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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.
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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
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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
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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
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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
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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
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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
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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
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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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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
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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
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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
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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
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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
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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
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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
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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
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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
-
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
-
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