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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40634/psn-pdf
    September 20, 2011 - However, prior studies have reached conflicting conclusions about whether the "July Effect" truly exists … This systematic review of 39 studies provides the first comprehensive evidence that being hospitalized … in July may actually be harmful, as a subset of larger and higher quality studies did find that mortality … Unfortunately, most studies included in the review had methodological flaws, meaning that the exact
  2. psnet.ahrq.gov/issue/patients-attitudes-towards-patient-involvement-safety-interventions-results-two-exploratory
    July 06, 2012 - Patients' attitudes towards patient involvement in safety interventions: results of two exploratory studies … Patients' attitudes towards patient involvement in safety interventions: results of two exploratory studies … Patients' attitudes towards patient involvement in safety interventions: results of two exploratory studies
  3. psnet.ahrq.gov/web-mm/inflicting-confusion
    August 04, 2021 - GI recommended sending stool studies, including for Clostridium difficile infection (CDI), and suggested … infliximab therapy should be initiated only after the stool studies were negative for infection. … However, while an order was placed for stool studies, the primary team did not discontinue the infliximab … resuscitation should be performed when indicated, and basic electrolyte and peripheral blood count studies … treat IBD, specifically corticosteroids, increase the risk of CDI and may worsen outcomes, with some studies
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853064/psn-pdf
    August 30, 2023 - implementing interventions for reducing avoidable hospital readmission: systematic review of qualitative studies … implementing interventions for reducing avoidable hospital readmission: systematic review of qualitative studies … This systematic review of 13 qualitative studies identified common barriers and facilitators to implementing
  5. psnet.ahrq.gov/issue/incidence-and-nature-hospital-adverse-events-systematic-review
    March 24, 2011 - estimate was immediately questioned, as the incidence of adverse events varies widely even among the studies … This systematic review attempts to address this controversy by evaluating eight published studies of … , 2020 Diagnostic errors in the intensive care unit: a systematic review of autopsy studies
  6. psnet.ahrq.gov/issue/icd-10-codes-used-identify-adverse-drug-events-administrative-data-systematic-review
    September 14, 2016 - However, many prior studies have shown that these data have limited ability to identify adverse events … The review searched for studies that attempted to identify adverse drug events by searching administrative … codes could be used to detect medication errors, with the combination of codes varying widely across studies
  7. 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
  8. psnet.ahrq.gov/issue/epidemiology-and-risk-factors-coronavirus-infection-health-care-workers-living-rapid-review
    March 02, 2011 - This evidence review examined 64 studies assessing the impact of COVID-19, Severe Acute Respiratory Syndrome … implementing interventions for reducing avoidable hospital readmission: systematic review of qualitative studies … June 3, 2020 Novel, High-Impact Studies Evaluating Health System and Healthcare Professional
  9. 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
  10. psnet.ahrq.gov/issue/estimating-deaths-due-medical-error-ongoing-controversy-and-why-it-matters
    December 30, 2014 - The authors note that this estimate was generated by simply combining medical error rates from prior studies … synthesis or accounting statistically for the uncertainty associated with the extrapolation of these studies … The studies from which the error rates were calculated could not clearly determine whether the adverse
  11. psnet.ahrq.gov/issue/safety-and-risk-management-interventions-hospitals-systematic-review-literature
    April 01, 2010 - The review is limited by publication bias (the preferential publication of studies with positive results … ) and the descriptive nature of most studies, reducing the generalizability of these studies for other
  12. psnet.ahrq.gov/issue/interventions-employed-improve-intrahospital-handover-systematic-review
    January 20, 2015 - The literature search uncovered 29 relevant handoff studies, only 2 of which were randomized controlled … The studies took varied approaches to intervention design and outcome measurement. … The quality of most studies was poor, with the majority representing small, uncontrolled, unblinded before-and-after
  13. psnet.ahrq.gov/issue/unprofessional-behaviors-among-tomorrows-physicians-review-literature-focus-risk-factors
    January 31, 2018 - Although many studies show that trainees commit professionalism violations fairly regularly—for example … , multiple studies show that up to 50% of residents falsify their duty hours —there was no clear evidence … 22, 2017 Duty-hour limits and patient care and resident outcomes: can high-quality studies
  14. psnet.ahrq.gov/issue/coping-medical-error-systematic-review-papers-assess-effects-involvement-medical-errors
    March 04, 2015 - However, few studies addressed coping strategies for affected professionals, and those that did generally … Some studies report that discussion of errors with colleagues is generally beneficial, and institutions … February 3, 2016 Stories from the sharp end: case studies in safety improvement.
  15. psnet.ahrq.gov/issue/performance-global-assessment-pediatric-patient-safety-gapps-tool
    August 14, 2018 - Although other studies have raised concerns about the interrater reliability of trigger tools, in this … first-year resident physicians' extended duration work shifts: a pooled analysis of prospective cohort studies … March 26, 2014 Quality of reporting of studies evaluating time to diagnosis: a systematic
  16. psnet.ahrq.gov/issue/guide-improving-patient-safety-primary-care-settings-engaging-patients-and-families
    October 23, 2019 - This guide includes case studies and highlights handoffs , teach-back , tools to prepare patients … November 28, 2016 Patient and Family Engagement in Primary Care: Case Studies.
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864846/psn-pdf
    March 20, 2024 - 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
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854822/psn-pdf
    October 25, 2023 - 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.
  19. Psn-Pdf (pdf file)

    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
  20. Psn-Pdf (pdf file)

    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

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