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psnet.ahrq.gov/issue/exploratory-study-measuring-verbal-order-content-and-context
June 25, 2008 - Study
An exploratory study measuring verbal order content and context. … An exploratory study measuring verbal order content and context. … This study identified variables related to verbal order content and context and then conducted two … An exploratory study measuring verbal order content and context.
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psnet.ahrq.gov/issue/parent-preferences-medical-error-disclosure-qualitative-study
January 25, 2017 - Study
Parent preferences for medical error disclosure: a qualitative study. … Parent Preferences for Medical Error Disclosure: A Qualitative Study. … In this interview study, parents of hospitalized children expressed varying preferences surrounding … Parent Preferences for Medical Error Disclosure: A Qualitative Study. … Adverse events among children in Canadian hospitals: the Canadian Paediatric Adverse Events Study
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psnet.ahrq.gov/issue/understanding-handling-drug-safety-alerts-simulation-study
March 04, 2011 - Study
Understanding handling of drug safety alerts: a simulation study. … Understanding handling of drug safety alerts: a simulation study. … This study highlights contributing factors that lead to physician overrides of drug safety alerts … Understanding handling of drug safety alerts: a simulation study.
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psnet.ahrq.gov/issue/errors-after-hours-phone-consultations-simulation-study
March 21, 2017 - Study
Errors in after-hours phone consultations: a simulation study. … Errors in after-hours phone consultations: a simulation study. … This simulation study of telephone triage in hospitalized patients found bidirectional problems with … Errors in after-hours phone consultations: a simulation study. … March 21, 2017
Interruptions in a level one trauma center: a case study.
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psnet.ahrq.gov/issue/what-does-nursing-teamwork-look-qualitative-study
July 02, 2014 - Study
What does nursing teamwork look like? A qualitative study. … A qualitative study. J Nurs Care Qual. 2009;24(4):298-307. doi:10.1097/NCQ.0b013e3181a001c0. … This study used focus groups to develop a framework for understanding how nurses work in teams with a … A qualitative study. J Nurs Care Qual. 2009;24(4):298-307. doi:10.1097/NCQ.0b013e3181a001c0.
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psnet.ahrq.gov/issue/observational-study-frequency-severity-and-etiology-failures-postoperative-care-after-major
August 11, 2010 - Study
An observational study of the frequency, severity, and etiology of failures … An observational study of the frequency, severity, and etiology of failures in postoperative care after … This observational study at a large teaching hospital found that process failures in postoperative … An observational study of the frequency, severity, and etiology of failures in postoperative care after … Failures in communication and information transfer across the surgical care pathway: interview study
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psnet.ahrq.gov/issue/association-workflow-interruptions-and-hospital-doctors-workload-prospective-observational
March 06, 2013 - Study
The association of workflow interruptions and hospital doctors' workload: a … prospective observational study. … The association of workflow interruptions and hospital doctors' workload: a prospective observational study … This study used a previously validated instrument to quantify the frequency with which hospital-based … Relationships of multitasking, physicians' strain, and performance: an observational study
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psnet.ahrq.gov/issue/impact-organisational-and-individual-factors-team-communication-surgery-qualitative-study
March 23, 2011 - Study
The impact of organisational and individual factors on team communication in … surgery: a qualitative study. … The impact of organisational and individual factors on team communication in surgery: a qualitative study … This qualitative study used interviews with operating room personnel to identify aspects of interpersonal … An exploratory study.
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psnet.ahrq.gov/issue/information-transfer-multidisciplinary-operating-room-teams-simulation-based-observational
November 17, 2014 - Study
Information transfer in multidisciplinary operating room teams: a simulation-based … observational study. … Information transfer in multidisciplinary operating room teams: a simulation-based observational study … However, this simulation study found that much communication about important clinical information took … Information transfer in multidisciplinary operating room teams: a simulation-based observational study
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psnet.ahrq.gov/issue/failures-communication-and-information-transfer-across-surgical-care-pathway-interview-study
August 09, 2013 - Study
Failures in communication and information transfer across the surgical care … pathway: interview study. … Failures in communication and information transfer across the surgical care pathway: interview study. … This qualitative study found considerable evidence for communication failures between clinicians at … Failures in communication and information transfer across the surgical care pathway: interview study.
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psnet.ahrq.gov/issue/who-makes-prescribing-decisions-hospital-inpatients-observational-study
January 30, 2013 - Study
Who makes prescribing decisions in hospital inpatients? … An observational study.
