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psnet.ahrq.gov/node/74758/psn-pdf
February 09, 2022 - Based on radiology-related events
identified in a hospital incident reporting system, the authors identified
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psnet.ahrq.gov/node/856588/psn-pdf
November 29, 2023 - This novel method revealed that staff identified
a lack of training and understaffing, whereas patients … /relatives identified communication failures and the
physical environment as contributing factors.
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psnet.ahrq.gov/node/866954/psn-pdf
October 16, 2024 - The review identified
37 systematic reviews on PPI in healthcare decision-making; three of these focused … Adverse events, readmissions, and mortality were
commonly studied outcomes in the identified reviews
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psnet.ahrq.gov/node/853619/psn-pdf
September 20, 2023 - patient safety, and to develop a single
definition of "speaking up" in healthcare. 294 articles were identified … speaking
up and the remaining on other aspects such as communication. 11 distinct definitions were identified
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psnet.ahrq.gov/node/836722/psn-pdf
March 09, 2022 - This scoping review identified 78
studies of AI conducted since 1998, and identified promising areas
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psnet.ahrq.gov/node/845630/psn-pdf
March 08, 2023 - The authors identified several interventions from previously published studies which
increased patient … safety and/or patient satisfaction and identified factors that contribute to effective
transitions
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psnet.ahrq.gov/node/837764/psn-pdf
August 03, 2022 - In this study, researchers compared rates of AE submitted to the VER
against those identified using … The GAPPS tool
identified 37 AE in patients with limited English proficiency; none of these were reported
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psnet.ahrq.gov/node/60582/psn-pdf
June 10, 2020 - disclosing-and-reporting-practice-errors-nurses-residential-long-term-care-
settings
This systematic review identified … Nurse leaders were identified as playing an important role in how
incident reports are processed and
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psnet.ahrq.gov/node/842765/psn-pdf
January 18, 2023 - catches-through
Patients who access their electronic health record (EHR) through a patient portal have identified … This study focused on patient-identified
diagnostic safety blind spots in ambulatory care clinical notes
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psnet.ahrq.gov/node/839325/psn-pdf
November 02, 2022 - psnet.ahrq.gov/issue/human-centered-design-workshops-meta-solution-diagnostic-disparities
Previous research has identified … Participants also identified two prototypes for the solutions – a visit preparation guide to teach patients
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psnet.ahrq.gov/node/836748/psn-pdf
March 16, 2022 - analysis-interprofessional-clinical-learning-environment-quality-improvement-
and-patient
The Clinical Learning Environment Review (CLER) program identified … facilitators, and barriers to resident
involvement and a positive clinical learning environment were identified
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psnet.ahrq.gov/node/73652/psn-pdf
September 01, 2021 - This systematic review
identified 694 studies of safety culture in hospitals. … Eleven themes were identified, with leadership being the most common;
none of the methods or tools appeared
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psnet.ahrq.gov/node/847725/psn-pdf
April 19, 2023 - This scoping review
identified five papers examining the hidden curriculum in pharmacy education. … The studies identified
several approaches to address the hidden curriculum during pharmacy training,
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psnet.ahrq.gov/node/50627/psn-pdf
November 06, 2019 - After observing 100 nurse-to-nurse handoffs and
conducting four focus groups, authors identified multiple … Nurses
identified some interruptions as valuable and relevant to patient care.
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psnet.ahrq.gov/periodic-issue/periodic-issue-303
August 25, 2021 - This systematic review of qualitative studies of the perspectives of transgender youths identified six … Implementation of the worker safety reporting system reduced time from injury to reporting, identified … This review identified twelve pharmacist-led educational interventions aimed at improving medication … This systematic review of qualitative studies of the perspectives of transgender youths identified six … The analysis identified communication and coordination issues resulting in lack of action and reporting
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psnet.ahrq.gov/node/45101/psn-pdf
July 01, 2017 - This
systematic review identified 182 published safety measures in primary care and categorized them … The authors note several limitations with the metrics they identified—most had not
been validated, and … there were no published measures identified for diagnostic error (despite increasing
evidence that
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psnet.ahrq.gov/issue/economic-evaluation-patient-safety-literature-review-methods
March 05, 2025 - This systematic review identified articles that estimated the cost of adverse events , the cost of patient … Of the studies identified, the majority only characterized the cost of adverse events, and few formal
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psnet.ahrq.gov/issue/after-mid-staffordshire-acknowledgement-through-learning-improvement
August 28, 2024 - explore the ethical, sociolegal , academic, and clinical avenues to understanding system failures identified … Download Citation
Related Resources From the Same Author(s)
Risk controls identified
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psnet.ahrq.gov/issue/improving-diagnostic-quality-safetyreducing-diagnostic-error-measurement-considerations
November 20, 2019 - It identified new types of active measures and related concepts present in the evidence base. … The authors also identified advancing the science of diagnostic error as an emerging area of focus.
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psnet.ahrq.gov/issue/intravenous-admixture-preparation-considerations-parts-9-and-9-b-error-prevention-intravenous
December 22, 2021 - medication containers during pharmacist transitional care visits and impact on medication discrepancies identified … October 5, 2022
Analysis of pharmacist-identified medication-related problems at two … August 10, 2022
Wrong drug and wrong dose dispensing errors identified in pharmacist