Results

Total Results: 2,105 records

Showing results for "included".

61. Interventions designed to improve the safety and quality of therapeutic anticoagulation in an inpatient electronic medical record. | PSNet
    psnet.ahrq.gov/issue/interventions-designed-improve-safety-and-quality-therapeutic-anticoagulation-inpatient
    March 27, 2024 - Included studies reported reductions in medication errors and adverse drug events with use of CPOE and

62. Use of computerized physician order entry with clinical decision support to prevent dose errors in pediatric medication orders: a systematic review. | PSNet
    psnet.ahrq.gov/issue/use-computerized-physician-order-entry-clinical-decision-support-prevent-dose-errors
    June 05, 2024 - Included studies evaluated CDS tools providing dose range checks, dose calculators, and dosing frequency

63. Methodological variations and their effects on reported medication administration error rates. | PSNet
    psnet.ahrq.gov/issue/methodological-variations-and-their-effects-reported-medication-administration-error-rates
    January 15, 2025 - For example, only 6 of 16 included studies considered administration of a drug at the wrong time to be

64. Harm prevalence due to medication errors involving high-alert medications: a systematic review | PSNet
    psnet.ahrq.gov/issue/harm-prevalence-due-medication-errors-involving-high-alert-medications-systematic-review
    June 19, 2024 - The authors estimated the pooled prevalence at 16.3%, but the included studies reported a wide variation

65. Diagnostic error in the emergency department: follow up of patients with minor trauma in the outpatient clinic. | PSNet
    psnet.ahrq.gov/issue/diagnostic-error-emergency-department-follow-patients-minor-trauma-outpatient-clinic
    November 15, 2023 - Commonly missed diagnoses included ankle, wrist, and foot fractures.

66. Healthcare Safety for Nursing Personnel: An Organizational Guide to Achieving Results. | PSNet
    psnet.ahrq.gov/issue/healthcare-safety-nursing-personnel-organizational-guide-achieving-results
    February 11, 2015 - Helpful resources such as checklists , sample control plans, and review exercises are also included.

67. Missed diagnosis of new-onset systolic heart failure at first presentation in children with no known heart disease. | PSNet
    psnet.ahrq.gov/issue/missed-diagnosis-new-onset-systolic-heart-failure-first-presentation-children-no-known-heart
    August 18, 2021 - Incorrect diagnostic labels frequently assigned to these patients included bacterial infection, viral

68. Oncology pharmacist-led medication reconciliation among cancer patients initiating chemotherapy. | PSNet
    psnet.ahrq.gov/issue/oncology-pharmacist-led-medication-reconciliation-among-cancer-patients-initiating
    March 24, 2021 - Most of the included oncology patients had a medication change identified after medication reconciliation

69. Explaining ethnic disparities in patient safety: a qualitative analysis. | PSNet
    psnet.ahrq.gov/issue/explaining-ethnic-disparities-patient-safety-qualitative-analysis
    April 14, 2021 - The patterns discovered included inappropriate responses to objective characteristics of immigrant patients

70. Systematic review on the frequency and quality of reporting patient and public involvement in patient safety research. | PSNet
    psnet.ahrq.gov/issue/systematic-review-frequency-and-quality-reporting-patient-and-public-involvement-patient
    February 17, 2021 - Of the 82 included studies, only five reported using the GRIPP2 checklist and only three reported on

71. Improving communication from hospital to skilled nursing facility through standardized hand-off: a quality improvement project. | PSNet
    psnet.ahrq.gov/issue/improving-communication-hospital-skilled-nursing-facility-through-standardized-hand-quality
    September 08, 2021 - This quality improvement (QI) project included development of a structured handoff tool to decrease

72. A family-centered rounds checklist, family engagement, and patient safety: a randomized trial. | PSNet
    psnet.ahrq.gov/issue/family-centered-rounds-checklist-family-engagement-and-patient-safety-randomized-trial
    December 22, 2018 - In this cluster-randomized trial that included nearly 300 families, 2 pediatric inpatient services implemented

73. Multispecialty physician online survey reveals that burnout related to adverse event involvement may be mitigated by peer support. | PSNet
    psnet.ahrq.gov/issue/multispecialty-physician-online-survey-reveals-burnout-related-adverse-event-involvement-may
    July 13, 2022 - A common facilitator was peer support , and barriers included shame and a punitive work environment

74. Implicit bias in the patient descriptor "homeless" and its association with emergency department opioid administration and disposition. | PSNet
    psnet.ahrq.gov/issue/implicit-bias-patient-descriptor-homeless-and-its-association-emergency-department-opioid
    December 15, 2021 - In this study, emergency department (ED) physician notes were included if the patient had a history of

75. Creation of root cause analysis and action (RCA2) standard work by a multidisciplinary team to prevent harm, reduce bias, and improve safety culture. | PSNet
    psnet.ahrq.gov/issue/creation-root-cause-analysis-and-action-rca2-standard-work-multidisciplinary-team-prevent
    October 19, 2022 - Key aims included building a multidisciplinary team, standardizing event communication, expanding support

76. Open disclosure among general practitioners as second victim of a patient safety incident: a cross-sectional study in Flanders (Belgium). | PSNet
    psnet.ahrq.gov/issue/open-disclosure-among-general-practitioners-second-victim-patient-safety-incident-cross
    February 15, 2023 - This cross-sectional study, which included 78 general practitioners in Belgium, found that 87% had been

77. Trends of diagnostic adverse events in hospital deaths: longitudinal analyses of four retrospective record review studies. | PSNet
    psnet.ahrq.gov/issue/trends-diagnostic-adverse-events-hospital-deaths-longitudinal-analyses-four-retrospective
    May 18, 2022 - Data from four studies that included 19-20 hospitals were analyzed to estimate the occurrence of diagnostic

78. Rapid response teams as a patient safety practice for failure to rescue. | PSNet
    psnet.ahrq.gov/issue/rapid-response-teams-patient-safety-practice-failure-rescue
    January 26, 2022 - This article summarizes the evidence included in the AHRQ Making Healthcare Safer III report about

79. The effect of health care professional disruptive behavior on patient care: a systematic review. | PSNet
    psnet.ahrq.gov/issue/effect-health-care-professional-disruptive-behavior-patient-care-systematic-review
    February 16, 2022 - Findings from 25 studies included in this systematic review conclude that disruptive behaviors among

80. Morbidity and mortality conference in emergency medicine residencies and the culture of safety. | PSNet
    psnet.ahrq.gov/issue/morbidity-and-mortality-conference-emergency-medicine-residencies-and-culture-safety
    November 16, 2022 - Not all conferences supported a blame-free approach to errors or included follow-up to errors, suggesting