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psnet.ahrq.gov/node/46230/psn-pdf
September 24, 2017 - This commentary reviews insights shared at a conference convened to
discuss issues associated with diagnosis … ahrq-research-summit-improving-diagnosis-health-care
https://psnet.ahrq.gov/issue/effectiveness-electronic-differential-diagnoses-ddx-generators-systematic-review-and-meta
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psnet.ahrq.gov/issue/how-avoid-seven-deadly-sins-surgery
June 17, 2014 - This commentary briefly reviews key problems that contribute to unsafe surgery . … An overview of the use and implementation of checklists in surgical specialities - a systematic … June 25, 2018
Surgical adverse events: a systematic review.
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psnet.ahrq.gov/issue/reducing-failure-rescue-rates-paediatric-patient-setting-9-year-quality-improvement-study
January 18, 2023 - Same Author(s)
Paediatric family activated rapid response interventions; qualitative systematic … 2023
Nursing interventions to reduce medication errors in paediatrics and neonates: systematic … improvement interventions to prevent catheter-associated urinary tract infections in the hospital setting: a systematic … December 11, 2024
Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who … October 4, 2023
Paediatric family activated rapid response interventions; qualitative systematic
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psnet.ahrq.gov/issue/using-global-trigger-tool-surgical-and-neurosurgical-patients-feasibility-study
June 09, 2021 - Understanding teamwork in rapidly deployed interprofessional teams in intensive and acute care: a systematic … review of reviews. … September 28, 2022
Variation in detected adverse events using trigger tools: a systematic … Patients' experiences and perspectives of patient-reported outcome measures in clinical care: a systematic … May 11, 2022
Tipping the balance: a systematic review and meta-ethnography to unfold
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psnet.ahrq.gov/issue/exploring-role-guidelines-contributing-medication-errors-descriptive-analysis-national
November 16, 2022 - barriers and enablers for patient and public involvement across health, social care and patient safety: a systematic … review of reviews. … February 5, 2020
Carers' medication administration errors in the domiciliary setting: a systematic … September 23, 2020
Role of artificial intelligence in patient safety outcomes: systematic … August 26, 2020
Rate of preventable mortality in hospitalized patients: a systematic
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psnet.ahrq.gov/perspective/measuring-and-responding-deaths-medical-errors
April 01, 2008 - 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/60812/psn-pdf
January 01, 2021 - clinical-pharmacist-led-integrated-approach-evaluation-medication-errors-among-medical
https://psnet.ahrq.gov/issue/do-pharmacist-led-medication-reviews-hospitals-help-reduce-hospital-readmissions-systematic
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psnet.ahrq.gov/node/839314/psn-pdf
November 02, 2022 - medication-related-harm-older-adults-following-hospital-discharge-development-and-validation
https://psnet.ahrq.gov/issue/adverse-outcomes-polypharmacy-older-people-systematic-review-reviews
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psnet.ahrq.gov/issue/skillset-obtained-surgical-simulation-transferable-operating-theatre
August 25, 2011 - 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 … David Cook reviews the literature on health care simulation training. … March 3, 2011
Surgical simulation: a systematic review.
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psnet.ahrq.gov/issue/error-intensive-care-psychological-repercussions-and-defense-mechanisms-among-health
November 29, 2023 - May 10, 2023
Operating room organization and surgical performance: a systematic review … March 20, 2024
Improving cancer patient care with combined medication error reviews and … machine learning or deep learning models in a hospital setting to detect inappropriate prescriptions: a systematic … June 18, 2013
Interventions to reduce medication errors in adult intensive care: a systematic
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psnet.ahrq.gov/issue/patient-involvement-medication-safety-hospital-exploratory-study
February 21, 2024 - barriers and enablers for patient and public involvement across health, social care and patient safety: a systematic … review of reviews. … February 5, 2020
Carers' medication administration errors in the domiciliary setting: 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/mri-suites-safety-outside-bore
April 28, 2021 - barriers and enablers for patient and public involvement across health, social care and patient safety: a systematic … review of reviews. … The association between health care staff engagement and patient safety outcomes: a systematic
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psnet.ahrq.gov/issue/understanding-patient-safety-performance-and-educational-needs-using-safety-ii-approach
September 28, 2016 - September 28, 2016
Systematic review and meta-analysis of the effectiveness of pharmacist-led … Understanding teamwork in rapidly deployed interprofessional teams in intensive and acute care: a systematic … review of reviews. … A systematic review and meta-analysis.
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psnet.ahrq.gov/issue/optimizing-medication-safety-home
August 24, 2015 - Interventions to improve safe and effective medicines use by consumers: an overview of systematic … reviews. … January 27, 2016
Educating medical trainees on medication reconciliation: a systematic
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psnet.ahrq.gov/issue/man-made-disasters-2nd-ed
January 01, 2012 - health record-based prediction models for in-hospital adverse drug event diagnosis or prognosis: a systematic … May 4, 2016
Systematic Systems Analysis: A Practical Approach to Patient Safety Reviews
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psnet.ahrq.gov/issue/pharmacy-education-and-practice
September 27, 2016 - September 27, 2016
Advancing Patient Safety: Reviews From the Agency for Healthcare Research … communication training interventions on safety culture and patient safety in emergency departments: a systematic … February 22, 2023
Medicine self-administration errors in the older adult population: a systematic
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psnet.ahrq.gov/issue/inpatient-notes-reducing-diagnostic-error-new-horizon-opportunities-hospital-medicine
February 24, 2021 - This commentary discusses how hospitalists can prevent diagnostic errors and reviews opportunities … Resources From the Same Author(s)
Advancing diagnostic safety research: results of a systematic … September 1, 2021
Patient generated research priorities to improve diagnostic safety: a systematic
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psnet.ahrq.gov/issue/risk-society-and-system-failure
November 29, 2023 - November 29, 2023
Do pharmacist-led medication reviews in hospitals help reduce hospital … A systematic review and meta-analysis. … October 30, 2024
Interventions to promote safety culture in cancer care: a systematic
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psnet.ahrq.gov/issue/balancing-just-culture-regulatory-standards
December 13, 2023 - March 3, 2021
Adverse outcomes of polypharmacy in older people: systematic review of … reviews. … July 12, 2017
Implementing a systematic response to medication errors.
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psnet.ahrq.gov/issue/role-morbidity-and-mortality-rounds-medical-education-scoping-review
July 03, 2016 - May 10, 2013
Parent engagement in perinatal mortality reviews: an online survey of clinicians … Evaluation of interventions to improve inpatient hospital documentation within electronic health records: a systematic … optimise morbidity and mortality rounds to serve contemporary quality improvement and educational goals: a systematic … March 15, 2016
Educating medical trainees on medication reconciliation: a systematic