-
psnet.ahrq.gov/issue/root-cause-analysis-using-prevention-and-recovery-information-system-monitoring-and-analysis
May 18, 2022 - Combining record reviews with provider interviews and using multiple PRISMA-trained researchers may increase … November 11, 2020
A narrative review of strategies to increase patient safety event reporting
-
psnet.ahrq.gov/issue/strategic-solution-preventing-harm-associated-ambulance-handover-delays
July 22, 2020 - handovers from emergency medical services (EMS) to the emergency department (ED) can significantly increase … decrease in the percentage of handovers more than 60 minutes after arrival from 9% to 0.2%, and an increase
-
psnet.ahrq.gov/node/47359/psn-pdf
October 10, 2018 - there-evidence-july-effect-among-patients-undergoing-hysterectomy-surgery
Substantial debate continues as to whether the July effect—an increase … Analyzing
data across Maryland, investigators found no evidence for a seasonal increase in hysterectomy
-
psnet.ahrq.gov/issue/there-evidence-july-effect-among-patients-undergoing-hysterectomy-surgery
April 24, 2018 - Substantial debate continues as to whether the July effect —an increase in preventable adverse events … Analyzing data across Maryland, investigators found no evidence for a seasonal increase in hysterectomy
-
psnet.ahrq.gov/issue/costs-adverse-drug-events-community-hospitals
February 18, 2011 - This study found that ADEs incur an average cost of more than $3000 and are associated with an increase … The latter increase is greater than similar studies in academic institutions.
-
psnet.ahrq.gov/issue/using-pharmacists-optimize-patient-outcomes-and-costs-ed
October 13, 2015 - Exploring factors that increase risk of medication-related errors in the emergency department , this … April 16, 2018
Utilization of pharmacy technicians to increase the accuracy of patient
-
psnet.ahrq.gov/issue/preventing-medication-errors
May 30, 2018 - describes an incident involving a medication error and reviews conditions in long-term care that increase … Related Resources From the Same Author(s)
Do written disclosures of serious events increase
-
psnet.ahrq.gov/issue/effect-organizational-network-patient-safety-safety-event-reporting
October 16, 2013 - online educational modules, an online forum for communication, and a reward system, led to a significant increase … December 18, 2014
A novel approach to increase residents' involvement in reporting adverse
-
psnet.ahrq.gov/node/41186/psn-pdf
January 03, 2017 - This study found that ADEs incur an average cost of more than $3000 and are associated
with an increase … The latter increase is greater than similar studies in academic
institutions.
-
psnet.ahrq.gov/node/34889/psn-pdf
March 04, 2011 - Findings include a decrease in utilization of office visits, an increase in telephone contacts, and … Authors conclude that introducing electronic health records may
increase appropriate use of health care
-
psnet.ahrq.gov/issue/model-increasing-patient-safety-intensive-care-unit-increasing-implementation-rates-proven
September 23, 2020 - This study developed a comprehensive approach and model to increase prophylaxis against venous thromboembolic
-
psnet.ahrq.gov/issue/national-incidence-medication-error-surgical-patients-and-after-accreditation-council
September 23, 2020 - The authors hypothesized that the increase in handoffs and a changing attitude toward work—also referred … to as a shift-work mentality—might lead to an increase in medication errors .
-
psnet.ahrq.gov/node/39862/psn-pdf
September 24, 2016 - Interruptions did not result in an increase in prescribing errors,
but did significantly increase the
-
psnet.ahrq.gov/node/46436/psn-pdf
May 30, 2018 - emergency-department
Opening multiple patients' charts in the electronic medical record simultaneously may increase … Similarly,
there was no significant increase when the maximum number of charts permitted to be open
-
psnet.ahrq.gov/issue/potentially-harmful-medication-dispenses-after-fall-or-hip-fracture-mixed-methods-study
May 05, 2021 - 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 in the population.
-
psnet.ahrq.gov/innovation/novel-approach-engagement-team-training-high-technology-surgery-robotic-assisted-surgery
June 21, 2023 - Researchers in this study implemented a gamification training program to increase technical and non-technical … June 21, 2023
Improving safety in the operating room: medication icon labels increase
-
psnet.ahrq.gov/issue/toward-zero-harm-mackenzie-healths-journey-toward-becoming-high-reliability-organization-and
September 14, 2022 - One-year post-implementation, researchers observed an increase in patient safety incident reporting and … Improving Diagnostic Safety and Quality
April 26, 2023
Interventions to increase
-
psnet.ahrq.gov/node/41951/psn-pdf
September 07, 2016 - /psnet.ahrq.gov/issue/drug-shortages-threaten-patient-safety
https://psnet.ahrq.gov/issue/examining-increase-drug-shortages … shortage-perioperative-drugs-implications-anesthesia-practice-and-patient-safety
https://psnet.ahrq.gov/issue/drug-shortage-associated-increase-catheter-related-blood-stream-infection-children
-
psnet.ahrq.gov/issue/errors-and-electronic-prescribing-controlled-laboratory-study-examine-task-complexity-and
September 24, 2016 - Interruptions did not result in an increase in prescribing errors, but did significantly increase the
-
psnet.ahrq.gov/issue/teaching-hospital-five-year-mortality-trends-wake-duty-hour-reforms
November 26, 2014 - These concerns were allayed by prior studies that found no increase in mortality at teaching hospitals … This follow-up study tracked 5-year outcomes among Medicare patients and found no increase in mortality