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  1. AHRQ PSNet Webinar (pdf file)

    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 … Systematic review Hospital mortality 7 of 13 studies showed improvement Adults McGaughey et al. … Number of Primary Studies Organizational leadership & policies within a healthcare facility or … ), early refill requests (3 studies) or patient satisfaction (2 studies) 45 Multicomponent Interventions … • Future studies should consider evaluating other common opioid stewardship interventions as well
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47072/psn-pdf
    October 18, 2018 - admissions associated with medication non- adherence: a systematic review of prospective observational studies … admissions associated with medication non- adherence: a systematic review of prospective observational studies … There was significant heterogeneity among the included studies.
  3. Psn-Pdf (pdf file)

    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
  4. 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.
  5. 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
  6. Psn-Pdf (pdf file)

    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
  7. Psn-Pdf (pdf file)

    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
  8. 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
  9. 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
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840142/psn-pdf
    November 16, 2022 - This review includes 12 studies where participants were observed opening a variety of medication packages … While all studies reported participant difficulty, no consistent contributory factors were identified … , and the methodological quality of all studies was typically low.
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837343/psn-pdf
    June 08, 2022 - Determining the skills needed by frontline NHS staff to deliver quality improvement: findings from six case studies … Determining the skills needed by frontline NHS staff to deliver quality improvement: findings from six case studies … Using case studies and qualitative interviews, this study outlines six “socio-organisational functional
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837730/psn-pdf
    January 01, 2023 - While there are studies reporting a variety of prehospital adverse events (e.g., respiratory and airway … events, communication, etc.), there have been few studies of medication errors that occur in prehospital … This mixed methods systematic review of 56 studies and case reports identifies seven major themes such
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844754/psn-pdf
    September 18, 2019 - A systematic review and thematic synthesis of qualitative studies. … A systematic review and thematic synthesis of qualitative studies. … From 79 included studies, the study team identified a series of frontline implementation challenges
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840478/psn-pdf
    November 30, 2022 - This systematic review identified 75 studies reporting on health systems’ interventions to improve reliability … The six goals of Crossing the Quality Chasm were used to categorize studies. … Most studies focused solely or in part on safety; only ten focused solely on one of the other five goals
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60354/psn-pdf
    January 01, 2021 - harm-prevalence-due-medication-errors-involving-high-alert-medications- systematic-review This systematic review analyzed five studies … The authors estimated the pooled prevalence at 16.3%, but the included studies reported a wide variation … The studies also reported a wide range in error severity – up to 19.2% were considered moderate, up
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73119/psn-pdf
    April 07, 2021 - Computerized prescriber (or physician) order entry (CPOE) systems are widely used in healthcare and studies … The study included 11 studies in the review but only 8 studies were in the meta-analysis.
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50732/psn-pdf
    December 11, 2019 - association-between-physician-depressive-symptoms-and-medical-errors- systematic-review-and This systematic review and meta-analysis of 11 studies … The authors also conducted a meta-analysis of 7 longitudinal studies, which revealed there was a bidirectional … The authors recommend that future studies need to focus on whether interventions to reduce physician
  18. psnet.ahrq.gov/issue/effective-board-governance-safe-care-theoretically-underpinned-cross-sectioned-examination
    March 14, 2018 - Breadth and Depth of Relationships through National Quantitative Surveys and In-depth Qualitative Case Studies … Breadth and Depth of Relationships through National Quantitative Surveys and In-depth Qualitative Case Studies … Breadth and Depth of Relationships through National Quantitative Surveys and In-depth Qualitative Case Studies
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60635/psn-pdf
    January 01, 2021 - Of the 46 included studies, most discussed systemic defenses related to drug administration; fewer discussed … medication management and smart pumps were the most common systemic defenses examined in the included studies … ; the authors identify a need for further studies exploring the effectiveness of different combinations
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847716/psn-pdf
    April 19, 2023 - and facilitators to improving patient safety learning systems: a systematic review of qualitative studies … and facilitators to improving patient safety learning systems: a systematic review of qualitative studies … This systematic review of 22 studies identified barriers and facilitators influencing how health systems

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