Results

Total Results: over 10,000 records

Showing results for "identified".

121. Defining speaking up in the healthcare system: a systematic review. | PSNet
     psnet.ahrq.gov/issue/defining-speaking-healthcare-system-systematic-review
     September 27, 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

122. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866250/psn-pdf
     July 10, 2024 - This scoping review of 585 articles identified 82 metrics used to measure clinician attention and identified

123. Adverse Drug Event (ADE) Surveillance and Pharmacist Counseling | PSNet
     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.

124. Clinical validation of the AHRQ postoperative venous thromboembolism patient safety indicator. | PSNet
     psnet.ahrq.gov/issue/clinical-validation-ahrq-postoperative-venous-thromboembolism-patient-safety-indicator
     September 25, 2011 - Use of the PSI identified nearly all true DVT cases but also identified a significant number of false

125. Using nurses and office staff to report prescribing errors in primary care. | PSNet
     psnet.ahrq.gov/issue/using-nurses-and-office-staff-report-prescribing-errors-primary-care
     May 04, 2010 - Nurses and office staff reported medication errors identified through communication with community … While this voluntary reporting identified many errors, frequent reminders were needed in order to ensure

126. Attention among health care professionals : a scoping review. | PSNet
     psnet.ahrq.gov/issue/attention-among-health-care-professionals-scoping-review
     September 08, 2010 - This scoping review of 585 articles identified 82 metrics used to measure clinician attention and identified

127. Closing the safety loop: evaluation of the National Patient Safety Agency's guidance regarding wristband identification of hospital inpatients. | PSNet
     psnet.ahrq.gov/issue/closing-safety-loop-evaluation-national-patient-safety-agencys-guidance-regarding-wristband
     April 14, 2011 - Nonstandardized patient wristbands have been identified as a potential safety hazard.  … This study found satisfactory implementation of the policy overall and identified some of the common

128. Positive predictive value of the AHRQ accidental puncture or laceration patient safety indicator. | PSNet
     psnet.ahrq.gov/issue/positive-predictive-value-ahrq-accidental-puncture-or-laceration-patient-safety-indicator
     April 03, 2017 - The AHRQ Patient Safety Indicator accurately identified accidental injuries due to medical care, but … many cases identified were clinically inconsequential.

129. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867535/psn-pdf
     January 15, 2025 - This systematic review of 267 clinical guidelines identified 4,666 perioperative patient safety recommendations … the authors noted that only a small subset of recommendations met high methodological standards and identified

130. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866647/psn-pdf
     September 04, 2024 - This retrospective study conducted at one academic medical center evaluated identified diagnostic errors … The researchers identified a difference in diagnosis between the ED physician and the discharge diagnosis

131. Leading quality and safety on the frontline - a case study of department leaders in nursing homes. | PSNet
     psnet.ahrq.gov/issue/leading-quality-and-safety-frontline-case-study-department-leaders-nursing-homes
     February 28, 2024 - This qualitative data analysis identified challenges and facilitators that are experienced by nursing … The analysis identified four themes – temporal capacity, relational capacity, professional competence

132. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867637/psn-pdf
     February 26, 2025 - This review identified strategies for PSIRL implementation in specialized care units. … However, only 13 studies were identified, suggesting more research is needed into PSIRL in specialized

133. A scoping review of the methodological approaches used in retrospective chart reviews to validate adverse event rates in administrative data. | PSNet
     psnet.ahrq.gov/issue/scoping-review-methodological-approaches-used-retrospective-chart-reviews-validate-adverse
     April 29, 2020 - Retrospective chart reviews are a common way to validate administrative datasets, and this review identified … A variety of methods, sampling strategies, and accuracy rates were identified.

134. Key use cases for artificial intelligence to reduce the frequency of adverse drug events: a scoping review. | PSNet
     psnet.ahrq.gov/issue/key-use-cases-artificial-intelligence-reduce-frequency-adverse-drug-events-scoping-review
     May 20, 2020 - This scoping review identified 78 studies of AI conducted since 1998, and identified promising areas

135. A mixed methods evaluation of medication reconciliation in the primary care setting. | PSNet
     psnet.ahrq.gov/issue/mixed-methods-evaluation-medication-reconciliation-primary-care-setting
     November 16, 2022 - Numerous inconsistencies related to   medication reconciliation were identified (i.e. standardization … medication containers during pharmacist transitional care visits and impact on medication discrepancies identified

136. Status of patient safety culture in community pharmacy settings: a systematic review. | PSNet
     psnet.ahrq.gov/issue/status-patient-safety-culture-community-pharmacy-settings-systematic-review
     March 04, 2020 - 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

137. It depends who you ask: divergences in staff and external stakeholder narratives about the causes of a healthcare failure. | PSNet
     psnet.ahrq.gov/issue/it-depends-who-you-ask-divergences-staff-and-external-stakeholder-narratives-about-causes
     August 05, 2020 - 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.

138. Central venous catheter guidewire retention: lessons from England's never event database. | PSNet
     psnet.ahrq.gov/issue/central-venous-catheter-guidewire-retention-lessons-englands-never-event-database
     September 15, 2021 - Findings indicate that most retained guidewires are identified after the procedure. … More Related Resources Retained Swabs Following Invasive Procedures: Themes Identified

139. Instruments for measuring patient safety competencies in nursing: a scoping review. | PSNet
     psnet.ahrq.gov/issue/instruments-measuring-patient-safety-competencies-nursing-scoping-review
     November 09, 2022 - A 2011 systematic review identified nine tools to assess patient safety competence in nurses. … This review identified multiple instruments released since that review; the most frequently used was

140. Clinical nurse competence and its effect on patient safety culture: a systematic review. | PSNet
     psnet.ahrq.gov/issue/clinical-nurse-competence-and-its-effect-patient-safety-culture-systematic-review
     March 22, 2023 - This systematic review identified 16 studies examining the relationship between nursing competence … The researchers identified several gaps in the evidence, including the need for rigorous research measuring