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psnet.ahrq.gov/issue/delayed-or-failure-follow-abnormal-breast-cancer-screening-mammograms-primary-care-systematic
December 08, 2021 - Findings from included studies indicate that ethnic minorities and women with lower educational attainment
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psnet.ahrq.gov/issue/improving-administration-and-documentation-enteral-nutrition-support-therapy-veteran-affairs
September 09, 2020 - After one year, all EN orders were barcode scanned and nearly all were documented as given or included
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psnet.ahrq.gov/issue/risks-analogue-and-digitally-supported-medication-process-and-potential-solutions-increase
April 24, 2019 - improving analog methods focused on strengthening healthcare professional competence; digital solutions included
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psnet.ahrq.gov/issue/how-do-nurses-use-early-warning-scoring-systems-detect-and-act-patient-deterioration-ensure
June 16, 2021 - Barriers to effective identification and treatment of patient deterioration included difficulty implementing
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psnet.ahrq.gov/issue/identifying-safe-care-processes-when-gps-work-or-alongside-emergency-departments-realist
January 12, 2022 - Thirteen hospitals using this service model were included in this study to explore care processes and
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psnet.ahrq.gov/issue/identifying-avoidable-harm-family-practice-randucla-appropriateness-method-consensus-study
December 16, 2020 - Most scenarios found to be avoidable and included in the proposed definition involved failure to adhere
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psnet.ahrq.gov/issue/resident-and-family-engagement-medication-management-aged-care-facilities-systematic-review
August 11, 2021 - Factors hindering effective engagement included insufficient communication between residents, families
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psnet.ahrq.gov/issue/effect-patient-safety-education-interventions-patient-safety-culture-health-care
January 26, 2022 - This review identified 16 studies of PSC education programs that included before and after surveys
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psnet.ahrq.gov/issue/strategic-solution-preventing-harm-associated-ambulance-handover-delays
July 22, 2020 - Strategies included creation of a designated area for patients awaiting hospital admission, detailed
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psnet.ahrq.gov/issue/evaluation-medication-errors-transition-care-icu-non-icu-location
September 23, 2020 - Of the 985 patients included in the study, almost half (46%) experienced a medication error during transition
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psnet.ahrq.gov/issue/learning-patients-experiences-related-diagnostic-errors-essential-progress-patient-safety
May 20, 2020 - Contributing factors identified included several manifestations of unprofessional behavior on the part
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psnet.ahrq.gov/issue/facilitators-and-barriers-care-transitions-comparing-perspectives-hospital-and-community
July 21, 2021 - Barriers included discharge tasks not being complete, missing or inaccurate information, and limited
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psnet.ahrq.gov/issue/how-satisfied-are-patients-and-surgeons-telemedicine-orthopaedic-care-during-covid-19
July 15, 2020 - telehealth for orthopedic care delivery as compared to in-person visits.However, the authors note that the included
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psnet.ahrq.gov/issue/identifying-safety-practices-perceived-low-value-exploratory-survey-healthcare-staff-united
February 03, 2021 - Frequently cited PSP included paperwork, duplication, and intentional rounding .
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psnet.ahrq.gov/issue/speaking-or-remaining-silent-about-patient-safety-concerns-rehabilitation-cross-sectional
November 06, 2019 - Barriers to speaking up included expectations of a lack of productive response to the safety concern
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psnet.ahrq.gov/issue/scoping-review-real-time-automated-clinical-deterioration-alerts-and-evidence-impacts
February 16, 2022 - Only four out of 18 studies included in the review reported statistically significant improvements in
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psnet.ahrq.gov/issue/disruptive-behavior-inherent-surgeon-or-environment-analysis-314-events-single-academic
October 19, 2022 - The most common contributing factors to disruptive behavior included the stress of the clinical situation
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psnet.ahrq.gov/issue/nurse-bias-and-nursing-care-disparities-related-patient-characteristics-scoping-review
March 17, 2021 - Most were descriptive in nature and only 12 included evaluating an intervention designed to reduce nurse-related
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psnet.ahrq.gov/issue/improving-communication-and-teamwork-during-labor-feasibility-acceptability-and-safety-study
July 20, 2022 - This mixed-methods study included both clinicians and patients at four hospitals and found that the program
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psnet.ahrq.gov/issue/ahrq-patient-safety-project-reduces-bloodstream-infections-40-percent
January 22, 2020 - for CLABSI prevention has been widely publicized, equally important components of the intervention included