-
psnet.ahrq.gov/issue/psychological-experiences-nurses-after-inpatient-suicide-meta-synthesis-qualitative-research
February 23, 2022 - psychological experiences of nurses after inpatient suicide: a meta-synthesis of qualitative research studies … psychological experiences of nurses after inpatient suicide: a meta‐synthesis of qualitative research studies … psychological experiences of nurses after inpatient suicide: a meta‐synthesis of qualitative research studies
-
psnet.ahrq.gov/perspective/update-patient-engagement-safety
January 01, 2017 - Since then, studies have established that patients wish to be engaged and that their voices make care … First, new studies sought patient perspectives on safety in inpatient and outpatient settings. … Patients as Reporters of Unique Safety Events
Studies published this year corroborate earlier work … Two studies of patient complaints reveal that a significant proportion of complaints represent true … Emerging Emphasis on Psychological Harm
In studies of patient-reported safety issues, patients have
-
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
-
psnet.ahrq.gov/issue/benefits-health-information-technology-review-recent-literature-shows-predominantly-positive
December 21, 2018 - This systematic review of health information technology (IT) studies found that most published studies … and clinics have been slow to implement comprehensive electronic health records, and the negative studies
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
psnet.ahrq.gov/sites/default/files/2025-03/PSNet%20Webinar%20Feb%202025_0.pdf
January 01, 2025 - , &
► restricting search to studies published in English & performed in the US … • MHS IV Methods
➢ Searched PubMed & Cochrane Library for systematic reviews & primary
studies ( … 2018-2023)
➢ 4 reviews, 19 primary studies
21
RRS versus no RRS: Mortality
22
Study Study Type … Systematic review Hospital mortality 7 of 13 studies showed
improvement
Adults
McGaughey et al. … ), early refill requests (3
studies) or patient satisfaction (2 studies)
45
Multicomponent Interventions
-
psnet.ahrq.gov/node/33591/psn-pdf
March 15, 2025 - Current use of trigger tools
The Harvard Medical Practice Study and other classic studies used fairly … The GTT is practical for routine
improvement efforts and not just research studies, and it includes … Conceptually, though, the method resembles that of major adverse
event studies such as the Harvard Medical … This is
not inappropriate per se, but readers of such studies should be aware that inter-rater agreement … Although some studies have sought to develop trigger tools for ambulatory care, there is relatively little
-
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
-
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
-
psnet.ahrq.gov/node/867012/psn-pdf
October 23, 2024 - 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
-
psnet.ahrq.gov/issue/missing-evidence-systematic-review-patients-experiences-adverse-events-health-care
September 06, 2017 - This systematic review identified studies of patient experiences with adverse events. … Included studies demonstrate that the types of adverse events patients most often identify are medication … Calling for increased use of patient experiences in future studies, the authors suggest that investigations
-
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/effectiveness-electronic-differential-diagnoses-ddx-generators-systematic-review-and-meta
October 14, 2015 - accuracy when a clinician has an opportunity to re-review the case using the software in pre-post studies … The degree of improvement varied between studies. … Clinicians need prospective studies in order to determine whether such tools enhance diagnosis in actual