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psnet.ahrq.gov/issue/benefits-health-information-technology-review-recent-literature-shows-predominantly-positive
December 21, 2018 - clinics have been slow to implement comprehensive electronic health records, and the negative studies included
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psnet.ahrq.gov/issue/randomized-trial-multifactorial-strategy-prevent-serious-fall-injuries
August 04, 2021 - to evaluate the effectiveness of a multifactorial intervention to prevent falls with injury , which included
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psnet.ahrq.gov/issue/effect-program-shorten-decision-delivery-interval-emergent-cesarean-section-maternal-and
April 12, 2019 - In this study, introducing a management protocol that included event debriefs shortened the time elapsed
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psnet.ahrq.gov/issue/fall-prevention-implementation-strategies-use-60-united-states-hospitals-descriptive-study
November 11, 2020 - implementation was suboptimal at times – for example, interdisciplinary fall committees were common but rarely included
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psnet.ahrq.gov/issue/role-pharmacist-counseling-preventing-adverse-drug-events-after-hospitalization
November 16, 2022 - Additional findings included observation of unexplained discrepancies between preadmission and discharge
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psnet.ahrq.gov/issue/use-anatomical-side-markers-general-radiology-systematic-review-current-literature
October 21, 2020 - The seven studies included demonstrated that use of ASMs is common, but the literature documented some
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psnet.ahrq.gov/issue/shift-shift-nursing-handover-interventions-associated-improved-inpatient-outcomes-falls
July 07, 2021 - Interventions differed across the included studies, but results indicate that moving the handover to
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psnet.ahrq.gov/issue/contributing-factors-pediatric-ambulatory-diagnostic-process-errors-project-redde
November 30, 2022 - Omitted process steps included failure to screen for adolescent depression, failure to recognize and
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psnet.ahrq.gov/issue/scoping-review-distributed-cognition-acute-care-clinical-decision-making
April 08, 2020 - addressing how distribution of tasks influences clinical decision-making in acute care settings The themes included
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psnet.ahrq.gov/issue/racial-and-ethnic-differences-emergency-department-diagnostic-imaging-us-childrens-hospitals
April 22, 2020 - One-third of visits by non-Hispanic white children included imaging, compared with 24% of visits by non-Hispanic
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psnet.ahrq.gov/issue/organisational-conditions-safety-management-practice-homecare-and-nursing-homes-pre-pandemic
August 03, 2022 - Gaps included instructions for personal protective equipment created for hospitals that were not practical
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psnet.ahrq.gov/issue/adverse-events-women-giving-birth-labor-ward-retrospective-record-review-study
April 14, 2021 - Common events included lacerations and anesthesia-related events and often resulted in a prolonged hospital
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psnet.ahrq.gov/issue/trainees-perceptions-being-allowed-fail-clinical-training-sense-making-model
November 24, 2021 - This qualitative study, which included postgraduate trainees from Europe and Canada, concluded that failure
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psnet.ahrq.gov/issue/time-take-hearing-loss-seriously
September 23, 2020 - The authors of this narrative review propose that hearing loss be included in the patient safety conversation
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psnet.ahrq.gov/issue/trainee-perceptions-resident-duty-hour-restrictions-qualitative-study-online-discussion
August 10, 2022 - Themes included its impact on residents’ education and clinician well-being, and, worryingly, discussions
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psnet.ahrq.gov/issue/effect-multispecialty-faculty-handoff-initiative-safety-culture-and-handoff-quality
March 10, 2019 - One year after the program was introduced, all observed handoffs included all five elements of I-PASS
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psnet.ahrq.gov/issue/critical-review-moral-injury-nurses-aftermath-patient-safety-incident
July 22, 2020 - Moral injury symptoms identified in this review included guilt, shame, spiritual-existential crisis,
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psnet.ahrq.gov/issue/standardized-assessment-medication-reconciliation-post-acute-care
December 16, 2020 - The final set included seven elements; results demonstrate feasibility and moderate to strong reliability
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psnet.ahrq.gov/issue/barriers-incident-reporting-among-nurses-qualitative-systematic-review
September 21, 2022 - Fear of negative consequences was the most common barrier; other barriers included inadequate reporting
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psnet.ahrq.gov/issue/decision-fatigue-hospital-settings-scoping-review
November 16, 2022 - The scoping review, which included 16 studies (primarily focused on emergency and intensive care settings