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psnet.ahrq.gov/issue/experience-hospital-initiated-medication-changes-older-people-multimorbidity-multicentre
August 18, 2021 - improvement interventions to prevent catheter-associated urinary tract infections in the hospital setting: a systematic
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psnet.ahrq.gov/node/33572/psn-pdf
December 15, 2024 - https://psnet.ahrq.gov/issue/essential-elements-nurses-have-address-promote-safe-discharge-paediatrics-systematic-review
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psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
May 01, 2017 - The effectiveness and risks of long-term opioid therapy for chronic pain: a systematic review for a National … January 22, 2020
Prescription opioid analgesics commonly unused after surgery: a systematic … 2019
Automatable algorithms to identify nonmedical opioid use using electronic data: a systematic … 2017
Automatable algorithms to identify nonmedical opioid use using electronic data: a systematic … 2017
The effectiveness and risks of long-term opioid therapy for chronic pain: a systematic
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psnet.ahrq.gov/issue/new-ahrq-surveys-patient-safety-culturetm-diagnostic-safety-supplemental-items-medical
July 14, 2021 - November 10, 2021
Malnutrition in Hospitalized Adults: A Systematic Review. … February 15, 2023
Diagnostic Errors in the Emergency Department: A Systematic Review.
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psnet.ahrq.gov/node/49851/psn-pdf
January 01, 2019 - Adherence to guidelines and systematic approaches to improve drug administration
procedures can reduce … Complications and discomfort of
bronchoscopy: a systematic review.
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psnet.ahrq.gov/node/49655/psn-pdf
June 01, 2012 - Opioid and benzodiazepine use in end-stage renal
disease: a systematic review. … A systematic review of the use of opioid
medication for those with moderate to severe cancer pain and
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psnet.ahrq.gov/node/49802/psn-pdf
August 01, 2017 - Structure and outcomes of
interdisciplinary rounds in hospitalized medicine patients: a systematic review … An overview of the use and implementation of checklists in surgical
specialties—a systematic review.
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psnet.ahrq.gov/node/49782/psn-pdf
January 01, 2017 - A colleague and I recently published a systematic review of tissue injury local to vasopressor infusion … A systematic review of extravasation and local tissue injury from administration
of vasopressors through
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psnet.ahrq.gov/node/841493/psn-pdf
December 14, 2022 - ambulatory-virtual-care-during-pandemic-patient-safety-considerations
https://psnet.ahrq.gov//#7
https://psnet.ahrq.gov/issue/systematic-review-evidence-links-between-patient-experience-and-clinical-safety-and … Implementations and strategies of telehealth during
COVID-19 outbreak: a systematic review.
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psnet.ahrq.gov/web-mm/cyp450-drugs-expect-unexpected
October 19, 2022 - Effect of clinical decision-support systems: a systematic review. Ann Intern Med. 2012;157:29-43. … A systematic review and meta-analysis.
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psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-practice
January 01, 2016 - Some experts have criticized the practice of evaluating errors in hindsight, but we maintain that systematic … into a treasure trove of data from incident reports, patient complaints, root cause analyses, peer reviews … could use the recently developed Safer Dx instrument for identifying diagnostic error through record reviews … Hardeep Singh did a study of chart reviews and concluded that 1 in 20 ambulatory patients will experience … Patient Safety Innovations
The e-Autopsy/e-Biopsy: A Systematic
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psnet.ahrq.gov/issue/hqi-and-hospital-council-annual-conference
October 25, 2006 - August 30, 2023
Factors influencing in-hospital prescribing errors: a systematic review … Sustaining improvement of hospital-wide initiative for patient safety and quality: a systematic
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psnet.ahrq.gov/node/846125/psn-pdf
March 15, 2023 - quality, and safety metrics in real time
Daily board rounds with review of real-time patient data and systematic … Strategies for monitoring and updating clinical
practice guidelines: a systematic review.
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psnet.ahrq.gov/node/49688/psn-pdf
August 21, 2013 - Health literacy and emergency department outcomes: a systematic
review. … A systematic review of interventions to improve recall of medical advice in
healthcare consultations
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psnet.ahrq.gov/node/49703/psn-pdf
March 01, 2014 - The impact of eHealth on the quality and safety of health care: a
systematic overview. … Impact of electronic medical record on physician
practice in office settings: a systematic review.
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psnet.ahrq.gov/sites/default/files/2020-11/final_nov_spotlight_case_premature_closing-snycope_11.20.2020-revised.pdf
January 01, 2020 - illness
• Categorize systemic anticoagulation as a high-risk clinical
situation
• Choose and apply systematic … Safety and
Systems Change Needed
19
20
Approach to Improving Safety
• Hospitals should adopt systematic
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psnet.ahrq.gov/node/865419/psn-pdf
March 27, 2024 - psnet.ahrq.gov/primer/diagnostic-errors
https://psnet.ahrq.gov/issue/diagnostic-errors-emergency-department-systematic-review … Criteria for pediatric sepsis-a systematic review and meta-
analysis by the Pediatric Sepsis Definition … of systemic
inflammatory response syndrome, sepsis, and septic shock in critically ill patients: a systematic … Dual-process cognitive interventions to enhance diagnostic
reasoning: a systematic review.
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psnet.ahrq.gov/web-mm/do-not-miss-sepsis-needles-viral-haystacks
March 27, 2024 - Criteria for pediatric sepsis-a systematic review and meta-analysis by the Pediatric Sepsis Definition … of systemic inflammatory response syndrome, sepsis, and septic shock in critically ill patients: a systematic … Dual-process cognitive interventions to enhance diagnostic reasoning: a systematic review. … Resources
Sepsis alert systems, mortality, and adherence in emergency departments: a systematic
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psnet.ahrq.gov/node/74120/psn-pdf
November 30, 2021 - quality of
life in adults with advanced incurable illness in hospital, hospice, or community settings: systematic … The health care cost of palliative care for cancer patients: a
systematic review.? … A systematic review of factors influencing older adults' decision
to accept or decline cancer treatment … Unmet care needs of advanced cancer patients and
their informal caregivers: a systematic review.?
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psnet.ahrq.gov/node/49734/psn-pdf
May 01, 2015 - Or, had
the proceduralist team used a systematic counting procedure—as is routinely done in the OR—both … Missed central venous guide wires: a systematic analysis
of published case reports.