-
psnet.ahrq.gov/node/845345/psn-pdf
March 01, 2023 - This retrospective study
included patients with rapid response team (RRT) activation and compared disease
-
psnet.ahrq.gov/node/60913/psn-pdf
September 16, 2020 - The most frequent triggers included pressures from high census; environmental
overload; chronic, unresolved
-
psnet.ahrq.gov/node/73086/psn-pdf
January 01, 2022 - Fear of negative
consequences was the most common barrier; other barriers included inadequate reporting
-
psnet.ahrq.gov/node/845276/psn-pdf
March 01, 2023 - Importantly, none
of the included studies investigated the source of cognitive bias or mitigation strategies
-
psnet.ahrq.gov/node/846148/psn-pdf
March 15, 2023 - Results show
approximately 23% of ED visits during the 13-month study period included a near-miss incident
-
psnet.ahrq.gov/node/853245/psn-pdf
September 06, 2023 - This study
identified multiple discrepancies between pathologist-listed diagnoses included in intraoperative
-
psnet.ahrq.gov/node/60729/psn-pdf
July 29, 2020 - Most of the included oncology patients
had a medication change identified after medication reconciliation
-
psnet.ahrq.gov/node/74212/psn-pdf
January 01, 2022 - Common failures included incorrect patient information, non-standardized chemotherapy
protocols, and
-
psnet.ahrq.gov/node/73495/psn-pdf
July 14, 2021 - Thematic analyses suggest that the most commonly used implementation strategies
included restructuring
-
psnet.ahrq.gov/node/60954/psn-pdf
September 30, 2020 - Prevention efforts included catheter insertion and maintenance bundles.
-
psnet.ahrq.gov/node/838927/psn-pdf
October 26, 2022 - Improvement recommendations focused on preparation for, actions during and post code phrases which
included
-
psnet.ahrq.gov/node/39681/psn-pdf
July 14, 2010 - psnet.ahrq.gov/issue/do-no-harm-hospital-care-las-vegas
This news series reports on an investigation that included
-
psnet.ahrq.gov/node/50936/psn-pdf
February 26, 2020 - All included studies had a least one methodological limitation (such as not defining what
consisted
-
psnet.ahrq.gov/node/60190/psn-pdf
April 01, 2020 - Areas of focus included enhancing the team leader role of
primary care physicians in post-discharge
-
psnet.ahrq.gov/node/47820/psn-pdf
May 11, 2019 - Incorrect
diagnostic labels frequently assigned to these patients included bacterial infection, viral
-
psnet.ahrq.gov/node/851357/psn-pdf
July 12, 2023 - In this study of registered nurses providing home
health, challenges included finding a balance between
-
psnet.ahrq.gov/node/73977/psn-pdf
October 20, 2021 - This article describes the
development of a situational awareness model, which included involving families
-
psnet.ahrq.gov/node/851359/psn-pdf
July 12, 2023 - When the patient’s initial triage note
included CHF, physicians were less likely and/or slower to test
-
psnet.ahrq.gov/node/61023/psn-pdf
October 14, 2020 - This qualitative study explored how information about ICU patients’ family members is included
in handovers
-
psnet.ahrq.gov/node/47990/psn-pdf
June 18, 2019 - The study team implemented a daily conference call that included nurses, residents, and
attending physicians