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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44296/psn-pdf
    April 08, 2018 - clinic visits did not significantly reduce diagnostic errors compared to usual care, though a larger sample
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44279/psn-pdf
    August 26, 2015 - A major limitation of this study is a small sample size and very low survey response rate.
  3. psnet.ahrq.gov/issue/team-communication-operating-room
    January 28, 2009 - The author presents sample cases from aviation to illustrate failures in team communication and uses
  4. psnet.ahrq.gov/issue/improving-hand-communication
    April 24, 2007 - This book offers health care organizations step-by-step instructions, sample forms, and insights to help
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34798/psn-pdf
    June 23, 2015 - costs-medical-injuries-utah-and-colorado This study analyzed more than 450 adverse events from a representative hospital sample
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46762/psn-pdf
    February 14, 2018 - psnet.ahrq.gov/issue/are-surgeons-and-anesthesiologists-lying-each-other-or-gaming-system-national-random-sample
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47899/psn-pdf
    April 24, 2019 - what-words-convey-potential-patient-narratives-inform-quality-improvement In this qualitative study, researchers analyzed narratives from a national sample
  8. psnet.ahrq.gov/issue/analysing-potential-harm-australian-general-practice-incident-monitoring-study
    July 29, 2020 - observational study of adverse event incident reports collected from 1993 through 1995 from a nonrandom sample
  9. psnet.ahrq.gov/issue/medicines-management-support-older-people-understanding-context-systems-failure
    October 04, 2023 - causation model to determine latent causes of medication errors requiring hospital admission in a sample
  10. psnet.ahrq.gov/issue/evaluation-medication-related-clinical-decision-support-alert-overrides-intensive-care-unit
    July 02, 2019 - From this sample, 7 adverse drug events were identified, and these events were more likely when the alerts
  11. psnet.ahrq.gov/issue/physician-task-load-and-risk-burnout-among-us-physicians-national-survey
    October 26, 2022 - Among a sample of US physicians, the authors of this study found that all dimensions of cognitive task
  12. psnet.ahrq.gov/issue/errors-medication-history-hospital-admission-prevalence-and-predicting-factors
    October 14, 2020 - medication reconciliation by more accurately identifying medication errors at admission, in this sample
  13. psnet.ahrq.gov/issue/risk-medication-errors-and-nurses-quality-sleep-national-cross-sectional-web-survey-study
    February 09, 2022 - Based on survey data of a sample of nurses, the authors identified a significant association between
  14. psnet.ahrq.gov/issue/racial-and-ethnic-bias-diagnosis-alcohol-use-disorder-veterans
    September 23, 2020 - Based on a sample of over 700,000 veterans, this study found that Black and Hispanic individuals consumed
  15. psnet.ahrq.gov/issue/trigger-tool-method-measure-harmful-medication-errors-children
    August 03, 2022 - trigger tool failed to pick up any of these incidents and identified only false-positive events in this sample
  16. psnet.ahrq.gov/issue/emergency-department-trigger-tool-novel-approach-screening-quality-and-safety-events
    August 24, 2022 - performance of an automated emergency department (ED) trigger tool designed to identify a more efficient sample
  17. psnet.ahrq.gov/issue/leadership-style-and-patient-safety-implications-nurse-managers
    September 21, 2022 - A major limitation of this study is a small sample size and very low survey response rate.
  18. psnet.ahrq.gov/issue/investigating-impact-structural-racism-black-birthing-people-associations-between-racialized
    June 16, 2021 - In this sample of births from 2008-2011, racialized economic segregation was associated with SMM for
  19. psnet.ahrq.gov/issue/qualitative-analysis-outpatient-medication-use-community-settings-observed-safety
    October 26, 2022 - This study used direct observation and interviews to assess hazards in the medication use process in a sample
  20. psnet.ahrq.gov/issue/do-patient-engagement-it-functionalities-influence-patient-safety-outcomes-study-us-hospitals
    October 21, 2020 - This longitudinal study using a national sample of hospitalizations identified a significant association

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