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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848314/psn-pdf
    May 03, 2023 - This systematic review including 21 studies on medication-related problems in in older adults identified … The authors found the classes of medication related problems are similar to studies from a decade ago
  2. psnet.ahrq.gov/issue/workarounds-use-healthcare-case-study-electronic-medication-administration-system
    June 29, 2011 - International Journal of Human-Computer Studies. 2011;70(1). doi:10.1016/j.ijhcs.2011.08.002. … International Journal of Human-Computer Studies . 2011; 70 (1) . … International Journal of Human-Computer Studies. 2011;70(1). doi:10.1016/j.ijhcs.2011.08.002.
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33593/psn-pdf
    June 15, 2024 - For example, studies of missed nursing care assess process measures —the frequency with which required … Studies of medication reconciliation may measure processes (such as the proportion of patients for whom … chart review using trigger tools or well-defined specific adverse events is often used in research studies … errors—such as diagnostic errors—still lack standardized and reliable measurement strategies, and studies … In the seminal studies that formed the basis of a To Err Is Human, experienced clinicians often disagreed
  4. psnet.ahrq.gov/primer/patient-engagement-and-safety
    August 30, 2023 - 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
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46441/psn-pdf
    December 06, 2017 - important role in diagnosis, and inadequate systems for tracking completion of necessary follow-up studies … This study demonstrates how implementation of a multistage tracking system for radiologic studies led
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47025/psn-pdf
    April 11, 2018 - Most studies were performed in single-institution academic settings and few studies examined how health
  7. psnet.ahrq.gov/primer/individual-clinician-performance-issues
    March 15, 2025 - As one piece of evidence, studies have consistently shown that a small proportion of clinicians are responsible … 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 allegations … 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 other
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46567/psn-pdf
    January 24, 2019 - An accompanying editorial acknowledges the mixed results of safety studies for overlapping surgeries … and calls for large, multicenter, prospective studies across a range of surgical procedures with long-term
  9. psnet.ahrq.gov/perspective/context-intervention
    August 05, 2020 - of safety culture, there have been fewer studies of the contribution of the social context to patient … These two studies show that even conscientious and ethical individuals are profoundly influenced by others … Many similar studies have confirmed this and other predispositions and influences, such as groupthink … One of the first studies in health care investigating the interaction between individual psychological … An assessment of evidence from studies of five patient safety practices and proposals for research.
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46035/psn-pdf
    May 17, 2017 - medication errors found that estimated costs per error ranged by several orders of magnitude across studies … The authors report that many studies of the economic impact of adverse drug events are low-quality and
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44121/psn-pdf
    May 13, 2015 - educating-medical-trainees-medication-reconciliation-systematic-review This systematic review aggregated studies … Only seven studies were identified between 1980 and 2013, and none of the described interventions were
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60178/psn-pdf
    April 01, 2020 - A meta-analysis of eight studies including adult patients who died in the hospital found that 3.1% of … They argue that previous studies have overestimated the rate of preventable mortality because the great
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47357/psn-pdf
    October 03, 2018 - They ultimately included 47 studies in their analysis, 28 of which demonstrated a relationship between … Looking at six cohort studies and patient outcomes, they found no difference in patient mortality or
  14. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2021-09/spotlight_missed_sea_09.17.2021_-_final.pdf
    January 01, 2021 - , Microbiology and Imaging 24 Laboratory Studies (1) • The interpretation of laboratory studies … • The most sensitive serologic studies are inflammatory markers - erythrocyte sedimentation rate … – CSF unreliable in the diagnosis of SEA, as CSF studies may be normal or consistent with meningeal … – Recent studies have proposed guidelines for screening and risk-stratifying patients with back pain … , Microbiology and Imaging Laboratory Studies (1) Laboratory Studies (2) Microbiology (1) Imaging
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43846/psn-pdf
    January 21, 2015 - for accurately quantifying and monitoring overdiagnosis over time, this systematic review examined studies … The authors concluded that ecological and cohort studies led by unbiased researchers show the most promise
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41105/psn-pdf
    December 16, 2013 - Patients' attitudes towards patient involvement in safety interventions: results of two exploratory studies … Patients' attitudes towards patient involvement in safety interventions: results of two exploratory studies
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42552/psn-pdf
    January 14, 2014 - intensive care settings and the factors that impact it: results from a scoping review of ethnographic studies … intensive care settings and the factors that impact it: results from a scoping review of ethnographic studies
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42935/psn-pdf
    February 12, 2014 - Socio-technical issues and challenges in implementing safe patient handovers: insights from ethnographic case studies … Socio-technical issues and challenges in implementing safe patient handovers: insights from ethnographic case studies
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33719/psn-pdf
    October 01, 2011 - Empirical studies show self-bias when individuals are deeply engaged in an activity, when they feel … of safety culture, there have been fewer studies of the contribution of the social context to patient … These two studies show that even conscientious and ethical individuals are profoundly influenced by … Many similar studies have confirmed this and other predispositions and influences, such as groupthink … One of the first studies in health care investigating the interaction between individual psychological
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46602/psn-pdf
    February 21, 2018 - regarding the effectiveness of such collaboratives, this systematic review concluded that although the studies … generally reported improvements in processes of care and clinical outcomes, less than one-third of the studies

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