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psnet.ahrq.gov/issue/adverse-events-after-transition-icu-hospital-ward-multicenter-cohort-study
October 13, 2018 - Compared to patients who did not experience an adverse events, those with adverse events were at increased … risk for negative outcomes including ICU readmission, increased length of stay and inpatient morality
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psnet.ahrq.gov/issue/readmissions-observation-and-hospital-readmissions-reduction-program
October 25, 2017 - One possible outcome is an increased number of patients who return to the hospital being placed on observation … The authors found that readmissions decreased, consistent with prior studies , and observation stays increased
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psnet.ahrq.gov/issue/impact-percentage-overlapping-surgery-patient-outcomes-retrospective-cohort-study-87000
February 22, 2019 - This retrospective cohort study including over 87,000 surgical cases found that overlapping surgeries increased … operative times but did not lead to increased in-hospital mortality, adverse events, or readmission
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psnet.ahrq.gov/issue/trends-maternal-mortality-and-severe-maternal-morbidity-during-delivery-related
September 29, 2017 - Maternal mortality decreased for all racial, ethnic, and age groups, while SMM increased for all groups … Patients with COVID-19 had a significantly increased risk of death.
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psnet.ahrq.gov/issue/nurse-burnout-and-patient-safety-satisfaction-and-quality-care-systematic-review-and-meta
November 18, 2016 - Nurse burnout increased during the pandemic and remains prevalent. … Nurse burnout increased over time and was negatively associated with these factors.
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psnet.ahrq.gov/issue/design-and-implementation-infection-prevention-program-risk-management-managing-high-level
December 18, 2014 - Over a two-year period post-implementation, the system identified and corrected high-risk practices, increased … compliance to device guidance, increased efficiency with the use of central sterile processing departments
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psnet.ahrq.gov/issue/standardizing-medication-reconciliation-pediatric-emergency-department
March 10, 2019 - Post-implementation, completed medication reconciliation in UCs increased from 25% to 82% within four … months; in the pediatric ED, completed reviews increased from 26% to 64% within 18 months.
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psnet.ahrq.gov/issue/use-checklist-pediatric-oncology-clinic
April 24, 2019 - This study found that implementation of a checklist for outpatient visits was associated with increased … May 18, 2022
Use of unsolicited patient observations to identify surgeons with increased
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psnet.ahrq.gov/issue/prioritizing-medication-safety-care-people-cancer-clinicians-views-main-problems-and
December 14, 2016 - Patients with cancer are at increased risk of medication errors in both the inpatient and outpatient … inadequate information sharing among clinicians as barriers to providing safe care and they suggested increased
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psnet.ahrq.gov/node/49755/psn-pdf
February 01, 2016 - The zolpidem dose had also been increased from 5 mg to 10 mg at
bedtime as needed. … Common adverse effects of sleep aids include residual daytime sedation leading
to increased risk for … Patients with certain comorbid conditions may be at an increased risk for adverse effects from medications … Older patients are at an increased risk for adverse effects and poor outcomes, such as residual
daytime … Zolpidem is independently associated with
increased risk of inpatient falls.
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psnet.ahrq.gov/node/45988/psn-pdf
April 24, 2018 - perspective through a multifaceted intervention that involved structured
multidisciplinary briefings, increased … psychological safety in which team members were more
likely to raise concerns without fear of punishment and increased
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psnet.ahrq.gov/node/41590/psn-pdf
August 15, 2012 - literature has linked higher patient-to-nurse ratios to a variety of preventable complications
and even increased … other hand,
after controlling for hospital and patient characteristics, the investigators found that increased
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psnet.ahrq.gov/node/38434/psn-pdf
June 15, 2011 - hospital-based incident reports to the United Kingdom's National Patient Safety Agency
and discovered that increased … However,
the authors also point out that increased incident reports failed to correlate with standardized
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psnet.ahrq.gov/node/40221/psn-pdf
July 21, 2011 - This study discovered that prolonged ED stays in older patients were associated with
increased inpatient … association-between-prolonged-stay-emergency-department-and-adverse-events-older-patients
https://psnet.ahrq.gov/issue/ed-overcrowding-associated-increased-frequency-medication-errors
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psnet.ahrq.gov/node/39526/psn-pdf
December 02, 2014 - These findings counter an earlier, widely cited study in which mortality increased after
CPOE installation … mixed-results-safety-performance-computerized-physician-order-entry
https://psnet.ahrq.gov/issue/unexpected-increased-mortality-after-implementation-commercially-sold-computerized-physician
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psnet.ahrq.gov/node/43553/psn-pdf
August 28, 2017 - Women were found to be at particularly increased risk for
adverse events including oversedation and … procedural characteristics may help risk stratify patients, allowing for appropriate responses
such as increased
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psnet.ahrq.gov/node/40904/psn-pdf
January 04, 2012 - evaluate a complementary question:
whether patients who are more severely ill at admission are at increased … clinical databases, the authors were able to show that higher
illness severity is associated with an increased
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psnet.ahrq.gov/node/46245/psn-pdf
June 28, 2017 - Early identification of patients at increased risk for harm in the
home care setting may help inform … Analyzing data
from two prior Canadian home care patient safety studies, researchers found that both increased
-
psnet.ahrq.gov/node/42333/psn-pdf
June 05, 2013 - Ontario, demonstrates that overall hand hygiene rates (measured by
direct observation) consistently increased … institution found that the rates of multiple
HAIs consistently decreased over time as hand hygiene rates increased
-
psnet.ahrq.gov/node/44476/psn-pdf
September 26, 2016 - academic
Interruptions are inevitable in the clinical environment, and they have been linked to an increased … do-telephone-call-interruptions-have-impact-radiology-resident-diagnostic-accuracy
https://psnet.ahrq.gov/issue/association-interruptions-increased-risk-and-severity-medication-administration-errors