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  1. psnet.ahrq.gov/issue/algorithm-based-smartphone-apps-assess-risk-skin-cancer-adults-systematic-review-diagnostic
    July 29, 2020 - The review included nine studies evaluating six different smartphone apps; reported sensitivity and specificity … The authors note limitations of the included studies, such as failure to recruit a population representative
  2. psnet.ahrq.gov/issue/differential-diagnosis-checklists-reduce-diagnostic-error-differentially-randomised
    September 23, 2020 - found that the checklist improved diagnostic accuracy compared to a prompt, but only if the checklist included … the correct diagnosis; if the correct diagnosis was not included on the checklist, diagnostic accuracy
  3. psnet.ahrq.gov/issue/systemic-defenses-prevent-intravenous-medication-errors-hospitals-systematic-review
    March 04, 2020 - Of the 46 included studies, most discussed systemic defenses related to drug administration; fewer discussed … loop   medication management and smart pumps were the most common systemic defenses examined in the included
  4. psnet.ahrq.gov/issue/clinicians-insights-emergency-department-boarding-explanatory-mixed-methods-study-evaluating
    October 23, 2019 - Possible solutions included improved standardization of care, proactive planning, and culture change … initial patient-provider encounter are a frequent source of diagnostic error among ischemic stroke cases included
  5. psnet.ahrq.gov/issue/patients-partners-learning-unexpected-events
    December 15, 2021 - Adverse event investigation has not traditionally included patient perspectives. … The authors conclude that patient perspectives should be included in event analysis.
  6. psnet.ahrq.gov/issue/health-services-under-pressure-scoping-review-and-development-taxonomy-adaptive-strategies
    January 22, 2020 - Among 17 included studies, pressures generally stemmed from lack of available resources. … Strategies for adapting to these pressures included efficient management of workloads and resource flexing
  7. psnet.ahrq.gov/issue/abusive-supervision-and-its-relationship-nursing-workforce-and-patient-safety-outcomes
    October 25, 2023 - Among 21 included studies, common outcomes included turnover intention, job satisfaction , workplace
  8. psnet.ahrq.gov/issue/misdiagnosis-heart-failure-systematic-review-literature
    October 06, 2021 - Based on 10 included studies, the rate of heart failure misdiagnosis ranged from 16.1% (in an inpatient … Included studies found that heart failure is frequently misdiagnosed as chronic obstructive pulmonary
  9. psnet.ahrq.gov/issue/understanding-facilitators-and-barriers-care-transitions-insights-project-achieve-site-visits
    September 23, 2020 - Identified facilitators included collaborating within and beyond the organization , tailoring care to … Barriers included poor integration of transitional care services, unmet patient or caregiver needs, underutilized
  10. psnet.ahrq.gov/issue/free-text-computerized-provider-order-entry-orders-used-workaround-communicating-medication
    July 29, 2020 - This study analyzed CPOE orders that included medication information in the free text field. … Despite using the same CPOE software, there were wide variations between the six included hospitals in
  11. psnet.ahrq.gov/issue/changes-made-orders-placed-overnight-admitting-residents-teaching-rounds-next-day
    July 07, 2021 - data warehouse and retrospective chart review to examine 5927 orders over a 12-month period, 538 were included … Key reasons for order changes included medical decision making , patient trajectory, and medication
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73541/psn-pdf
    July 28, 2021 - Based on 10 included studies, the rate of heart failure misdiagnosis ranged from 16.1% (in an inpatient … Included studies found that heart failure is frequently misdiagnosed as chronic obstructive pulmonary
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867177/psn-pdf
    January 01, 2025 - Socioeconomic and sociocultural factors included healthcare avoidance, stigma, and distrust in the healthcare … Health system factors included poor organizational health literacy and provider-related factors such
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836856/psn-pdf
    April 06, 2022 - what-extent-are-patients-involved-researching-safety-acute-mental-healthcare Patient engagement in safety efforts is encouraged, but patients are less often included … This review identified 52 studies that included mental health patients in the design, delivery, implementation
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73491/psn-pdf
    July 14, 2021 - This systematic review focused on CAUTI prevention interventions that included patient and family engagement … All included studies showed some improvement in CAUTI rates and/or patient- and family-related outcomes
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843053/psn-pdf
    January 25, 2023 - This study included review of more than 2,800 inpatient records from 11 American hospitals with nearly … Overall, approximately 7% of all admissions included at least one preventable event and 1% had a severity
  17. psnet.ahrq.gov/issue/hospital-staff-reports-coworker-positive-and-unprofessional-behaviours-across-eight-hospitals
    May 01, 2024 - The most commonly reported positive behaviors included non-technical skills, values-driven behavior, … Frequently reported unprofessional behaviors included being rude, humiliating or ridiculing others, and
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60174/psn-pdf
    March 30, 2020 - use to prioritize efforts to ensure patient safety.[1] The first report was published in 2001 and included … in 2013, reviewed 41 PSPs, including new evidence-based practices and updates to evidence for PSPs included … The included cross-cutting https://psnet.ahrq.gov/perspective/making-healthcare-safer-iii-report https … For example, the PSP summary table included in the Executive Summary has been reformatted to include … bulleted key takeaways, as opposed to a review of the strength of evidence for each PSP included in
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865486/psn-pdf
    April 03, 2024 - Individual outcomes included a sense of ownership of HIT safety, and team outcomes included improved
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861773/psn-pdf
    January 31, 2024 - The most commonly reported positive behaviors included non-technical skills, values-driven behavior, … Frequently reported unprofessional behaviors included being rude, humiliating or ridiculing others,

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