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  1. 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 Citation Citation Text: 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
  2. psnet.ahrq.gov/issue/medical-error-third-leading-cause-death-us
    September 16, 2020 - Early studies summarized in the seminal To Err Is Human report yielded an estimate of 44,000 to 98,000 … More recent studies have challenged that estimate. … This estimation was developed by extrapolating preventable death rates from several studies with different … Most studies of preventable harm find that even experienced clinical reviewers achieve only moderate
  3. psnet.ahrq.gov/issue/epistemology-patient-safety-research-framework-study-design-and-interpretation
    February 23, 2011 - is a relatively young field, and controversy exists about the most basic aspects of conducting studies … that challenges unique to patient safety research require a new paradigm for conducting and evaluating studies … developing interventions, study designs, measurement of safety and quality, and the use of mixed methods studies … July 18, 2018 Research designs for studies evaluating the effectiveness of change and
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43760/psn-pdf
    March 20, 2015 - Pending studies at hospital discharge: a pre-post analysis of an electronic medical record tool to improve … Pending studies at hospital discharge: a pre-post analysis of an electronic medical record tool to improve … https://psnet.ahrq.gov/issue/pending-studies-hospital-discharge-pre-post-analysis-electronic-medical- … The introduction of a tool that automatically generates a list of studies pending at discharge improved … communication of pending studies from 18% to 43%.
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840490/psn-pdf
    February 14, 2006 - Evidence of bias and variation in diagnostic accuracy studies. … Evidence of bias and variation in diagnostic accuracy studies. … https://psnet.ahrq.gov/issue/evidence-bias-and-variation-diagnostic-accuracy-studies Clinician and patient … This review identified 31 meta-analyses with 487 studies of test evaluation. … https://psnet.ahrq.gov/issue/evidence-bias-and-variation-diagnostic-accuracy-studies https://psnet.ahrq.gov
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45116/psn-pdf
    February 15, 2017 - by the World Health Organization surgical safety checklist: a systematic literature review of 25 studies … However, subsequent studies failed to reproduce these results, engendering controversy about the true … This systematic review of 25 studies of the surgical safety checklist found that complication rates … The authors also noted that the reported effect of the checklist was incongruous—in several studies, … These concerns, along with methodological problems in many of the included studies, led the authors
  7. psnet.ahrq.gov/perspective/weekend-effect
    April 01, 2008 - In the intervening years, many studies have examined the weekend effect for a variety of diseases . … A 2017 meta-analysis included 97 studies comparing mortality between weekend and weekday admissions … Two studies published in 2017 advanced our knowledge of the mechanisms for the weekend effect. … These studies provide important insights into the mechanisms of the weekend effect. … Most studies of the weekend effect rely on hospital-based administrative data .
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35496/psn-pdf
    February 22, 2010 - Safe use of cellular telephones in hospitals: fundamental principles and case studies. … Safe use of cellular telephones in hospitals: fundamental principles and case studies. … https://psnet.ahrq.gov/issue/safe-use-cellular-telephones-hospitals-fundamental-principles-and-case- studies … After reviewing the literature and several case studies, the authors conclude that cell phones can … https://psnet.ahrq.gov/issue/safe-use-cellular-telephones-hospitals-fundamental-principles-and-case-studies
  9. psnet.ahrq.gov/issue/novel-high-impact-studies-evaluating-health-system-and-healthcare-professional-responsiveness
    May 01, 2017 - Grant Announcement Novel, High-Impact Studies Evaluating Health System and Healthcare … Citation Text: Novel, High-Impact Studies Evaluating Health System and Healthcare Professional Responsiveness … AHRQ will award $5 million in fiscal year 2020 to support novel, high-impact studies that evaluate the … URL Cite Citation Citation Text: Novel, High-Impact Studies
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42824/psn-pdf
    February 27, 2014 - Quality of reporting of studies evaluating time to diagnosis: a systematic review in paediatrics. … Quality of reporting of studies evaluating time to diagnosis: a systematic review in paediatrics. … https://psnet.ahrq.gov/issue/quality-reporting-studies-evaluating-time-diagnosis-systematic-review- … paediatrics Despite a rapidly growing number of studies evaluating time to diagnosis in pediatrics, … https://psnet.ahrq.gov/issue/quality-reporting-studies-evaluating-time-diagnosis-systematic-review-paediatrics
  11. psnet.ahrq.gov/issue/advances-patient-safety-and-medical-liability
    May 01, 2017 - Included studies examined communication and resolution programs , patient reporting of adverse events … An overarching theme of these studies is the gap between recommended communication practices and usual … Several studies demonstrated challenges of implementing health system interventions to improve safety … These studies reveal the importance of measuring and improving safety culture as a foundation for patient
