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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41166/psn-pdf
    February 29, 2012 - Triangulating case-finding tools for patient safety surveillance: a cross-sectional case study of puncture … Triangulating case-finding tools for patient safety surveillance: a cross-sectional case study of puncture … psnet.ahrq.gov/issue/triangulating-case-finding-tools-patient-safety-surveillance-cross-sectional- case-study … This study found that four existing case detection tools, including the AHRQ Patient Safety Indicators … Similar to a past study, the authors advocate for a strategy combining detection methods rather than
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37543/psn-pdf
    March 03, 2011 - Rates of medication errors among depressed and burnt out residents: prospective cohort study. … Rates of medication errors among depressed and burnt out residents: prospective cohort study. … Although extended shifts were associated with self-reported attentional failures in one study, other … To assess for depression or burnout, this prospective study surveyed pediatric residents and correlated … This study adds to a growing body of research suggesting that emotional stressors as well as work hours
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43590/psn-pdf
    October 08, 2014 - Disentangling quality and safety indicator data: a longitudinal, comparative study of hand hygiene … Disentangling quality and safety indicator data: a longitudinal, comparative study of hand hygiene compliance … - hand-hygiene This large Australian study sought to examine whether hand hygiene compliance rates … The study revealed that hand hygiene rates across 118 acute hospitals in New South Wales improved from … A previous study from Canada found that increasing overall hand hygiene adherence did not result in
  4. 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
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45978/psn-pdf
    May 03, 2017 - Nursing interruptions in a trauma intensive care unit: a prospective observational study. … Nursing Interruptions in a Trauma Intensive Care Unit: A Prospective Observational Study. … //psnet.ahrq.gov/issue/nursing-interruptions-trauma-intensive-care-unit-prospective-observational- study … This direct observation study demonstrated that intensive care unit nurses were interrupted about every … The authors conclude that further study is needed to determine the clinical significance of interruptions
  6. 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
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44347/psn-pdf
    November 20, 2015 - An experimental study of medical error explanations: do apology, empathy, corrective action, and compensation … An Experimental Study of Medical Error Explanations: Do Apology, Empathy, Corrective Action, and Compensation … https://psnet.ahrq.gov/issue/experimental-study-medical-error-explanations-do-apology-empathy- corrective-action-and … This simulation study of the disclosure process following a medical error demonstrates the importance … This study also confirms the role of error severity in the decision to seek compensation, consistent
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44156/psn-pdf
    November 10, 2015 - Exploring the role of communications in quality improvement: a case study of the 1000 Lives Campaign … Exploring the role of communications in quality improvement: A case study of the 1000 Lives Campaign … https://psnet.ahrq.gov/issue/exploring-role-communications-quality-improvement-case-study-1000-lives- … campaign-nhs-wales This study examined how a quality improvement effort was communicated to frontline … safety programs incorporate structured communication to frontline staff, but they suggest further study
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36342/psn-pdf
    March 02, 2011 - Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims. … Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims. … https://psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-ambulatory-setting-study-closed-malpractice … This study analyzed data from malpractice claims at four liability insurers, similar to companion studies … https://psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-ambulatory-setting-study-closed-malpractice-claims
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44545/psn-pdf
    December 20, 2017 - Work conditions, mental workload and patient care quality: a multisource study in the emergency department … Work conditions, mental workload and patient care quality: a multisource study in the emergency department … https://psnet.ahrq.gov/issue/work-conditions-mental-workload-and-patient-care-quality-multisource-study … This mixed-method study in a medium-sized community emergency department (ED) found that ED personnels … Similar to a prior study by some of the same authors, interruptions were common and associated with
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44599/psn-pdf
    December 09, 2015 - Association between day of delivery and obstetric outcomes: observational study. … Association between day of delivery and obstetric outcomes: observational study. … https://psnet.ahrq.gov/issue/association-between-day-delivery-and-obstetric-outcomes-observational-study … In this retrospective observational study, investigators examined maternal and neonatal quality measures … This study is consistent with prior work suggesting patient safety vulnerabilities during the weekend
  12. 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
  13. 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
  14. 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
  15. 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
  16. 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
  17. 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
  18. 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
  19. 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
  20. 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

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