-
psnet.ahrq.gov/issue/systemic-defenses-prevent-intravenous-medication-errors-hospitals-systematic-review
March 04, 2020 - Of the 46 included studies, most discussed systemic defenses related to drug administration; fewer discussed … medication management and smart pumps were the most common systemic defenses examined in the included studies … ; the authors identify a need for further studies exploring the effectiveness of different combinations
-
psnet.ahrq.gov/issue/acr-recommendations-use-chest-radiography-and-computed-tomography-ct-suspected-covid-19
August 14, 2019 - Two early studies suggested that chest CT may have a sensitivity as high as 97%. … However, higher quality studies have shown that the sensitivity of chest CT is only 67-93% among patients … April 22, 2020
Radiologists make more errors interpreting off-hours body CT studies during
-
psnet.ahrq.gov/issue/covid-19-pandemic-and-tension-between-need-act-and-need-know
July 28, 2021 - This article discusses the tension between evidence generation from observational studies and rigorous … critical thinking skills for delivering optimal care
July 28, 2021
Scoping review of studies … May 27, 2020
Novel, High-Impact Studies Evaluating Health System and Healthcare Professional
-
psnet.ahrq.gov/issue/association-between-physician-depressive-symptoms-and-medical-errors-systematic-review-and
January 12, 2022 - This systematic review and meta-analysis of 11 studies with a valid measure of physician (n=21,517) depressive … The authors also conducted a meta-analysis of 7 longitudinal studies, which revealed there was a bidirectional … The authors recommend that future studies need to focus on whether interventions to reduce physician
-
psnet.ahrq.gov/issue/cognitive-bias-during-clinical-decision-making-and-its-influence-patient-outcomes-emergency
September 21, 2022 - This review identified 18 studies on cognitive biases in emergency physicians and nurses. … Most studies focused on implicit bias and on physicians. … Of the five studies focused solely on nurses, all assessed bias in emergency department triage .
-
psnet.ahrq.gov/issue/association-clinician-diagnostic-performance-machine-learning-based-decision-support-systems
June 22, 2022 - This systematic review of 37 studies found limited evidence that the use of machine learning-based CDS … intelligence versus clinicians: systematic review of design, reporting standards, and claims of deep learning studies … scoping review
March 4, 2020
Evidence of bias and variation in diagnostic accuracy studies
-
psnet.ahrq.gov/issue/effects-rapid-response-systems-clinical-outcomes-systematic-review-and-meta-analysis
September 23, 2020 - This systematic review of 13 published studies found no overall benefit of RRS on inpatient mortality … As noted in a prior commentary , most published studies had significant methodologic problems that limited … While some more recent single-center studies of RRS have achieved impressive results, the authors of
-
psnet.ahrq.gov/issue/systematic-review-evidence-misdiagnosis-dementia-and-its-impact-accessing-dementia-care
December 02, 2020 - This systematic review identified 20 studies focused on missed and delayed diagnosis of dementia and … None of the studies assessed the emotional impact misdiagnosis has on patients and caregivers, which … Potentially inappropriate prescribing among older persons: a meta-analysis of observational studies
-
psnet.ahrq.gov/issue/evidence-and-efficacy-time-think-beyond-traditional-randomised-controlled-trial-patient
January 24, 2024 - Evidence and efficacy: time to think beyond the traditional randomised controlled trial in patient safety studies … Evidence and efficacy: time to think beyond the traditional randomised controlled trial in patient safety studies … Evidence and efficacy: time to think beyond the traditional randomised controlled trial in patient safety studies
-
psnet.ahrq.gov/node/45219/psn-pdf
November 21, 2016 - Patient and Family Engagement in Primary Care: Case
Studies. … https://psnet.ahrq.gov/issue/patient-and-family-engagement-primary-care-case-studies
Patient safety … This guide includes case studies that
explore how Open Notes, team-based care delivery, and patient … https://psnet.ahrq.gov/issue/patient-and-family-engagement-primary-care-case-studies
https://psnet.ahrq.gov
-
