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Showing results for "studies".

221. 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

222. 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

223. 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

224. 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

225. 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

226. Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families. | PSNet
     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.

227. Triggers and Trigger Tools | PSNet
     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

228. 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

229. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33570/psn-pdf
     June 15, 2024 - Diagnostic error has received comparatively less attention, despite the fact that landmark patient safety studies … accounted for 17% of preventable errors in hospitalized patients, and a systematic review of autopsy studies … Taken together, these studies imply that thousands of hospitalized patients die every year due to diagnostic … This work has been informed by the field of cognitive psychology, which studies how individuals process … However, studies evaluating the effect of these interventions on diagnostic error rates are lacking.

230. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865454/psn-pdf
     March 27, 2024 - Other studies focused on what attributes and techniques leaders can have or use to improve their role … Few intervention studies posted on PSNet in 2023 related to leadership and psychological safety. … All studies included in the review identified a lack of emotional support after a safety event. … These findings were echoed in studies with other professions in 2023, such as surgeons, respiratory … Several studies this year discussed factors that were associated with decreased stress and burnout.

231. Ensuring Patient and Workforce Safety Culture in Healthcare | PSNet
     psnet.ahrq.gov/perspective/ensuring-patient-and-workforce-safety-culture-healthcare
     March 27, 2024 - Other studies focused on what attributes and techniques leaders can have or use to improve their role … Few intervention studies posted on PSNet in 2023 related to leadership and psychological safety. … All studies included in the review identified a lack of emotional support after a safety event. … These findings were echoed in studies with other professions in 2023, such as surgeons , respiratory … Several studies this year discussed factors that were associated with decreased stress and burnout.

232. 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

233. 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.

234. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33830/psn-pdf
     March 22, 2016 - mortality estimate drew criticism almost immediately (including from some of the researchers whose studies … The 2016 study—and earlier studies that also put the death toll from medical errors in the hundreds of … Studies of the epidemiology of medical errors generally use a two-stage review process to determine … Estimates of the population toll of deaths from medical error are extrapolations from individual studies … Classic studies have shown that multiple sources of information are necessary in order to provide a

235. 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

236. 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.

237. 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

238. 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

239. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33575/psn-pdf
     March 15, 2025 - Studies in the inpatient setting have found that patients often report errors that were not detected … traditional mechanisms such as chart review; indeed, patient-reported errors formed the basis of landmark studies … seem confrontational (for example, asking their clinician if she washed her hands), some preliminary studies … Early studies have leveraged information technology to incorporate patients in medication reconciliation … Studies in the intensive care unit and inpatient pediatric wards have shown that interventions that

240. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865412/psn-pdf
     March 27, 2024 - Similarly, several laboratory studies are routinely performed in this setting, as vitamin deficiencies … , such as lumbar puncture for cerebrospinal fluid (CSF) studies, would not be routinely accomplished … Laboratory Studies for First Episode Psychotic Illness9-14 Urine drug screen Basic metabolic panel … This profile would have obligated an urgent rheumatology referral and inpatient admission for CSF studies … It is unclear why obviously abnormal laboratory studies were not acted upon to effectuate the needed