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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/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
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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/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
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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
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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
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psnet.ahrq.gov/node/33872/psn-pdf
January 01, 2018 - 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. … Third, as real-world patient engagement efforts become more common, many studies
revealed practical … 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
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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/issue/effect-bedrails-falls-and-injury-systematic-review-clinical-studies
March 15, 2016 - Review
The effect of bedrails on falls and injury: a systematic review of clinical studies … The effect of bedrails on falls and injury: a systematic review of clinical studies. … The effect of bedrails on falls and injury: a systematic review of clinical 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/node/46173/psn-pdf
August 20, 2018 - Included studies examined communication and resolution programs,
patient reporting of adverse events … An overarching theme of
these studies is the gap between recommended communication practices and usual … Several studies demonstrated challenges of implementing health system interventions to
improve safety … These studies reveal the importance of measuring and
improving safety culture as a foundation for patient
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psnet.ahrq.gov/primer/triggers-and-trigger-tools
September 15, 2024 - 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 detailed … 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
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psnet.ahrq.gov/node/844790/psn-pdf
January 01, 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
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psnet.ahrq.gov/issue/how-does-context-affect-interventions-improve-patient-safety-assessment-evidence-studies-five
September 20, 2011 - An assessment of evidence from studies of five patient safety practices and proposals for research. … An assessment of evidence from studies of five patient safety practices and proposals for research. … An assessment of evidence from studies of five patient safety practices and proposals for research.
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psnet.ahrq.gov/issue/interprofessional-care-intensive-care-settings-and-factors-impact-it-results-scoping-review
August 15, 2018 - intensive care settings and the factors that impact it: results from a scoping review of ethnographic studies … intensive care settings and the factors that impact it: results from a scoping review of ethnographic studies … intensive care settings and the factors that impact it: results from a scoping review of ethnographic studies
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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
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psnet.ahrq.gov/node/38229/psn-pdf
November 18, 2016 - on patient safety and quality improvement (QI) has been accompanied by
controversy about how such studies … Influential leaders have argued
that QI studies demand a different standard of evaluation than traditional … Developed by expert consensus, these guidelines provide a blueprint for reporting the results
of QI studies … and journal editors have widely adopted these
guidelines to standardize reporting of safety and QI studies
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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
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psnet.ahrq.gov/issue/barriers-and-facilitators-healthcare-workers-adherence-infection-prevention-and-control-ipc
March 02, 2011 - healthcare workers during the COVID-19 pandemic, this rapid evidence review of qualitative research studies … The authors included 20 studies in their analysis; these studies explored the views and experiences of