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psnet.ahrq.gov/issue/va-health-care-selected-credentialing-requirements-seven-medical-facilities-met-aspect
July 05, 2006 - This report reviews findings from a federal inspection indicating that Veterans Affairs (VA) facilities
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psnet.ahrq.gov/issue/saving-lives-and-saving-money-hospital-acquired-conditions-update
May 01, 2017 - This interim update demonstrates that HACs were reduced by 17% in 2014, indicating that the previously
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psnet.ahrq.gov/issue/use-simulation-assess-electronic-health-record-safety-intensive-care-unit-pilot-study
December 10, 2014 - when asked to review the electronic medical record (EMR) of a simulated intensive care unit patient, indicating
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psnet.ahrq.gov/issue/obtaining-best-possible-medication-history-hospital-admission-description-pharmacy-technician
October 31, 2023 - Assurance reviews, the CPhTs identified medication discrepancies at a similar rate to pharmacists, indicating
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psnet.ahrq.gov/issue/how-would-final-year-medical-students-perform-if-their-skill-based-prescription-assessment
October 18, 2023 - The most common type of error was inadequate information in the prescription – such as not indicating
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psnet.ahrq.gov/issue/when-things-go-wrong-how-health-care-organizations-deal-major-failures
March 13, 2013 - In most cases, problems were well known, but not addressed, indicating pervasive problems with safety
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psnet.ahrq.gov/issue/strategies-prevent-missed-nursing-care-international-qualitative-study-based-upon-positive
May 18, 2022 - communication, and empowering nurse leaders, required complex interventions at the system level, indicating
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psnet.ahrq.gov/issue/out-sight-out-mind-prospective-observational-study-estimate-duration-hawthorne-effect-hand
September 09, 2020 - was limited in duration on inpatient wards and is highly dynamic across time and auditor location, indicating
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psnet.ahrq.gov/issue/use-recalled-devices-new-device-authorizations-under-us-food-and-drug-administrations-510k
April 13, 2022 - researchers identified a high risk of future Class 1 FDA recall (the most serious recall designation, indicating
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psnet.ahrq.gov/issue/technologists-role-patient-safety-and-quality-medical-imaging
May 15, 2024 - June 8, 2016
An observational study of direct oral anticoagulant awareness indicating
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psnet.ahrq.gov/issue/impact-computerised-physician-order-entry-cpoe-incidence-chemotherapy-related-medication
May 25, 2022 - that the use of CPOE was associated with an 81% reduction in chemotherapy-related medication errors, indicating
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psnet.ahrq.gov/issue/2020-pennsylvania-patient-safety-reporting-analysis-serious-events-and-incidents-nations
July 06, 2022 - There was a 5.3% decrease from the prior year in the number of reported events, indicating the COVID
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psnet.ahrq.gov/issue/analysis-pharmacist-identified-medication-related-problems-two-united-kingdom-hospitals
July 31, 2019 - However, the study also identified that medication errors continue throughout the hospital stay, indicating
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psnet.ahrq.gov/issue/incidence-and-predictors-opioid-prescription-discharge-after-traumatic-injury
July 02, 2019 - Investigators found that patients with more severe injuries were more likely to be prescribed opioids, indicating
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psnet.ahrq.gov/issue/clinical-diagnoses-and-autopsy-findings-discrepancies-critically-ill-patients
March 09, 2022 - Similar error rates have been found in other contemporary series , indicating that despite more advanced
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psnet.ahrq.gov/issue/diagnostic-accuracy-prehospital-triage-tools-identifying-major-trauma-elderly-injured
September 07, 2022 - This review found high variability in sensitivity and specificity across geriatric triage tools indicating
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psnet.ahrq.gov/issue/relationships-multitasking-physicians-strain-and-performance-observational-study-ward
September 24, 2016 - Interestingly, multitasking physicians self-reported superior performance, indicating that physicians
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psnet.ahrq.gov/issue/effect-resident-duty-hour-restriction-trauma-center-outcomes-teaching-hospitals-state
September 12, 2016 - However, a similar improvement was also seen at trauma facilities not staffed by residents, indicating
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psnet.ahrq.gov/issue/assessing-impact-electronic-chemotherapy-order-verification-checklist-pharmacist-reported
January 22, 2016 - After ECOV implementation, reported medication errors increased, indicating that the checklist provided
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psnet.ahrq.gov/issue/increasing-vigilance-medicalsurgical-floor-improve-patient-safety
January 18, 2011 - The present study provides “proof of concept” data only, indicating that the technology accurately captures