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2921. How hospital leaders contribute to patient safety through the development of trust. | PSNet
      psnet.ahrq.gov/issue/how-hospital-leaders-contribute-patient-safety-through-development-trust
      January 22, 2014 - Study How hospital leaders contribute to patient safety through the development of … no-harm incidents and adverse events in hospitalized patients with ischemic stroke or TIA: a cohort study … March 28, 2012 Errors in nurse-led triage: an observational study. … December 2, 2020 Nursing skill mix in European hospitals: cross-sectional study of the … : The impact of workload, safety climate, and safety tools on medical errors: a study of intensive care

2922. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47199/psn-pdf
      October 03, 2018 - Patient safety in palliative care: a mixed-methods study of reports to a national database of serious … Patient safety in palliative care: A mixed-methods study of reports to a national database of serious … https://psnet.ahrq.gov/issue/patient-safety-palliative-care-mixed-methods-study-reports-national-database … In this mixed-methods study, researchers analyzed patient safety incidents among patients receiving … psnet.ahrq.gov/issue/patients-perception-types-errors-palliative-care-results-qualitative-interview-study

2923. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34818/psn-pdf
      April 22, 2011 - The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada … The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada … https://psnet.ahrq.gov/issue/canadian-adverse-events-study-incidence-adverse-events-among-hospital- … patients-canada Using methodology originally developed for the Harvard Medical Practice Study, the authors … https://psnet.ahrq.gov/issue/canadian-adverse-events-study-incidence-adverse-events-among-hospital-patients-canada

2924. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43013/psn-pdf
      March 12, 2014 - Laboratory test ordering and results management systems: a qualitative study of safety risks identified … Laboratory test ordering and results management systems: a qualitative study of safety risks identified … https://psnet.ahrq.gov/issue/laboratory-test-ordering-and-results-management-systems-qualitative-study … - safety-risks In this qualitative study, outpatient practice administrators identified weaknesses … This study underscores persisting concerns related to test results management, despite longstanding

2925. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38515/psn-pdf
      March 03, 2011 - Errors in administration of parenteral drugs in intensive care units: multinational prospective study … Errors in administration of parenteral drugs in intensive care units: multinational prospective study … psnet.ahrq.gov/issue/errors-administration-parenteral-drugs-intensive-care-units-multinational- prospective-study … This cross-sectional study, conducted at hospitals in 27 countries, fused voluntary error reports to … psnet.ahrq.gov/issue/errors-administration-parenteral-drugs-intensive-care-units-multinational-prospective-study

2926. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/845074/psn-pdf
      March 02, 2011 - 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. … //psnet.ahrq.gov/issue/preventable-hospital-admissions-related-medication-harm-cost-analysis-harm- study … This study used data from the earlier Hospital Admissions Related to Medication (HARM) study to estimate … https://psnet.ahrq.gov/issue/preventable-hospital-admissions-related-medication-harm-cost-analysis-harm-study

2927. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38545/psn-pdf
      April 22, 2009 - Burns surgery handover study: trainees' assessment of current practice in the British Isles. … Burns surgery handover study: trainees' assessment of current practice in the British Isles. … https://psnet.ahrq.gov/issue/burns-surgery-handover-study-trainees-assessment-current-practice-british … - isles This study conducted telephone questionnaires of trainees and discovered several areas for … https://psnet.ahrq.gov/issue/burns-surgery-handover-study-trainees-assessment-current-practice-british-isles

2928. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40836/psn-pdf
      October 12, 2011 - Exploring varieties of knowledge in safe work practices—an ethnographic study of surgical teams. … Exploring varieties of knowledge in safe work practices - an ethnographic study of surgical teams. … https://psnet.ahrq.gov/issue/exploring-varieties-knowledge-safe-work-practices-ethnographic-study- surgical-teams … This qualitative study used direct observation and in-depth interviews to analyze teamwork practices … https://psnet.ahrq.gov/issue/exploring-varieties-knowledge-safe-work-practices-ethnographic-study-surgical-teams

2929. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37256/psn-pdf
      July 28, 2010 - Evaluating physician performance at individualizing care: a pilot study tracking contextual errors in … Evaluating physician performance at individualizing care: a pilot study tracking contextual errors in … https://psnet.ahrq.gov/issue/evaluating-physician-performance-individualizing-care-pilot-study-tracking … - contextual-errors This study describes a methodology for measuring physician performance and focuses … https://psnet.ahrq.gov/issue/evaluating-physician-performance-individualizing-care-pilot-study-tracking-contextual-errors

2930. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39144/psn-pdf
      June 09, 2011 - Medication safety in community pharmacy: a qualitative study of the sociotechnical context. … Medication safety in community pharmacy: a qualitative study of the sociotechnical context. … https://psnet.ahrq.gov/issue/medication-safety-community-pharmacy-qualitative-study-sociotechnical- … context This human factors study examined components of the work environment in outpatient pharmacies … https://psnet.ahrq.gov/issue/medication-safety-community-pharmacy-qualitative-study-sociotechnical-context

