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psnet.ahrq.gov/issue/administering-and-monitoring-high-alert-medications-acute-care
February 01, 2017 - This commentary discusses nursing practice associated with high-alert medications and reviews tactics … Resources From the Same Author(s)
Cognitive biases associated with medical decisions: a systematic … of artificial intelligence-based automated diabetic retinopathy screening in real-world settings: a systematic … 2021
Effectiveness of double checking to reduce medication administration errors: a systematic … September 26, 2016
Barcode medication administration work-arounds: a systematic review
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psnet.ahrq.gov/issue/impact-short-notice-accreditation-assessments-hospitals-patient-safety-and-quality-culture
January 10, 2024 - Related Resources From the Same Author(s)
Neonatal near-miss audits: a systematic … March 8, 2023
Parent engagement in perinatal mortality reviews: an online survey of clinicians … February 26, 2025
Dispensing error rates in pharmacy: a systematic review and meta-analysis … March 23, 2022
The use of anatomical side markers in general radiology: a systematic … July 29, 2020
A systematic review of factors that enable psychological safety in healthcare
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psnet.ahrq.gov/node/74259/psn-pdf
January 19, 2022 - This article reviews the cognitive psychology
of diagnostic reasoning in cardiology. … diagnostic-reasoning-cardiovascular-medicine
https://psnet.ahrq.gov/issue/misdiagnosis-heart-failure-systematic-review-literature
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psnet.ahrq.gov/node/840166/psn-pdf
November 16, 2022 - psnet.ahrq.gov/issue/polypharmacy-0
https://psnet.ahrq.gov/issue/adverse-outcomes-polypharmacy-older-people-systematic-review-reviews
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psnet.ahrq.gov/issue/exploring-patient-safety-outcomes-people-learning-disabilities-acute-hospital-settings
March 02, 2022 - March 31, 2021
Dimensions of safety culture: a systematic review of quantitative, qualitative … July 21, 2021
Patient safety in inpatient mental health settings: a systematic review … February 22, 2023
Structural racism and adverse maternal health outcomes: a systematic … review of reviews. … March 13, 2015
Patient engagement in the inpatient setting: a systematic review.
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psnet.ahrq.gov/issue/perioperative-handoff-enhancement-opportunities-through-technology-and-artificial
March 20, 2019 - December 16, 2020
Effects of CPOE-based medication ordering on outcomes: an overview of systematic … reviews. … July 8, 2020
Systematic review and meta-analysis of interventions for operating room … Related Resources
Handoff mnemonics used in perioperative handoff intervention studies: a systematic … November 23, 2024
Perioperative team-based morbidity and mortality conferences: a systematic
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psnet.ahrq.gov/issue/listening-and-question-asking-behaviors-resident-and-nurse-handoff-conversations-prospective
June 27, 2018 - December 16, 2020
Effects of CPOE-based medication ordering on outcomes: an overview of systematic … reviews. … July 8, 2020
Systematic review and meta-analysis of interventions for operating room … September 1, 2021
Systematic review of intraoperative anesthesia handoffs and handoff … July 21, 2021
A systematic review of the literature on the evaluation of handoff tools
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psnet.ahrq.gov/issue/maturity-hospitals-quality-improvement-systems-associated-measures-quality-and-patient-safety
May 26, 2014 - The influence of context on the effectiveness of hospital quality improvement strategies: a review of systematic … reviews. … September 16, 2015
Perioperative patient safety recommendations: systematic review of … January 15, 2025
A systematic review on pediatric medication errors by parents or caregivers … March 6, 2013
The impact of digital hospitals on patient and clinician experience: systematic
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psnet.ahrq.gov/issue/use-expedited-review-tool-screen-prior-diagnostic-error-emergency-department-patients
December 16, 2020 - Retrospective case reviews are a common method to identify potential adverse events. … Because these reviews can be time-intensive, electronic trigger tools are frequently used to expedite … April 6, 2022
Advancing diagnostic safety research: results of a systematic research
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psnet.ahrq.gov/issue/prospective-controlled-trial-electronic-hand-hygiene-reminder-system
April 07, 2021 - Related Resources From the Same Author(s)
Smartphone distraction during nursing care: systematic … Patient safety implications of wearing a face mask for prevention in the era of COVID-19 pandemic: a systematic … August 17, 2022
Medication errors' causes analysis in home care setting: a systematic … Interventions to improve safe and effective medicines use by consumers: an overview of systematic … reviews.
