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  1. Psn-Pdf (pdf file)

    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.
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866953/psn-pdf
    October 16, 2024 - Both groups identified several patient- and learner-related factors that would influence the decision … Junior learners identified time of day and relationship with the senior resident as additional factors
  3. Psn-Pdf (pdf file)

    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
  4. 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
  5. Psn-Pdf (pdf file)

    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
  6. Psn-Pdf (pdf file)

    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
  7. Psn-Pdf (pdf file)

    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
  8. Psn-Pdf (pdf file)

    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
  9. Psn-Pdf (pdf file)

    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
  10. Psn-Pdf (pdf file)

    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,
  11. Psn-Pdf (pdf file)

    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
  12. Psn-Pdf (pdf file)

    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
  13. Psn-Pdf (pdf file)

    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.
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50750/psn-pdf
    January 01, 2020 - Of the 1970 MRE identified, the highest number (42%) occurred during the administration phase, and a … The authors identified patterns and specific causes of MRE that they suggest could be mitigated using
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836953/psn-pdf
    April 20, 2022 - This mixed-methods study identified system-level factors affecting registered nurses during care of … overload, missing or inadequate tools and technology, and a crowded physical environment were all identified
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844058/psn-pdf
    February 08, 2023 - The survey also identified new drug names for inclusion on the 2023 list revision. … ismp-updates-its-list-drug-names-tall-man-mixed-case-letters-based-survey-results https://psnet.ahrq.gov/issue/wrong-drug-and-wrong-dose-dispensing-errors-identified-pharmacist-professional-liability
  17. psnet.ahrq.gov/issue/effect-transitions-intervention-ensure-patient-safety-and-satisfaction-when-transferred
    October 20, 2021 - 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 of
  18. psnet.ahrq.gov/issue/dimensions-safety-culture-systematic-review-quantitative-qualitative-and-mixed-methods
    October 26, 2022 - 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
  19. psnet.ahrq.gov/issue/patient-identification-diagnostic-safety-blindspots-and-participation-good-catches-through
    October 27, 2021 - Patients who access their electronic health record (EHR) through a patient portal have identified clinically … This study focused on patient-identified diagnostic safety blind spots in ambulatory care clinical notes
  20. psnet.ahrq.gov/issue/defining-identifying-and-addressing-problematic-polypharmacy-within-multimorbidity-primary
    July 22, 2015 - This scoping review examined how polypharmacy is defined, identified, and addressed across 157 articles … The authors also identified considerable variability in the types of interventions used to address polypharmacy

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