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psnet.ahrq.gov/node/60916/psn-pdf
September 17, 2020 - Impact of professional interpreters on outcomes for
hospitalized children from migrant and refugee families … Impact of professional interpreters on outcomes for hospitalized children
from migrant and refugee families … https://psnet.ahrq.gov/issue/impact-professional-interpreters-outcomes-hospitalized-children-migrant-and … systematic review, the authors synthesized evidence on the impact of professional interpreters on
outcomes … The
authors conclude that while video and in-person interpreters are more favorable for some outcomes
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psnet.ahrq.gov/node/843086/psn-pdf
January 25, 2023 - Work environment and operational failures associated
with nurse outcomes, patient safety, and patient … Work environment and operational failures associated with
nurse outcomes, patient safety, and patient … https://psnet.ahrq.gov/issue/work-environment-and-operational-failures-associated-nurse-outcomes-
patient-safety-and … between operational failures, patient satisfaction, nurse-reported quality
and safety, and nurse job outcomes … failures negatively impact patient
satisfaction, quality and safety, and contribute to poor nurse job outcomes
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psnet.ahrq.gov/node/60598/psn-pdf
June 17, 2020 - Associations of workflow disruptions in the operating
room with surgical outcomes: a systematic review … Associations of workflow disruptions in the operating room with
surgical outcomes: a systematic review … https://psnet.ahrq.gov/issue/associations-workflow-disruptions-operating-room-surgical-outcomes-
systematic-review-and … equipment malfunctions, unexpected patient conditions) and provider, surgical process, and
patient outcomes … disruptions and these
disruptions were either negatively or not substantially associated with surgical outcomes
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psnet.ahrq.gov/primer/safety-i-safety-ii-and-new-views-safety
October 02, 2024 - rather than only preventing undesired outcomes. 4,5 , 19 , 22 Accident Assessment and Understanding … are also present in cases with desired outcomes. … This perspective supports interpreting components or functions in the context of outcomes. … , nor does it focus on exceptional outcomes. … Similar to undesired outcomes, great saves are easy to see, complicated, and difficult to change.
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psnet.ahrq.gov/node/851453/psn-pdf
July 19, 2023 - Association of polypharmacy and potential drug-drug
interactions with adverse treatment outcomes in … drug
interactions with adverse treatment outcomes in older adults with advanced cancer. … psnet.ahrq.gov/issue/association-polypharmacy-and-potential-drug-drug-interactions-adverse-
treatment-outcomes … Polypharmacy and PDIs were associated with increased risk of
adverse treatment outcomes, but PIMs were … psnet.ahrq.gov/issue/association-polypharmacy-and-potential-drug-drug-interactions-adverse-treatment-outcomes
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psnet.ahrq.gov/node/73363/psn-pdf
June 09, 2021 - Shift-to-shift nursing handover interventions associated
with improved inpatient outcomes - falls, pressure … shift nursing handover interventions associated with improved inpatient
outcomes—falls, pressure injuries … https://psnet.ahrq.gov/issue/shift-shift-nursing-handover-interventions-associated-improved-inpatient-
outcomes-falls … This review aimed to identify which nursing handover interventions result in improved
patient outcomes … structured approach, such as Situation, Background, Assessment, Recommendation (SBAR) improved
patient outcomes
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psnet.ahrq.gov/node/74000/psn-pdf
January 01, 2022 - Systematic review: nurses' safety attitudes and their
impact on patient outcomes in acute-care hospitals … Systematic review: nurses' safety attitudes and their impact on patient
outcomes in acute-care hospitals … https://psnet.ahrq.gov/issue/systematic-review-nurses-safety-attitudes-and-their-impact-patient-outcomes … This review synthesizes research on nurses’ safety attitudes and subsequent
impact on patient outcomes … Nurse managers can play an important
role in improving patient safety culture and outcomes in their
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psnet.ahrq.gov/node/863749/psn-pdf
March 06, 2024 - Improving situation awareness to advance patient
outcomes: a systematic literature review. … Improving situation awareness to advance patient outcomes: a
systematic literature review. … https://psnet.ahrq.gov/issue/improving-situation-awareness-advance-patient-outcomes-systematic-
literature-review … https://psnet.ahrq.gov/issue/improving-situation-awareness-advance-patient-outcomes-systematic-literature-review … https://psnet.ahrq.gov/issue/improving-situation-awareness-advance-patient-outcomes-systematic-literature-review
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psnet.ahrq.gov/node/866074/psn-pdf
June 05, 2024 - The impact of sensory stimuli on healthcare workers and
outcomes in trauma rooms: a focus group study … The impact of sensory stimuli on healthcare workers and outcomes in
trauma rooms: a focus group study … https://psnet.ahrq.gov/issue/impact-sensory-stimuli-healthcare-workers-and-outcomes-trauma-rooms-
focus-group-study … https://psnet.ahrq.gov/issue/impact-sensory-stimuli-healthcare-workers-and-outcomes-trauma-rooms-focus-group-study … https://psnet.ahrq.gov/issue/impact-sensory-stimuli-healthcare-workers-and-outcomes-trauma-rooms-focus-group-study
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psnet.ahrq.gov/node/866816/psn-pdf
September 25, 2024 - Patient harm events and associated cost outcomes
reported to a patient safety organization. … Patient harm events and associated cost outcomes reported to a patient safety
organization. … https://psnet.ahrq.gov/issue/patient-harm-events-and-associated-cost-outcomes-reported-patient-safety … https://psnet.ahrq.gov/issue/patient-harm-events-and-associated-cost-outcomes-reported-patient-safety-organization … https://psnet.ahrq.gov/issue/patient-harm-events-and-associated-cost-outcomes-reported-patient-safety-organization
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psnet.ahrq.gov/node/865707/psn-pdf
May 01, 2024 - Department of anesthesiology skilled peer support
program outcomes: second victim perceptions. … Department of anesthesiology skilled peer support program outcomes:
second victim perceptions. … https://psnet.ahrq.gov/issue/department-anesthesiology-skilled-peer-support-program-outcomes-second- … https://psnet.ahrq.gov/issue/department-anesthesiology-skilled-peer-support-program-outcomes-second-victim-perceptions … https://psnet.ahrq.gov/issue/department-anesthesiology-skilled-peer-support-program-outcomes-second-victim-perceptions
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psnet.ahrq.gov/node/867651/psn-pdf
February 26, 2025 - Hollnagel terms this the causality credo, which he defines as “the belief that adverse outcomes happen … are also present in cases with desired outcomes. … This perspective supports
interpreting components or functions in the context of outcomes. … , nor does it focus on exceptional outcomes. … Similar to
undesired outcomes, great saves are easy to see, complicated, and difficult to change.
