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psnet.ahrq.gov/issue/prevalence-undiagnosed-diabetes-identified-novel-electronic-medical-record-diabetes-screening
January 04, 2021 - Study
Prevalence of undiagnosed diabetes identified by a novel electronic medical … Prevalence of undiagnosed diabetes identified by a novel electronic medical record diabetes screening … Prevalence of undiagnosed diabetes identified by a novel electronic medical record diabetes screening
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psnet.ahrq.gov/issue/medication-errors-context-hematopoietic-stem-cell-transplantation-systematic-review
June 19, 2024 - 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
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psnet.ahrq.gov/issue/clinician-responses-disruptive-intraoperative-behaviour-patterns-and-norms-identified
February 01, 2017 - Clinician responses to disruptive intraoperative behaviour: patterns and norms identified … Clinician responses to disruptive intraoperative behaviour: patterns and norms identified from a multinational … Clinician responses to disruptive intraoperative behaviour: patterns and norms identified from a multinational
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psnet.ahrq.gov/issue/integrating-incident-data-five-reporting-systems-assess-patient-safety-making-sense-elephant
November 25, 2009 - The investigators compared safety issues identified through traditional event reporting , patient complaints … walk rounds , malpractice claims , and risk management databases, and found that while each method identified … important safety problems, there was little overlap in the types of events identified with each reporting
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psnet.ahrq.gov/issue/patient-safety-skills-primary-care-national-survey-gp-educators
October 05, 2016 - Clinicians identified many nontechnical skills as being essential for safe practice, including conscientiousness … Download Citation
Related Resources From the Same Author(s)
Clinician-identified … Laboratory test ordering and results management systems: a qualitative study of safety risks identified
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psnet.ahrq.gov/issue/systematic-review-patient-safety-measures-adult-primary-care
March 15, 2016 - 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/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
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psnet.ahrq.gov/issue/health-care-professionals-views-about-safety-maternity-services-qualitative-study
June 10, 2020 - Maternity care professionals at all levels identified a high level of concern about patient safety in … obstetrics, and identified improved staffing and teamwork as potential solutions.
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psnet.ahrq.gov/issue/characteristics-patient-care-management-problems-identified-emergency-department-morbidity
April 24, 2018 - Study
Characteristics of patient care management problems identified in emergency … Characteristics of patient care management problems identified in emergency department morbidity and … Characteristics of patient care management problems identified in emergency department morbidity and
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psnet.ahrq.gov/issue/analysis-near-misses-identified-anesthesia-providers-intensive-care-unit
August 17, 2017 - Study
An analysis of near misses identified by anesthesia providers in the intensive … An analysis of near misses identified by anesthesia providers in the intensive care unit. … An analysis of near misses identified by anesthesia providers in the intensive care unit.
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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/effects-cpoe-based-medication-ordering-outcomes-overview-systematic-reviews
March 10, 2021 - 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.
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psnet.ahrq.gov/issue/factors-contributing-preventing-operating-room-never-events-machine-learning-analysis
July 26, 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
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psnet.ahrq.gov/issue/enhanced-free-text-search-aggregated-medication-error-report-analysis-and-risk-detection
April 12, 2019 - This approach increased the number of identified ME reports involving the specified medications and identified
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psnet.ahrq.gov/issue/preventable-closed-claims-aana-foundation-closed-malpractice-claims-database
March 11, 2020 - This thematic analysis identified 123 events comprising malpractice claims in the closed claims database … Among the factors identified as being associated with preventable events were communication failures
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psnet.ahrq.gov/issue/2017-update-pediatric-medical-overuse-review
March 04, 2020 - Overuse of medical care has been identified as a patient safety issue, but most existing literature … This review of literature published in 2017 identified 8 high-quality studies documenting overuse of
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psnet.ahrq.gov/issue/safe-care-pediatric-patients-scoping-review-across-multiple-health-care-settings
August 03, 2022 - This review identified thematic factors that uniquely affect the safety of pediatric patients such as … Medication error s were the main patient safety concern identified in the literature.
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psnet.ahrq.gov/issue/patient-safety-otolaryngology-service-role-established-rapid-response-system
October 19, 2022 - The rapid response system effectively identified and managed clinical adverse events on an otolaryngology … inpatient service and also identified areas for quality improvement.
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psnet.ahrq.gov/issue/why-simulation-matters-systematic-review-medical-errors-occurring-during-simulated-health
September 25, 2019 - This system review highlights 20 studies on healthcare simulation to characterize types of errors identified … All 13 studies that identified systems-related errors were conducted in situ , underscoring the importance
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psnet.ahrq.gov/issue/preventability-voluntarily-reported-or-trigger-tool-identified-medication-errors-pediatric
September 01, 2016 - Study
Preventability of voluntarily reported or trigger tool–identified medication … Preventability of Voluntarily Reported or Trigger Tool-Identified Medication Errors in a Pediatric Institution … Preventability of Voluntarily Reported or Trigger Tool-Identified Medication Errors in a Pediatric Institution