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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
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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
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psnet.ahrq.gov/issue/exploring-mediating-effects-between-nursing-leadership-and-patient-safety-person-centred
October 08, 2016 - Study
Exploring mediating effects between nursing leadership and patient safety from … October 8, 2016
When doctors share visit notes with patients: a study of patient and … March 22, 2023
Publication of inspection frameworks: a qualitative study exploring the … Speaking up as an extension of socio-cultural dynamics in hospital settings: a study … August 5, 2020
Public sector organizational failure: a study of collective denial in
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psnet.ahrq.gov/node/43286/psn-pdf
June 25, 2014 - Codifying knowledge to improve patient safety: a
qualitative study of practice-based interventions. … Codifying knowledge to improve patient safety: a qualitative study
of practice-based interventions. … https://psnet.ahrq.gov/issue/codifying-knowledge-improve-patient-safety-qualitative-study-practice-based … -
interventions
This qualitative study used morbidity and mortality conferences and medication safety … https://psnet.ahrq.gov/issue/codifying-knowledge-improve-patient-safety-qualitative-study-practice-based-interventions
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psnet.ahrq.gov/node/42574/psn-pdf
December 21, 2014 - Physicians' diagnostic accuracy, confidence, and
resource requests: a vignette study. … Physicians' diagnostic accuracy, confidence, and resource
requests: a vignette study. … https://psnet.ahrq.gov/issue/physicians-diagnostic-accuracy-confidence-and-resource-requests-vignette-
study … https://psnet.ahrq.gov/issue/physicians-diagnostic-accuracy-confidence-and-resource-requests-vignette-study … https://psnet.ahrq.gov/issue/physicians-diagnostic-accuracy-confidence-and-resource-requests-vignette-study
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psnet.ahrq.gov/node/39900/psn-pdf
October 06, 2010 - Computerized physician order entry of injectable
antineoplastic drugs: an epidemiologic study of
prescribing … Computerized physician order entry of injectable antineoplastic
drugs: an epidemiologic study of prescribing … psnet.ahrq.gov/issue/computerized-physician-order-entry-injectable-antineoplastic-drugs-
epidemiologic-study … The incidence of prescribing errors for chemotherapy drugs remained relatively high in this study, … psnet.ahrq.gov/issue/computerized-physician-order-entry-injectable-antineoplastic-drugs-epidemiologic-study
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psnet.ahrq.gov/node/42369/psn-pdf
September 19, 2013 - Patient safety in healthcare preregistration educational
curricula: multiple case study-based investigations … Patient safety in healthcare preregistration educational curricula:
multiple case study-based investigations … psnet.ahrq.gov/issue/patient-safety-healthcare-preregistration-educational-curricula-multiple-case-
study-based … This qualitative case study explored patient safety education across health care professional student … /psnet.ahrq.gov/issue/patient-safety-healthcare-preregistration-educational-curricula-multiple-case-study-based
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psnet.ahrq.gov/node/41240/psn-pdf
October 19, 2012 - Prescriptions analysis by clinical pharmacists in the post-
operative period: a 4-year prospective study … Prescriptions analysis by clinical pharmacists in the post-
operative period: a 4-year prospective study … psnet.ahrq.gov/issue/prescriptions-analysis-clinical-pharmacists-post-operative-period-4-year-
prospective-study … This study found that pharmacist intervention can detect a significant number of medication-related … psnet.ahrq.gov/issue/prescriptions-analysis-clinical-pharmacists-post-operative-period-4-year-prospective-study
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psnet.ahrq.gov/node/39458/psn-pdf
April 12, 2011 - Hospital admission medication reconciliation in medically
complex children: an observational study. … Hospital admission medication reconciliation in medically
complex children: an observational study. … psnet.ahrq.gov/issue/hospital-admission-medication-reconciliation-medically-complex-children-
observational-study … This study documents the challenges in implementing medication reconciliation in a children's hospital … psnet.ahrq.gov/issue/hospital-admission-medication-reconciliation-medically-complex-children-observational-study
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psnet.ahrq.gov/node/37983/psn-pdf
November 03, 2008 - A prospective study of factors influencing the outcome of
patients after a Medical Emergency Team review … A prospective study of factors influencing the outcome of patients after
a Medical Emergency Team review … https://psnet.ahrq.gov/issue/prospective-study-factors-influencing-outcome-patients-after-medical-
