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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837742/psn-pdf
    July 27, 2022 - room-hazards-comparison-differences-safety-hazard-recognition-among- various-hospital-based Prior studies … students’ ability to recognize safety hazards in patient rooms using simulation; however, most of these studies
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73533/psn-pdf
    July 28, 2021 - diagnostic-discrepancies-between-antemortem-clinical-diagnosis-and-autopsy-findings-pediatric https://psnet.ahrq.gov/issue/diagnostic-errors-intensive-care-unit-systematic-review-autopsy-studies … https://psnet.ahrq.gov/issue/diagnostic-errors-intensive-care-unit-systematic-review-autopsy-studies
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47721/psn-pdf
    April 24, 2019 - This systematic review found that most of the studies included demonstrated improved chemotherapy prescribing … safety with the use of clinical decision support, but some studies did show an increase in particular
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60280/psn-pdf
    April 29, 2020 - missed-rationed-or-unfinished-nursing-care-scoping-review-patient-outcomes This scoping review assessed 44 studies … the impact of missed, rationed and unfinished nursing care on patient-related outcomes; 9 of these studies
  5. psnet.ahrq.gov/perspective/measuring-and-responding-deaths-medical-errors
    April 01, 2008 - 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 if … Estimates of the population toll of deaths from medical error are extrapolations from individual studies … For example, one of the studies that formed the basis of the BMJ article analyzed temporal trends … Classic studies have shown that multiple sources of information are necessary in order to provide a
  6. 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
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33602/psn-pdf
    March 15, 2025 - As one piece of evidence, studies have consistently shown that a small proportion of clinicians are … Although many studies document variation in clinician practice patterns , few other studies definitively … The studies cited above identify a subpopulation of physicians that are disproportionately prone to … These studies also found a high recidivism rate, in that a physician who was the subject of a complaint … There are few studies on the prevalence of adverse events or errors due to performance issues among
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764390/psn-pdf
    March 02, 2022 - Of the ten retrospective studies included in the review, all reported improvements following RCA-recommended … interventions implementation, but the studies used different methodologies to assess effectiveness.
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74718/psn-pdf
    February 02, 2022 - Seventeen studies were included with five identified intervention components. … Multi-component studies based on staff education and guidelines were effective at achieving almost four
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50860/psn-pdf
    February 05, 2020 - This systematic review identified 15 studies describing the use of team reflexivity within healthcare … However, methodological limitations of included studies precluded the authors from drawing conclusions
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73608/psn-pdf
    January 01, 2022 - patients with heart failure: a systematic review of randomized trials and non- randomized intervention studies … patients with heart failure: a systematic review of randomized trials and non-randomized intervention studies
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47346/psn-pdf
    February 22, 2019 - Combining the results of 9 studies, researchers estimate that about 5% of pediatric inpatient medication … The authors call for further studies with controlled designs to determine the effectiveness of CPOE on
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860049/psn-pdf
    January 04, 2024 - This is especially effective for common laboratory studies: most EHRs use displays that require few … However, for less common studies that must be sent to an off-site laboratory (like some of the antibody … serology studies for the patient in this case), the results may be initially received as hard copies … In this case, the patient had been transferred out of the ICU when the diagnostic studies became available … , which means that the provider who ordered the studies, and who may have received an alert when the
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37099/psn-pdf
    October 04, 2011 - this study, experienced musculoskeletal radiologists re-reviewed magnetic resonance imaging (MRI) studies … found a substantial incidence of diagnostic error in the initial radiologists' interpretation of the studies
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48172/psn-pdf
    July 31, 2019 - prevalence-severity-and-nature-preventable-patient-harm-across-medical- care-settings The extent of harm due to patient safety problems varies across studies … Researchers synthesized data from 70 studies and estimated that 6% of patients receiving medical care
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60658/psn-pdf
    July 08, 2020 - Meta-analysis found that sharing EHRs with patients is effective in reducing HbA1c levels; the included studies … However, the authors concluded that more methodologically robust studies are necessary to quantitatively
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60175/psn-pdf
    April 01, 2020 - Two early studies suggested that chest CT may have a sensitivity as high as 97%. … However, higher quality studies have shown that the sensitivity of chest CT is only 67-93% among patients
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50427/psn-pdf
    September 04, 2019 - sense that more financially stable hospitals should be able to invest more in improving safety, prior studies … This finding has policy implications, as other studies have found that safety-net hospitals (which generally
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47225/psn-pdf
    November 02, 2018 - The 22 included studies reported incidence rates ranging from 0 to 74 preventable adverse drug events … Across all studies, most errors were minor and did not result in patient harm.
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60249/psn-pdf
    April 22, 2020 - Included studies reported reductions in medication errors and adverse drug events with use of CPOE and … CDDS, but studies did not find benefits to other adverse events (e.g., bleeding events), readmissions

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