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839828/psn-pdf
    October 14, 2016 - STARD 2015 guidelines for reporting diagnostic accuracy studies: explanation and elaboration. … STARD 2015 guidelines for reporting diagnostic accuracy studies: explanation and elaboration. … https://psnet.ahrq.gov/issue/stard-2015-guidelines-reporting-diagnostic-accuracy-studies-explanation-and … This article describes updated Standards for Reporting Diagnostic Accuracy Studies (STARD), a checklist … https://psnet.ahrq.gov/issue/stard-2015-guidelines-reporting-diagnostic-accuracy-studies-explanation-and-elaboration
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43140/psn-pdf
    October 31, 2014 - The frequency of diagnostic errors in outpatient care: estimations from three large observational studies … The frequency of diagnostic errors in outpatient care: estimations from three large observational studies … psnet.ahrq.gov/issue/frequency-diagnostic-errors-outpatient-care-estimations-three-large- observational-studies … Researchers compiled several studies to estimate the frequency of these errors in outpatient care across … Two studies used a trigger approach to review unusual patterns of return visits in primary care and
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42806/psn-pdf
    January 19, 2014 - Case studies of patient safety research classics to build research capacity in low- and middle-income … Case studies of patient safety research classics to build research capacity in low- and middle-income … https://psnet.ahrq.gov/issue/case-studies-patient-safety-research-classics-build-research-capacity-low-and … research publications along with comments by their lead authors to serve as engaging didactic case studies … https://psnet.ahrq.gov/issue/case-studies-patient-safety-research-classics-build-research-capacity-low-and-middle-income
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42274/psn-pdf
    May 22, 2013 - Duty-hour limits and patient care and resident outcomes: can high-quality studies offer insight into … Duty-hour limits and patient care and resident outcomes: can high- quality studies offer insight into … https://psnet.ahrq.gov/issue/duty-hour-limits-and-patient-care-and-resident-outcomes-can-high-quality- studies-offer … This review of high-quality studies found evidence for improved resident sleep hygiene and decreased … https://psnet.ahrq.gov/issue/duty-hour-limits-and-patient-care-and-resident-outcomes-can-high-quality-studies-offer
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35909/psn-pdf
    October 07, 2008 - Committed to Safety: Ten Case Studies on Reducing Harm to Patients. … https://psnet.ahrq.gov/issue/committed-safety-ten-case-studies-reducing-harm-patients This report presents … ten case studies to illustrate interventions that address prominent and targeted areas for patient … The authors also published an article about case studies in safety improvement. … https://psnet.ahrq.gov/issue/committed-safety-ten-case-studies-reducing-harm-patients https://psnet.ahrq.gov
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44412/psn-pdf
    August 26, 2015 - A meta-synthesis of qualitative studies of patient safety in primary care. … A Meta-Synthesis of Qualitative Studies of Patient Safety in Primary Care. … https://psnet.ahrq.gov/issue/blame-patient-blame-doctor-or-blame-system-meta-synthesis-qualitative- studies-patient-safety … This study interpreted the results of 48 qualitative studies of patient safety in primary care. … https://psnet.ahrq.gov/issue/blame-patient-blame-doctor-or-blame-system-meta-synthesis-qualitative-studies-patient-safety
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44716/psn-pdf
    April 15, 2016 - An integrative review of patient safety in studies on the care and safety of patients with communication … An integrative review of patient safety in studies on the care and safety of patients with communication … https://psnet.ahrq.gov/issue/integrative-review-patient-safety-studies-care-and-safety-patients- communication-disabilities … This literature review found a need for further studies of patient safety and communication disabilities … https://psnet.ahrq.gov/issue/integrative-review-patient-safety-studies-care-and-safety-patients-communication-disabilities
  19. psnet.ahrq.gov/issue/shift-shift-handoff-effects-patient-safety-and-outcomes-systematic-review
    January 22, 2016 - Studies were so heterogenous that authors could not reliably synthesize results, and they recommend more … rigorous prospective controlled studies with pre-specified patient outcomes. … July 19, 2023 Handoff mnemonics used in perioperative handoff intervention studies: a … April 15, 2016 An integrative review of patient safety in studies on the care and safety
  20. psnet.ahrq.gov/issue/saving-lives-meta-analysis-team-training-healthcare
    October 31, 2017 - Prior studies of team training show improvements in safety culture , but its effect on patient outcomes … This meta-analysis of 129 studies found that team training consistently led to enhanced participant satisfaction … training positively affects length of stay and mortality, although they caution that few of the primary studies … The authors suggest that team training should be widely implemented and that further studies should evaluate

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