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psnet.ahrq.gov/issue/longitudinal-analyses-nurse-staffing-and-patient-outcomes-more-about-failure-rescue
February 24, 2021 - They found that an increase in nursing hours and staffing mix resulted in higher levels of patient satisfaction … March 26, 2015
Performance-based payment incentives increase burden and blame for hospital
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psnet.ahrq.gov/issue/improvement-approach-integrate-teaching-teams-reporting-safety-events
September 23, 2020 - These results demonstrate that specific interventions can increase physician use of voluntary event reporting … September 11, 2018
Using a modified A3 lean framework to identify ways to increase students
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psnet.ahrq.gov/node/849124/psn-pdf
May 17, 2023 - Human factors and safety analysis methods can be used to increase
the safety of new technologies, ideally … Increased inclusion of human factors specialists could increase the use of
safety-oriented methods of
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psnet.ahrq.gov/issue/journal-quality-improvement-healthcare-second-edition
July 22, 2015 - hospital's residency program , including efforts to enhance care transitions, reduce wait times, and increase … August 14, 2014
A novel approach to increase residents' involvement in reporting adverse
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psnet.ahrq.gov/issue/high-cost-retained-surgical-items
February 22, 2023 - This article discusses the various factors that increase risk of RSIs and strategies to prevent them … November 11, 2020
The e-Autopsy/e-Biopsy: a systematic chart review to increase safety
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psnet.ahrq.gov/node/836716/psn-pdf
March 09, 2022 - potentially-harmful-medication-dispenses-after-fall-or-hip-fracture-mixed-
methods-study
While falls are common in older adults, there was a 31% increase … in death due to falls in the U.S. from
2007-2016, partially associated with the increase in older adults
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psnet.ahrq.gov/node/50458/psn-pdf
October 09, 2019 - Over a five-year period, there was an increase in the
percentage of residents who felt that could submit … a safety report, but there was not a significant increase
in the number of reports submitted.
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psnet.ahrq.gov/issue/association-between-end-rotation-resident-transition-care-and-mortality-among-hospitalized
August 15, 2018 - Investigators found a striking increase in in-hospital mortality among patients whose hospitalization … The accompanying editorial notes that some of the mortality increase may be accounted for by the fact … The editorial authors advocate for more research into the mechanisms of this mortality increase and the
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psnet.ahrq.gov/issue/association-interruptions-increased-risk-and-severity-medication-administration-errors
August 26, 2020 - during medication administration and discovered that each interruption was associated with a 12.1% increase … in procedural failures and a 12.7% increase in clinical errors.
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psnet.ahrq.gov/issue/show-me-money-ill-show-you-my-complications-impacts-incentivized-incident-self-reporting
March 09, 2022 - To increase the number of self-reports by surgeons , this hospital implemented a program of financial … The incentive program led to an increase in reporting by physicians and physician assistants.
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psnet.ahrq.gov/issue/effect-number-open-charts-intercepted-wrong-patient-medication-orders-emergency-department
May 29, 2019 - Opening multiple patients' charts in the electronic medical record simultaneously may increase the risk … Similarly, there was no significant increase when the maximum number of charts permitted to be open simultaneously
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psnet.ahrq.gov/issue/quality-improvement-initiative-improve-patient-safety-event-reporting-residents
March 08, 2023 - This hospital implemented a quality improvement (QI) project to increase reporting by pediatric residents … ’s event reporting system, safety culture ) and then implemented a multifactorial intervention to increase
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psnet.ahrq.gov/issue/effect-system-level-tiered-huddle-system-reporting-patient-safety-events-interrupted-time
October 07, 2020 - organization- frontline healthcare workers, managers, directors, and executives- and have been shown to increase … This US health system implemented a three-level THS in hospital and ambulatory settings to increase event
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psnet.ahrq.gov/issue/team-based-approach-improving-medication-reconciliation-rates-family-medicine-residency
June 15, 2022 - After implementation, there was a significant increase in the number of visits with physician-documented … medication reconciliation and this increase was sustained one year later.
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psnet.ahrq.gov/node/852698/psn-pdf
August 30, 2023 - The e-Autopsy/e-Biopsy: A Systematic Chart Review to
Increase Safety and Diagnostic Accuracy Innovation … August 30, 2023
https://psnet.ahrq.gov/innovation/e-autopsye-biopsy-systematic-chart-review-increase-safety-and … KPSC sought to improve the systems to increase patient safety in the diagnosis of systems
overall. … The e-Autopsy/e-Biopsy: a systematic chart review to
increase safety and diagnostic accuracy. … The e-Autopsy/e-Biopsy: a systematic chart
review to increase safety and diagnostic accuracy.
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psnet.ahrq.gov/issue/impact-incident-disclosure-behaviors-medical-malpractice-claims
September 27, 2023 - This retrospective observational study found that the rates of disclosure did not increase between 2011 … July 9, 2018
Do written disclosures of serious events increase risk of malpractice claims
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psnet.ahrq.gov/issue/instrument-readiness-important-link-patient-safety
January 05, 2011 - before surgery that, if not conducted in a multidisciplinary and respectful way, can cause stress and increase … View More
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Understanding the root cause analysis process to increase
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psnet.ahrq.gov/node/45759/psn-pdf
July 11, 2017 - Investigators found a striking increase in in-hospital mortality among patients
whose hospitalization … The accompanying editorial
notes that some of the mortality increase may be accounted for by the fact … The editorial authors advocate for more research into the mechanisms of this mortality increase
and
-
psnet.ahrq.gov/node/73412/psn-pdf
August 01, 2022 - missed or delayed diagnoses can lead to
unnecessary or incorrect tests, procedures, and treatments and increase … Given the combined
behavioral health approach, implementing the BHVS screening tool also led to an increase … Having the ARISE
program in place supported an increase in referral to primary care behavioral health … this initiative is to teach healthcare teams to provide Universal Education about IPV to
patients, increase … the number of patients screened and identified as experiencing IPV, and thereby
increase the number
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psnet.ahrq.gov/issue/human-factors-and-safety-analysis-methods-used-design-and-redesign-electronic-medication
April 10, 2024 - Human factors and safety analysis methods can be used to increase the safety of new technologies, ideally … Increased inclusion of human factors specialists could increase the use of safety-oriented methods of