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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61079/psn-pdf
    October 28, 2020 - electrocardiogram (ECG) and serum potassium level (before administration of the first dose).11 In previous studies … There are a number of studies that suggest that tall man lettering can help to reduce medications errors … look-alike medication names or increased accuracy of drug name perception.15-17 There also exists studies … However, these studies often have limitations where the setting of the studies are not clinical practice … Using enhanced text to facilitate recognition of drug names: evidence from two experimental studies.
  2. psnet.ahrq.gov/issue/when-medical-students-make-errors
    March 08, 2017 - March 30, 2016 Committed to Safety: Ten Case Studies on Reducing Harm to Patients. … October 7, 2008 Stories from the sharp end: case studies in safety improvement.
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41909/psn-pdf
    December 12, 2012 - effect-protected-sleep-period-hours-slept-during-extended-overnight-hospital- duty-hours-among Seminal studies … As prior studies of earlier regulations also did not find improvement in clinical outcomes after duty
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43959/psn-pdf
    September 01, 2016 - Trigger tools have been widely used in retrospective studies to identify and characterize adverse events … Therefore, the triggers used in this study generated far fewer false-positive alerts than seen in other studies
  5. psnet.ahrq.gov/issue/technology-has-transformed-va
    October 07, 2008 - Related Resources From the Same Author(s) Committed to Safety: Ten Case Studies … October 7, 2008 Stories from the sharp end: case studies in safety improvement.
  6. psnet.ahrq.gov/issue/safety-numbers-try-connectivity
    October 07, 2008 - Related Resources From the Same Author(s) Committed to Safety: Ten Case Studies … October 7, 2008 Stories from the sharp end: case studies in safety improvement.
  7. psnet.ahrq.gov/web-mm/picture-speaks-1000-words
    July 16, 2015 - This facility had no in-house radiology services at night; thus, nighttime studies were sent electronically … security" at the federal facility, which rendered the radiology residents unable to access previous studies … , only the text reports of the studies. … The barrier, which had initially blocked both text reports and actual radiology studies, was well known … an emergency radiology quality assurance program at a level I trauma center: abdominal and pelvic CT studies
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49805/psn-pdf
    September 01, 2017 - It is likely that hospital leadership's decision to require only certain studies be reviewed by a radiologist … Fewer physicians may be covering a larger number of patients, diagnostic studies may be unavailable … Since its description in 2001 (6), the weekend effect has been the subject of more than 100 studies … in different patient populations.(7) While some studies have focused exclusively on weekends versus … Some studies indicate that the weekend effect may be reduced or even eliminated in settings such as
  9. psnet.ahrq.gov/issue/medical-malpractice-why-it-so-hard-doctors-apologize
    August 24, 2011 - August 24, 2022 Committed to Safety: Ten Case Studies on Reducing Harm to Patients. … October 7, 2008 Stories from the sharp end: case studies in safety improvement.
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33824/psn-pdf
    January 01, 2016 - Numerous studies in 2016 highlight current unsafe opioid use practices and strategies to enhance the … High-risk Prescribing Practices Are Common A number of studies published in 2016 demonstrated the prevalence … Mitigating Risk Associated With Opioid Use Several recent studies examined approaches to mitigate harms … These mixed results suggest that larger, longer-term studies are needed to assess the effect of state-level … Guidance for Clinicians The opioid safety studies discussed suggest that health system and policy actions
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33749/psn-pdf
    April 01, 2013 - Several studies support this theory. … shown to be worse in sleep-deprived states.(2,3) Although some have argued that these "lab-based" studies … Empiric studies on the effects of the ACGME duty hour limits were synthesized in 2004 (10,11) and again … Meta-analysis of studies examining patient mortality showed small but statistically significant decreases … regulations; however, these findings could also be attributed to secular trends.(12) The largest single studies
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49400/psn-pdf
    May 01, 2003 - Objectives List the complications of central line manipulation Appreciate the limitations of diagnostic studies … frequently in infants and children than in adult patients, with scattered case reports and autopsy studies … Radiographic studies for pulmonary embolism are not always readily available in children’s hospitals … pulmonary embolism is high, and starting anticoagulation with unfractionated heparin while further studies … This is partly because no prospective studies have been done performing spiral CT, VQ, or angiogram
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49478/psn-pdf
    April 01, 2005 - 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 … Studies have shown that iso-osmolar and low-osmolar contrast are less nephrotoxic than traditional, … A cohort study of 16,248 inpatients receiving a variety of diagnostic imaging studies found a mortality … However, urgent diagnostic studies should not be delayed for fear of inducing nephrotoxicity, as the
  14. psnet.ahrq.gov/issue/standards-audits-and-saying-im-sorry-engineers-family-proposes-solutions
    February 22, 2010 - April 27, 2022 Committed to Safety: Ten Case Studies on Reducing Harm to Patients. … October 7, 2008 Stories from the sharp end: case studies in safety improvement.
  15. psnet.ahrq.gov/issue/youve-detailed-your-last-wishes-doctors-may-not-see-them
    October 07, 2008 - Related Resources From the Same Author(s) Committed to Safety: Ten Case Studies … October 7, 2008 Stories from the sharp end: case studies in safety improvement.
  16. psnet.ahrq.gov/issue/preventing-catheter-related-bloodstream-infections-thinking-outside-checklist
    January 05, 2012 - March 23, 2011 Committed to Safety: Ten Case Studies on Reducing Harm to Patients. … October 7, 2008 Stories from the sharp end: case studies in safety improvement.
  17. psnet.ahrq.gov/web-mm/forgotten-radiographic-read
    June 07, 2016 - It is likely that hospital leadership's decision to require only certain studies be reviewed by a radiologist … Fewer physicians may be covering a larger number of patients, diagnostic studies may be unavailable or … Since its description in 2001 ( 6 ), the weekend effect has been the subject of more than 100 studies … in different patient populations.( 7 ) While some studies have focused exclusively on weekends versus … Some studies indicate that the weekend effect may be reduced or even eliminated in settings such as trauma
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33709/psn-pdf
    July 01, 2011 - Authors of the report found limited evidence on how to improve handovers, with only 10 controlled studies … All of the studies concerned change of shift handovers; none focused on change of service. … The quality of the literature was relatively poor, consisting of nine pre–post studies and only one … randomized trial.(10) No studies evaluated the effect of handover interventions on patient outcomes. … The initial work looks promising, and future studies will address these https://psnet.ahrq.gov//#ref8
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33618/psn-pdf
    September 01, 2005 - translation of basic research discoveries into clinical applications, followed by patient-oriented studies … A series of studies, sometimes observational and sometimes interventional, are undertaken. … Aiken's pioneering observational studies demonstrating the association between higher nurse-to-patient … ratios and better outcomes applied this line of reasoning to health care.(2) Her studies helped fuel … Preliminary studies have supported this hypothesis.(6) If additional studies bear this out, we can also
  20. psnet.ahrq.gov/perspective/innovations-promoting-hand-hygiene-compliance
    May 01, 2014 - For example, studies using observers have generally employed relatively short observation periods ( 2,7 … Epidemiological studies demonstrated that health care workers had too many opportunities per hour of … We performed a literature review (in press) of 48 studies published up to the end of last year. … Many studies looked at the overall prevalence of infections. … Some studies looked at incidence reduction.

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