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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60232/psn-pdf
    April 15, 2020 - Sustaining innovations in complex health care environments: a multiple-case study of rapid response … Sustaining innovations in complex health care environments: a multiple-case study of rapid response … https://psnet.ahrq.gov/issue/sustaining-innovations-complex-health-care-environments-multiple-case-study … - rapid-response This study examined factors facilitating or inhibiting the sustainability of rapid … Study findings suggest that organizational factors (institutional strength and program champions) and
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60642/psn-pdf
    July 01, 2020 - Opioid prescribing after childbirth and risk for serious opioid-related events: a cohort study. … Opioid Prescribing After Childbirth and Risk for Serious Opioid- Related Events: A Cohort Study. … psnet.ahrq.gov/issue/opioid-prescribing-after-childbirth-and-risk-serious-opioid-related-events- cohort-study … This study prospectively followed 161,318 women who were discharged after childbirth between January … psnet.ahrq.gov/issue/opioid-prescribing-after-childbirth-and-risk-serious-opioid-related-events-cohort-study
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60711/psn-pdf
    July 22, 2020 - Prevalence of Errors in Anaphylaxis in Kids (PEAK): a multicenter simulation-based study. … Prevalence of Errors in Anaphylaxis in Kids (PEAK): a multicenter simulation-based study. … https://psnet.ahrq.gov/issue/prevalence-errors-anaphylaxis-kids-peak-multicenter-simulation-based-study … This simulation study involved 28 hospitals in 6 countries to characterize medication errors involving … The study found that medication administration errors were common and identified latent safety threats
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73570/psn-pdf
    January 01, 2022 - Long-term care nurses' experiences with patient safety incident management: a qualitative study. … Long-term care nurses' experiences with patient safety incident management: a qualitative study. … psnet.ahrq.gov/issue/long-term-care-nurses-experiences-patient-safety-incident-management- qualitative-study … This qualitative study of LTC nurses explored nurses’ experiences managing patient safety incidents … psnet.ahrq.gov/issue/long-term-care-nurses-experiences-patient-safety-incident-management-qualitative-study
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60281/psn-pdf
    April 29, 2020 - A qualitative study of experiences among general practitioners in Norway. … A qualitative study of experiences among general practitioners in Norway. … https://psnet.ahrq.gov/issue/how-can-task-shifting-put-patient-safety-risk-qualitative-study-experiences … - among-general Using qualitative analysis, this study explored the experiences of general practitioners … The study identified several types of adverse events associated with horizontal task shifting, such
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60255/psn-pdf
    April 22, 2020 - Discrepancies in written versus calculated durations in opioid prescriptions: pre-post study. … Discrepancies in written versus calculated durations in opioid prescriptions: pre-post study. … psnet.ahrq.gov/issue/discrepancies-written-versus-calculated-durations-opioid-prescriptions-pre- post-study … This study examined differences in the treatment duration written in an opioid prescription  versus … The study found that making the opioid prescription duration a required field in the electronic health
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47017/psn-pdf
    November 28, 2018 - In pursuit of quality and safety: an 8-year study of clinical peer review best practices in US hospitals … In pursuit of quality and safety: an 8-year study of clinical peer review best practices in US hospitals … https://psnet.ahrq.gov/issue/pursuit-quality-and-safety-8-year-study-clinical-peer-review-best-practices-us … This survey study suggests that adopting certain best practices might make peer review programs more … https://psnet.ahrq.gov/issue/longitudinal-study-clinical-peer-reviews-impact-quality-and-safety-us-hospitals
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837599/psn-pdf
    June 29, 2022 - Differences in medication reconciliation interventions between six hospitals: a mixed method study. … Differences in medication reconciliation interventions between six hospitals: a mixed method study. … psnet.ahrq.gov/issue/differences-medication-reconciliation-interventions-between-six-hospitals- mixed-method-study … In this study, researchers compared data for patients from six hospitals and different clinical departments … psnet.ahrq.gov/issue/differences-medication-reconciliation-interventions-between-six-hospitals-mixed-method-study
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836757/psn-pdf
    March 16, 2022 - Improving communication and teamwork during labor: a feasibility, acceptability, and safety study. … Improving communication and teamwork during labor: A feasibility, acceptability, and safety study. … psnet.ahrq.gov/issue/improving-communication-and-teamwork-during-labor-feasibility-acceptability- and-safety-study … This study evaluated a quality improvement initiative (TeamBirth) designed to promote shared decision-making … This mixed-methods study included both clinicians and patients at four hospitals and found that the
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837767/psn-pdf
    August 03, 2022 - A national prospective cohort study. August 3, 2022 Plint AC, Newton AS, Stang A, et al. … A national prospective cohort study. … ://psnet.ahrq.gov/issue/how-safe-are-paediatric-emergency-departments-national-prospective-cohort- study … This study reports on the proportion of pediatric patients experiencing an AE within 21 days of an emergency … https://psnet.ahrq.gov/issue/adverse-events-paediatric-emergency-department-prospective-cohort-study
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72698/psn-pdf
