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psnet.ahrq.gov/issue/impact-comprehensive-patient-safety-strategy-obstetric-adverse-events
October 20, 2014 - The strategy was developed after consultation with obstetric safety experts and included teamwork training
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psnet.ahrq.gov/issue/radiographers-experience-preventing-patient-safety-incidents-context-radiological
December 20, 2017 - Factors described by participants included the use of standardized tools and work routines (e.g., checklists
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psnet.ahrq.gov/issue/nurse-staffing-hospitals-there-business-case-quality
February 18, 2011 - The options included raising the proportion of registered nurses (RNs) without changing total nursing
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psnet.ahrq.gov/issue/potential-harms-resulting-patient-clinician-real-time-clinical-encounters-using-video-based
February 14, 2017 - None of the studies included interventions to improve patient safety, but the authors note that interventions
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psnet.ahrq.gov/issue/medical-team-training-applying-crew-resource-management-veterans-health-administration
April 30, 2014 - These included programs tailored for operating rooms, intensive care units, and general wards, and focused
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psnet.ahrq.gov/issue/fifth-vital-sign-nurse-worry-predicts-inpatient-deterioration-within-24-hours
October 14, 2015 - The authors conclude that nurse concern is a powerful predictor of deterioration and should be included
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psnet.ahrq.gov/issue/ahrq-nursing-home-survey-patient-safety-culture-2016-user-comparative-database-report
June 08, 2016 - Areas identified as needing improvement across most nursing homes included staffing issues and ensuring
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psnet.ahrq.gov/issue/sustaining-reliability-accountability-measures-johns-hopkins-hospital
January 19, 2014 - The program included creating a robust quality management infrastructure through the Armstrong Institute
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psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-emergency-department-study-closed-malpractice-claims-4-liability
March 02, 2011 - due to failure to order diagnostic tests or interpret them correctly; factors contributing to error included
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psnet.ahrq.gov/issue/facilitated-self-reported-anaesthetic-medication-errors-and-after-implementation-safety
February 09, 2011 - anesthesia compared self-reported errors before and after implementation of a medication safety bundle that included
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psnet.ahrq.gov/issue/crying-wolf-alarm-safety-and-management-paediatrics-scoping-review
April 24, 2018 - Only half of the studies included an intervention, the majority of which focused on changes to alarm
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psnet.ahrq.gov/issue/suicide-and-suicide-attempts-hospital-grounds-and-clinic-areas
October 29, 2017 - Forty-seven suicides or suicide attempts were identified, and primary root causes included communication
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psnet.ahrq.gov/issue/double-checking-administration-medicines-what-evidence-systematic-review
June 18, 2014 - The majority of included studies were qualitative and consisted of asking nurses whether they felt double-checking
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psnet.ahrq.gov/issue/undiagnosed-cancer-cases-us-during-first-10-months-covid-19-pandemic
September 01, 2016 - Diagnoses of included cancers were 6% lower than would be expected, even 10 months after the start of
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psnet.ahrq.gov/issue/health-professionals-experiences-whistleblowing-maternal-and-newborn-healthcare-settings
November 02, 2010 - Notably, the majority of included studies were from the United Kingdom , highlighting the need for other
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psnet.ahrq.gov/issue/changing-and-sustaining-medical-students-knowledge-skills-and-attitudes-about-patient-safety
December 19, 2012 - itself was a combination of lectures, panel discussions, and interactive sessions around themes that included
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psnet.ahrq.gov/issue/patient-involvement-evaluation-safety-oral-antineoplastic-treatment-failure-mode-and-effects
June 18, 2013 - Researchers included both provider and patient perspectives and found that the two groups identified
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psnet.ahrq.gov/issue/rapid-response-systems-systematic-review-and-meta-analysis
January 29, 2018 - This meta-analysis of rapid response systems concludes that despite the heterogeneity of included populations
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psnet.ahrq.gov/issue/sepsis-alert-systems-mortality-and-adherence-emergency-departments-systematic-review-and-meta
September 06, 2017 - This systematic review included 22 studies and examined the use of sepsis alert systems in the Emergency
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psnet.ahrq.gov/issue/impact-pharmacist-led-interventions-medication-related-problems-among-patients-treated-cancer
May 10, 2017 - Despite the heterogeneity of the included studies, pharmacist interventions can reduce medication errors