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psnet.ahrq.gov/issue/why-do-systems-responding-concerns-and-complaints-so-often-fail-patients-families-and
June 16, 2021 - Study
Why do systems for responding to concerns and complaints so often fail patients … A qualitative study. Soc Sci Med. 2021;287:114375. doi:10.1016/j.socscimed.2021.114375. … A qualitative study. Soc Sci Med. 2021;287:114375. doi:10.1016/j.socscimed.2021.114375. … Findings from a retrospective study design. … December 14, 2022
Using clinical simulation to study how to improve quality and safety
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psnet.ahrq.gov/issue/reducing-unacceptable-missed-doses-pharmacy-assistant-supported-medicine-administration
June 07, 2023 - Study
Reducing unacceptable missed doses: pharmacy assistant–supported medicine administration … these findings suggest a possible robust solution to this common problem, major limitations to this study … include the brief study period and the lack of an economic analysis to support the feasibility of this … National Surgical Quality Improvement Program in the private sector: the Patient Safety in Surgery study … Defining avoidable healthcare-associated harm in prisons: a mixed-method development study
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psnet.ahrq.gov/issue/nurses-experiences-drug-administration-errors
October 14, 2020 - Study
Nurses' experiences of drug administration errors. … This qualitative study describes the experiences of nurses who committed serious medication errors … concerning ICU patients’ families in the handover—the clinicians’ “game of whispers”: a qualitative study … December 5, 2012
Green Cross method in a postanaesthesia care unit: a qualitative study … October 13, 2018
Patient involvement for improved patient safety: a qualitative study
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psnet.ahrq.gov/issue/hospitals-study-when-apologize-patients
August 24, 2016 - Newspaper/Magazine Article
Hospitals study when to apologize to patients. … Citation Text:
Hospitals study when to apologize to patients. Kowalczyk L. … Copy URL
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Hospitals study … Managing the after effects of serious patient safety incidents in the NHS: an online survey study
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psnet.ahrq.gov/issue/comprehensive-pharmacist-intervention-reduce-morbidity-patients-80-years-or-older-randomized
October 28, 2020 - Study
A comprehensive pharmacist intervention to reduce morbidity in patients 80 … This study evaluated the effect of integrating clinical pharmacists into medical teams caring for geriatric … The interventions carried out by the pharmacists in this study, particularly at the time of discharge … in multidose-dispensed medications on discharge from hospital: an observational and interventional study … Differences in medication reconciliation interventions between six hospitals: a mixed method study
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psnet.ahrq.gov/issue/individualized-medication-review-older-people-multimorbidity-comparative-analysis-between
May 04, 2022 - Study
Individualized medication review in older people with multimorbidity: a comparative … This study found that up to 90% of older adults had at least one inappropriate prescription regardless … April 6, 2022
Development, pilot study, and psychometric analysis of the AHRQ Surveys … June 29, 2022
Patients who die by suicide: a study of treatment patterns and patient … October 4, 2023
Handling polypharmacy--a qualitative study using focus group interviews
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psnet.ahrq.gov/issue/surgery-itself-risk-factor-patient
November 18, 2020 - Study
Surgery is in itself a risk factor for the patient. … no-harm incidents and adverse events in hospitalized patients with ischemic stroke or TIA: a cohort study … April 20, 2022
Patients who die by suicide: a study of treatment patterns and patient … May 25, 2022
Development, pilot study, and psychometric analysis of the AHRQ Surveys … An ethnographic study across surgical specialties.
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psnet.ahrq.gov/issue/work-effort-readability-and-quality-pharmacy-transcription-patient-directions-electronic
June 29, 2022 - Study
Work effort, readability and quality of pharmacy transcription of patient directions … This retrospective study found that about half of the patient directions on e-prescriptions contained … subsequent coronary artery bypass grafting procedures in a day: a retrospective comparative cohort study … July 19, 2019
Publication of inspection frameworks: a qualitative study exploring the … June 1, 2022
When doctors share visit notes with patients: a study of patient and doctor
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psnet.ahrq.gov/issue/patient-harm-general-surgery-prospective-study
November 16, 2022 - Study
Patient harm in general surgery--a prospective study. … Patient Harm in General Surgery-A Prospective Study. … Patient Harm in General Surgery-A Prospective Study. … Understanding the enablers and barriers to implementing a patient-led escalation system: a qualitative study … August 29, 2012
The American College of Surgeons' closed claims study: new insights for
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psnet.ahrq.gov/issue/registered-nurses-efforts-ensure-safety-home-dwelling-older-patients
July 19, 2019 - Study
Registered nurses' efforts to ensure safety for home-dwelling older patients … This qualitative study with 13 registered nurses in Sweden explored how nurses ensure safe home health … July 19, 2019
Patient involvement for improved patient safety: a qualitative study of … Results from a cross sectional study. … July 5, 2023
Patient safety in home health care: a grounded theory study.
