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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
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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
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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
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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
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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
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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
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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.
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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
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psnet.ahrq.gov/node/50915/psn-pdf
February 19, 2020 - malpractice-liability-and-health-care-quality-review
This systematic review synthesized evidence from 37 studies … hospitalizations or readmissions, and limited evidence supporting an
association between risk and mortality (5/20 studies … ) or patient safety indicators or postoperative
complications (2/6 studies).
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psnet.ahrq.gov/node/866906/psn-pdf
October 09, 2024 - 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/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
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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/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/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
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psnet.ahrq.gov/issue/automated-medication-error-studies-audit-supplementation-were-effectively-designed-and
May 18, 2011 - Study
Automated medication error studies with audit supplementation were effectively … Automated medication error studies with audit supplementation were effectively designed and analyzed … Automated medication error studies with audit supplementation were effectively designed and analyzed
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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.
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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
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psnet.ahrq.gov/node/840482/psn-pdf
November 30, 2022 - health care strikes on patient mortality: a
systematic review and meta-analysis of observational
studies … analysis of observational studies. Health Serv Res. 2022;57(6):1218-1234. … None of the 11 studies examining in-hospital mortality reported a
significant difference between mortality
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psnet.ahrq.gov/node/50738/psn-pdf
January 01, 2020 - This systematic
review of studies assessed how various strategies designed to improve ADR reporting … strategies increased ADR reporting, particularly those using electronic reporting tools, the
quality of the studies … The authors expressed the need for higher quality studies to focus
on how electronic methods might improve
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psnet.ahrq.gov/issue/personal-protective-equipment-preventing-highly-infectious-diseases-due-exposure-contaminated
April 23, 2014 - The authors included 24 studies (14 randomized controlled trials) representing over 2,200 patients. … The authors note that simulation studies exploring which combinations of PPE and specific donning/doffing … May 27, 2020
Novel, High-Impact Studies Evaluating Health System and Healthcare Professional