-
psnet.ahrq.gov/issue/twelve-month-review-infusion-pump-near-miss-medication-and-dose-selection-errors-and-user
November 04, 2020 - Study
Twelve-month review of infusion pump near-miss medication and dose selection … errors and user-initiated "good save" corrections: retrospective study. … near-miss medication and dose selection errors and user-Initiated "good save" corrections: retrospective study … This study used smart pump medication logs and reporting software to identify cancelled infusions and … The study identified a high number of lookalike-soundalike near-miss errors.
-
psnet.ahrq.gov/issue/errors-and-discrepancies-administration-intravenous-infusions-mixed-methods-multihospital
July 10, 2019 - Study
Emerging Classic
Errors and discrepancies in the … administration of intravenous infusions: a mixed methods multihospital observational study. … discrepancies in the administration of intravenous infusions: a mixed methods multihospital observational study … Errors and discrepancies in intravenous infusions were common in this study performed at two English … Resources From the Same Author(s)
Intravenous infusion administration: a comparative study
-
psnet.ahrq.gov/issue/are-physician-assistants-able-correctly-identify-prescribing-errors-cross-sectional-study
May 29, 2019 - Study
Are physician assistants able to correctly identify prescribing errors? … A cross-sectional study. … This study replicates the 2011 study with first- and second-year physician assistant (PA) students . … A cross-sectional study. … A cross-sectional study.
-
psnet.ahrq.gov/issue/longitudinal-study-impact-simulation-positive-deviance-through-speaking
August 24, 2022 - Study
A longitudinal study on the impact of simulation on positive deviance through … A longitudinal study on the impact of simulation on positive deviance through speaking up. … A longitudinal study on the impact of simulation on positive deviance through speaking up. … A mixed-methods study with a focus on user experience. … January 28, 2015
Why nurses make medication errors: a simulation study.
-
psnet.ahrq.gov/issue/threats-patient-safety-primary-care-reported-older-people-multimorbidity-baseline-findings
November 14, 2018 - Study
Threats to patient safety in primary care reported by older people with multimorbidity … : baseline findings from a longitudinal qualitative study and implications for intervention. … care reported by older people with multimorbidity: baseline findings from a longitudinal qualitative study … In this qualitative study, researchers interviewed 26 patients over the age of 65 with multiple comorbid … care reported by older people with multimorbidity: baseline findings from a longitudinal qualitative study
-
psnet.ahrq.gov/issue/burden-difficult-encounters-primary-care-data-minimizing-error-maximizing-outcomes-study
May 18, 2019 - Study
Burden of difficult encounters in primary care: data from the Minimizing Error … , Maximizing Outcomes Study. … Burden of difficult encounters in primary care: data from the minimizing error, maximizing outcomes study … These findings were captured from a nested analysis of data from a previously published study . … Results from the Healthy Work Place Study.
-
psnet.ahrq.gov/issue/mind-gap-between-recommendation-and-implementation-principles-and-lessons-aftermath-incident
March 11, 2020 - Study
Mind the gap between recommendation and implementation—principles and lessons … in the aftermath of incident investigations: a semi-quantitative and qualitative study of factors leading … July 1, 2015
A prospective study of patient safety in the operating room. … Insights from a covert observational study. … A critical incident study among doctors and nurses.
-
psnet.ahrq.gov/issue/intravenous-smart-pumps-point-care-descriptive-observational-study
February 24, 2021 - Study
Intravenous smart pumps at the point of care: a descriptive, observational … study. … Intravenous smart pumps at the point of care: a descriptive, observational study. … Intravenous smart pumps at the point of care: a descriptive, observational study. … A descriptive study.
-
psnet.ahrq.gov/issue/discrepancies-between-clinical-diagnoses-and-autopsy-findings-critically-ill-children
January 12, 2022 - Study
Discrepancies between clinical diagnoses and autopsy findings in critically … ill children: a prospective study. … Discrepancies Between Clinical Diagnoses and Autopsy Findings in Critically Ill Children: A Prospective Study … This autopsy study demonstrated significant discrepancies between clinical and postmortem diagnoses … December 18, 2017
Breast cancer screening in Denmark: a cohort study of tumor size and
-
psnet.ahrq.gov/issue/what-needed-sustain-improvements-hospital-practices-post-covid-19-qualitative-study
August 10, 2022 - Study
What is needed to sustain improvements in hospital practices post-COVID-19? … A qualitative study of interprofessional dissonance in hospital infection prevention and control. … a qualitative study of interprofessional dissonance in hospital infection prevention and control. … This study, conducted before the pandemic, compared IPC attitudes and practices of nurses and physicians … a qualitative study of interprofessional dissonance in hospital infection prevention and control.