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psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-events-and-no-harm-incidents-affect-patients
August 05, 2020 - Study
Development of a trigger tool to identify adverse events and no-harm incidents … This study describes the development and validation of a trigger tool to identify possible adverse … Exploring nursing-sensitive events in home healthcare: a national multicenter cohort study … An evaluation of the "Harvard Medical Practice Study" method and the "Global Trigger Tool." … February 22, 2023
High-risk medication in home care nursing: a Delphi study.
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psnet.ahrq.gov/issue/empowering-telemetry-technicians-and-enhancing-communication-improve-hospital-cardiac-arrest
April 12, 2023 - Study
Empowering telemetry technicians and enhancing communication to improve in-hospital … This study assessed the impact of a bundled, multicomponent intervention to empower telemetry technicians … May 19, 2021
Journal Article
Study … Results from the Healthy Work Place Study. … April 27, 2022
We are not there yet: a qualitative system probing study of a hospital
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psnet.ahrq.gov/issue/physician-and-nurse-well-being-patient-safety-and-recommendations-interventions-cross
September 09, 2020 - Study
Physician and nurse well-being, patient safety and recommendations for interventions … Results of this study of physicians and nurses in six European hospitals show poor work/life balance, … July 28, 2021
Role of the regulator in enabling a just culture: a qualitative study in … August 10, 2022
The Irish National Adverse Event Study-2 (INAES-2): longitudinal trends … April 3, 2024
A qualitative study of systems-level factors that affect rural obstetric
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psnet.ahrq.gov/issue/hospital-night-organizational-design-provides-safer-care-night
November 16, 2022 - Study
Hospital at night: an organizational design that provides safer care at night … This case study from the United Kingdom describes organizational changes to enhance nighttime care in … (s)
Unintended consequences of patient online access to health records: a qualitative study … November 16, 2022
Unintended consequences of online consultations: a qualitative study … March 6, 2013
Putting the 'patient' in patient safety: a qualitative study of consumer
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psnet.ahrq.gov/issue/medication-related-hospital-readmissions-within-30-days-discharge-prevalence-preventability
April 27, 2022 - Study
Medication-related hospital readmissions within 30 days of discharge: prevalence … Preventable hospital admissions related to medication (HARM): cost analysis of the HARM study … Differences in medication reconciliation interventions between six hospitals: a mixed method study … mental health settings: findings from the MedicAtion relateD harm in mEntal health hospitals (MADE) study … in patients' medication lists reported by patients in personal health records: a prospective cohort study
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psnet.ahrq.gov/issue/adverse-events-patients-home-healthcare-retrospective-record-review-using-trigger-tool
August 05, 2020 - Study
Adverse events in patients in home healthcare: a retrospective record review … In this study, researchers used trigger tools to identify adverse events among patients receiving … Exploring nursing-sensitive events in home healthcare: a national multicenter cohort study … An evaluation of the "Harvard Medical Practice Study" method and the "Global Trigger Tool." … A laboratory experiment and field study in cardiac rehabilitation.
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psnet.ahrq.gov/issue/culture-and-behaviour-english-national-health-service-overview-lessons-large-multimethod
May 01, 2015 - Study
Classic
Culture and behaviour in the English National … Health Service: overview of lessons from a large multimethod study. … and behaviour in the English National Health Service: overview of lessons from a large multimethod study … A qualitative study. … A multisite case study.
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psnet.ahrq.gov/issue/qualitative-study-speaking-out-about-patient-safety-concerns-intensive-care-units
August 21, 2013 - Study
A qualitative study of speaking out about patient safety concerns in intensive … A qualitative study of speaking out about patient safety concerns in intensive care units. … A qualitative study of speaking out about patient safety concerns in intensive care units. … A multisite case study. … A single-center study.
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psnet.ahrq.gov/issue/unintended-consequences-online-consultations-qualitative-study-uk-primary-care
November 16, 2022 - Study
Unintended consequences of online consultations: a qualitative study in UK … Unintended consequences of online consultations: a qualitative study in UK primary care. … Unintended consequences of online consultations: a qualitative study in UK primary care. … (s)
Unintended consequences of patient online access to health records: a qualitative study … 'I guess I'll wait to hear'- communication of blood test results in primary care a qualitative study
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psnet.ahrq.gov/issue/novel-study-situational-awareness-among-out-hospital-providers-during-online-clinical
June 08, 2022 - Study
A novel study of situational awareness among out-of-hospital providers during … A novel study of situational awareness among out-of-hospital providers during an online clinical simulation … A novel study of situational awareness among out-of-hospital providers during an online clinical simulation … Periodic resuscitation cart checks and nurse situational awareness: an observational study … Adverse events among emergency department patients with cardiovascular conditions: a multicenter study