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  1. psnet.ahrq.gov/issue/clinical-and-pathological-disagreement-upon-cause-death-teaching-hospital-analysis-100
    March 09, 2022 - Study Clinical and pathological disagreement upon the cause of death in a teaching … hospital: analysis of 100 autopsy cases in a prospective study. … disagreement upon the cause of death in a teaching hospital: Analysis of 100 autopsy cases in a prospective study … This study discovered that autopsy-detected diagnostic errors occurred in 10% of cases examined, leading … tool" for the detection of adverse events in general surgery: a multicenter observational validation study
  2. psnet.ahrq.gov/issue/introduction-novel-patient-safety-advisory-evaluation-perceived-information-modified-qpp
    April 05, 2023 - Study Introduction of a novel patient safety advisory: evaluation of perceived information … with a modified QPP questionnaire-a case-control study. … safety advisory: evaluation of perceived information with a modified QPP questionnaire-a case-control study … This study assessed whether an illustrated educational pamphlet (in addition to verbal information) … algorithms for pigmented skin lesion classification: an open, web-based, international, diagnostic study
  3. psnet.ahrq.gov/issue/families-experiences-central-line-infection-children-qualitative-study
    July 29, 2020 - Study Families’ experiences of central-line infection in children: a qualitative … study. … Families’ experiences of central-line infection in children: a qualitative study. … This qualitative study explored the perspectives of parents with children living at home with a central … Families’ experiences of central-line infection in children: a qualitative study.
  4. psnet.ahrq.gov/issue/effects-night-surgery-postoperative-mortality-and-morbidity-multicentre-cohort-study
    July 19, 2019 - Study Effects of night surgery on postoperative mortality and morbidity: a multicentre … cohort study. … Effects of night surgery on postoperative mortality and morbidity: a multicentre cohort study. … This retrospective cohort study including over 350,000 adult patients undergoing non-cardiac surgery … Effects of night surgery on postoperative mortality and morbidity: a multicentre cohort study.
  5. psnet.ahrq.gov/issue/primary-care-teams-reported-actions-improve-medication-safety-qualitative-study-insights-high
    July 06, 2022 - Study Primary care teams' reported actions to improve medication safety: a qualitative … study with insights in high reliability organising. … Primary care teams’ reported actions to improve medication safety: a qualitative study with insights … This qualitative study with primary care teams across four sites in the southwestern United States explored … Primary care teams’ reported actions to improve medication safety: a qualitative study with insights
  6. psnet.ahrq.gov/issue/patient-reported-harm-following-cancellation-planned-surgery-danish-university-hospital-cross
    June 03, 2020 - Study Patient-reported harm following cancellation of planned surgery at a Danish … university hospital: a cross-sectional study. … This cross-sectional study at one Danish hospital found that patients whose surgeries were canceled reported … A qualitative study of experiences among general practitioners in Norway. … April 20, 2022 An observational study of postoperative handoff standardization failures
  7. psnet.ahrq.gov/issue/preventable-hospital-admissions-related-medication-harm-cost-analysis-harm-study
    April 27, 2022 - Study Preventable hospital admissions related to medication (HARM): cost analysis … of the HARM study. … Preventable hospital admissions related to medication (HARM): cost analysis of the HARM study. … This study used data from the earlier Hospital Admissions Related to Medication (HARM) study to estimate … Preventable hospital admissions related to medication (HARM): cost analysis of the HARM study.
  8. psnet.ahrq.gov/issue/its-all-about-patient-safety-ethnographic-study-how-pharmacy-staff-construct-medicines-safety
    October 06, 2021 - Study 'It's all about patient safety': an ethnographic study of how pharmacy staff … ‘It's all about patient safety’: an ethnographic study of how pharmacy staff construct medicines safety … Based on an ethnographic case study of community pharmacies in England, the authors found that polypharmacy … ‘It's all about patient safety’: an ethnographic study of how pharmacy staff construct medicines safety … February 22, 2023 Journal Article Study
  9. psnet.ahrq.gov/issue/application-human-factors-improve-usability-clinical-decision-support-diagnostic-decision
    May 11, 2022 - Study Application of human factors to improve usability of clinical decision support … for diagnostic decision-making: a scenario-based simulation study. … usability of clinical decision support for diagnostic decision-making: a scenario-based simulation study … This simulation study assessed whether integrating human factors engineering into a clinical decision … usability of clinical decision support for diagnostic decision-making: a scenario-based simulation study
  10. psnet.ahrq.gov/issue/underlying-risk-factors-prescribing-errors-long-term-aged-care-qualitative-study
    August 26, 2020 - Study Underlying risk factors for prescribing errors in long-term aged care: a qualitative … study. … Underlying risk factors for prescribing errors in long-term aged care: a qualitative study. … Underlying risk factors for prescribing errors in long-term aged care: a qualitative study. … June 12, 2024 Paediatric medication incident reporting: a multicentre comparison study
  11. psnet.ahrq.gov/issue/should-electronic-differential-diagnosis-support-be-used-early-or-late-diagnostic-process
    November 16, 2022 - Study Should electronic differential diagnosis support be used early or late in the … A multicentre experimental study of Isabel. … A multicentre experimental study of Isabel. … This randomized study including emergency medicine and internal medicine physicians as well as medical … A multicentre experimental study of Isabel.
