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psnet.ahrq.gov/issue/resilience-view-health-system-resilience-scoping-review-empirical-studies-and-reviews
March 11, 2013 - Review
A resilience view on health system resilience: a scoping review of empirical studies … A resilience view on health system resilience: a scoping review of empirical studies and reviews. … This analysis identified 80 studies and 30 reviews of healthcare resilience from 2004 through June 2021 … A resilience view on health system resilience: a scoping review of empirical studies and reviews.
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psnet.ahrq.gov/issue/incidence-adverse-drug-reactions-hospitalized-patients-meta-analysis-prospective-studies
October 04, 2017 - Incidence of adverse drug reactions in hospitalized patients: a meta-analysis of prospective studies … Incidence of adverse drug reactions in hospitalized patients: a meta-analysis of prospective studies. … The authors report a meta-analysis of 32 years of prospective studies on adverse drug reactions (ADRs … Incidence of adverse drug reactions in hospitalized patients: a meta-analysis of prospective studies.
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psnet.ahrq.gov/issue/associations-between-patient-factors-and-adverse-events-home-care-setting-secondary-data
November 27, 2013 - and adverse events in the home care setting: a secondary data analysis of two Canadian adverse event studies … and adverse events in the home care setting: a secondary data analysis of two canadian adverse event studies … Analyzing data from two prior Canadian home care patient safety studies, researchers found that both … and adverse events in the home care setting: a secondary data analysis of two canadian adverse event studies
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psnet.ahrq.gov/issue/retracted-association-between-physician-burnout-and-patient-safety-professionalism-and
May 23, 2018 - This meta-analysis of 47 studies of burnout and patient safety found that burnout is associated with … The magnitude of these effects varied among the studies included in the analysis, and the quality of … the studies ranged from low to moderate rigor. … Studies in which physicians self-reported patient safety concerns were more likely to show a link between … Mark Linzer calls for rigorous quality improvement studies to address the high prevalence of burnout
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psnet.ahrq.gov/issue/methodological-variations-and-their-effects-reported-medication-administration-error-rates
January 15, 2025 - However, this systematic review identifies an underlying flaw inherent in studies of medication administration … For example, only 6 of 16 included studies considered administration of a drug at the wrong time to be … As delayed drug administration is relatively common, studies that did not include such wrong-time errors … Prior studies have also raised concern that variations in the definition of medication errors can affect … rates, and medication error measurement standards have been developed for medication reconciliation studies
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psnet.ahrq.gov/issue/case-studies-patient-safety-foundations-core-competencies
July 15, 2009 - Book/Report
Case Studies in Patient Safety: Foundations for Core Competencies. … Citation Text:
Case Studies in Patient Safety: Foundations for Core Competencies. … Linkedin
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Case Studies
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psnet.ahrq.gov/issue/stories-sharp-end-case-studies-safety-improvement
October 07, 2008 - Study
Stories from the sharp end: case studies in safety improvement. … Citation Text:
Stories from the sharp end: case studies in safety improvement. … Cite
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Stories from the sharp end: case studies … Related Resources From the Same Author(s)
Committed to Safety: Ten Case Studies … Breadth and Depth of Relationships through National Quantitative Surveys and In-depth Qualitative Case Studies
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psnet.ahrq.gov/issue/radiology-impact-healthcare-errors-during-shift-work
February 24, 2021 - Studies suggested a positive correlation between errors and increased mental and physical fatigue resulting … from shift work or rapid shift rotation, however none of the identified studies focused specifically … April 21, 2021
Radiologists make more errors interpreting off-hours body CT studies during … August 18, 2021
Radiologists make more errors interpreting off-hours body CT studies … intelligence versus clinicians: systematic review of design, reporting standards, and claims of deep learning studies
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psnet.ahrq.gov/node/866734/psn-pdf
September 18, 2024 - How intervention studies measure the effectiveness of
medication safety-related clinical decision support … How intervention studies measure the effectiveness of medication
safety-related clinical decision support … https://psnet.ahrq.gov/issue/how-intervention-studies-measure-effectiveness-medication-safety-related … Almost all studies reported process-
related outcomes (e.g., alert rates/overrides), approximately two-thirds … More research should be conducted using
randomized controlled trials instead of pre-post studies and
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psnet.ahrq.gov/issue/applying-thematic-synthesis-interpretation-and-commentary-epidemiological-studies-identifying
August 25, 2021 - Applying thematic synthesis to interpretation and commentary in epidemiological studies … Applying thematic synthesis to interpretation and commentary in epidemiological studies: identifying … Applying thematic synthesis to interpretation and commentary in epidemiological studies: identifying … May 27, 2020
Novel, High-Impact Studies Evaluating Health System and Healthcare Professional
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psnet.ahrq.gov/issue/cognitive-biases-surgery-systematic-review
April 27, 2022 - Through thematic analysis of 39 studies, the authors identified 31 types of cognitive bias across six … Importantly, none of the included studies investigated the source of cognitive bias or mitigation strategies … September 29, 2017
Scoping review of studies evaluating frailty and its association with … Related Resources
Handoff mnemonics used in perioperative handoff intervention studies
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psnet.ahrq.gov/node/867437/psn-pdf
January 08, 2025 - Handoff mnemonics used in perioperative handoff
intervention studies: a systematic review. … Handoff mnemonics used in perioperative handoff intervention
studies: a systematic review. … https://psnet.ahrq.gov/issue/handoff-mnemonics-used-perioperative-handoff-intervention-studies-
systematic-review … Most
studies reported only on process outcomes; only four measured patient outcomes. … https://psnet.ahrq.gov/issue/handoff-mnemonics-used-perioperative-handoff-intervention-studies-systematic-review
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psnet.ahrq.gov/issue/use-computerized-physician-order-entry-clinical-decision-support-prevent-dose-errors
June 05, 2024 - This systematic review of 17 studies examined the impact of CPOE systems with CDS in preventing pediatric … Included studies evaluated CDS tools providing dose range checks, dose calculators, and dosing frequency … The majority of studies reported improvements in dose error prevention with use of CPOE-CDS systems, … with eight studies reporting significant reductions in dosing errors .
