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Total Results: 2,105 records

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  1. psnet.ahrq.gov/issue/hospital-night-organizational-design-provides-safer-care-night
    November 16, 2022 - The strategies included engaging a nurse practitioner to lead each team, standardizing care escalation
  2. psnet.ahrq.gov/issue/electronic-medical-record-based-interventions-encourage-opioid-prescribing-best-practices
    September 01, 2021 - Interventions included (1) deleting clinician preference lists, (2) default dose, frequency, and quantity
  3. psnet.ahrq.gov/issue/ten-years-incident-reports-hospital-cardiac-arrest-are-they-useful-improvements
    January 26, 2022 - The largest category included documentation and patient decision making errors, followed by pre-arrest
  4. psnet.ahrq.gov/issue/predictors-medication-errors-among-elderly-hospital-patients
    September 23, 2020 - Factors predicting medication errors included patient factors, medication factors (i.e., polypharmacy
  5. psnet.ahrq.gov/issue/impact-missed-nursing-care-or-care-not-done-adults-health-care-rapid-review-consensus
    October 27, 2021 - Included studies cited several causes (e.g., environmental factors, staffing levels and skill mix)
  6. psnet.ahrq.gov/issue/medication-adverse-events-ambulatory-setting-mixed-methods-analysis
    October 21, 2020 - Contributing factors included prescribing errors, failure to review clinical contraindications or drug-drug
  7. psnet.ahrq.gov/issue/reducing-ambulatory-central-line-associated-bloodstream-infections-family-centered-approach
    February 15, 2023 - The intervention included caregiver education, standardized ambulatory nurse CL care practice, and cleaning
  8. psnet.ahrq.gov/issue/approaches-improving-patient-safety-integrated-care-scoping-review
    May 18, 2022 - In this review, 24 studies of integrated care were included.
  9. psnet.ahrq.gov/issue/overstating-inpatient-deaths-due-medical-error-erodes-trust-healthcare-and-patient-safety
    April 01, 2020 - This commentary argues the estimates included in the IOM and other studies are overestimated , and
  10. psnet.ahrq.gov/issue/sitters-patient-safety-strategy-reduce-hospital-falls-systematic-review
    March 08, 2023 - All included studies had a least one methodological limitation (such as not defining what consisted a
  11. psnet.ahrq.gov/issue/patient-safety-education-20-years-after-institute-medicine-report-results-cross-sectional
    October 19, 2022 - Common barriers to effective education cited by survey respondents included staffing and workload pressures
  12. psnet.ahrq.gov/issue/safer-paediatric-surgical-teams-5-year-evaluation-crew-resource-management-implementation-and
    February 03, 2021 - This Swedish pediatric surgery team employed crew resource management training , which included checklists
  13. psnet.ahrq.gov/issue/factors-associated-neuroradiologic-diagnostic-errors-large-tertiary-care-academic-medical
    August 17, 2022 - This study included 564 neuroradiologic examinations with diagnostic error and 1,019 without error.
  14. psnet.ahrq.gov/issue/reduce-likelihood-patient-harm-associated-use-anticoagulant-therapy-commentary
    November 07, 2018 - previously issued a sentinel event alert   for medication errors relating to anticoagulant therapies and included
  15. psnet.ahrq.gov/issue/disciplinary-action-medical-boards-and-prior-behavior-medical-schools
    October 19, 2022 - Unprofessional behavior included severe irresponsibility and diminished capacity for self-improvement
  16. psnet.ahrq.gov/issue/persistent-opioid-use-among-pediatric-patients-after-surgery
    January 29, 2020 - A related editorial raises questions about the breadth of procedures included and calls for development
  17. psnet.ahrq.gov/issue/implementation-strategies-context-medication-reconciliation-qualitative-study
    August 05, 2020 - Thematic analyses suggest that the most commonly used implementation strategies included restructuring
  18. psnet.ahrq.gov/issue/variation-detected-adverse-events-using-trigger-tools-systematic-review-and-meta-analysis
    January 25, 2023 - Fifty-four studies were included with a wide range of AEs detected per 100 admissions.
  19. psnet.ahrq.gov/issue/patient-perspectives-use-artificial-intelligence-skin-cancer-screening-qualitative-study
    October 19, 2022 - Common perceived benefits included increased diagnostic speed and health care access, while increased
  20. psnet.ahrq.gov/issue/how-does-work-environment-relate-diagnostic-quality-prospective-mixed-methods-study-primary
    September 07, 2022 - Many elements were reliably included in the clinical note or encounter transcript (e.g., follow-up contingencies

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