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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
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psnet.ahrq.gov/issue/pharmacist-led-intervention-reduction-inappropriate-medication-use-patients-heart-failure
December 22, 2021 - patients with heart failure: a systematic review of randomized trials and non-randomized intervention studies … patients with heart failure: a systematic review of randomized trials and non-randomized intervention studies … patients with heart failure: a systematic review of randomized trials and non-randomized intervention studies
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psnet.ahrq.gov/issue/associations-between-self-reported-healthcare-disruption-due-covid-19-and-avoidable-hospital
September 23, 2020 - disruption due to COVID-19 and avoidable hospital admission: evidence from seven linked longitudinal studies … disruption due to covid-19 and avoidable hospital admission: evidence from seven linked longitudinal studies … disruption due to covid-19 and avoidable hospital admission: evidence from seven linked longitudinal studies
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psnet.ahrq.gov/issue/safer-delivery-surgical-services-programme-controlled-and-after-intervention-studies-pre
October 12, 2016 - Safer Delivery of Surgical Services: a Programme of Controlled Before-and-after Intervention Studies … Text:
Safer Delivery of Surgical Services: a Programme of Controlled Before-and-after Intervention Studies … Text:
Safer Delivery of Surgical Services: a Programme of Controlled Before-and-after Intervention Studies
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psnet.ahrq.gov/issue/surgical-technology-and-operating-room-safety-failures-systematic-review-quantitative-studies
May 06, 2015 - Surgical technology and operating-room safety failures: a systematic review of quantitative studies … Surgical technology and operating-room safety failures: a systematic review of quantitative studies. … Surgical technology and operating-room safety failures: a systematic review of quantitative studies.
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psnet.ahrq.gov/issue/comparison-medication-safety-systems-critical-access-hospitals-combined-analysis-two-studies
September 28, 2016 - Comparison of medication safety systems in critical access hospitals: combined analysis of two studies … Comparison of medication safety systems in critical access hospitals: Combined analysis of two studies … Comparison of medication safety systems in critical access hospitals: Combined analysis of two studies
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psnet.ahrq.gov/node/45803/psn-pdf
March 27, 2017 - Safer Delivery of Surgical Services: a Programme of
Controlled Before-and-after Intervention Studies … psnet.ahrq.gov/issue/safer-delivery-surgical-services-programme-controlled-and-after-intervention-
studies-pre … //psnet.ahrq.gov/issue/safer-delivery-surgical-services-programme-controlled-and-after-intervention-studies-pre … //psnet.ahrq.gov/issue/safer-delivery-surgical-services-programme-controlled-and-after-intervention-studies-pre
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psnet.ahrq.gov/issue/effects-computerized-physician-order-entry-and-clinical-decision-support-systems-medication
May 27, 2011 - This systematic review did find substantial reductions in potential medication errors in studies of both … However, the few studies found were not adequately powered to determine the effects on adverse drug … The studies also provided only limited information on implementation issues and potential unintended
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psnet.ahrq.gov/issue/do-calculation-errors-nurses-cause-medication-errors-clinical-practice-literature-review
December 14, 2016 - evaluate the connection between calculation errors and actual medication errors, but found that while some studies … have examined the incidence of calculation errors and methods of preventing these errors, few studies … have specifically measured the effect of calculation errors on patient outcomes (and no studies have
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psnet.ahrq.gov/issue/do-healthcare-professionals-work-around-safety-standards-and-should-we-be-worried-scoping
December 21, 2016 - More than half of the identified studies focused on medication safety, such as workarounds related to … Organizational factors, including workload and time pressure, were identified in 93% of studies. … Several studies reported that workarounds did not result in error or harm or could simultaneously have
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psnet.ahrq.gov/issue/racial-and-ethnic-disparities-patient-safety
March 03, 2011 - Prior studies have raised the concern that minorities may be at higher risk of adverse events while … This systematic review sought to examine racial and ethnic disparities in studies of patient safety … to affect disparities in health care outcomes, were not always reported or taken into account in the studies
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psnet.ahrq.gov/issue/potential-harms-resulting-patient-clinician-real-time-clinical-encounters-using-video-based
February 14, 2017 - This rapid review identified 23 studies on the safety of telehealth visits in a diverse array of settings … Most studies reported rates of adverse events for telehealth visits that were similar to in-person visits … None of the studies included interventions to improve patient safety, but the authors note that interventions
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psnet.ahrq.gov/issue/improving-patient-safety-culture-primary-care-systematic-review
June 17, 2015 - Most studies of safety culture have focused on hospitals , but the majority of health care takes place … This systematic review was only able to identify two studies, each with significant methodological shortcomings … The authors suggest that more intervention studies of safety culture improvement in primary care are
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psnet.ahrq.gov/issue/systematic-review-physiologic-monitor-alarm-characteristics-and-pragmatic-interventions
August 03, 2017 - This systematic review analyzed 24 studies on alarm characteristics and 8 studies that evaluated interventions … Consistent with other studies , the vast majority of the time, alarms do not signal problems that require
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psnet.ahrq.gov/issue/diagnostic-errors-pediatric-and-neonatal-icu-systematic-review
October 29, 2012 - Previous autopsy studies have found an error rate of nearly 9%, implying that thousands of patients … diagnostic errors in pediatric and neonatal intensive care unit (ICU) settings synthesized results of 13 studies … Author(s)
Diagnostic errors in the intensive care unit: a systematic review of autopsy studies
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psnet.ahrq.gov/issue/double-checking-administration-medicines-what-evidence-systematic-review
June 18, 2014 - The majority of included studies were qualitative and consisted of asking nurses whether they felt double-checking … Three quantitative studies showed a modest decrease in error rates. … over time: a systematic review and meta-analysis of longitudinal retrospective patient record review studies
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psnet.ahrq.gov/node/42621/psn-pdf
October 31, 2014 - The global burden of unsafe medical care: analytic
modelling of observational studies. … The global burden of unsafe medical care: analytic modelling
of observational studies. … https://psnet.ahrq.gov/issue/global-burden-unsafe-medical-care-analytic-modelling-observational-studies … https://psnet.ahrq.gov/issue/global-burden-unsafe-medical-care-analytic-modelling-observational-studies
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psnet.ahrq.gov/node/36227/psn-pdf
August 30, 2006 - does-crew-resource-management-training-work-update-extension-and-some-
critical-needs
This detailed review of crew resource management (CRM) training examines 11 studies … Although
CRM training generally resulted in improved attitudes and knowledge for trainees, studies had … In general, studies did not perform an adequate
evaluation of the effects of the intervention. … importance of
formally evaluating the effects of CRM and provide recommendations for conducting such studies
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psnet.ahrq.gov/node/36091/psn-pdf
May 28, 2014 - Studies on medical errors warrant a second opinion.
May 28, 2014
Bialik C. Wall Street Journal. … https://psnet.ahrq.gov/issue/studies-medical-errors-warrant-second-opinion
This article discusses the … https://psnet.ahrq.gov/issue/studies-medical-errors-warrant-second-opinion
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psnet.ahrq.gov/node/45120/psn-pdf
September 11, 2016 - Prior studies of team training show improvements in safety culture, but its effect on patient outcomes … This meta-analysis of 129 studies found that team training consistently led to enhanced
participant … training positively affects length of stay and
mortality, although they caution that few of the primary studies … The authors suggest that team training should be widely implemented and that further studies should