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  1. 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.
  2. 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
  3. 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
  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/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
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852274/psn-pdf
    August 09, 2023 - disruption due to COVID-19 and avoidable hospital admission: evidence from seven linked longitudinal studies … disruption due to covid-19 and avoidable hospital admission: evidence from seven linked longitudinal studies
  7. 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
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/857453/psn-pdf
    December 06, 2023 - This scoping review identified 16 studies on interventions to reduce alert fatigue. … decrease in the quantity and frequency of alerts was seen as a positive outcome, however only four of the studies
  9. 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
  10. 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
  11. 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
  12. 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
  13. psnet.ahrq.gov/web-mm/misread-label
    August 28, 2024 - Observational studies in hospitals have reported administration errors in 3%-8% of doses in the United … However, studies have examined the causes of prescribing errors ( 5 ) and other types of medical error … In addition to exploring why the error occurred at the level of individuals at the "sharp end," such studies … While there have been no in-depth studies of the causes of administration errors, similar packaging, … These findings back up those of other studies ( 12 ) from the viewpoints of both doctors and patients
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33585/psn-pdf
    March 15, 2025 - Radiation Risks Associated With Diagnostic Imaging Population-based studies show that the use of diagnostic … believe that adequate images can be obtained with doses at the lower end of the ranges, as seen in such studies … It is worth emphasizing that eliminating unnecessary imaging, or replacing CT scans with safer studies … For example, a systematic review of studies showed that use of computerized provider order entry (which … teamwork training and attention to human factors engineering principles may augment safety, but formal studies
  15. psnet.ahrq.gov/issue/performance-global-assessment-pediatric-patient-safety-gapps-tool
    August 14, 2018 - Although other studies have raised concerns about the interrater reliability of trigger tools, in this … first-year resident physicians' extended duration work shifts: a pooled analysis of prospective cohort studies … March 26, 2014 Quality of reporting of studies evaluating time to diagnosis: a systematic
  16. 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
  17. psnet.ahrq.gov/web-mm/myasthenia-crisis-after-delayed-diagnosis-medically-complex-patient
    February 21, 2020 - This is especially effective for common laboratory studies: most EHRs use displays that require few clicks … 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
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844775/psn-pdf
    September 11, 2019 - Prior studies of outpatient antibiotic prescribing have shown that rates of inappropriate prescribing … effects was smaller than the variation in opioid prescribing rates between physicians found in other studies
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50369/psn-pdf
    January 01, 2020 - To address the criticism that previous studies have compared different institutions with higher nurse … Consistent with prior studies, researchers found an association between low nurse and nursing support
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60552/psn-pdf
    June 03, 2020 - The authors included 24 studies (14 randomized controlled trials) representing over 2,200 patients. … The authors note that simulation studies exploring which combinations of PPE and specific donning/doffing

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