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psnet.ahrq.gov/issue/reducing-medication-errors-adults-hospital-settings
March 09, 2022 - Evaluation of clinical practice guidelines on fall prevention and management for older adults: a systematic … January 22, 2025
Components of pharmacist-led medication reviews and their relationship … to outcomes: a systematic review and narrative synthesis. … January 19, 2022
Advanced medication reconciliation: a systematic review of the impact … July 22, 2020
Hospital-based medication reconciliation practices: a systematic review
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psnet.ahrq.gov/issue/closing-loop-test-results-reduce-communication-failures-rapid-review-evidence-practice-and
March 11, 2020 - The authors synthesized systematic and narrative reviews from multiple perspectives discussing diagnostic … July 6, 2022
Artificial intelligence versus clinicians: systematic review of design, … January 13, 2021
The use of anatomical side markers in general radiology: a systematic
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psnet.ahrq.gov/issue/defensive-medicine-it-time-finally-slow-down-epidemic
November 18, 2016 - This commentary reviews factors that contribute to defensive medicine , underscores the role the blame … November 18, 2016
Perioperative patient safety recommendations: systematic review of … Incidence of drug-related adverse events related to the use of high-alert drugs: a systematic … , 2022
Harm prevalence due to medication errors involving high-alert medications: a systematic … Essential elements nurses have to address to promote a safe discharge in paediatrics: a systematic
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psnet.ahrq.gov/issue/checklist-tool-error-management-and-performance-improvement
June 29, 2011 - This commentary reviews the use of checklists in aviation and health care, discusses specific situations … Resources
Impact of fatigue and insufficient sleep on physician and patient outcomes: a systematic … October 3, 2018
A systematic review of the effects of resident duty hour restrictions … July 26, 2010
Avoiding wrong site surgery: a systematic review. … 2010
Effects of shift length on quality of patient care and health provider outcomes: systematic
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psnet.ahrq.gov/issue/managing-interruptions-improve-diagnostic-decision-making-strategies-and-recommended-research
February 24, 2021 - This article reviews empirically-tested strategies from healthcare and cognitive psychology that can … Resources From the Same Author(s)
Advancing diagnostic safety research: results of a systematic … March 11, 2020
Patient generated research priorities to improve diagnostic safety: a systematic … April 26, 2023
Structural racism and adverse maternal health outcomes: a systematic … medication management systems on work processes and safety of controlled medications in hospitals: a systematic
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psnet.ahrq.gov/issue/pathology-and-patient-safety-critical-role-pathology-informatics-error-reduction-and-quality
July 20, 2009 - This article reviews patient safety concepts and describes how pathology informatics can help prevent … Interventions to improve follow-up of laboratory test results pending at discharge: a systematic … September 30, 2011
Changes in rates of autopsy-detected diagnostic errors over time: a systematic … information technology interventions to improve medication laboratory monitoring for ambulatory patients: a systematic
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psnet.ahrq.gov/issue/diagnostic-error-and-clinical-reasoning
February 06, 2013 - This article reviews evidence on the cognitive origins of diagnostic errors and examines theories regarding … May 31, 2017
Health care professionals as second victims after adverse events: a systematic … medication reconciliation tools aimed at healthcare professionals to support medication reconciliation: a systematic … Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic
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psnet.ahrq.gov/issue/safety-skills-clinicians-essential-component-patient-safety
June 01, 2012 - This article reviews safety concepts, including hazards, human error, and system failure, for clinicians … Download Citation
Related Resources From the Same Author(s)
A systematic … June 22, 2009
A systematic quantitative assessment of risks associated with poor communication … August 8, 2013
Assessing the patient safety competencies of healthcare professionals: a systematic
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psnet.ahrq.gov/node/45727/psn-pdf
August 03, 2017 - They describe a plan to conduct systematic reviews to inform future guidelines.
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psnet.ahrq.gov/issue/understanding-swiss-cheese-model-and-its-application-patient-safety
May 25, 2022 - This article reviews the theory behind the Swiss Cheese Model and how organizational influences, supervisory … 5, 2021
Effect of the surgical safety checklist on provider and patient outcomes: a systematic … Summary
February 26, 2025
Driving Learning and Improvement After RCA2 Event Reviews