emergency-team-review … activating a medical emergency team was associated with adverse clinical outcomes in this
Australian study … https://psnet.ahrq.gov/issue/prospective-study-factors-influencing-outcome-patients-after-medical-emergency-team-review
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psnet.ahrq.gov/node/39656/psn-pdf
July 07, 2010 - A questionnaire study of blood
collection practices in primary health care. … A questionnaire study of blood
collection practices in primary health care. … https://psnet.ahrq.gov/issue/test-result-correct-questionnaire-study-blood-collection-practices-primary … -
health-care
This study in Swedish primary care clinics revealed that recommended practices to prevent … https://psnet.ahrq.gov/issue/test-result-correct-questionnaire-study-blood-collection-practices-primary-health-care
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psnet.ahrq.gov/node/41966/psn-pdf
January 30, 2013 - Reasons for not reporting patient safety incidents in
general practice: a qualitative study. … Reasons for not reporting patient safety incidents in general
practice: a qualitative study. … /psnet.ahrq.gov/issue/reasons-not-reporting-patient-safety-incidents-general-practice-qualitative-
study … This study investigates underlying reasons for low rates of reporting patient safety incidents by general … ://psnet.ahrq.gov/issue/reasons-not-reporting-patient-safety-incidents-general-practice-qualitative-study
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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
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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
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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
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psnet.ahrq.gov/node/40681/psn-pdf
March 19, 2012 - Nurses' perceptions of an electronic patient record from a
patient safety perspective: a qualitative study … Nurses' perceptions of an electronic patient record from a patient safety
perspective: a qualitative study … psnet.ahrq.gov/issue/nurses-perceptions-electronic-patient-record-patient-safety-perspective-
qualitative-study … This qualitative study among Swedish nurses found that many perceived their electronic medical record … psnet.ahrq.gov/issue/nurses-perceptions-electronic-patient-record-patient-safety-perspective-qualitative-study
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psnet.ahrq.gov/node/44640/psn-pdf
February 20, 2016 - The problem with Plan-Do-Study-Act cycles.
February 20, 2016
Reed JE, Card AJ. … The problem with Plan-Do-Study-Act cycles. BMJ Qual Saf. 2016;25(3):147-52. … https://psnet.ahrq.gov/issue/problem-plan-do-study-act-cycles
Rapid-cycle improvement methods have been … This commentary explores how insufficient implementation of
plan-do-study-act cycles can hinder its … https://psnet.ahrq.gov/issue/problem-plan-do-study-act-cycles
https://psnet.ahrq.gov/issue/improvement-guide-practical-approach-enhancing-organizational-performance
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psnet.ahrq.gov/node/41778/psn-pdf
January 18, 2013 - An observational study of the frequency, severity, and
etiology of failures in postoperative care after … An observational study of the frequency, severity, and
etiology of failures in postoperative care after … https://psnet.ahrq.gov/issue/observational-study-frequency-severity-and-etiology-failures-postoperative … -
care-after-major
This observational study at a large teaching hospital found that process failures … https://psnet.ahrq.gov/issue/observational-study-frequency-severity-and-etiology-failures-postoperative-care-after-major
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psnet.ahrq.gov/node/37328/psn-pdf
January 05, 2012 - Training operating room teams in damage control surgery
for trauma: a followup study of the Norwegian … Training operating room teams in damage control surgery for
trauma: a followup study of the Norwegian … https://psnet.ahrq.gov/issue/training-operating-room-teams-damage-control-surgery-trauma-followup-study … -
norwegian-model
This study discovered that trauma team members valued the effect of a team-oriented … https://psnet.ahrq.gov/issue/training-operating-room-teams-damage-control-surgery-trauma-followup-study-norwegian-model
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psnet.ahrq.gov/node/41081/psn-pdf
February 01, 2012 - Workarounds in the use of IS in healthcare: a case study
of an electronic medication administration … Workarounds in the use of IS in healthcare: A case study of an
electronic medication administration … https://psnet.ahrq.gov/issue/workarounds-use-healthcare-case-study-electronic-medication-administration … -
system
This case study of electronic medical record implementation at a public hospital provides … https://psnet.ahrq.gov/issue/workarounds-use-healthcare-case-study-electronic-medication-administration-system