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psnet.ahrq.gov/node/41458/psn-pdf
June 19, 2012 - introduction-medical-emergency-team-met-system-cluster-randomised-controlled-trial
https://psnet.ahrq.gov/primer/culture-safety
https://psnet.ahrq.gov/issue/systematic-review-and-evaluation-physiological-track-and-trigger-warning-systems-identifying
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psnet.ahrq.gov/node/39463/psn-pdf
February 10, 2015 - /never-events
https://psnet.ahrq.gov/issue/effect-point-care-computer-reminders-physician-behaviour-systematic-review
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psnet.ahrq.gov/node/38612/psn-pdf
May 06, 2009 - issue/ismp-list-error-prone-abbreviations-symbols-and-dose-designations
https://psnet.ahrq.gov/issue/systematic-review-medication-errors-pediatric-patients
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psnet.ahrq.gov/node/39549/psn-pdf
March 22, 2011 - https://psnet.ahrq.gov/issue/where-errors-occur-preparation-and-administration-intravenous-medicines-systematic-review-and
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psnet.ahrq.gov/node/47674/psn-pdf
December 19, 2018 - patient-mediated-interventions-improve-professional-practice
https://psnet.ahrq.gov/issue/engaging-patients-improve-quality-care-systematic-review
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psnet.ahrq.gov/node/43857/psn-pdf
August 02, 2015 - cusp-toolkit
https://psnet.ahrq.gov/issue/cusp-toolkit
https://psnet.ahrq.gov/issue/surgical-checklists-systematic-review-impacts-and-implementation
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psnet.ahrq.gov/node/41451/psn-pdf
October 19, 2012 - diagnostic-errors-next-frontier-patient-safety
https://psnet.ahrq.gov/issue/changes-rates-autopsy-detected-diagnostic-errors-over-time-systematic-review
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psnet.ahrq.gov/web-mm/dose-makes-poison-medication-error-during-procedural-sedation-pediatric-emergency-department
January 23, 2017 - to communicate that they are experiencing an adverse or unintended effect from a medication. 27 A systematic … Ketamine-propofol combination (ketofol) vs propofol for procedural sedation and analgesia: systematic … Surgical checklists: a systematic review of impacts and implementation. … Systematic review of medication errors in pediatric patients. … The role of teamwork and communication in the emergency department: a systematic review.
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psnet.ahrq.gov/web-mm/adverse-event-during-intrahospital-transport
June 16, 2021 - 2021
Worldwide incidence of surgical site infections in general surgical patients: a systematic … , 2015
Effect of using a safety checklist on patient complications after surgery: a systematic … 27, 2014
Enhancing communication in surgery through team training interventions: a systematic
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psnet.ahrq.gov/primer/root-cause-analysis
March 30, 2022 - how the event occurred (through identification of active errors) and why the event occurred (through systematic … This led the hospital to implement a series of systematic changes to reduce the likelihood of a similar
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psnet.ahrq.gov/primer/high-reliability
January 29, 2020 - November 1, 2023
Interventions into reliability-seeking health care organizations: a systematic review … November 9, 2022
Learning from safety incidents in high reliability organizations: a systematic review
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psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-diagnostic-error
July 30, 2020 - confirmed that nasopharyngeal sampling is more sensitive than oropharyngeal sampling. 39,40 A recent systematic … specimens, although substantial heterogeneity limited the conclusions of this study 41 and other recent reviews … Implicit bias in healthcare professionals: a systematic review. BMC Med Ethics . 2017;18(1):19. … Implicit racial/ethnic bias among health care professionals and its influence on health care outcomes: a systematic … Diagnostic performance of different sampling approaches for SARS-CoV-2 RT-PCR testing: a systematic review
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psnet.ahrq.gov/sites/default/files/2020-08/too_many_cooks_spotlight_pdf.pdf
January 01, 2020 - The association of frailty with adverse outcomes after multisystem trauma: a
systematic review and meta-analysis … Aortic stenosis and non-cardiac surgery: A systematic review and meta-analysis. … Examining Risk: A Systematic Review of Perioperative Cardiac Risk Prediction Indices.
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psnet.ahrq.gov/node/50927/psn-pdf
February 21, 2020 - inappropriate prescribing of antibiotics for acute respiratory tract infections: summary and update of a
systematic … interventions-to-reduce-inappropriate-prescribing-of-antibiotics-for-acute-respiratory-tract-infections-summary-and-update-of-a-systematic-review … inappropriate+prescribing+of+antibiotics+for+acute+respiratory+tract+infections%3A+summary+and+update+of+a+systematic
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psnet.ahrq.gov/web-mm/when-vomit-gets-way-aspiration-resulting-death-during-endoscopy
March 18, 2020 - A systematic review and meta-analysis. … adverse event reporting among patients undergoing endoscopic cholangiopancreatography: a comparative systematic … Pulmonary aspiration during procedural sedation: a comprehensive systematic review. … June 6, 2018
Anesthesiology patient handoff education interventions: a systematic review
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psnet.ahrq.gov/web-mm/too-many-cooks-kitchen
March 07, 2018 - A recent systematic review of 11 cardiac risk indices involving 2,910,297 adult patients who underwent … The association of frailty with adverse outcomes after multisystem trauma: a systematic review and meta-analysis … Aortic stenosis and non-cardiac surgery: A systematic review and meta-analysis. … Examining Risk: A Systematic Review of Perioperative Cardiac Risk Prediction Indices.
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psnet.ahrq.gov/node/49761/psn-pdf
May 01, 2016 - adenocarcinoma in younger and nonsmoking
individuals.(8) This case is a reminder of the need for such a systematic … Addressing incidental and discrepant findings in a consistent manner is possible by adopting a systematic
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psnet.ahrq.gov/issue/medical-and-surgical-comanagement-after-elective-hip-and-knee-arthroplasty-randomized
January 22, 2014 - Hospital organisation, management, and structure for prevention of health-care-associated infection: a systematic
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psnet.ahrq.gov/issue/preventing-complications-central-venous-catheterization
September 02, 2015 - More
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