-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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.
-
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
-
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