/accuracy-trigger-tools-detect-preventable-adverse-events-primary-care-systematic-review … 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
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psnet.ahrq.gov/issue/medical-error-and-decision-making-learning-past-and-present-intensive-care
June 26, 2024 - This article reviews research on medical errors in the intensive care unit and recommends enhancements … 2020
Effectiveness of double checking to reduce medication administration errors: a systematic … Family involvement in managing medications of older patients across transitions of care: a systematic … Resident and family engagement in medication management in aged care facilities: a systematic … April 17, 2013
Interventions to reduce medication errors in adult intensive care: a systematic
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psnet.ahrq.gov/issue/uptake-pharmacist-recommendations-patients-after-discharge-implementation-study-patient
December 14, 2016 - Author(s)
The medication reconciliation process and classification of discrepancies: a systematic … Patient outcomes in dose reduction or discontinuation of long-term opioid therapy: a systematic … Related Resources
Exploring the impact of pharmacist-supported medication reviews … November 2, 2022
Impact of medication reviews on potentially inappropriate medications
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psnet.ahrq.gov/issue/medication-errors-intensive-care-unit
October 12, 2022 - July 12, 2023
Influence of burnout on patient safety: systematic review and meta-analysis … October 23, 2019
Patient and public involvement in healthcare: a systematic mapping review … of systematic reviews - identification of current research and possible directions for future research … August 31, 2022
Perioperative patient safety recommendations: systematic review of clinical
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psnet.ahrq.gov/issue/evidence-synthesis-perioperative-handoffs-call-balanced-sociotechnical-solutions
June 23, 2021 - June 23, 2021
Systematic review and meta-analysis of interventions for operating room … July 6, 2022
Systematic review of intraoperative anesthesia handoffs and handoff tools … October 28, 2020
Effects of CPOE-based medication ordering on outcomes: an overview of systematic … reviews. … Related Resources
Handoff mnemonics used in perioperative handoff intervention studies: a systematic
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psnet.ahrq.gov/issue/medication-errors-related-computerized-provider-order-entry-systems-hospitals-and-how-they
April 07, 2021 - medication management systems on work processes and safety of controlled medications in hospitals: a systematic … improve medication safety and patient outcomes on transition from adult intensive care settings: a systematic … A systematic review and meta-analysis. … reviews. … May 27, 2011
The state of the evidence for computerized provider order entry: a systematic
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psnet.ahrq.gov/issue/implementation-trigger-review-method-scottish-general-practices-patient-safety-outcomes-and
November 07, 2011 - This study offered incentives to conduct and report results of trigger reviews in primary care . … Practices successfully implemented and reported results from trigger reviews, suggesting that trigger … reviews are a feasible strategy to enhance outpatient safety. … The accuracy of trigger tools to detect preventable adverse events in primary care: a systematic
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psnet.ahrq.gov/issue/morbidity-and-mortality-conferences-narrative-review-strategies-prioritize-quality
January 11, 2023 - January 11, 2023
The e-Autopsy/e-Biopsy: a systematic chart review to increase safety … March 20, 2024
Patient and public involvement in healthcare: a systematic mapping review … of systematic reviews - identification of current research and possible directions for future research … Comparison of military and civilian methods for determining potentially preventable deaths: a systematic … optimise morbidity and mortality rounds to serve contemporary quality improvement and educational goals: a systematic
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psnet.ahrq.gov/issue/pharmacist-led-intervention-reduction-inappropriate-medication-use-patients-heart-failure
December 22, 2021 - Pharmacist-led intervention on the reduction of inappropriate medication use in patients with heart failure: a systematic … December 22, 2021
Impact of medication reviews on potentially inappropriate medications … medication management systems on work processes and safety of controlled medications in hospitals: a systematic … April 6, 2022
Medicine self-administration errors in the older adult population: a systematic … July 8, 2020
A systematic review exploring the content and outcomes of interventions
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psnet.ahrq.gov/issue/making-health-care-safer-ii-updated-critical-analysis-evidence-patient-safety-practices
March 13, 2013 - This newly issued follow-up report combines traditional systematic review methodology with the judgments … Formal systematic reviews of 10 key PSPs are also being published simultaneously in a special supplement … September 20, 2011
Promoting a culture of safety as a patient safety strategy: a systematic … Promoting engagement by patients and families to reduce adverse events in acute care settings: a systematic
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psnet.ahrq.gov/issue/identifying-medication-errors-neonatal-intensive-care-units-two-center-study
November 11, 2020 - November 11, 2020
Information transfer at hospital discharge: a systematic review. … The impact of computerized physician medication order entry in hospitalized patients—a systematic … 2008
Evaluation of outpatient computerized physician medication order entry systems: a systematic … Inappropriateness of medication prescriptions to elderly patients in the primary care setting: a systematic … review of systematic reviews.
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psnet.ahrq.gov/issue/impact-structured-interdisciplinary-bedside-rounding-patient-outcomes-large-academic-health
December 09, 2020 - of unacceptable behaviour between healthcare workers on clinical performance and patient outcomes: a systematic … 19, 2021
Effect of the surgical safety checklist on provider and patient outcomes: a systematic … April 27, 2022
Effects of CPOE-based medication ordering on outcomes: an overview of systematic … reviews. … improve medication safety and patient outcomes on transition from adult intensive care settings: a systematic
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psnet.ahrq.gov/node/33830/psn-pdf
March 22, 2016 - Some hospitals conduct standardized reviews of deaths in order to identify individual clinician issues … or
systematic problems in care. … These may be performed as part of trigger tool-based reviews to identify
broader safety issues or as … Identifying preventable harm through death reviews should be viewed as part of an overall
strategy to … implement formal
strategies for identifying preventable deaths and analyzing these deaths to determine systematic
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psnet.ahrq.gov/node/46822/psn-pdf
April 12, 2019 - conducted a three-arm randomized controlled trial comparing the effect of pharmacist-
delivered medication reviews … psnet.ahrq.gov/primer/medication-reconciliation
https://psnet.ahrq.gov/issue/do-pharmacist-led-medication-reviews-hospitals-help-reduce-hospital-readmissions-systematic
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psnet.ahrq.gov/node/836854/psn-pdf
April 06, 2022 - medication-discrepancy-rates-and-sources-upon-nursing-home-intake-prospective-study
https://psnet.ahrq.gov/issue/systematic-review-prevalence-medication-errors-resulting-hospitalization-and-death-nursing … primer/medication-reconciliation
https://psnet.ahrq.gov/issue/adverse-outcomes-polypharmacy-older-people-systematic-review-reviews