-
psnet.ahrq.gov/issue/interventions-reduce-pediatric-medication-errors-systematic-review
December 04, 2016 - For example, only 1% of studies were conducted at community hospitals, and only 11% were in ambulatory … Also, even though 41% of studies involved computerized provider order entry , a meta-analysis could … not be performed due to inconsistent methodology between studies. … December 15, 2014
Quality of reporting of studies evaluating time to diagnosis: a systematic
-
psnet.ahrq.gov/issue/does-crew-resource-management-training-work-update-extension-and-some-critical-needs
January 02, 2017 - This detailed review of crew resource management (CRM) training examines 11 studies focused on CRM in … Although CRM training generally resulted in improved attitudes and knowledge for trainees, studies had … In general, studies did not perform an adequate evaluation of the effects of the intervention. … importance of formally evaluating the effects of CRM and provide recommendations for conducting such studies
-
psnet.ahrq.gov/node/36204/psn-pdf
September 30, 2010 - Automated medication error studies with audit
supplementation were effectively designed and analyzed … Automated medication error studies with audit supplementation were
effectively designed and analyzed … https://psnet.ahrq.gov/issue/automated-medication-error-studies-audit-supplementation-were-effectively … https://psnet.ahrq.gov/issue/automated-medication-error-studies-audit-supplementation-were-effectively-designed-and … https://psnet.ahrq.gov/issue/automated-medication-error-studies-audit-supplementation-were-effectively-designed-and
-
psnet.ahrq.gov/node/41572/psn-pdf
October 29, 2012 - Diagnostic errors in the intensive care unit: a systematic
review of autopsy studies. … Diagnostic errors in the intensive care unit: a systematic review
of autopsy studies. … https://psnet.ahrq.gov/issue/diagnostic-errors-intensive-care-unit-systematic-review-autopsy-studies … This review, which included 31 separate studies, found an overall class I error rate of
8% in ICU patients … https://psnet.ahrq.gov/issue/diagnostic-errors-intensive-care-unit-systematic-review-autopsy-studies
-
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
-
psnet.ahrq.gov/issue/systematic-review-effectiveness-strategies-encourage-patients-remind-healthcare-professionals
February 01, 2011 - Researchers examined studies aimed at encouraging patients to remind health care providers to wash their … Because of the limited number and quality of current studies, researchers were unable to draw firm conclusions … The authors recommend conducting more methodologically rigorous studies in order to determine the impact … Patients' attitudes towards patient involvement in safety interventions: results of two exploratory studies
-
psnet.ahrq.gov/issue/impact-multidisciplinary-team-huddles-patient-safety-systematic-review-and-proposed-taxonomy
November 10, 2015 - This systematic review synthesized 24 studies examining the impact of either unit-based or hospital-wide … 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
-
psnet.ahrq.gov/issue/improving-patient-safety-avoiding-unread-imaging-exams-national-va-enterprise-electronic
March 12, 2025 - This Veterans Affairs study found that 0.17% of radiologic studies were not evaluated by radiologists … The study team identified several technical and process problems that contributed to these unread studies … They were able to address the issues to ensure all studies were read.
