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psnet.ahrq.gov/node/74230/psn-pdf
January 12, 2022 - learning-diagnostic-errors-improve-patient-safety-when-gps-work-or-alongside-
emergency
Overcrowding in the emergency department (ED) can result in increased … learning-diagnostic-errors-improve-patient-safety-when-gps-work-or-alongside-emergency
https://psnet.ahrq.gov/issue/ed-overcrowding-associated-increased-frequency-medication-errors
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psnet.ahrq.gov/node/853963/psn-pdf
September 27, 2023 - From 2000 to 2021, errors increased by 300%, with more than half classified as
"inadvertently took or … Although no deaths were reported and less than 5%
resulted in moderate or major medical outcomes, increased
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psnet.ahrq.gov/node/44915/psn-pdf
January 01, 2020 - benefits-health-information-technology-review-recent-literature-shows-predominantly-positive
https://psnet.ahrq.gov/issue/unexpected-increased-mortality-after-implementation-commercially-sold-computerized-physician … https://psnet.ahrq.gov/issue/unexpected-increased-mortality-after-implementation-commercially-sold-computerized-physician
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psnet.ahrq.gov/node/849124/psn-pdf
May 17, 2023 - (CPOE), clinical decision support (CDS), and electronic medication
management systems (EMMS) have increased … Increased inclusion of human factors specialists could increase the use of
safety-oriented methods of
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psnet.ahrq.gov/node/60185/psn-pdf
April 01, 2020 - Researchers found an increased risk of death
from overdose or suicide regardless of the length of treatment … ; the risk of death increased with longer
treatment duration.
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psnet.ahrq.gov/node/73214/psn-pdf
May 05, 2021 - patient-and-physician-perspectives-deprescribing-potentially-inappropriate-
medications-older
Older adults taking potentially inappropriate medications (PIMs) are at increased … Clinician training strategies, patient education, and increased
trust between providers and patients
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psnet.ahrq.gov/issue/performance-global-assessment-pediatric-patient-safety-gapps-tool
August 14, 2018 - in this study, agreement between reviewers regarding the presence of an adverse event improved with increased … September 12, 2016
The "weekend effect" in pediatric surgery—increased mortality for
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psnet.ahrq.gov/issue/effect-illness-severity-and-comorbidity-patient-safety-and-adverse-events
December 01, 2011 - to 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/issue/using-coworker-observations-promote-accountability-disrespectful-and-unsafe-behaviors
June 27, 2018 - The number of reports increased during the intervention, suggesting that team members saw a benefit to … the Same Author(s)
Use of unsolicited patient observations to identify surgeons with increased
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psnet.ahrq.gov/issue/risk-adjusted-survival-adults-following-hospital-cardiac-arrest-day-week-and-time-day
July 01, 2017 - Patients admitted on the weekend may be at increased risk for complications and mortality. … August 10, 2011
Unexpected increased mortality after implementation of a commercially
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psnet.ahrq.gov/issue/associations-between-patient-factors-and-adverse-events-home-care-setting-secondary-data
November 27, 2013 - 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
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psnet.ahrq.gov/issue/associations-between-stopping-prescriptions-opioids-length-opioid-treatment-and-overdose-or
April 05, 2017 - Researchers found an increased risk of death from overdose or suicide regardless of the length of treatment … ; the risk of death increased with longer treatment duration.
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psnet.ahrq.gov/issue/role-modeling-and-medical-error-disclosure-national-survey-trainees
December 21, 2017 - Poor role models were associated with negative trainee attitudes about disclosure and an increased likelihood … April 18, 2018
Use of unsolicited patient observations to identify surgeons with increased
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psnet.ahrq.gov/issue/four-states-robust-prescription-drug-monitoring-programs-reduced-opioid-dosages
June 21, 2016 - Provider prescribing has come under increased scrutiny and several states have implemented prescription … January 23, 2019
Physician prescribing of opioids to patients at increased risk of overdose
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psnet.ahrq.gov/issue/accreditation-council-graduate-medical-educations-limits-residents-work-hours-and-patient
July 10, 2008 - Interestingly, despite considerable concern that reducing work hours would lead to increased discontinuity … in patient care, residents did not feel that errors due to handoffs or cross-coverage increased after
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psnet.ahrq.gov/issue/translating-concerns-action-detailed-qualitative-evaluation-interdisciplinary-intervention
November 01, 2017 - 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/issue/national-trends-patient-safety-four-common-conditions-2005-2011
August 03, 2016 - Some events, such as pressure ulcers in surgical patients, actually increased despite considerable … September 24, 2014
Electronic Health Record Programs: Participation Has Increased, but
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psnet.ahrq.gov/issue/analysis-adverse-events-associated-adult-moderate-procedural-sedation-outside-operating-room
August 13, 2014 - Women were found to be at particularly increased risk for adverse events including oversedation and hypotension … procedural characteristics may help risk stratify patients, allowing for appropriate responses such as increased
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psnet.ahrq.gov/issue/impact-electronic-health-records-time-efficiency-physicians-and-nurses-systematic-review
March 11, 2011 - This systematic review discovered that EHRs reduced documentation time for nurses but increased it for … better than others in this regard, efforts to implement EHRs will need to address the potential for increased
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psnet.ahrq.gov/issue/fatigue-among-clinicians-and-safety-patients
November 15, 2018 - The authors discuss the likely consequences of these limitations, including decreased work force, increased … October 19, 2022
Does increased schedule flexibility lead to change?