-
psnet.ahrq.gov/node/838253/psn-pdf
June 06, 2021 - Three linguistic
features suggesting disbelief were identified: (1) use of quotes (e.g., patient had … common in notes written about Black patients
compared to white patients; no gender differences were identified
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psnet.ahrq.gov/node/74001/psn-pdf
January 01, 2022 - The group identified 7 categories, 40 subcategories, 19 contributing factors and 11
patient-reported … Breakdowns were identified in each step of the diagnostic process.
-
psnet.ahrq.gov/node/72471/psn-pdf
November 18, 2020 - In the first related study, the authors identified a
substantial decrease in non-COVID-19 hospitalizations … In the second related study, the authors identified significant
drops in the daily caseload of four
-
psnet.ahrq.gov/issue/components-pharmacist-led-medication-reviews-and-their-relationship-outcomes-systematic
November 16, 2022 - Patient involvement in goal setting was identified as a successful component that would benefit from … November 16, 2022
Analysis of pharmacist-identified medication-related problems at two
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psnet.ahrq.gov/issue/increasing-naloxone-prescribing-emergency-department-through-education-and-electronic-medical
October 14, 2020 - The BPA significantly increased naloxone prescribing for patients identified as having opioid overdose … Improve Management of Sepsis
May 31, 2023
Prevalence of undiagnosed diabetes identified
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psnet.ahrq.gov/issue/testimonial-injustice-linguistic-bias-medical-records-black-patients-and-women
July 28, 2021 - Three linguistic features suggesting disbelief were identified: (1) use of quotes (e.g., patient had … common in notes written about Black patients compared to white patients; no gender differences were identified
-
psnet.ahrq.gov/issue/developing-and-aligning-safety-event-taxonomy-inpatient-psychiatry
September 14, 2022 - Four domains (provision of care, patient actions, environment/equipment, and safety culture) were identified … May 25, 2022
Monitoring preventable adverse events and near misses: number and type identified
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psnet.ahrq.gov/issue/patient-and-health-care-professional-perspectives-stigma-integrated-behavioral-health
January 12, 2022 - Participants identified the importance of normalizing discussions about mental health care and patient-centered … February 17, 2021
Clinician-identified problems and solutions for delayed diagnosis in
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psnet.ahrq.gov/issue/patient-and-caregiver-perspectives-causes-and-prevention-ambulatory-adverse-events
November 24, 2021 - Themes identified include: (1) patients and teams have specific safety responsibilities; (2) proactive … January 8, 2018
Clinician-identified problems and solutions for delayed diagnosis in
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psnet.ahrq.gov/issue/how-be-very-safe-maternity-unit-ethnographic-study
October 21, 2020 - Investigators identified a set of specific, evidence-based safety practices including standardization … They also identified a strong and consistent safety culture and noted that structural conditions, such
-
psnet.ahrq.gov/issue/effectiveness-double-checking-reduce-medication-administration-errors-systematic-review
August 26, 2020 - Investigators identified 13 studies (3 were considered high-quality) that demonstrated variable adherence … Paediatric medication incident reporting: a multicentre comparison study of medication errors identified
-
psnet.ahrq.gov/issue/medication-errors-outpatient-setting-classification-and-root-cause-analysis
December 16, 2020 - The investigators identified 149 errors in 93 patients, associated with a high risk of clinical adverse … Errors were identified at every point of the process, from the transplant team to the pharmacy to the
-
psnet.ahrq.gov/issue/deferral-care-serious-non-covid-19-conditions-hidden-harm-covid-19
June 22, 2022 - In the first related study , the authors identified a substantial decrease in non-COVID-19 hospitalizations … In the second related study , the authors identified significant drops in the daily caseload of four
-
psnet.ahrq.gov/issue/artificial-intelligence-versus-clinicians-systematic-review-design-reporting-standards-and
May 20, 2019 - The review identified 10 registered trials and 81 published non-randomized trials. … studies reported that AI performance was comparable or better than that of clinicians, the authors identified
-
psnet.ahrq.gov/issue/impact-medication-reconciliation-and-review-patients-using-oral-chemotherapy
November 17, 2021 - In this study, a hospital pharmacist identified medication discrepancies in nearly 75% of patients … medication containers during pharmacist transitional care visits and impact on medication discrepancies identified
-
psnet.ahrq.gov/issue/how-do-hospital-boards-govern-quality-improvement-mixed-methods-study-15-organisations
February 20, 2019 - The investigators identified a subset of organizations that explicitly prioritized quality improvement … engagement and management practices have been shown to correlate with quality metrics, the best practices identified
-
psnet.ahrq.gov/node/37751/psn-pdf
June 29, 2011 - using-nurses-and-office-staff-report-prescribing-errors-primary-care
Nurses and office staff reported medication errors identified … While this voluntary reporting identified many errors, frequent reminders were needed in order
to ensure
-
psnet.ahrq.gov/node/39183/psn-pdf
January 06, 2010 - patient-safety-otolaryngology-service-role-established-rapid-response-system
The rapid response system effectively identified … and managed clinical adverse events on an otolaryngology
inpatient service and also identified areas
-
psnet.ahrq.gov/issue/development-testing-and-findings-pediatric-focused-trigger-tool-identify-medication-related
April 11, 2011 - The trigger tool identified a much higher rate of adverse drug events than found previously in pediatric … Paediatric medication incident reporting: a multicentre comparison study of medication errors identified
-
psnet.ahrq.gov/issue/health-professionals-experiences-whistleblowing-maternal-and-newborn-healthcare-settings
November 02, 2010 - Structural power , perfectionism, and bravery, hope, and disappointment were identified as overall … November 2, 2010
Prevalence of triggers and patient harm identified by Global Trigger