    February 03, 2021 - The Irish National Adverse Event Study-2 (INAES-2): longitudinal trends in adverse event rates in the … The Irish National Adverse Event Study-2 (INAES-2): longitudinal trends in adverse event rates in the … https://psnet.ahrq.gov/issue/irish-national-adverse-event-study-2-inaes-2-longitudinal-trends-adverse … - event-rates-irish This longitudinal study set in Ireland found that  adverse event rates remained … https://psnet.ahrq.gov/issue/irish-national-adverse-event-study-2-inaes-2-longitudinal-trends-adverse-event-rates-irish
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50628/psn-pdf
    November 06, 2019 - Speaking up about patient safety in psychiatric hospitals - a cross-sectional survey study among healthcare … Speaking up about patient safety in psychiatric hospitals - a cross- sectional survey study among healthcare … //psnet.ahrq.gov/issue/speaking-about-patient-safety-psychiatric-hospitals-cross-sectional-survey- study-among … This study focused on healthcare workers speaking-up behavior in six psychiatric hospitals in Switzerland … https://psnet.ahrq.gov/issue/speaking-about-patient-safety-psychiatric-hospitals-cross-sectional-survey-study-among
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847543/psn-pdf
    April 12, 2023 - What works in medication reconciliation: an on-treatment and site analysis of the MARQUIS2 study. … What works in medication reconciliation: an on-treatment and site analysis of the MARQUIS2 study. … ://psnet.ahrq.gov/issue/what-works-medication-reconciliation-treatment-and-site-analysis-marquis2- study … The MARQUIS2 study examined whether system- and patient-level interventions plus physician mentors can … This analysis based on patient exposure in the MARQUIS2 study found that patient receipt of a best possible
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74260/psn-pdf
    January 19, 2022 - What counts as a voiceable concern in decisions about speaking out in hospitals: a qualitative study … What counts as a voiceable concern in decisions about speaking out in hospitals: a qualitative study … psnet.ahrq.gov/issue/what-counts-voiceable-concern-decisions-about-speaking-out-hospitals- qualitative-study … In this study of 165 frontline and senior leader participants, deciding to report a safety event (referred … psnet.ahrq.gov/issue/what-counts-voiceable-concern-decisions-about-speaking-out-hospitals-qualitative-study
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836923/psn-pdf
    April 13, 2022 - An e-Delphi study to obtain expert consensus on the level of risk associated with preventable e-prescribing … Delphi study to obtain expert consensus on the level of risk associated with preventable e? … https://psnet.ahrq.gov/issue/e-delphi-study-obtain-expert-consensus-level-risk-associated-preventable-e … This study developed a similar simulation tool for use in the UK. … Study participants rated 178 clinical scenarios for likelihood of occurrence, level of associated harm
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843054/psn-pdf
    January 25, 2023 - Exploring nursing-sensitive events in home healthcare: a national multicenter cohort study using a trigger … Exploring nursing-sensitive events in home healthcare: a national multicenter cohort study using a trigger … psnet.ahrq.gov/issue/exploring-nursing-sensitive-events-home-healthcare-national-multicenter- cohort-study-using … In this retrospective study of 600 patient records from ten Swedish home healthcare organizations, researchers … psnet.ahrq.gov/issue/exploring-nursing-sensitive-events-home-healthcare-national-multicenter-cohort-study-using
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47791/psn-pdf
    March 20, 2019 - Essential activities for electronic health record safety: a qualitative study. … Essential activities for electronic health record safety: A qualitative study. … https://psnet.ahrq.gov/issue/essential-activities-electronic-health-record-safety-qualitative-study … This direct observation and interview study examined safety activities associated with electronic health … https://psnet.ahrq.gov/issue/essential-activities-electronic-health-record-safety-qualitative-study https
  18. psnet.ahrq.gov/issue/barriers-and-facilitators-reporting-medical-device-related-pressure-ulcers-qualitative
    April 07, 2019 - Study Barriers and facilitators to reporting medical device-related pressure ulcers … severity and preventability of medication-related visits to the emergency department: a prospective study … suppression are associated with greater risk perceptions among emergency nurses: a cross-sectional study … policies related to COVID-19 on perceived organizational support among U.S. internists: a national study … A cross-sectional study.
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48082/psn-pdf
    June 19, 2019 - Unintended discontinuation of medication following hospitalisation: a retrospective cohort study. … Unintended discontinuation of medication following hospitalisation: a retrospective cohort study. … psnet.ahrq.gov/issue/unintended-discontinuation-medication-following-hospitalisation-retrospective- cohort-study … This retrospective cohort study of patients age 65 and older on chronic medications found that unintentional … psnet.ahrq.gov/issue/unintended-discontinuation-medication-following-hospitalisation-retrospective-cohort-study
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60989/psn-pdf
    October 07, 2020 - The accuracy of preliminary diagnoses made by paramedics - a cross-sectional comparative study. … The accuracy of preliminary diagnoses made by paramedics – a cross-sectional comparative study. … //psnet.ahrq.gov/issue/accuracy-preliminary-diagnoses-made-paramedics-cross-sectional- comparative-study … This cross-sectional study evaluated the accuracy of preliminary diagnoses made by paramedics for … https://psnet.ahrq.gov/issue/accuracy-preliminary-diagnoses-made-paramedics-cross-sectional-comparative-study

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