-
psnet.ahrq.gov/issue/interdisciplinary-clinicians-attitudes-challenges-and-success-strategies-providing-care
November 30, 2022 - Study
Interdisciplinary clinicians' attitudes, challenges, and success strategies … in providing care to transgender people: a qualitative descriptive study. … challenges, and success strategies in providing care to transgender people: a qualitative descriptive study … This qualitative study explored clinician perspectives with regard to practicing transgender health care … A qualitative study of interprofessional dissonance in hospital infection prevention and control.
-
psnet.ahrq.gov/issue/blinded-prospective-study-error-detection-during-physician-chart-rounds-radiation-oncology
November 16, 2022 - Study
A blinded, prospective study of error detection during physician chart rounds … A blinded, prospective study of error detection during physician chart rounds in radiation oncology. … In this prospective blinded study, researchers generated treatment plans with simulated errors and randomly … A blinded, prospective study of error detection during physician chart rounds in radiation oncology. … March 9, 2022
Preliminary study of patient safety and quality use cases for ICD-11 MMS
-
psnet.ahrq.gov/issue/exposure-incivility-does-not-hinder-speaking-randomised-controlled-high-fidelity-simulation
August 24, 2022 - Study
Exposure to incivility does not hinder speaking up: a randomised controlled … high-fidelity simulation-based study. … Exposure to incivility does not hinder speaking up: a randomised controlled high-fidelity simulation-based study … In this study, hospital staff participated in a simulated scenario with scripted, randomly assigned … A cross-sectional study.
-
psnet.ahrq.gov/issue/safety-trade-offs-home-care-during-covid-19-mixed-methods-study-capturing-perspective
September 01, 2021 - Study
Safety trade-offs in home care during COVID-19: a mixed methods study capturing … Safety trade-offs in home care during COVID-19: a mixed methods study capturing the perspective of frontline … This mixed-methods study examined the experiences of home healthcare workers in Massachusetts during … September 1, 2021
Patient safety in chiropractic teaching programs: a mixed methods study … December 23, 2020
A comparative study measuring the difference of healthcare workers
-
psnet.ahrq.gov/issue/exploring-barriers-and-facilitators-psychological-safety-primary-care-teams-qualitative-study
August 25, 2021 - Study
Exploring the barriers and facilitators of psychological safety in primary … care teams: a qualitative study. … Exploring the barriers and facilitators of psychological safety in primary care teams: a qualitative study … Based on semi-structured interviews with primary care providers, the authors of this study discuss the … October 28, 2020
A qualitative study of what care workers do to provide patient safety
-
psnet.ahrq.gov/issue/exploration-rapid-response-team-model-care-descriptive-dual-methods-study
March 24, 2021 - Study
Exploration of a rapid response team model of care: a descriptive dual methods … study. … Exploration of a rapid response team model of care: a descriptive dual methods study. … This mixed-methods study examined the characteristics of a collaborative RRT model in one Australian … Exploration of a rapid response team model of care: a descriptive dual methods study.
-
psnet.ahrq.gov/issue/evaluation-and-comparison-errors-nursing-notes-created-online-and-offline-speech-recognition
April 13, 2022 - Study
Evaluation and comparison of errors on nursing notes created by online and … offline speech recognition technology and handwritten: an interventional study. … notes created by online and offline speech recognition technology and handwritten: an interventional study … This study compared the accuracy handwritten nursing notes versus online and offline speech recognition … notes created by online and offline speech recognition technology and handwritten: an interventional study
-
psnet.ahrq.gov/issue/exploring-everyday-work-dynamic-non-event-and-adaptations-manage-safety-intraoperative
February 03, 2021 - Study
Exploring everyday work as a dynamic non-event and adaptations to manage safety … in intraoperative anaesthesia care: an interview study. … dynamic non-event and adaptations to manage safety in intraoperative anaesthesia care: an interview study … This study used cognitive task analysis (CTA) to explore how anesthesia nurses and anesthesiologists … An evaluation of the "Harvard Medical Practice Study" method and the "Global Trigger Tool."
-
psnet.ahrq.gov/issue/medication-reconciliation-during-hospitalization-and-hospital-home-interface-observational
June 16, 2021 - Study
Medication reconciliation during hospitalization and in hospital-home interface … : an observational retrospective study. … reconciliation during hospitalization and in hospital-home interface: an observational retrospective study … This retrospective study examined regional prescription registry (RPR) data at a single Italian hospital … A survey study.
-
psnet.ahrq.gov/issue/nurse-reported-bullying-and-documented-adverse-patient-events-exploratory-study-us-hospital
November 11, 2020 - Study
Nurse-reported bullying and documented adverse patient events: an exploratory … study in a US Hospital. … Nurse-reported bullying and documented adverse patient events: an exploratory study in a US Hospital. … Findings from a retrospective study design. … April 5, 2023
Errors in surgery: a case control study.