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  1. Psn-Pdf (pdf file)

    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
  2. Psn-Pdf (pdf file)

    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
  3. Psn-Pdf (pdf file)

    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
  4. Psn-Pdf (pdf file)

    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
  5. Psn-Pdf (pdf file)

    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
  6. Psn-Pdf (pdf file)

    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
  7. Psn-Pdf (pdf file)

    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
  8. 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
  9. 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.
  10. 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.
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40326/psn-pdf
    May 25, 2011 - findings have the potential to improve patient safety as well, given the concern that unnecessary imaging studies … Prior studies have also shown that combining CPOE with DSS can improve diagnostic performance and encourage
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45238/psn-pdf
    September 29, 2017 - Although many studies show that trainees commit professionalism violations fairly regularly—for example … , multiple studies show that up to 50% of residents falsify their duty hours—there was no clear evidence
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41732/psn-pdf
    October 03, 2012 - The majority of included studies were qualitative and consisted of asking nurses whether they felt double-checking … Three quantitative studies showed a modest decrease in error rates.
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42266/psn-pdf
    May 15, 2013 - Prior studies have shown that adults and children with cancer are particularly vulnerable to medication … found a staggeringly high incidence of 36 potentially harmful errors per 100 patients—higher than some studies
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42038/psn-pdf
    June 03, 2013 - about variation in type and intensity of simulation programs, as well as the paucity of high-quality studies … examined simulation training for integrated multidisciplinary OR teams and found that current simulation studies
  16. Psn-Pdf (pdf file)

    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
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43950/psn-pdf
    March 04, 2015 - psnet.ahrq.gov/issue/diagnostic-errors-pediatric-and-neonatal-icu-systematic-review Previous autopsy studies … diagnostic errors in pediatric and neonatal intensive care unit (ICU) settings synthesized results of 13 studies
  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/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
  20. 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

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