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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/patient-and-carer-identified-factors-which-contribute-safety-incidents-primary-care
March 18, 2016 - Study
Patient and carer identified factors which contribute to safety incidents in … primary care: a qualitative study. … Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative study … This Australian study used qualitative methodology to examine patient and caregiver perceptions of factors … Some of these themes were also found in a prior study of primary care patients in the United Kingdom
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psnet.ahrq.gov/issue/preventable-adverse-drug-events-causing-hospitalisation-identifying-root-causes-and
March 05, 2008 - Study
Preventable adverse drug events causing hospitalisation: identifying root causes … a surveillance and learning system at an urban community hospital, a cross-sectional observational study … a surveillance and learning system at an urban community hospital, a cross-sectional observational study … The study finds that the most common causes of preventable ADEs involved providers not ensuring that … A descriptive study.
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psnet.ahrq.gov/issue/rn-assessments-excellent-quality-care-and-patient-safety-are-associated-significantly-lower
August 20, 2018 - Study
RN assessments of excellent quality of care and patient safety are associated … with significantly lower odds of 30-day inpatient mortality: a national cross-sectional study of acute-care … associated with significantly lower odds of 30-day inpatient mortality: A national cross-sectional study … This study found that in hospitals where nurses rated quality of care as excellent, 30-day postsurgical … Findings from a retrospective study design.
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psnet.ahrq.gov/issue/immersive-high-fidelity-simulation-critically-ill-patients-study-cognitive-errors-pilot-study
August 15, 2018 - Study
Immersive high fidelity simulation of critically ill patients to study cognitive … errors: a pilot study. … Immersive high fidelity simulation of critically ill patients to study cognitive errors: a pilot study … Immersive high fidelity simulation of critically ill patients to study cognitive errors: a pilot study … May 17, 2018
A prospective study to evaluate awareness about medication errors amongst
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psnet.ahrq.gov/issue/errors-surgery-case-control-study
May 01, 2024 - Study
Errors in surgery: a case control study. … Errors in surgery: a case control study. … Errors in surgery: a case control study. … increased risk of being a reported case of preventable harm in first-line health care: a case-control study … coronary syndrome during telephone triage at out-of-hours primary care: lessons from a case-control study
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psnet.ahrq.gov/issue/hospital-medication-errors-cross-sectional-study
September 30, 2020 - Study
Hospital medication errors: a cross sectional study. … Hospital medication errors: a cross-sectional study. … Hospital medication errors: a cross-sectional study. … Effect of barcode technology on medication preparation safety: a quasi-experimental study … Risk of medication errors and nurses' quality of sleep: a national cross-sectional web survey study
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psnet.ahrq.gov/issue/study-innovative-patient-safety-education
April 28, 2021 - Study
A study of innovative patient safety education. … A study of innovative patient safety education. … A study of innovative patient safety education. … in England throughout the covid-19 pandemic using OpenSAFELY: population based, retrospective cohort study … A randomised crossover study.
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psnet.ahrq.gov/issue/workarounds-hospital-electronic-prescribing-systems-qualitative-study-english-hospitals
December 21, 2022 - Study
Workarounds to hospital electronic prescribing systems: a qualitative study … Workarounds to hospital electronic prescribing systems: a qualitative study in English hospitals. … This study used direct observation and interviews to characterize the types of workarounds used by clinical … Workarounds to hospital electronic prescribing systems: a qualitative study in English hospitals. … A study of the sociotechnical context through the analysis of reported medication incidents.
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psnet.ahrq.gov/issue/preventable-deaths-due-problems-care-english-acute-hospitals-retrospective-case-record-review
July 20, 2022 - Study
Classic
Preventable deaths due to problems in care … in English acute hospitals: a retrospective case record review study. … Preventable deaths due to problems in care in English acute hospitals: a retrospective case record review study … Institute of Medicine's seminal report , is challenged as a significant overestimate in this British study … to predict noncritical events overnight in hospitalized medical patients: a prospective case cohort study
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psnet.ahrq.gov/issue/exploring-impact-pharmacist-supported-medication-reviews-dementia-care-experiences-general
May 08, 2024 - Study
Exploring the impact of pharmacist-supported medication reviews in dementia … This qualitative study evaluated whether integrating pharmacists into care teams at special housing for … Related Resources From the Same Author(s)
Entangled in complexity: an ethnographic study … July 19, 2023
Identifying no-harm incidents in home healthcare: a cohort study using … July 26, 2023
The challenge of risk prevention in home healthcare-an interview study
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psnet.ahrq.gov/issue/linking-transformational-leadership-patient-safety-culture-and-work-engagement-home-care
October 09, 2024 - Study
Emerging Classic
Linking transformational leadership … Using survey data from home healthcare works in Norway, this study examined the relationship between … January 18, 2023
High-risk medication in home care nursing: a Delphi study. … September 7, 2022
Patient safety in home care: a multicenter cross-sectional study about … March 3, 2021
Identifying no-harm incidents in home healthcare: a cohort study using
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psnet.ahrq.gov/issue/skating-thin-ice-consultant-surgeons-contemporary-experience-adverse-surgical-events
April 17, 2024 - Study
'Skating on thin ice?' … This qualitative study used interviews with attending surgeons to identify contributors to adverse events … A cross-sectional study. … January 22, 2014
Workplace bullying in the OR: results of a descriptive study. … A study of patients' and operating room team members' perceptions of error definition, reporting, and
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psnet.ahrq.gov/issue/overnight-stay-emergency-department-and-mortality-older-patients
March 05, 2025 - Study
Overnight stay in the emergency department and mortality in older patients. … In this prospective study, researchers compared the risk of in-hospital mortality among older patients … An observational study of social interactions in the operating rooms of a tertiary hospital. … A randomised crossover study. … October 7, 2020
Interruptions in a level one trauma center: a case study.
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psnet.ahrq.gov/issue/professionalising-patient-safety-findings-mixed-methods-formative-evaluation-patient-safety
August 28, 2024 - Study
Professionalising patient safety? … In this study, current patient safety specialists participated in interviews and/or responded to a survey … , 2017
Learning from high risk industries may not be straightforward: a qualitative study … A multisite case study. … : A qualitative study of hospital doctors' experiences of organisational deafness, disconnect and denial
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psnet.ahrq.gov/issue/leading-quality-and-safety-frontline-case-study-department-leaders-nursing-homes
February 28, 2024 - Study
Leading quality and safety on the frontline - a case study of department leaders … Leading quality and safety on the frontline - a case study of department leaders in nursing homes. … Leading quality and safety on the frontline - a case study of department leaders in nursing homes. … nursing homes: exploring how leaders of nursing homes negotiate their dual responsibilities- a case study … A cross-sectional study.
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psnet.ahrq.gov/issue/interruptions-and-miscommunications-surgery-observational-study
August 11, 2021 - Study
Interruptions and miscommunications in surgery: an observational study. … Interruptions and miscommunications in surgery: an observational study. … Interruptions and miscommunications in surgery: an observational study. … of a brief team training program on surgical teams' nontechnical skills: an interrupted time-series study … An exploratory study.