Citation Text:
Ross S, Hamilton L, Ryan C, et al. … An observational study. … This study discovered that decision-making and actual writing of prescriptions are not always performed … An observational study.
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psnet.ahrq.gov/issue/reasons-not-reporting-patient-safety-incidents-general-practice-qualitative-study
February 24, 2010 - Study
Reasons for not reporting patient safety incidents in general practice: a qualitative … study. … Reasons for not reporting patient safety incidents in general practice: a qualitative study. … Reasons for not reporting patient safety incidents in general practice: a qualitative study. … A questionnaire study of blood collection practices in primary health care.
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psnet.ahrq.gov/issue/paediatric-nurses-adherence-double-checking-process-during-medication-administration
October 03, 2012 - Study
Paediatric nurses' adherence to the double-checking process during medication … administration in a children's hospital: an observational study. … double-checking process during medication administration in a children's hospital: an observational study … of adverse events in Irish hospitals—a retrospective record review study. … A mixed method study.
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psnet.ahrq.gov/issue/test-result-correct-questionnaire-study-blood-collection-practices-primary-health-care
February 18, 2009 - Study
Is the test result correct? … A questionnaire study of blood collection practices in primary health care. … A questionnaire study of blood collection practices in primary health care. … This study in Swedish primary care clinics revealed that recommended practices to prevent identification … A questionnaire study of blood collection practices in primary health care.
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psnet.ahrq.gov/issue/evaluating-implementation-and-impact-pharmacy-technician-supported-medicines-administration
November 14, 2018 - Study
Evaluating the implementation and impact of a pharmacy technician-supported … medicines administration service designed to reduce omitted doses in hospitals: a qualitative study. … This qualitative study evaluated a pharmacist technician–supported intervention to prevent errors of … mental health settings: findings from the MedicAtion relateD harm in mEntal health hospitals (MADE) study … A qualitative study with nursing staff.
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psnet.ahrq.gov/issue/strategies-safe-interhospital-transfer-intubated-patient-or-where-readiness-intubation-needed
July 31, 2013 - Study
Strategies for a safe interhospital transfer with an intubated patient or where … readiness for intubation is needed: a critical incidents study. … transfer with an intubated patient or where readiness for intubation is needed: a critical incidents study … September 21, 2022
Chief resident indirect supervision in training safety study: is a … A survey study.
October 6, 2021
Emotional safety is patient safety.
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psnet.ahrq.gov/issue/examining-variations-prescribing-safety-uk-general-practice-cross-sectional-study-using
July 22, 2015 - Study
Examining variations in prescribing safety in UK general practice: cross sectional … study using the Clinical Practice Research Datalink. … Examining variations in prescribing safety in UK general practice: cross sectional study using the Clinical … This cross-sectional study in the United Kingdom found wide variation in the prevalence of potentially … January 11, 2023
Locum doctor working and quality and safety: a qualitative study in
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psnet.ahrq.gov/issue/prevalence-nature-severity-and-risk-factors-prescribing-errors-hospital-inpatients
October 22, 2014 - Study
Prevalence, nature, severity and risk factors for prescribing errors in hospital … inpatients: prospective study in 20 UK hospitals. … In this prospective study, pharmacists in 20 hospitals in the United Kingdom reviewed medication orders … More than 120,000 orders were reviewed over the 7-day study period, and prescribing errors were found … A multi-site ethnographic study.
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psnet.ahrq.gov/issue/managing-medication-errors-qualitative-study
December 06, 2023 - Study
Managing medication errors—a qualitative study. … Managing medication errors--a qualitative study. Medsurg Nurs. 2005;14(3):174-8. … Managing medication errors--a qualitative study. Medsurg Nurs. 2005;14(3):174-8. … March 19, 2019
An ethnographic study of health information technology use in three intensive … in hospital nurses—'Supernurse' culture is a barrier to addressing problems: a qualitative interview study
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psnet.ahrq.gov/issue/study-deaths-associated-anesthesia-and-surgery-based-study-599-548-anesthesias-ten
August 04, 2021 - Study
Classic
Study of the deaths associated with anesthesia … and surgery: based on a study of 599, 548 anesthesias in ten institutions 1948-1952, inclusive. … A study of the deaths associated with anesthesia and surgery: based on a study of 599, 548 anesthesias … A study of the deaths associated with anesthesia and surgery: based on a study of 599, 548 anesthesias … A study of patients' and operating room team members' perceptions of error definition, reporting, and