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psnet.ahrq.gov/node/851361/psn-pdf
July 12, 2023 - Types and effects of feedback for emergency ambulance
staff: a systematic mixed studies review and meta … Types and effects of feedback for emergency ambulance staff: a
systematic mixed studies review and meta-analysis … https://psnet.ahrq.gov/issue/types-and-effects-feedback-emergency-ambulance-staff-systematic-mixed-
studies-review-and-meta … This systematic review of 48 studies found that providing
feedback to emergency medical services (EMS … ) personnel can improve documentation and adherence to
protocols, with some studies also documenting
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psnet.ahrq.gov/innovation/johns-hopkins-venous-thromboembolism-vte-collaborative-studies-and-implements-methods
June 19, 2024 - The Johns Hopkins Venous Thromboembolism (VTE) Collaborative Studies and Implements Methods to Prevent … Venous Thromboembolism (VTE) Collaborative (the VTE Collaborative) is a multidisciplinary group that studies … practice that can reduce healthcare-associated VTE in high-risk patients by 30–65%. 4 Still, numerous studies
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psnet.ahrq.gov/node/858168/psn-pdf
December 13, 2023 - A resilience view on health system resilience: a scoping
review of empirical studies and reviews. … A resilience view on health system resilience: a scoping
review of empirical studies and reviews. … https://psnet.ahrq.gov/issue/resilience-view-health-system-resilience-scoping-review-empirical-studies-and … This analysis identified 80 studies and 30 reviews of
healthcare resilience from 2004 through June 2021 … https://psnet.ahrq.gov/issue/resilience-view-health-system-resilience-scoping-review-empirical-studies-and-reviews
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psnet.ahrq.gov/issue/new-horizons-patient-safety-safe-communication-evidence-based-core-competencies-case-studies
November 19, 2018 - Safe Communication: Evidence-based Core Competencies with Case Studies from Nursing. … Safe Communication: Evidence-based Core Competencies with Case Studies from Nursing. … Safe Communication: Evidence-based Core Competencies with Case Studies from Nursing. … the Same Author(s)
New Horizons in Patient Safety: Understanding Communication: Case Studies
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psnet.ahrq.gov/node/60047/psn-pdf
March 18, 2020 - This systematic review evaluated fourteen studies targeting psychological safety, speaking up
and voice … behavior within healthcare settings; studies primarily used educational interventions including
simulation … (5 studies), video presentations (2 studies), case studies (3 studies) or workshops (1 study). … interventions showed improvement in psychological safety, this was not consistently
demonstrated across studies
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psnet.ahrq.gov/node/837509/psn-pdf
June 22, 2022 - Scoping review of studies evaluating frailty and its
association with medication harm. … Scoping review of studies evaluating frailty and its association with
medication harm. … https://psnet.ahrq.gov/issue/scoping-review-studies-evaluating-frailty-and-its-association-medication-harm … This
scoping review shows that studies evaluating medication harm in frail patients are largely limited … The authors discuss the need for more robust studies
examining this relationship, including the effect
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psnet.ahrq.gov/issue/july-effect-impact-academic-year-end-changeover-patient-outcomes-systematic-review
April 12, 2023 - However, prior studies have reached conflicting conclusions about whether the "July Effect" truly … This systematic review of 39 studies provides the first comprehensive evidence that being hospitalized … in July may actually be harmful, as a subset of larger and higher quality studies did find that mortality … Unfortunately, most studies included in the review had methodological flaws, meaning that the exact degree