-
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/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/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/socio-technical-issues-and-challenges-implementing-safe-patient-handovers-insights
July 19, 2023 - Socio-technical issues and challenges in implementing safe patient handovers: insights from ethnographic case studies … Socio-technical issues and challenges in implementing safe patient handovers: insights from ethnographic case studies … Socio-technical issues and challenges in implementing safe patient handovers: insights from ethnographic case studies
-
psnet.ahrq.gov/issue/surgical-safety-checklist-and-patient-outcomes-after-surgery-prospective-observational-cohort
May 28, 2015 - checklists have been shown to improve safety outcomes in randomized trials , but implementation studies … Investigators also conducted a meta-analysis of surgical checklist studies (excluding those that paired … This synthesis of published studies suggests that checklists improved mortality and complications overall
-
psnet.ahrq.gov/node/44716/psn-pdf
April 15, 2016 - An integrative review of patient safety in studies on the
care and safety of patients with communication … An integrative review of patient safety in studies on the care and
safety of patients with communication … https://psnet.ahrq.gov/issue/integrative-review-patient-safety-studies-care-and-safety-patients-
communication-disabilities … This literature review found a need for
further studies of patient safety and communication disabilities … https://psnet.ahrq.gov/issue/integrative-review-patient-safety-studies-care-and-safety-patients-communication-disabilities
-
psnet.ahrq.gov/node/60299/psn-pdf
May 06, 2020 - This systematic review synthesized 24 studies examining the impact of either unit-based or hospital- … The majority of studies were uncontrolled pre-post study designs; only two
studies were controlled and … Given the limited number of studies evaluating hospital-wide
huddle programs, the authors conclude that
-
psnet.ahrq.gov/issue/leder-learning-lives-and-deaths
October 19, 2022 - Norah Frye Centre for Disability Studies; Bristol, England. … Linkedin
Copy URL
January 19, 2022
Norah Frye Centre for Disability Studies … Norah Frye Centre for Disability Studies; Bristol, England. … March 16, 2022
STARD 2015 guidelines for reporting diagnostic accuracy studies: explanation … Hospitalizations and deaths related to adverse drug events worldwide: systematic review of studies
-
psnet.ahrq.gov/node/36204/psn-pdf
September 30, 2010 - Automated medication error studies with audit
supplementation were effectively designed and analyzed … Automated medication error studies with audit supplementation were
effectively designed and analyzed … https://psnet.ahrq.gov/issue/automated-medication-error-studies-audit-supplementation-were-effectively … https://psnet.ahrq.gov/issue/automated-medication-error-studies-audit-supplementation-were-effectively-designed-and … https://psnet.ahrq.gov/issue/automated-medication-error-studies-audit-supplementation-were-effectively-designed-and
-
psnet.ahrq.gov/node/41572/psn-pdf
October 29, 2012 - Diagnostic errors in the intensive care unit: a systematic
review of autopsy studies. … Diagnostic errors in the intensive care unit: a systematic review
of autopsy studies. … https://psnet.ahrq.gov/issue/diagnostic-errors-intensive-care-unit-systematic-review-autopsy-studies … This review, which included 31 separate studies, found an overall class I error rate of
8% in ICU patients … https://psnet.ahrq.gov/issue/diagnostic-errors-intensive-care-unit-systematic-review-autopsy-studies
-
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/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/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/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/effects-health-information-technology-patient-outcomes-systematic-review
December 03, 2018 - In this systematic review, researchers analyzed 69 studies from 2001 through 2012 that examined the use … About one-third of the studies demonstrated a positive impact of health IT on patient safety outcomes … The authors suggest that future studies should focus on other areas in which the impact of health IT
-
psnet.ahrq.gov/issue/malpractice-claims-related-diagnostic-errors-hospital
September 16, 2020 - Characterization of diagnostic error in the hospital setting has traditionally relied on data from autopsy studies … Consistent with other studies , a small proportion (9%) of physicians accounted for a large proportion … healthcare organisations struggling to improve quality: results from a systematic review of qualitative studies
-
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/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/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/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.