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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
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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
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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
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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.
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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
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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.
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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.
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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
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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
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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
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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
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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
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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.
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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
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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
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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
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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
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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.
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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
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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.