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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862601/psn-pdf
    February 14, 2024 - This system review highlights 20 studies on healthcare simulation to characterize types of errors identified … All 13 studies that identified systems-related errors were conducted in situ, underscoring the importance
  2. Psn-Pdf (pdf file)

    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
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42590/psn-pdf
    August 02, 2015 - Although the study is limited by the heterogeneous methods of determining costs used in the original studies … , other studies have shown a relatively strong business case for hospitals to invest in efforts to prevent … business-case-quality-economic-analysis-michigan-keystone-patient-safety-program-icus https://psnet.ahrq.gov/issue/business-case-quality-case-studies-and-analysis
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37842/psn-pdf
    November 20, 2017 - research is a relatively young field, and controversy exists about the most basic aspects of conducting studies … challenges unique to patient safety research require a new paradigm for conducting and evaluating studies … developing interventions, study designs, measurement of safety and quality, and the use of mixed methods studies
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46245/psn-pdf
    June 28, 2017 - adverse events in the home care setting: a secondary data analysis of two Canadian adverse event studies … and adverse events in the home care setting: a secondary data analysis of two canadian adverse event studies … Analyzing data from two prior Canadian home care patient safety studies, researchers found that both
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45323/psn-pdf
    June 28, 2017 - In this systematic review, researchers analyzed 69 studies from 2001 through 2012 that examined the … 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
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39463/psn-pdf
    February 10, 2015 - mixed-results-safety-performance-computerized-physician-order-entry Computerized provider order entry (CPOE) has provided significant safety benefits in research studies … However, CPOE's "real-world" performance has been mixed, with high-profile studies documenting a variety … Taken together, these studies imply that CPOE implementation may not result in large immediate effects
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45595/psn-pdf
    April 19, 2017 - 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
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73541/psn-pdf
    July 28, 2021 - Based on 10 included studies, the rate of heart failure misdiagnosis ranged from 16.1% (in an inpatient … Included studies found that heart failure is frequently misdiagnosed as chronic obstructive pulmonary
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845276/psn-pdf
    March 01, 2023 - Through thematic analysis of 39 studies, the authors identified 31 types of cognitive bias across six … Importantly, none of the included studies investigated the source of cognitive bias or mitigation strategies
  11. psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge
    April 27, 2022 - Discontinuity between inpatient and outpatient providers is common, and studies have shown that traditional … Structured discharge communication : Information on medication changes, pending tests and studies, and … These studies, the Care Transitions trial and the Project RED study , both successfully reduced readmissions … postdischarge follow-up have been shown to prevent adverse drug events and reduce readmissions in some studies … Several studies have shown that only a minority of 30-day readmissions in medical patients are truly
  12. 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.
  13. 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.
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867441/psn-pdf
    January 08, 2025 - This review summarizes studies on interventions developed and designed with consumers to improve medication … Consumers were involved in the planning and engagement stages of most studies, but less frequently involved
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867594/psn-pdf
    January 22, 2025 - This systematic review identified 20 studies focused on missed and delayed diagnosis of dementia and … None of the studies assessed the emotional impact misdiagnosis has on patients and caregivers, which
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866435/psn-pdf
    August 07, 2024 - Ten studies were identified but the heterogeneity of outcomes made it difficult to compare the various … studies.
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867177/psn-pdf
    January 01, 2025 - In this review of quantitative studies conducted in the US, patients and caregivers in underserved communities … There was a lack of research on diagnosis of chronic conditions, and no studies focused on Asian Americans
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46123/psn-pdf
    January 01, 2020 - This systematic review of handoffs from intensive care to general ward identified eight intervention studies … Handoff strategies differed widely among the included studies.
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845635/psn-pdf
    March 08, 2023 - Researchers summarized 38 studies on the impact of fatigue on nurses’ medication administration errors … Thirty-one studies reported that long hours, shift work, overtime, and/or poor sleep quality contributed
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47963/psn-pdf
    June 02, 2019 - and efficacy: time to think beyond the traditional randomised controlled trial in patient safety studies … Evidence and efficacy: time to think beyond the traditional randomised controlled trial in patient safety studies

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