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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867012/psn-pdf
    October 23, 2024 - More than half of the identified studies focused on medication safety, such as workarounds related to … Organizational factors, including workload and time pressure, were identified in 93% of studies.
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852753/psn-pdf
    August 23, 2023 - This review identified 11 studies reporting on safety culture using the AHRQ Community Pharmacy Survey … Pharmacists and pharmacy staff rated overall patient safety highly, but more than half identified workload
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849605/psn-pdf
    May 31, 2023 - This article describes safety threats identified by post-ICU clinic staff. … Medication errors and inadequate medical follow-up made up nearly half of identified safety threats.
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850172/psn-pdf
    June 07, 2023 - This systematic review identified 16 studies examining the relationship between nursing competence and … The researchers identified several gaps in the evidence, including the need for rigorous research measuring
  5. psnet.ahrq.gov/innovation/adverse-drug-event-ade-surveillance-and-pharmacist-counseling
    June 28, 2023 - If symptoms are identified, the pharmacist can assess symptoms and communicate concerns to physicians … Description of the Innovative Activity At routine ambulatory care visits, the innovation team identified … The team identified a need to move beyond those methods to educate patients about potential ADEs. … The Innovation team identified 26 clinics to participate in the study. … in the intervention group, and 5,985 eligible patients were identified by EHR for the control group.
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60659/psn-pdf
    July 08, 2020 - reviews This systematic review of the cumulative effect of computerized provider order entry (CPOE) identified … No significant reductions in inpatient mortality or length of stay were identified
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848810/psn-pdf
    May 10, 2023 - Using machine learning, this study identified 24 contributing factors to two types of surgical never … Communication, the number and type of staff present, and the type and length of surgery were identified
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60003/psn-pdf
    January 01, 2021 - In this systematic review, researchers identified eleven studies characterizing the systemic causes … Systemic errors were identified most frequently during medication administration, prescribing and preparation
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50571/psn-pdf
    October 23, 2019 - This systematic review identified 11 studies reporting both medication prescription and administration … The review identified several prevention measures that can be implemented at the provider-level or systems-level
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837415/psn-pdf
    June 15, 2022 - /instruments-measuring-patient-safety-competencies-nursing-scoping-review A 2011 systematic review identified … This review identified multiple instruments released since that review; the most frequently used was
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860726/psn-pdf
    January 17, 2024 - simulation trainings of neonatal emergencies at one Austrian hospital over an eight-year period and identified … sustained-decrease-latent-safety-threats-through-regular-interprofessional-situ-simulation https://psnet.ahrq.gov/issue/learning-latent-safety-threats-identified-during-simulation-improve-patient-safety
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861277/psn-pdf
    January 24, 2024 - This review identified 34 studies and reviews of clinical deterioration in community settings, such … Contributing factors were similar to those identified in hospitals, including workload, staff mix, and
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43013/psn-pdf
    March 12, 2014 - Laboratory test ordering and results management systems: a qualitative study of safety risks identified … Laboratory test ordering and results management systems: a qualitative study of safety risks identified … laboratory-test-ordering-and-results-management-systems-qualitative-study- safety-risks In this qualitative study, outpatient practice administrators identified
  14. psnet.ahrq.gov/issue/targeted-chart-review-pediatric-patient-safety-events-identified-agency-healthcare-research
    April 11, 2011 - Study Targeted chart review of pediatric patient safety events identified by the … Targeted Chart Review of Pediatric Patient Safety Events Identified by the Agency for Healthcare Research … Targeted Chart Review of Pediatric Patient Safety Events Identified by the Agency for Healthcare Research
  15. psnet.ahrq.gov/periodic-issue/periodic-issue-432
    March 27, 2024 - Sixteen studies on the effects of nurse staffing in emergency departments (EDs) were identified for this … This process identified several medication safety challenges (e.g., correct dosage/route, timely refills … Study Prevalence of triggers and patient harm identified by Global Trigger Tool … Of the 26 cases identified by the GTT, 16 were considered part of the patient's disease trajectory or … This systematic review identified six studies of medication errors in pediatric emergency care.
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853615/psn-pdf
    September 20, 2023 - are-physician-assistants-able-correctly-identify-prescribing-errors-cross- sectional-study A study conducted in 2011 concluded that pharmacy students identified … The results suggest PA students, regardless of year, identified prescribing errors at similar rates
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851923/psn-pdf
    August 02, 2023 - This systematic review identified 41 studies exploring the views of those affected by adverse events … Four themes were identified: transparency, person- centeredness, trustworthiness, and restorative justice
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837335/psn-pdf
    June 08, 2022 - This review identified 25 studies that used the PRISMA method to analyze UEs. … provider interviews and using multiple PRISMA-trained researchers may increase the number of causes identified
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836853/psn-pdf
    April 06, 2022 - Of the diagnostic errors identified by the trigger tool and substantiated by manual review, less than … 10% were identified through existing incident reporting systems.
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48076/psn-pdf
    July 24, 2019 - However, many have identified limitations to traditional RCAs. … RCA was adapted into a simulation format and compared to traditional RCA, simulation participants identified

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