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psnet.ahrq.gov/node/47128/psn-pdf
October 13, 2018 - Discussing an error that
resulted in the death of a young man, this commentary reviews how cognitive … second-victims-support-clinicians-involved-errors-and-adverse-events
https://psnet.ahrq.gov/issue/diagnostic-errors-intensive-care-unit-systematic-review-autopsy-studies
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psnet.ahrq.gov/node/45383/psn-pdf
August 31, 2016 - This case discussion
reviews an error in the community setting involving a nonocular medication mistakenly … psnet.ahrq.gov/issue/interventions-reduce-nurses-medication-administration-errors-inpatient-settings-systematic
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psnet.ahrq.gov/issue/e-prescribing-and-medication-safety-community-settings-rapid-scoping-review
January 22, 2025 - April 3, 2024
A systematic review of team training in health care: ten questions. … April 3, 2024
Dispensing error rates in pharmacy: a systematic review and meta-analysis … June 28, 2023
Concerns regarding tablet splitting: a systematic review. … December 9, 2020
A realist synthesis of pharmacist-conducted medication reviews in primary
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psnet.ahrq.gov/issue/drug-related-hospital-admissions
September 07, 2016 - This systematic review summarizes reported rates of drug-related hospital admissions from 36 different … 2022
Nursing interventions to reduce medication errors in paediatrics and neonates: systematic … October 4, 2011
Advancing Patient Safety: Reviews From the Agency for Healthcare Research
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psnet.ahrq.gov/issue/cardiac-arrest-during-anesthesia
January 19, 2011 - This article reviews factors contributing to anesthesia-related cardiac arrests and details prevention … December 12, 2012
Machine learning in medication prescription: a systematic review. … Related Resources
Debriefing to improve interprofessional teamwork in the operating room: a systematic
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psnet.ahrq.gov/issue/wireless-technologies-and-patient-safety-hospitals
August 30, 2023 - May 31, 2023
Parent engagement in perinatal mortality reviews: an online survey of clinicians … Related Resources
Systems approach to health service design, delivery and improvement: a systematic … 2019
Patient safety and quality of care in developing countries in Southeast Asia: a systematic … May 10, 2013
Inpatient fall prevention programs as a patient safety strategy: a systematic
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psnet.ahrq.gov/issue/debriefing-after-critical-incidents-anaesthetic-trainees
June 10, 2020 - Evaluation of clinical practice guidelines on fall prevention and management for older adults: a systematic … January 12, 2022
Dispensing error rates in pharmacy: a systematic review and meta-analysis … December 6, 2023
Healthcare resilience: a meta-narrative systematic review and synthesis … of reviews.
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psnet.ahrq.gov/issue/nurses-use-computerized-clinical-guidelines-improve-patient-safety-hospitals
June 06, 2018 - July 29, 2020
Violations of behavioral practices revealed in closed claims reviews. … Resources
Systemic defenses to prevent intravenous medication errors in hospitals: a systematic … 2020
Effectiveness of double checking to reduce medication administration errors: a systematic … May 29, 2019
Medical device-related pressure ulcers: a systematic review and meta-analysis … The effectiveness of nurse education and training for clinical alarm response and management: a systematic
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psnet.ahrq.gov/issue/narrative-review-safety-concerns-deprescribing-older-adults-and-strategies-mitigate-potential
December 19, 2018 - Related Resources
Medicine self-administration errors in the older adult population: a systematic … June 9, 2021
Impact of medication reviews delivered by community pharmacist to elderly … Family involvement in managing medications of older patients across transitions of care: a systematic … Patient safety vulnerabilities for children with intellectual disability in hospital: a systematic … June 14, 2017
The missing evidence: a systematic review of patients' experiences of adverse
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psnet.ahrq.gov/node/44394/psn-pdf
August 24, 2018 - medication orders can inadvertently be given to the wrong patient in the
community pharmacy setting and reviews … getting-wrong-persons-medicine-pharmacy-easy-steps-consumers-can-take-help-eliminate-these
https://psnet.ahrq.gov/issue/pharmacy-dispensing-errors-claims-study-emphasizes-need-systematic-vigilance
