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21. 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

22. 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

23. 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

24. 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

25. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/865334/psn-pdf
    March 27, 2024 - The majority included learners from medicine and nursing, with much less representation from other professions … , and fewer than one-third included students.

26. 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,

27. Patient-clinician diagnostic concordance upon hospital admission. | PSNet
    psnet.ahrq.gov/issue/patient-clinician-diagnostic-concordance-upon-hospital-admission
    October 16, 2024 - Non-English speakers were not included in the study, which the authors recognize as a limitation as this … initial patient-provider encounter are a frequent source of diagnostic error among ischemic stroke cases included

28. Hospital staff reports of coworker positive and unprofessional behaviours across eight hospitals: who reports what about whom? | PSNet
    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

29. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/853064/psn-pdf
    August 30, 2023 - Frequently cited barriers included limited resources, poor team communication, and complicated intervention … processes; common facilitators included leadership support, a positive organizational culture, and

30. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73625/psn-pdf
    August 25, 2021 - Barriers included both patient and provider unwillingness; facilitators included encouraging and sharing

31. Clinicians' insights on emergency department boarding: an explanatory mixed methods study evaluating patient care and clinician well-being. | PSNet
    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

32. Differential diagnosis checklists reduce diagnostic error differentially: a randomised experiment. | PSNet
    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

33. Algorithm based smartphone apps to assess risk of skin cancer in adults: systematic review of diagnostic accuracy studies. | PSNet
    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

34. Misdiagnosis of heart failure: a systematic review of the literature. | PSNet
    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

35. Health services under pressure: a scoping review and development of a taxonomy of adaptive strategies. | PSNet
    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

36. Understanding facilitators and barriers to care transitions: insights from Project ACHIEVE Site Visits. | PSNet
    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

37. Changes made to orders placed by overnight admitting residents on teaching rounds the next day. | PSNet
    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

38. Systemic defenses to prevent intravenous medication errors in hospitals: a systematic review. | PSNet
    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

39. Free-text computerized provider order entry orders used as workaround for communicating medication information. | PSNet
    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

40. Patients as partners in learning from unexpected events. | PSNet
    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.