-
psnet.ahrq.gov/node/861286/psn-pdf
January 24, 2024 - Surgical safety does not happen by accident: learning
from perioperative near miss case studies. … Surgical safety does not happen by accident: learning
from perioperative near miss case studies. … psnet.ahrq.gov/issue/surgical-safety-does-not-happen-accident-learning-perioperative-near-miss-
case-studies … psnet.ahrq.gov/issue/surgical-safety-does-not-happen-accident-learning-perioperative-near-miss-case-studies … psnet.ahrq.gov/issue/surgical-safety-does-not-happen-accident-learning-perioperative-near-miss-case-studies
-
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
-
psnet.ahrq.gov/node/73618/psn-pdf
August 17, 2021 - Safe Communication:
Evidence-based Core Competencies with Case Studies
from Nursing. … psnet.ahrq.gov/issue/new-horizons-patient-safety-safe-communication-evidence-based-core-
competencies-case-studies … psnet.ahrq.gov/issue/new-horizons-patient-safety-safe-communication-evidence-based-core-competencies-case-studies … psnet.ahrq.gov/issue/new-horizons-patient-safety-safe-communication-evidence-based-core-competencies-case-studies … using-incident-reports-assess-communication-failures-and-patient-outcomes
https://psnet.ahrq.gov/issue/new-horizons-patient-safety-understanding-communication-case-studies-physicians
-
psnet.ahrq.gov/node/60895/psn-pdf
September 09, 2020 - Radiologists make more errors interpreting off-hours
body CT studies during overnight assignments as … Radiologists Make More Errors Interpreting Off-Hours Body CT
Studies during Overnight Assignments as … https://psnet.ahrq.gov/issue/radiologists-make-more-errors-interpreting-hours-body-ct-studies-during- … https://psnet.ahrq.gov/issue/radiologists-make-more-errors-interpreting-hours-body-ct-studies-during-overnight-assignments … https://psnet.ahrq.gov/issue/radiologists-make-more-errors-interpreting-hours-body-ct-studies-during-overnight-assignments
-
psnet.ahrq.gov/node/860719/psn-pdf
January 17, 2024 - Diagnostic accuracy of a large language model in
pediatric case studies. … Diagnostic accuracy of a large language model in pediatric case
studies. … https://psnet.ahrq.gov/issue/diagnostic-accuracy-large-language-model-pediatric-case-studies
Clinicians … asked ChatGPT to provide a differential diagnosis list and
final diagnosis for 100 pediatric case studies … https://psnet.ahrq.gov/issue/diagnostic-accuracy-large-language-model-pediatric-case-studies
https://
-
psnet.ahrq.gov/node/48040/psn-pdf
July 24, 2019 - Potentially inappropriate prescribing among older
persons: a meta-analysis of observational studies. … Potentially Inappropriate Prescribing Among Older Persons: A Meta-
Analysis of Observational Studies … psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-among-older-persons-meta-analysis-
observational-studies … psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-among-older-persons-meta-analysis-observational-studies … psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-among-older-persons-meta-analysis-observational-studies
-
psnet.ahrq.gov/node/60892/psn-pdf
September 09, 2020 - Applying thematic synthesis to interpretation and
commentary in epidemiological studies: identifying … Applying thematic synthesis to interpretation and commentary in
epidemiological studies: identifying … ://psnet.ahrq.gov/issue/applying-thematic-synthesis-interpretation-and-commentary-epidemiological-
studies-identifying … https://psnet.ahrq.gov/issue/applying-thematic-synthesis-interpretation-and-commentary-epidemiological-studies-identifying … https://psnet.ahrq.gov/issue/applying-thematic-synthesis-interpretation-and-commentary-epidemiological-studies-identifying
-
psnet.ahrq.gov/issue/impact-sample-size-variation-adverse-events-and-preventable-adverse-events-systematic-review
May 15, 2024 - This systematic review of more than 150 studies on the incidence of adverse events found considerable … variation in the estimated frequency of adverse events across studies. … In general, smaller studies (sample size less than 1000 patients) found a much higher incidence of errors
-
psnet.ahrq.gov/issue/effectiveness-interventions-improve-adverse-drug-reaction-reporting-healthcare-professionals
August 28, 2024 - This systematic review of studies assessed how various strategies designed to improve ADR reporting impacted … strategies increased ADR reporting, particularly those using electronic reporting tools, the quality of the studies … The authors expressed the need for higher quality studies to focus on how electronic methods might improve
-
psnet.ahrq.gov/node/867690/psn-pdf
March 05, 2025 - diagnostic adverse events in hospital deaths:
longitudinal analyses of four retrospective record review
studies … diagnostic adverse events in hospital deaths:
longitudinal analyses of four retrospective record review studies … can provide insights into incidence, preventability, and causes
not easily found in cross-sectional studies … Data from four studies that included 19-20 hospitals were
analyzed to estimate the occurrence of diagnostic
-
psnet.ahrq.gov/issue/global-burden-unsafe-medical-care-analytic-modelling-observational-studies
September 29, 2017 - Classic
The global burden of unsafe medical care: analytic modelling of observational studies … The global burden of unsafe medical care: analytic modelling of observational studies. … The global burden of unsafe medical care: analytic modelling of observational studies. … September 29, 2017
Case studies of patient safety research classics to build research
-
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