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psnet.ahrq.gov/issue/information-transfer-hospital-discharge-systematic-review
February 21, 2015 - This systematic review included 19 studies assessing the transfer of information at hospital discharge … contained patient demographics, admission/discharge dates and primary diagnoses, but less frequently included
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psnet.ahrq.gov/issue/clinician-identified-problems-and-solutions-delayed-diagnosis-primary-care-prioritize-study
December 14, 2016 - The main issues included inability to meet patients' care needs and inadequate communication between … The top solutions included improving training of primary care doctors and enhancing communication among
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psnet.ahrq.gov/issue/interventions-improve-employee-health-and-well-being-within-health-care-organizations
April 11, 2009 - Individual-level strategies included physical health promotion, stress management interventions, and … System-level approaches included changing work practices and implementing multicomponent interventions
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psnet.ahrq.gov/issue/experiences-diagnostic-delay-among-underserved-racial-and-ethnic-patients-systematic-review
November 03, 2015 - 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
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psnet.ahrq.gov/node/46840/psn-pdf
June 20, 2018 - Individual-level strategies included physical health promotion, stress management
interventions, and … System-level approaches included changing
work practices and implementing multicomponent interventions
-
psnet.ahrq.gov/node/46070/psn-pdf
May 10, 2017 - Motivation for disclosure included fostering trust with patients, reducing negative impact on
health … Barriers to disclosure included fear of
lawsuits and blame and a suboptimal patient safety culture.
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psnet.ahrq.gov/node/45227/psn-pdf
January 21, 2017 - hospitals reported high levels of adherence and satisfaction to a protocol for neonatal
resuscitation that included … The authors advocate for these safety
processes to be included in neonatal resuscitation guidelines.
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psnet.ahrq.gov/node/865610/psn-pdf
April 24, 2024 - It also included discharge resources
(including a self-administered safety plan) and post-ED telephone … Data
were collected from 2014 to 2018 and analyzed from April 2022 to December 2022.3 The trial included … The measure included 1) an ED visit or hospitalization due to suicidal
ideation/behavior or 2) death … The plans included interventions that patients could do on their own
and ideas for interventions they … The innovators found the minimum investment to maintain results included quarterly meetings with the
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psnet.ahrq.gov/issue/missing-evidence-systematic-review-patients-experiences-adverse-events-health-care
September 06, 2017 - Included studies demonstrate that the types of adverse events patients most often identify are medication … authors suggest that investigations into adverse events are incomplete if patient perspectives are not included
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psnet.ahrq.gov/issue/does-team-reflexivity-impact-teamwork-and-communication-interprofessional-hospital-based
July 21, 2017 - Included interventions, most commonly simulation training and video-reflexive ethnography, focused … However, methodological limitations of included studies precluded the authors from drawing conclusions
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psnet.ahrq.gov/issue/randomized-trial-reducing-ambulatory-malpractice-and-safety-risk-results-massachusetts
February 25, 2015 - Using chart review, investigators determined that clinics receiving the intervention—which included a … Barriers to improvement included time and resource constraints, staff turnover, health information technology
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psnet.ahrq.gov/node/45613/psn-pdf
September 01, 2018 - issue/patients-partners-learning-unexpected-events
Adverse event investigation has not traditionally included … The
authors conclude that patient perspectives should be included in event analysis.
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psnet.ahrq.gov/node/60539/psn-pdf
July 10, 2017 - 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,
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psnet.ahrq.gov/node/47207/psn-pdf
July 19, 2018 - The program included an
assessment of the quality at each site followed by an individual improvement … Each site embarked on
a multimodal intervention that included leadership engagement, team training,
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psnet.ahrq.gov/node/44609/psn-pdf
June 21, 2016 - Included studies demonstrate that the types of adverse events
patients most often identify are medication … authors suggest that investigations into adverse events are
incomplete if patient perspectives are not included
-
psnet.ahrq.gov/issue/systematic-review-effectiveness-interruptive-medication-prescribing-alerts-hospital-cpoe
August 17, 2016 - Researchers included 23 studies and found that the most common alert categories included drug–condition
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psnet.ahrq.gov/node/45536/psn-pdf
October 05, 2016 - The main issues included inability to meet patients'
care needs and inadequate communication between … The top solutions
included improving training of primary care doctors and enhancing communication among
-
psnet.ahrq.gov/node/46340/psn-pdf
September 27, 2017 - Researchers included 23 studies and found that the most common
alert categories included drug–condition
-
psnet.ahrq.gov/node/46277/psn-pdf
August 15, 2017 - Using chart review, investigators determined that clinics receiving the intervention—which included a … Barriers
to improvement included time and resource constraints, staff turnover, health information technology
-
psnet.ahrq.gov/node/45541/psn-pdf
September 28, 2016 - Researchers included studies that demonstrated varying estimates of second
opinion rates, which could … The authors note the
lack of relevant patient outcomes or standardized quality metrics across all included