psnet.ahrq.gov/issue/does-root-cause-analysis-improve-patient-safety-systematic-review-department-veterans-affairs
March 24, 2021 - Of the ten retrospective studies included in the review, all reported improvements following RCA-recommended … interventions implementation, but the studies used different methodologies to assess effectiveness. … first-year resident physicians' extended duration work shifts: a pooled analysis of prospective cohort studies
-
psnet.ahrq.gov/issue/interventions-reliability-seeking-health-care-organizations-systematic-review-their-goals-and
October 19, 2022 - This systematic review identified 75 studies reporting on health systems’ interventions to improve reliability … The six goals of Crossing the Quality Chasm were used to categorize studies. … Most studies focused solely or in part on safety; only ten focused solely on one of the other five goals
-
psnet.ahrq.gov/issue/factors-influencing-medication-errors-prehospital-paramedic-environment-mixed-method
August 25, 2021 - While there are studies reporting a variety of prehospital adverse events (e.g., respiratory and airway … events , communication , etc.), there have been few studies of medication errors that occur in prehospital … This mixed methods systematic review of 56 studies and case reports identifies seven major themes such
-
psnet.ahrq.gov/issue/neglected-barrier-medication-use-systematic-review-difficulties-associated-opening-medication
February 16, 2022 - This review includes 12 studies where participants were observed opening a variety of medication packages … While all studies reported participant difficulty, no consistent contributory factors were identified … , and the methodological quality of all studies was typically low.
-
psnet.ahrq.gov/issue/poking-skunk-ethical-and-medico-legal-concerns-research-about-patients-experiences-medical
May 05, 2021 - As with prior studies , researchers found that patients expressed a desire to be heard. … boards permit investigators to approach patients who have experienced adverse events to participate in studies … , rather than prohibit such studies due to fear of causing further psychological harm.
-
psnet.ahrq.gov/issue/effectiveness-double-checking-reduce-medication-administration-errors-systematic-review
August 26, 2020 - Investigators identified 13 studies (3 were considered high-quality) that demonstrated variable adherence … No studies demonstrated differences in patient harm with double-checking compared to usual medication … The authors call for higher-quality studies to determine whether the time-intensive practice of double-checking
-
psnet.ahrq.gov/issue/mixed-results-safety-performance-computerized-physician-order-entry
May 04, 2022 - Computerized provider order entry (CPOE) has provided significant safety benefits in research studies … However, CPOE's "real-world" performance has been mixed, with high-profile studies documenting a variety … Taken together, these studies imply that CPOE implementation may not result in large immediate effects
-
psnet.ahrq.gov/issue/association-between-nurse-staffing-and-quality-care-emergency-departments-systematic-review
June 16, 2021 - Sixteen studies on the effects of nurse staffing in emergency departments (EDs) were identified for this … Several, but not all, of the studies found that lower nurse staffing was associated with longer wait … Additional longitudinal studies are needed to further investigate nurse staffing in emergency departments
-
psnet.ahrq.gov/issue/impact-providing-patients-access-electronic-health-records-quality-and-safety-care-systematic
July 27, 2022 - Meta-analysis found that sharing EHRs with patients is effective in reducing HbA1c levels; the included studies … However, the authors concluded that more methodologically robust studies are necessary to quantitatively … Hospitalizations and deaths related to adverse drug events worldwide: systematic review of studies
-
psnet.ahrq.gov/issue/how-satisfied-are-patients-and-surgeons-telemedicine-orthopaedic-care-during-covid-19
July 15, 2020 - orthopedic care delivery as compared to in-person visits.However, the authors note that the included studies … of health care strikes on patient mortality: a systematic review and meta-analysis of observational studies … patients with heart failure: a systematic review of randomized trials and non-randomized intervention studies