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221. Special Issue on Health Information Technology. | PSNet
     psnet.ahrq.gov/issue/special-issue-health-information-technology
     August 22, 2007 - This AHRQ-sponsored special issue includes a collection of studies and commentaries that discuss health … June 29, 2022 Scoping review of studies evaluating frailty and its association with medication

222. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46615/psn-pdf
     January 23, 2019 - Surgical checklists have been shown to improve safety outcomes in randomized trials, but implementation studies … Investigators also conducted a meta-analysis of surgical checklist studies (excluding those that paired … This synthesis of published studies suggests that checklists improved mortality and complications overall

223. Psn-Pdf (pdf file)
     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

224. Psn-Pdf (pdf file)
     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

225. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47991/psn-pdf
     July 12, 2019 - In this systematic review, researchers looked at studies of patients placed in a nonpreferred location … The included studies also assessed multiple safety outcomes. … Studies demonstrated increased use of rapid response teams when patients were not appropriately located

226. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837194/psn-pdf
     January 01, 2023 - first-year resident physicians' extended duration work shifts: a pooled analysis of prospective cohort studies … first-year resident physicians’ extended duration work shifts: a pooled analysis of prospective cohort studies … Recent studies found that these duty hour requirements did not yield significant differences in patient

227. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60320/psn-pdf
     May 13, 2020 - 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

228. Psn-Pdf (pdf file)
     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

229. In Conversation With… David Urbach, MD, MSc | PSNet
     psnet.ahrq.gov/perspective/conversation-david-urbach-md-msc
     June 12, 2019 - But most studies didn't look at those types of results. … I'm a bit suspicious about that happening in some of these studies. … into these study groups and before-and-after studies. … We're waiting for additional studies to see if the earlier studies can be replicated or if the effects … Just by chance alone, some studies should have shown a different result.

230. Strategies for Creating, Sustaining, and Improving a Culture of Safety in Health Care, Second Edition. | PSNet
     psnet.ahrq.gov/issue/strategies-creating-sustaining-and-improving-culture-safety-health-care-second-edition
     May 20, 2015 - This collection of articles and case studies covers how health care organizations are working to establish … May 24, 2017 Committed to Safety: Ten Case Studies on Reducing Harm to Patients.

231. Getting Results: Reliably Communicating and Acting on Critical Test Results. | PSNet
     psnet.ahrq.gov/issue/getting-results-reliably-communicating-and-acting-critical-test-results
     May 24, 2015 - This book is a collection of articles and case studies on how health care organizations are improving … August 2, 2010 Committed to Safety: Ten Case Studies on Reducing Harm to Patients.

232. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45113/psn-pdf
     May 11, 2016 - Early studies summarized in the seminal To Err Is Human report yielded an estimate of 44,000 to 98,000 … More recent studies have challenged that estimate. … This estimation was developed by extrapolating preventable death rates from several studies with different … Most studies of preventable harm find that even experienced clinical reviewers achieve only moderate

233. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865588/psn-pdf
     April 17, 2024 - This review identifies studies of inattentional blindness in healthcare, from radiology to surgery to … The authors make recommendations on how to improve designing and reporting studies of inattentional

234. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43882/psn-pdf
     February 18, 2015 - Case Studies in Patient Safety: Foundations for Core Competencies. … https://psnet.ahrq.gov/issue/case-studies-patient-safety-foundations-core-competencies Patient stories … https://psnet.ahrq.gov/issue/case-studies-patient-safety-foundations-core-competencies https://psnet.ahrq.gov

235. Microsoft PowerPoint - Spotlight Case_Delayed Diagnosis and Treatment of Lupus_SLIDES - FINAL.pptx (pdf file)
     psnet.ahrq.gov/sites/default/files/2024-03/delayed_diagnosis_and_treatment_of_sle.pdf
     January 01, 2024 - health professionals use the medical history, physical examination, laboratory testing, and imaging studies … experiences stereotypical recurrences. 18 Diagnosing Psychotic Illness (7) Several laboratory studies … can be ordered, depending on the clinical context of presentation.9,10 More invasive laboratory studies … , such as lumbar puncture for cerebrospinal fluid (CSF) studies, is not routinely accomplished initially … It is unclear why obviously abnormal laboratory studies were not acted upon to effectuate the needed

236. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48139/psn-pdf
     July 17, 2019 - As with prior studies, researchers found that patients expressed a desire to be heard. … boards permit investigators to approach patients who have experienced adverse events to participate in studies … , rather than prohibit such studies due to fear of causing further psychological harm.

237. Update: Patient Engagement in Safety | PSNet
     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

238. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40117/psn-pdf
     March 18, 2011 - impact-sample-size-variation-adverse-events-and-preventable-adverse-events- systematic-review This systematic review of more than 150 studies … of adverse events found considerable variation in the estimated frequency of adverse events across studies … In general, smaller studies (sample size less than 1000 patients) found a much higher incidence of errors

239. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45465/psn-pdf
     September 07, 2016 - https://psnet.ahrq.gov/issue/improving-patient-safety-culture-primary-care-systematic-review Most studies … 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

240. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35809/psn-pdf
     February 25, 2015 - Stories from the sharp end: case studies in safety improvement. … Milbank Q. 2006;84(1):165-200 https://psnet.ahrq.gov/issue/stories-sharp-end-case-studies-safety-improvement … https://psnet.ahrq.gov/issue/stories-sharp-end-case-studies-safety-improvement https://psnet.ahrq.gov