2931. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38581/psn-pdf
      August 27, 2013 - HealthGrades Sixth Annual Patient Safety in American Hospitals Study. … https://psnet.ahrq.gov/issue/healthgrades-sixth-annual-patient-safety-american-hospitals-study This … The limitations of using PSIs as a performance measure have been discussed in a prior study and AHRQ … https://psnet.ahrq.gov/issue/healthgrades-sixth-annual-patient-safety-american-hospitals-study https: … //psnet.ahrq.gov/issue/healthgrades-quality-study-fifth-annual-patient-safety-american-hospitals-study

2932. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38722/psn-pdf
      June 24, 2009 - A study of patients and relatives taking legal action. … A study of patients and relatives taking legal action. Lancet. 1994;343(8913):1609-1613. … https://psnet.ahrq.gov/issue/why-do-people-sue-doctors-study-patients-and-relatives-taking-legal-action … In addition, a case study presented the tension between malpractice claims and patient safety initiatives … This United Kingdom study surveyed 227 patients and relatives who were taking legal action and found

2933. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46303/psn-pdf
      November 21, 2017 - A mixed methods study of 15 organisations in England. … A mixed methods study of 15 organisations in England. … https://psnet.ahrq.gov/issue/how-do-hospital-boards-govern-quality-improvement-mixed-methods-study-15 … - organisations This study used interviews, direct observation of board meetings, and review of important … https://psnet.ahrq.gov/issue/how-do-hospital-boards-govern-quality-improvement-mixed-methods-study-15

2934. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37926/psn-pdf
      July 30, 2008 - Adaptive coordination in cardiac anaesthesia: a study of situational changes in coordination patterns … Adaptive coordination in cardiac anaesthesia: a study of situational changes in coordination patterns … https://psnet.ahrq.gov/issue/adaptive-coordination-cardiac-anaesthesia-study-situational-changes- coordination-patterns … This study used direct observation to evaluate how anesthesia teams engaged in teamwork during cardiac … https://psnet.ahrq.gov/issue/adaptive-coordination-cardiac-anaesthesia-study-situational-changes-coordination-patterns

2935. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42760/psn-pdf
      May 29, 2014 - Senior charge nurses' leadership behaviours in relation to hospital ward safety: a mixed method study … Senior charge nurses' leadership behaviours in relation to hospital ward safety: a mixed method study … psnet.ahrq.gov/issue/senior-charge-nurses-leadership-behaviours-relation-hospital-ward-safety- mixed-method-study … This study conducted in the United Kingdom indicates that supportive, safety-oriented behaviors by … psnet.ahrq.gov/issue/senior-charge-nurses-leadership-behaviours-relation-hospital-ward-safety-mixed-method-study

2936. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39844/psn-pdf
      November 02, 2010 - Safety through redundancy: a case study of in-hospital patient transfers. … Safety through redundancy: a case study of in-hospital patient transfers. … https://psnet.ahrq.gov/issue/safety-through-redundancy-case-study-hospital-patient-transfers This study … https://psnet.ahrq.gov/issue/safety-through-redundancy-case-study-hospital-patient-transfers https:// … psnet.ahrq.gov/issue/observational-study-practice-during-transfer-patients-anaesthetic-room-operating-theatre

2937. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39177/psn-pdf
      May 04, 2010 - 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 … psnet.ahrq.gov/issue/impact-organisational-and-individual-factors-team-communication-surgery- qualitative-study … This qualitative study used interviews with operating room personnel to identify aspects of interpersonal … psnet.ahrq.gov/issue/impact-organisational-and-individual-factors-team-communication-surgery-qualitative-study

2938. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38657/psn-pdf
      September 27, 2016 - Medication Administration Time Study (MATS): nursing staff performance of medication administration. … Medication Administration Time Study (MATS): nursing staff performance of medication administration. … https://psnet.ahrq.gov/issue/medication-administration-time-study-mats-nursing-staff-performance- medication-administration … This study analyzed nursing workflow during medication administration and found that the potential … https://psnet.ahrq.gov/issue/medication-administration-time-study-mats-nursing-staff-performance-medication-administration

2939. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38588/psn-pdf
      July 13, 2009 - Nursing student medication errors involving tubing and catheters: a descriptive study. … Nursing student medication errors involving tubing and catheters: A descriptive study. … psnet.ahrq.gov/issue/nursing-student-medication-errors-involving-tubing-and-catheters-descriptive- study … This study describes characteristics associated with various tubing- and catheter-related errors, and … //psnet.ahrq.gov/issue/nursing-student-medication-errors-involving-tubing-and-catheters-descriptive-study

2940. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35529/psn-pdf
      May 27, 2011 - Case study: identifying potential problems at the human/technical interface in complex clinical systems … Case study: identifying potential problems at the human/technical interface in complex clinical systems … https://psnet.ahrq.gov/issue/case-study-identifying-potential-problems-humantechnical-interface-complex … - clinical-systems The authors present a case study to illustrate system vulnerabilities related to … https://psnet.ahrq.gov/issue/case-study-identifying-potential-problems-humantechnical-interface-complex-clinical-systems