  12. psnet.ahrq.gov/issue/safe-home-care-intervention-study-implementation-methods-and-effectiveness-evaluation
    July 19, 2023 - Study The Safe Home Care Intervention Study: implementation methods and effectiveness … The Safe Home Care Intervention Study: implementation methods and effectiveness evaluation. … This study utilized motivational interviewing by nurse managers, videos, and a safety handbook to encourage … The Safe Home Care Intervention Study: implementation methods and effectiveness evaluation. … December 11, 2024 The challenge of risk prevention in home healthcare-an interview study
  13. psnet.ahrq.gov/issue/rural-va-multi-center-medication-reconciliation-quality-improvement-study-r-va-marquis
    September 30, 2020 - Study The Rural VA Multi-Center Medication Reconciliation Quality Improvement Study … The Rural VA Multi-Center Medication Reconciliation Quality Improvement Study (R-VA-MARQUIS). … This article reports mixed results of a two-year mentor-implemented feasibility study designed to improve … The Rural VA Multi-Center Medication Reconciliation Quality Improvement Study (R-VA-MARQUIS). … November 3, 2021 The National Emergency Department Safety Study: study rationale and
  14. psnet.ahrq.gov/issue/resident-resident-handoffs-emergency-department-observational-study
    September 28, 2022 - Study Resident to resident handoffs in the emergency department: an observational … study. … Resident to resident handoffs in the emergency department: an observational study. … According to this study, information regarding the plan of care was generally accurately transmitted … Resident to resident handoffs in the emergency department: an observational study.
  15. psnet.ahrq.gov/issue/safety-culture-and-positive-association-being-primary-care-training-practice-during-covid-19
    January 08, 2025 - Study Safety culture and the positive association of being a primary care training … practice during COVID-19: the results of the multi-country European PRICOV-19 Study. … primary care training practice during COVID-19: the results of the multi-country European PRICOV-19 Study … This study compared training vs. non-training primary care practices and found that training practices … A case study from a large metropolitan healthcare trust.
  16. psnet.ahrq.gov/issue/quality-hospital-work-environments-and-missed-nursing-care-linked-heart-failure-readmissions
    September 09, 2020 - Study The quality of hospital work environments and missed nursing care is linked … to heart failure readmissions: a cross-sectional study of US hospitals. … work environments and missed nursing care is linked to heart failure readmissions: a cross-sectional study … Same Author(s) Chronic hospital nurse understaffing meets COVID-19: an observational study … A survey study.
  17. psnet.ahrq.gov/issue/effect-delays-2-week-wait-cancer-referral-pathway-during-covid-19-pandemic-cancer-survival-uk
    October 21, 2020 - Study Emerging Classic Effect of delays in the 2-week-wait … cancer referral pathway during the COVID-19 pandemic on cancer survival in the UK: a modelling study … week-wait cancer referral pathway during the COVID-19 pandemic on cancer survival in the UK: a modelling study … This study modeled the impact of different scenarios of COVID-19 lockdown-accumulated backlog in cancer … in patients presenting with any of six ‘alarm’ features of possible cancer: a retrospective cohort study
  18. psnet.ahrq.gov/issue/diagnostic-errors-reported-primary-healthcare-and-emergency-departments-retrospective-and
    March 11, 2020 - Study Diagnostic errors reported in primary healthcare and emergency departments: … a retrospective and descriptive cohort study of 4830 reported cases of preventable harm in Sweden. … errors reported in primary healthcare and emergency departments: A retrospective and descriptive cohort study … This study examined diagnostic errors reported in primary and emergency care settings over a five-year … November 28, 2018 Acting between guidelines and reality- an interview study exploring
  19. psnet.ahrq.gov/issue/what-has-been-impact-covid-19-safety-culture-case-study-large-metropolitan-teaching-hospital
    May 05, 2021 - Study What has been the impact of Covid-19 on safety culture? … A case study from a large metropolitan healthcare trust. … A case study from a large metropolitan healthcare trust. … This study used the Safety Attitudes Questionnaire to evaluate the impact of COVID-19 on safety culture … A case study from a large metropolitan healthcare trust.
  20. psnet.ahrq.gov/issue/actions-mitigating-negative-effects-patient-participation-patient-safety-qualitative-study
    February 01, 2023 - Study Actions for mitigating the negative effects of patient participation in patient … safety: a qualitative study. … Actions for mitigating the negative effects of patient participation in patient safety: a qualitative study … This qualitative study with patients and maternity care professionals in the Netherlands explored actions … A qualitative study combining human factors/ergonomics and social science analysis.

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