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psnet.ahrq.gov/node/45436/psn-pdf
August 31, 2016 - This commentary
reviews how an otolaryngology ward implemented a simple cognitive aid to improve patient … effect-emergency-department-boarding-order-completion
https://psnet.ahrq.gov/primer/communication-between-clinicians
https://psnet.ahrq.gov/issue/systematic-review-application-plan-do-study-act-method-improve-quality-healthcare
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psnet.ahrq.gov/node/43606/psn-pdf
October 15, 2014 - This position paper describes why this problem is emerging, reviews evidence and policy to guide
safe … psnet.ahrq.gov/issue/safe-use-opioids-hospitals
https://psnet.ahrq.gov/issue/identifying-high-risk-medication-systematic-literature-review
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psnet.ahrq.gov/node/47108/psn-pdf
June 06, 2018 - curriculum, this commentary provides an introduction to how cognitive bias affects health care
delivery and reviews … diagnostic-errors
https://psnet.ahrq.gov/issue/debiasing-health-related-judgments-and-decision-making-systematic-review
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psnet.ahrq.gov/node/46899/psn-pdf
March 21, 2018 - suicide-attempts-and-completions-medical-surgical-and-intensive-care-units
https://psnet.ahrq.gov/issue/medication-errors-mental-healthcare-systematic-review … https://psnet.ahrq.gov/issue/pharmacist-medication-reviews-improve-safety-monitoring-primary-care-patients
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psnet.ahrq.gov/node/838074/psn-pdf
January 01, 2023 - psnet.ahrq.gov/perspective/update-patient-engagement-safety
https://psnet.ahrq.gov/issue/are-online-patient-reviews-associated-health-care-outcomes-systematic-review-literature
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psnet.ahrq.gov/issue/case-not-closed-prescription-errors-12-years-after-computerized-physician-order-entry
April 08, 2011 - January 20, 2021
Effects of CPOE-based medication ordering on outcomes: an overview of systematic … reviews. … March 17, 2021
A systematic review of team training in health care: ten questions. … order entry on medication prescription errors and clinical outcome in pediatric and intensive care: a systematic
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psnet.ahrq.gov/issue/important-factors-effective-patient-safety-governance-auditing-questionnaire-survey
December 04, 2015 - April 5, 2023
Measurement of patient safety: a systematic review of the reliability and … February 9, 2022
Evidence-based interventions to reduce adverse events in hospitals: a systematic … review of systematic reviews.
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psnet.ahrq.gov/issue/disclosing-adverse-events-clinical-practice-delicate-act-being-open
April 14, 2021 - Evaluation of clinical practice guidelines on fall prevention and management for older adults: a systematic … carer and family experiences of seeking redress and reconciliation following a life-changing event: systematic … Individual characteristics that promote or prevent psychological safety and error reporting in healthcare: a systematic … April 12, 2023
Adverse event reviews in healthcare: what matters to patients and their … Disclosing and reporting practice errors by nurses in residential long-term care settings: a systematic
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psnet.ahrq.gov/issue/defining-and-enhancing-collaboration-between-community-pharmacists-and-primary-care-providers
July 07, 2021 - s)
Resident and family engagement in medication management in aged care facilities: a systematic … medication errors and medication-related harm following discharge from hospital to community settings: a systematic … August 25, 2021
A systematic review on pediatric medication errors by parents or caregivers … Frequency and nature of medication errors and adverse drug events in mental health hospitals: a systematic … September 4, 2019
Impact of medication reviews delivered by community pharmacist to elderly
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psnet.ahrq.gov/issue/theres-no-place-home-integrating-pharmacist-hospital-home-model
November 04, 2020 - Cost of adverse drug events related to potentially inappropriate medication use: a systematic … May 5, 2021
Advancing diagnostic safety research: results of a systematic research priority … health record-based prediction models for in-hospital adverse drug event diagnosis or prognosis: a systematic … September 13, 2023
Medication errors' causes analysis in home care setting: a systematic … June 13, 2011
Post-discharge medication reviews for patients with heart failure: a pilot