-
psnet.ahrq.gov/node/866115/psn-pdf
June 12, 2024 - 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
-
www.ahrq.gov/research/findings/evidence-based-reports/nutritn2tp.html
April 01, 2018 - , performed a literature search on the questions to identify potentially relevant publications, and identified … Challenges identified in this exercise include prioritizing and defining research questions when the
-
www.ahrq.gov/patient-safety/reports/engage/limitations.html
March 01, 2017 - Limitations of the Environmental Scan
Model of Patient Safety in Primary Care
Methods
Gaps Identified … Much of the work identified draws on expert panel recommendations, technical expert panel reports, and
-
www.ahrq.gov/hai/tools/surgery/modules/implementation/audit-briefing-slides.html
December 01, 2017 - Slide 22: Hospital Case Study
Subtitle slide: [Hospital not identified by name or location.] … Types of issues identified:
Incorrect procedures in the electronic scheduling system. … Issues identified:
Disposable light handles were changed. … Issues identified:
Count sheet mismatch to number of instruments in tray. … Issues identified:
Outdated preference card caused delay in case.
-
digital.ahrq.gov/ahrq-funded-projects/context-critical-understanding-when-and-why-electronic-health-record-related
January 01, 2023 - While the vast majority of potential errors are either caught by safety checks built into EHRs or identified … The research team found that the approach successfully identified and allowed review of multiple EHR-based … EHRs have frequently been identified as sources of error and frustration. … Once identified, Dr. … EHRs have frequently been identified as sources of error and frustration.
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psnet.ahrq.gov/node/50729/psn-pdf
December 11, 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.
-
psnet.ahrq.gov/node/867012/psn-pdf
October 23, 2024 - More than half of the identified studies focused on
medication safety, such as workarounds related to … Organizational factors, including
workload and time pressure, were identified in 93% of studies.
-
psnet.ahrq.gov/node/837422/psn-pdf
June 15, 2022 - In this study,
researchers qualitatively analyzed hospital incident reporting data and identified incidents … medication-intravenous fluid issues, communication failures, clinical deterioration, and care issues
identified
-
psnet.ahrq.gov/node/50888/psn-pdf
February 12, 2020 - preventable-closed-claims-aana-foundation-closed-malpractice-claims-
database
This thematic analysis identified … Among the factors identified
as being associated with preventable events were communication failures
-
psnet.ahrq.gov/node/865970/psn-pdf
May 29, 2024 - 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.
-
psnet.ahrq.gov/node/862601/psn-pdf
February 14, 2024 - 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
-
psnet.ahrq.gov/node/865921/psn-pdf
May 22, 2024 - This
approach increased the number of identified ME reports involving the specified medications and … identified
additional findings, such as inadequate pain management and duplicate prescriptions.
-
psnet.ahrq.gov/node/855092/psn-pdf
November 08, 2023 - This review identified 15 studies
of in situ simulations conducted in the emergency department including … The most commonly identified safety
threats were related to equipment and team communication.
-
www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary/syphilis-infection-nonpregnant-adults-adolescents-screening
September 27, 2022 - syphilis diagnoses in 2007 to 44% in 2014) in the proportion of early latent syphilis infections was identified … and a 5%-19% decrease in the proportion of secondary infections identified, during an 8-y follow-up … 3 mo vs 6 or 12 mo
No studies met inclusion criteria for this evidence update
NA (no studies identified … in the prior review)
NA (no studies identified in the prior review)
KQ2: Performance of risk … MSM, 22% transgender women, 36% with a history of syphilis, and 35% HIV-positive
NA (no studies identified
-
psnet.ahrq.gov/node/837415/psn-pdf
June 15, 2022 - /instruments-measuring-patient-safety-competencies-nursing-scoping-review
A 2011 systematic review identified … This review
identified multiple instruments released since that review; the most frequently used was
-
psnet.ahrq.gov/node/60003/psn-pdf
January 01, 2021 - In this systematic review,
researchers identified eleven studies characterizing the systemic causes … Systemic errors were identified most frequently during medication administration, prescribing and
preparation
-
psnet.ahrq.gov/node/848810/psn-pdf
May 10, 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
-
psnet.ahrq.gov/node/60659/psn-pdf
July 08, 2020 - reviews
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.
-
psnet.ahrq.gov/node/50571/psn-pdf
October 23, 2019 - 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
-
hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/mn22.pdf
November 20, 2012 - done for strep throat, and 40 patients truly did not have
strep throat, but only 32 patients were identified … Claims
Sensitivity
# visits with a
readmissions
algorithm missed Specificity
# falsely
identified … MCHS
Sensitivity
# visits with a
readmissions
algorithm
missed Specificity
# falsely
identified … for MCR Claims
Sensitivity
# visits with a
death algorithm
missed Specificity
# falsely
identified … for MCHS Data
Sensitivity
# visits with a
death algorithm
missed Specificity
# falsely
identified