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psnet.ahrq.gov/node/858173/psn-pdf
December 13, 2023 - The authors identified 142 studies evaluating 21
measures of medication errors, including measures of … Only 31 studies assessed measure reliability.
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psnet.ahrq.gov/node/45836/psn-pdf
July 02, 2017 - This Veterans
Affairs study found that 0.17% of radiologic studies were not evaluated by radiologists … The study team
identified several technical and process problems that contributed to these unread studies … They were able
to address the issues to ensure all studies were read.
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psnet.ahrq.gov/node/45743/psn-pdf
June 21, 2017 - improving the value of the radiology report:
a retrospective analysis of errors in formally over-read
studies … improving the value of the radiology report: a retrospective analysis
of errors in formally over-read studies … strategies-improving-value-radiology-report-retrospective-analysis-errors-
formally-over-read
This retrospective review of imaging studies
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psnet.ahrq.gov/node/45552/psn-pdf
February 15, 2017 - Speaking up behaviours (safety voices) of healthcare
workers: a metasynthesis of qualitative research studies … Speaking up behaviours (safety voices) of healthcare workers: a
metasynthesis of qualitative research studies … This review of studies identified hierarchy and role expectations as barriers to nurses
speaking up
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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/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.
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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.
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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.
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psnet.ahrq.gov/node/860391/psn-pdf
January 10, 2024 - This systematic review identified no studies evaluating the effectiveness of neonatal near-
miss audits … for reducing perinatal morbidity and mortality, underscoring the need for well-designed, ethical
studies
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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
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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
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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
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psnet.ahrq.gov/node/44814/psn-pdf
February 24, 2018 - This systematic review analyzed 24
studies on alarm characteristics and 8 studies that evaluated interventions … Consistent with other studies, the vast majority of the time, alarms do not signal problems that require
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psnet.ahrq.gov/node/865480/psn-pdf
April 03, 2024 - Despite
many studies measuring community pharmacist burnout, there were no studies identified into interventions
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psnet.ahrq.gov/node/866196/psn-pdf
June 26, 2024 - (AI) has been shown to have similar diagnostic accuracy to humans in mammography
and other imaging studies … Pooled analysis from 34 studies shows AI-based screening has acceptable
performance for DR screening
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psnet.ahrq.gov/node/861281/psn-pdf
January 24, 2024 - In this review,
35 studies on the safety of e-prescribing in community settings were identified. … Most studies reported on
error rates and were descriptive in nature; only five reported patient health
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psnet.ahrq.gov/node/865593/psn-pdf
April 17, 2024 - This systematic
review of 16 studies found that paramedics encounter a myriad of challenges in maintaining … Studies highlighted the
effectiveness of interventions to increase technical and non-technical skills
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psnet.ahrq.gov/node/865661/psn-pdf
April 24, 2024 - The researchers found that half of the included studies did not identify improvements in adverse
event … rates after P4P, and that studies reporting improvements were of poor methodological quality.
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psnet.ahrq.gov/node/849133/psn-pdf
May 17, 2023 - This scoping review including
34 studies found that patient safety culture scores were generally associated … from primary care settings and low- and middle-income
countries as well as a need for longitudinal studies
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psnet.ahrq.gov/node/850348/psn-pdf
June 14, 2023 - In this review, 24 studies of integrated care
were included. … Most of the studies focused on decreasing risk of falls and/or medication errors, mostly in
the home