-
psnet.ahrq.gov/node/73206/psn-pdf
May 05, 2021 - Treatment patterns and clinical outcomes after the
introduction of the Medicare Sepsis Performance Measure … Treatment patterns and clinical outcomes after the introduction of
the Medicare Sepsis Performance Measure … https://psnet.ahrq.gov/issue/treatment-patterns-and-clinical-outcomes-after-introduction-medicare-sepsis … Results indicate variable changes in process measures but no improvement in clinical outcomes. … revising the measure with more flexible guidelines that allow clinician discretion may
improve patient outcomes
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psnet.ahrq.gov/node/74258/psn-pdf
January 19, 2022 - Care quality, patient safety, and nurse outcomes at
hospitals serving economically disadvantaged patients … Care quality, patient safety, and nurse outcomes at hospitals serving
economically disadvantaged patients … https://psnet.ahrq.gov/issue/care-quality-patient-safety-and-nurse-outcomes-hospitals-serving-
economically-disadvantaged … the association between
nurse work environment and healthcare quality, patient safety, and patient outcomes … https://psnet.ahrq.gov/issue/care-quality-patient-safety-and-nurse-outcomes-hospitals-serving-economically-disadvantaged
-
psnet.ahrq.gov/node/865662/psn-pdf
April 24, 2024 - of racial disparity, racial anxiety,
and unconscious bias in clinical interactions, treatment,
and outcomes … of racial disparity, racial anxiety, and
unconscious bias in clinical interactions, treatment, and outcomes … oncologist-perceptions-racial-disparity-racial-anxiety-and-unconscious-bias-
clinical
Racism and implicit bias can result in poorer health outcomes … examined
racial disparity, racial anxiety, and physician unconscious bias and adverse influence on outcomes … similar proportion rarely or never perceived unconscious bias having a negative influence
on patient outcomes
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psnet.ahrq.gov/node/60897/psn-pdf
January 01, 2022 - Association between surgeon technical skills and patient
outcomes. … Association Between Surgeon Technical Skills and Patient
Outcomes. … https://psnet.ahrq.gov/issue/association-between-surgeon-technical-skills-and-patient-outcomes
This … among patients undergoing colorectal and non-
colorectal procedures and the association with patient outcomes … https://psnet.ahrq.gov/issue/association-between-surgeon-technical-skills-and-patient-outcomes
https:
-
psnet.ahrq.gov/node/74836/psn-pdf
February 16, 2022 - Outcomes-based nurse staffing during times of crisis and
beyond. … Outcomes-based nurse staffing during times of crisis and beyond. … https://psnet.ahrq.gov/issue/outcomes-based-nurse-staffing-during-times-crisis-and-beyond
Appropriate … levels of nurse staffing have been shown to improve patient outcomes. … Consistent with earlier research, nurse staffing was associated with improved clinical outcomes.
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psnet.ahrq.gov/node/60840/psn-pdf
August 26, 2020 - Role of artificial intelligence in patient safety outcomes:
systematic literature review. … Role of artificial intelligence in patient safety outcomes: systematic literature review. … https://psnet.ahrq.gov/issue/role-artificial-intelligence-patient-safety-outcomes-systematic-literature-review … drug
management, but that additional evidence is needed to understand how well AI can predict safety
outcomes … https://psnet.ahrq.gov/issue/role-artificial-intelligence-patient-safety-outcomes-systematic-literature-review
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psnet.ahrq.gov/node/73179/psn-pdf
January 01, 2022 - Use of therapeutic outcomes monitoring method for
performing of pharmaceutical care in oncology patients … Use of therapeutic outcomes monitoring method for
performing of pharmaceutical care in oncology patients … https://psnet.ahrq.gov/issue/use-therapeutic-outcomes-monitoring-method-performing-pharmaceutical-
care-oncology-patients … the
therapeutic outcome monitoring (TOM) method, pharmacists in this study identified 43 negative outcomes … https://psnet.ahrq.gov/issue/use-therapeutic-outcomes-monitoring-method-performing-pharmaceutical-care-oncology-patients
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psnet.ahrq.gov/node/48013/psn-pdf
May 29, 2019 - Economic outcomes associated with safety interventions
by a pharmacist–adjudicated prior authorization … Economic Outcomes Associated with Safety Interventions by a
Pharmacist-Adjudicated Prior Authorization … https://psnet.ahrq.gov/issue/economic-outcomes-associated-safety-interventions-pharmacist-adjudicated … -
prior-authorization
This retrospective analysis examined the economic outcomes of a pharmacist-led … https://psnet.ahrq.gov/issue/economic-outcomes-associated-safety-interventions-pharmacist-adjudicated-prior-authorization