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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44561/psn-pdf
    October 30, 2023 - AHRQ Impact Case Studies: Patient Safety. … https://psnet.ahrq.gov/issue/ahrq-impact-case-studies-patient-safety AHRQ supports the development and … This collection of case studies highlights AHRQ-funded patient safety tools, including the Comprehensive … https://psnet.ahrq.gov/issue/ahrq-impact-case-studies-patient-safety https://psnet.ahrq.gov/issue/cusp-toolkit
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60361/psn-pdf
    May 20, 2020 - Novel, High-Impact Studies Evaluating Health System and Healthcare Professional Responsiveness to COVID … https://psnet.ahrq.gov/issue/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 … https://psnet.ahrq.gov/issue/novel-high-impact-studies-evaluating-health-system-and-healthcare-professional-responsiveness … https://psnet.ahrq.gov/issue/novel-high-impact-studies-evaluating-health-system-and-healthcare-professional-responsiveness
  3. 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 Copy URL Cite Citation Citation Text: Case Studies
  4. 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
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865344/psn-pdf
    March 27, 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.
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851913/psn-pdf
    August 02, 2023 - As the number of included studies was low (13 studies) and most came from one nation, additional studies … psnet.ahrq.gov/issue/hospitalizations-and-deaths-related-adverse-drug-events-worldwide-systematic-review-studies
  7. 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 .
  8. psnet.ahrq.gov/issue/leder-learning-lives-and-deaths
    October 19, 2022 - Norah Frye Centre for Disability Studies; Bristol, England. … Linkedin Copy URL January 19, 2022 Norah Frye Centre for Disability Studies … Norah Frye Centre for Disability Studies; Bristol, England. … March 16, 2022 STARD 2015 guidelines for reporting diagnostic accuracy studies: explanation … Hospitalizations and deaths related to adverse drug events worldwide: systematic review of studies
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60299/psn-pdf
    May 06, 2020 - This systematic review synthesized 24 studies examining the impact of either unit-based or hospital- … The majority of studies were uncontrolled pre-post study designs; only two studies were controlled and … Given the limited number of studies evaluating hospital-wide huddle programs, the authors conclude that
  10. psnet.ahrq.gov/issue/impact-computerised-physician-order-entry-cpoe-incidence-chemotherapy-related-medication
    May 25, 2022 - Computerized prescriber (or physician) order entry (CPOE) systems are widely used in healthcare and studies … The study included 11 studies in the review but only 8 studies were in the meta-analysis. … Hospitalizations and deaths related to adverse drug events worldwide: systematic review of studies
  11. 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
  12. psnet.ahrq.gov/issue/national-improvements-resident-physician-reported-patient-safety-after-limiting-first-year
    July 15, 2020 - first-year resident physicians' extended duration work shifts: a pooled analysis of prospective cohort studies … first-year resident physicians’ extended duration work shifts: a pooled analysis of prospective cohort studies … Recent studies found that these duty hour requirements did not yield significant differences in patient … first-year resident physicians’ extended duration work shifts: a pooled analysis of prospective cohort studies
  13. psnet.ahrq.gov/issue/squire-20-standards-quality-improvement-reporting-excellence-revised-publication-guidelines
    December 02, 2015 - literature on patient safety and quality improvement (QI) has been accompanied by controversy about how such studies … Influential leaders have argued that QI studies demand a different standard of evaluation than traditional … Developed by expert consensus, these guidelines provide a blueprint for reporting the results of QI studies … and journal editors have widely adopted these guidelines to standardize reporting of safety and QI studies … September 6, 2017 The business case for quality: case studies and an analysis.
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72791/psn-pdf
    March 03, 2021 - over time: a systematic review and meta-analysis of longitudinal retrospective patient record review studies … over time: a systematic review and meta-analysis of longitudinal retrospective patient record review studies … The meta-analysis of included studies estimated one adverse event prevented for every 59 hospital admissions … The authors note a need for more research (particularly large-scale implementation studies) to establish
  15. 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
  16. 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%.
  17. 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
  18. 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
  19. 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
  20. 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

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