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psnet.ahrq.gov/issue/risk-analysis-method-evaluate-impact-computerized-provider-order-entry-system-patient-safety
September 15, 2021 - This study conducted a detailed quantitative analysis, following a failure mode and effect analysis ( … November 29, 2023
Is the Surgical Safety Checklist successfully conducted?
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psnet.ahrq.gov/node/47735/psn-pdf
June 24, 2019 - This report describes the results of two
studies conducted by the Center and includes a retrospective … The Center also conducted a
patient survey exploring harms from medical errors.
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psnet.ahrq.gov/issue/how-do-physicians-conduct-medication-reviews
September 02, 2010 - Study
How do physicians conduct medication reviews?
Citation Text:
Tarn DM, Paterniti DA, Kravitz RL, et al. How do physicians conduct medication reviews? J Gen Intern Med. 2009;24(12):1296-302. doi:10.1007/s11606-009-1132-4.
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psnet.ahrq.gov/node/46822/psn-pdf
April 12, 2019 - Investigators conducted a three-arm randomized controlled trial comparing the effect of pharmacist- … This trial was large, robustly conducted, and demonstrated a
durable improvement in safety for patients
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psnet.ahrq.gov/node/35402/psn-pdf
September 10, 2009 - issue/can-patients-be-part-solution-views-their-role-preventing-medical-errors
This AHRQ-funded study conducted … preventive actions discussed were from a
list generated by an AHRQ publication as well as from focus groups conducted
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psnet.ahrq.gov/node/46045/psn-pdf
December 22, 2018 - domains of patient contextual factors essential
to preventing contextual errors: a qualitative study
conducted … Domains of Patient Contextual Factors
Essential to Preventing Contextual Errors: A Qualitative Study Conducted
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psnet.ahrq.gov/issue/effect-hospital-multifaceted-clinical-pharmacist-intervention-risk-readmission-randomized
September 13, 2023 - Investigators conducted a three-arm randomized controlled trial comparing the effect of pharmacist-delivered … This trial was large, robustly conducted, and demonstrated a durable improvement in safety for patients
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psnet.ahrq.gov/issue/how-intervention-studies-measure-effectiveness-medication-safety-related-clinical-decision
December 14, 2022 - overrides ), approximately two-thirds were randomized controlled trials, and only three of 32 were conducted … More research should be conducted using randomized controlled trials instead of pre-post studies and
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psnet.ahrq.gov/issue/using-situ-simulation-identify-latent-safety-threats-emergency-medicine-systematic-review
November 03, 2015 - This review identified 15 studies of in situ simulations conducted in the emergency department including … simulations conducted prior to opening new facilities and to address emerging COVID-19 concerns.
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psnet.ahrq.gov/issue/can-patients-be-part-solution-views-their-role-preventing-medical-errors
July 22, 2010 - This AHRQ-funded study conducted interviews with nearly 200 participants to assess their likelihood of … actions discussed were from a list generated by an AHRQ publication as well as from focus groups conducted
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psnet.ahrq.gov/node/40364/psn-pdf
July 01, 2011 - This study, conducted at a children's hospital, demonstrates how accurate medication reconciliation can … processes were
thoroughly analyzed, failure modes were determined, and rapid cycle tests of change were conducted
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psnet.ahrq.gov/node/40649/psn-pdf
April 21, 2015 - psnet.ahrq.gov/primer/checklists
https://psnet.ahrq.gov/issue/surgical-safety-checklist-successfully-conducted-observational-study-social-interactions … https://psnet.ahrq.gov/issue/surgical-safety-checklist-successfully-conducted-observational-study-social-interactions
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psnet.ahrq.gov/node/46155/psn-pdf
December 21, 2017 - This pre–post
implementation project conducted in long-term care facilities employed a multimodal intervention … The project was
conducted over a 2-year period across 48 states.
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psnet.ahrq.gov/node/41212/psn-pdf
March 14, 2012 - However, as this cohort study conducted at a Dutch hospital shows, single error detection methods are … Similar findings were noted in a prior study conducted at an American tertiary care
hospital, and an
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psnet.ahrq.gov/issue/randomized-trial-improve-prescribing-safety-ambulatory-elderly-patients
March 10, 2011 - In this study, funded by the Agency for Healthcare Research and Quality (AHRQ), researchers conducted … July 28, 2021
A realist synthesis of pharmacist-conducted medication reviews in primary
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psnet.ahrq.gov/issue/utilising-improvement-science-methods-optimise-medication-reconciliation
July 24, 2017 - This study, conducted at a children's hospital, demonstrates how accurate medication reconciliation can … processes were thoroughly analyzed, failure modes were determined, and rapid cycle tests of change were conducted
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psnet.ahrq.gov/issue/national-implementation-project-prevent-catheter-associated-urinary-tract-infection-nursing
April 05, 2017 - This pre–post implementation project conducted in long-term care facilities employed a multimodal intervention … The project was conducted over a 2-year period across 48 states.
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psnet.ahrq.gov/issue/health-service-accreditation-predictor-clinical-and-organisational-performance-blinded-random
October 19, 2022 - September 23, 2020
Experiences of health professionals who conducted root cause analyses … January 15, 2014
The 'time-out' procedure: an institutional ethnography of how it is conducted
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psnet.ahrq.gov/issue/comprehensive-overview-medical-error-hospitals-using-incident-reporting-systems-patient
October 16, 2013 - However, as this cohort study conducted at a Dutch hospital shows, single error detection methods are … Similar findings were noted in a prior study conducted at an American tertiary care hospital, and an
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psnet.ahrq.gov/node/50939/psn-pdf
February 26, 2020 - homecare-safety-virtual-quality-improvement-collaboratives
This article describes learning collaboratives conducted