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psnet.ahrq.gov/node/49425/psn-pdf
November 01, 2003 - 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 … 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/40807/psn-pdf
September 01, 2016 - incorrect
administration of medications, which have been shown to be disturbingly common in prior studies … established CPOE system, this study found an
overall administration error rate of 22%, consistent with prior studies
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psnet.ahrq.gov/node/42474/psn-pdf
September 19, 2015 - Based on analysis of four studies
using the Global Trigger Tool, the study concludes that between 210,000 … accuracy of the Global Trigger Tool for assessing
preventability of harm has been questioned, other studies
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psnet.ahrq.gov/node/46169/psn-pdf
June 07, 2017 - Although studies have found a correlation between
the star ratings and clinical outcomes, this study … Other studies
have also called into question the methodology behind the star rating system.
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psnet.ahrq.gov/node/42641/psn-pdf
January 07, 2015 - psnet.ahrq.gov/issue/classification-medication-incidents-associated-information-technology
Numerous studies … which analyzed data from a national database of medication errors in the Netherlands, extends
prior studies
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psnet.ahrq.gov/node/37075/psn-pdf
October 03, 2011 - This systematic review
found that most studies of medical emergency teams were of such poor methodologic … Only two prospective controlled studies of outreach teams were identified,
which demonstrated mixed
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psnet.ahrq.gov/node/38660/psn-pdf
November 13, 2009 - These factors have been associated with serious medication errors in prior studies. … Prior studies have also successfully increased error
reporting rates but, as a recent commentary notes
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psnet.ahrq.gov/node/37871/psn-pdf
January 06, 2017 - However, the evidence on
effectiveness of such teams is mixed, although recent single-institution studies … evaluate the effectiveness of teams led by resident physicians and nurses, in contrast with other
studies
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psnet.ahrq.gov/node/35969/psn-pdf
August 10, 2010 - The authors caution that translating the benefits reported in these high-quality
studies may be limited … This
systematic review builds on past studies that focused on specific aspects of HIT, such as computerized
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psnet.ahrq.gov/node/36867/psn-pdf
August 31, 2011 - Similar to published case studies, these findings provide a
model for implementing a reconciliation … reconciling-medications-admission-safe-practice-recommendations-and-implementation-strategies
https://psnet.ahrq.gov/primer/medication-reconciliation
https://psnet.ahrq.gov/issue/case-studies-medication-reconciliation
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psnet.ahrq.gov/node/37849/psn-pdf
March 23, 2011 - estimate was immediately
questioned, as the incidence of adverse events varies widely even among the studies … This systematic review attempts to address this controversy by evaluating eight
published studies of
-
psnet.ahrq.gov/node/39748/psn-pdf
August 11, 2010 - information-transfer-and-communication-surgery-systematic-review
This systematic review of 38 published studies … in information transfer,
particularly during handoffs, have been linked to adverse events in prior studies
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psnet.ahrq.gov/node/46823/psn-pdf
August 20, 2018 - This
literature review sought to apply a systems approach to studies of workplace civility in nursing … The
included studies demonstrated that rude behavior is perceived to diminish care quality, increase
-
psnet.ahrq.gov/node/34703/psn-pdf
December 24, 2008 - authors suggest that their result, much higher than prior estimates, is more
accurate than previous studies … because incompleteness and inaccuracy in medical records limit studies
based on retrospective chart
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psnet.ahrq.gov/node/47225/psn-pdf
November 02, 2018 - The 22 included
studies reported incidence rates ranging from 0 to 74 preventable adverse drug events … Across all studies, most errors were minor and did not result in patient harm.
-
psnet.ahrq.gov/node/49736/psn-pdf
June 01, 2015 - GI recommended sending stool studies, including for Clostridium
difficile infection (CDI), and suggested … infliximab therapy should be initiated only after the stool studies
were negative for infection. … However, while an order was placed for stool studies, the primary team did not
discontinue the infliximab … resuscitation should be
performed when indicated, and basic electrolyte and peripheral blood count studies … disease severity and rule out CMV.(1)
In patients with increasing diarrhea or abdominal pain, stool studies
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psnet.ahrq.gov/web-mm/compare-and-contrast
July 16, 2019 - to non-nephrotoxic imaging modalities, such as ultrasound, magnetic resonance, and nuclear medicine studies … Consultation with a radiologist is often quite helpful in determining whether alternative studies can … A cohort study of 16,248 inpatients receiving a variety of diagnostic imaging studies found a mortality … appropriate clinical indications.( 20 ) In summary, CN is a possible complication of radiographic studies … However, urgent diagnostic studies should not be delayed for fear of inducing nephrotoxicity, as the
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psnet.ahrq.gov/perspective/conversation-david-m-gaba-md
March 01, 2013 - What most people would be shooting for is T3 studies of patient outcomes, and there are really very few … Right now, T3 studies are pairing simulation along other modalities and activities to improve safety … Some good studies show benefits in reducing adverse outcomes and the costs thereof. … DG : I am published pointing out that if we were trying to use these studies to get a new drug approved … Those would be long and complex studies.
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psnet.ahrq.gov/perspective/literature-health-care-simulation-education-what-does-it-show
March 01, 2013 - These meta-analyses collectively included more than 1000 individual studies, which enrolled well over … However, in performing these analyses, my colleagues and I observed high variability between studies … Right now, T3 studies are pairing simulation along other modalities and activities to improve safety … Some good studies show benefits in reducing adverse outcomes and the costs thereof. … Those would be long and complex studies.
-
psnet.ahrq.gov/node/46567/psn-pdf
January 24, 2019 - An accompanying editorial
acknowledges the mixed results of safety studies for overlapping surgeries … and calls for large, multicenter,
prospective studies across a range of surgical procedures with long-term