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psnet.ahrq.gov/issue/predicting-self-intercepted-medication-ordering-errors-using-machine-learning
May 13, 2020 - Results indicate machine learning may be useful in understanding risk factors involved with medication
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psnet.ahrq.gov/issue/impact-clinical-decision-support-therapeutic-interchanges-hospital-discharge-medication
July 29, 2020 - Findings indicate that use of CDS did not result in a decrease in discharge prescription omissions, duplications
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psnet.ahrq.gov/issue/medication-use-evaluation-high-dose-long-term-opioid-de-prescribing-multiple-veterans-affairs
October 12, 2022 - Results indicate that length of tapering period increased, and mortality risk decreased following OSI
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psnet.ahrq.gov/issue/effect-race-and-sex-physicians-recommendations-cardiac-catheterization
July 15, 2020 - Analyses indicate that women and Black patients with chest pain were less likely to be referred for cardiac
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psnet.ahrq.gov/issue/retrospective-analysis-demonstrates-failure-document-key-comorbid-diseases-anesthesia
May 26, 2021 - Results indicate that missed documentation of one of the comorbid conditions increased risk of length
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psnet.ahrq.gov/issue/central-venous-catheter-guidewire-retention-lessons-englands-never-event-database
September 15, 2021 - Findings indicate that most retained guidewires are identified after the procedure.
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psnet.ahrq.gov/issue/does-simulation-training-acute-care-nurses-improve-patient-safety-outcomes-systematic-review
January 12, 2022 - systematic review that focused on acute care nurse simulation training and patient safety outcomes indicate
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psnet.ahrq.gov/issue/perceptual-gaps-between-clinicians-and-technologists-health-information-technology-related
March 11, 2020 - Findings from semi-structured interviews with medical and IT professionals indicate differing perspectives
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psnet.ahrq.gov/issue/preventing-device-associated-infections-us-hospitals-national-surveys-2005-2013
June 21, 2023 - Other studies indicate that the incidence of certain hospital-acquired infections has decreased over
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psnet.ahrq.gov/issue/influence-psychological-safety-and-organizational-support-impact-humiliation-trainee-well
January 26, 2022 - Results indicate resident perception of increased organizational support (e.g., help is available when
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psnet.ahrq.gov/issue/hospital-cultural-competency-and-attributes-patient-safety-culture-study-us-hospitals
October 20, 2021 - Based on survey data , results indicate that hospitals with higher levels of engagement in diversity
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psnet.ahrq.gov/issue/striving-high-reliability-healthcare-qualitative-study-implementation-hospital-safety
July 10, 2019 - Findings indicate that some principles are more supported than others and identified inconsistent understanding
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psnet.ahrq.gov/issue/resident-faculty-overnight-discrepancy-rates-function-number-consecutive-nights-during-week
November 16, 2022 - explored whether resident performance declines as a function of consecutive overnight shifts, but results indicate
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psnet.ahrq.gov/issue/improving-handoff-deliberate-cognitive-processing-results-randomized-controlled-experimental
March 18, 2020 - Results indicate that engaging in deliberate cognitive processing during handoffs resulted in better
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psnet.ahrq.gov/issue/surgical-skill-predicted-ability-detect-errors
September 02, 2020 - Results indicate that the ability to recognize error served as a predictor of the technical skills exhibited
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psnet.ahrq.gov/issue/did-hospital-readmissions-reduction-program-reduce-readmissions-assessment-prior-evidence-and
August 25, 2021 - The authors conclude that approaches used in some prior research lacked internal validity and may not indicate
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psnet.ahrq.gov/issue/long-term-risk-overdose-or-mental-health-crisis-after-opioid-dose-tapering
August 25, 2021 - Consistent with earlier research on short-term risks, results indicate that opioid tapering is associated
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psnet.ahrq.gov/issue/association-measured-quality-and-future-financial-performance-among-hospitals-performing
May 04, 2022 - The findings indicate hospitals with lower Patient Safety Indicator 90 (PSI 90) scores had poorer financial
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psnet.ahrq.gov/issue/effects-leadership-self-worth-inclusion-trust-and-psychological-safety-medical-error
March 30, 2022 - Results indicate that trust in leaders encouraged error reporting and psychological safety encouraged
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psnet.ahrq.gov/issue/value-learning-near-misses-improve-patient-safety-scoping-review
April 27, 2022 - Findings from this scoping review indicate limited evidence demonstrating that reporting and learning