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  1. 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
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851350/psn-pdf
    July 12, 2023 - This review identified 15 studies on illegible prescriptions. … Most of the studies were more than 10 years old and the authors acknowledge the advent of computerized
  3. 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
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73317/psn-pdf
    May 26, 2021 - Due to the low number of RCT studies evaluating these tools, additional studies are warranted.
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838129/psn-pdf
    September 21, 2022 - Fifty-four studies were included with a wide range of AEs detected per 100 admissions. … The authors suggest developing guidelines for studies reporting on AEs identified using trigger tools
  6. 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.
  7. psnet.ahrq.gov/issue/discovering-healthcare-cognition-use-cognitive-artifacts-reveal-cognitive-work
    October 10, 2010 - Organization Studies. 2006;27(7). doi:10.1177/0170840606065708. … Organization Studies . 2006; 27 (7) . View more articles from the same authors. … Organization Studies. 2006;27(7). doi:10.1177/0170840606065708.
  8. psnet.ahrq.gov/web-mm/lapse-antibiotics-leads-sepsis
    November 21, 2021 - Laboratory studies, including blood cultures, were drawn. … Prompt intervention with fluids and antibiotics is the mainstay of treatment for sepsis; several studies … Several studies have been published on these electronic "sniffers" demonstrating limited results.( 8,9 … The common theme in most published studies is the benefits of using tools to focus communication and … Although anecdotally many clinicians talk about these types of errors as common, no published studies
  9. psnet.ahrq.gov/primer/measurement-patient-safety
    September 15, 2024 - Yet little of the material in To Err Is Human was new—the key studies on which the report (and its … 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 … chart review using trigger tools or well-defined specific adverse events is often used in research studies … In the seminal studies that formed the basis of a To Err Is Human, experienced clinicians often disagreed
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45971/psn-pdf
    April 21, 2018 - This guide includes case studies and highlights handoffs, teach-back, tools to prepare patients for … technical-series-safer-primary-care https://psnet.ahrq.gov/issue/patient-and-family-engagement-primary-care-case-studies
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47302/psn-pdf
    January 01, 2019 - healthcare organisations struggling to improve quality: results from a systematic review of qualitative studies … healthcare organisations struggling to improve quality: results from a systematic review of qualitative studies
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43689/psn-pdf
    December 10, 2014 - Studies to date have not demonstrated that team training augments clinical outcomes. … The authors call for larger, multicenter, longitudinal studies in order to draw clear conclusions about
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43923/psn-pdf
    April 29, 2015 - mortality with use of the WHO surgical safety checklist in India, consistent with results from earlier studies … This adds evidence to the recent studies of checklists that reflect insufficient implementation.
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46845/psn-pdf
    April 16, 2018 - The included studies showed a lack of consensus about the standards for safe prescribing education in … The authors call for larger and more rigorous studies and clear educational standards to promote safer
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43944/psn-pdf
    December 04, 2015 - limited evidence exists exploring handoffs from intensive care units to general wards, and most of the studies … The authors advocate for these interventions to be tested widely in rigorous studies to determine their
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45108/psn-pdf
    October 11, 2017 - Rates of these two events identified by the tool were similar to expected rates based on prior studies … conclude that their automated tool may be useful for detecting adverse events for future epidemiologic studies
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35928/psn-pdf
    June 09, 2011 - clinical-pharmacists-and-inpatient-medical-care-systematic-review This systematic review evaluated 36 studies … None of the studies demonstrated a worse overall outcome, and only one suggested increased health care
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40338/psn-pdf
    March 23, 2011 - https://psnet.ahrq.gov/issue/nurse-staffing-and-inpatient-hospital-mortality Several studies have pointed … Such studies have influenced public policy.
  19. 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
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851054/psn-pdf
    June 28, 2023 - This review included 79 studies on epidemiology, etiology, or interventions related to psychiatric medication … Most studies focused on older adults and potentially inappropriate prescribing.

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