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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43187/psn-pdf
    May 28, 2014 - Governance of quality of care: a qualitative study of health service boards in Victoria, Australia. … Governance of quality of care: a qualitative study of health service boards in Victoria, Australia. … https://psnet.ahrq.gov/issue/governance-quality-care-qualitative-study-health-service-boards-victoria … - australia This qualitative study found that most health care leaders believe that board members have … https://psnet.ahrq.gov/issue/governance-quality-care-qualitative-study-health-service-boards-victoria-australia
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44902/psn-pdf
    February 24, 2016 - Barriers to incident-reporting behavior among nursing staff: a study based on the theory of planned … Barriers to incident-reporting behavior among nursing staff: A study based on the theory of planned … https://psnet.ahrq.gov/issue/barriers-incident-reporting-behavior-among-nursing-staff-study-based-theory … This study examined how nurses' individual characteristics, values, and attitudes affect their willingness … https://psnet.ahrq.gov/issue/barriers-incident-reporting-behavior-among-nursing-staff-study-based-theory-planned-behavior
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41845/psn-pdf
    October 08, 2013 - : The impact of workload, safety climate, and safety tools on medical errors: a study of intensive … The impact of workload, safety climate, and safety tools on medical errors: a study of intensive care … psnet.ahrq.gov/issue/attitude-everything-impact-workload-safety-climate-and-safety-tools-medical- errors-study … This cross-sectional study found that production pressures impaired patient safety in intensive care … psnet.ahrq.gov/issue/attitude-everything-impact-workload-safety-climate-and-safety-tools-medical-errors-study
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33932/psn-pdf
    May 27, 2011 - Preventable anesthesia mishaps: a study of human factors. … Preventable anesthesia mishaps: a study of human factors. Anesthesiology. 1978;49(6):399-406. … https://psnet.ahrq.gov/issue/preventable-anesthesia-mishaps-study-human-factors This study reports on … This methodology aims to translate anecdotal experiences into systematic study of human performance. … https://psnet.ahrq.gov/issue/preventable-anesthesia-mishaps-study-human-factors https://psnet.ahrq.gov
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43251/psn-pdf
    June 11, 2014 - 'Saying it without words': a qualitative study of oncology staff's experiences with speaking up about … 'Saying it without words': a qualitative study of oncology staff's experiences with speaking up about … https://psnet.ahrq.gov/issue/saying-it-without-words-qualitative-study-oncology-staffs-experiences- … speaking-about-safety Using semistructured interviews with experienced oncology nurses and doctors, this study … https://psnet.ahrq.gov/issue/saying-it-without-words-qualitative-study-oncology-staffs-experiences-speaking-about-safety
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46077/psn-pdf
    September 06, 2017 - Patients' reports of adverse events: a data linkage study of Australian adults aged 45 years and over … Patients' reports of adverse events: a data linkage study of Australian adults aged 45 years and over … https://psnet.ahrq.gov/issue/patients-reports-adverse-events-data-linkage-study-australian-adults-aged … -45- years-and-over This study elicited patients' reports of adverse events during hospitalization. … https://psnet.ahrq.gov/issue/patients-reports-adverse-events-data-linkage-study-australian-adults-aged
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42894/psn-pdf
    January 29, 2014 - An exploratory study of knowledge brokering in hospital settings: facilitating knowledge sharing and … An exploratory study of knowledge brokering in hospital settings: facilitating knowledge sharing and … https://psnet.ahrq.gov/issue/exploratory-study-knowledge-brokering-hospital-settings-facilitating- knowledge-sharing-and … This study explores the different ways that risk managers, risk officers, clinical leaders, and professional … https://psnet.ahrq.gov/issue/exploratory-study-knowledge-brokering-hospital-settings-facilitating-knowledge-sharing-and
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42092/psn-pdf
    March 06, 2013 - Relationships of multitasking, physicians' strain, and performance: an observational study in ward physicians … Relationships of multitasking, physicians' strain, and performance: an observational study in ward physicians … //psnet.ahrq.gov/issue/relationships-multitasking-physicians-strain-and-performance-observational- study-ward … This German time-and-motion study found that multitasking is common among hospital physicians and that … https://psnet.ahrq.gov/issue/relationships-multitasking-physicians-strain-and-performance-observational-study-ward
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44706/psn-pdf
    November 25, 2015 - Examining variations in prescribing safety in UK general practice: cross sectional study using the Clinical … Examining variations in prescribing safety in UK general practice: cross sectional study using the Clinical … /psnet.ahrq.gov/issue/examining-variations-prescribing-safety-uk-general-practice-cross-sectional- study-using … This cross-sectional study in the United Kingdom found wide variation in the prevalence of potentially … ://psnet.ahrq.gov/issue/examining-variations-prescribing-safety-uk-general-practice-cross-sectional-study-using
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43715/psn-pdf
    November 26, 2014 - An intervention to improve transitions from NICU to ambulatory care: quasi-experimental study. … An intervention to improve transitions from NICU to ambulatory care: quasi-experimental study. … https://psnet.ahrq.gov/issue/intervention-improve-transitions-nicu-ambulatory-care-quasi-experimental- study … This AHRQ-funded cohort study used insights from a failure modes and effects analysis to provide dedicated … https://psnet.ahrq.gov/issue/intervention-improve-transitions-nicu-ambulatory-care-quasi-experimental-study
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47538/psn-pdf
    January 23, 2019 - A qualitative study with nursing staff. January 23, 2019 Keers RN, Plácido M, Bennett K, et al. … A qualitative study with nursing staff. PLoS One. 2018;13(10):e0206233. … psnet.ahrq.gov/issue/what-causes-medication-administration-errors-mental-health-hospital- qualitative-study-nursing … This interview study used a human factors method, the critical incident technique, to identify underlying … psnet.ahrq.gov/issue/what-causes-medication-administration-errors-mental-health-hospital-qualitative-study-nursing
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39339/psn-pdf
    April 01, 2010 - Sex differences in operating room care giver perceptions of patient safety: a pilot study from the Veterans … Sex differences in operating room care giver perceptions of patient safety: a pilot study from the Veterans … //psnet.ahrq.gov/issue/sex-differences-operating-room-care-giver-perceptions-patient-safety-pilot- study-veterans … This study found that women were significantly more likely to report less favorable perceptions of … https://psnet.ahrq.gov/issue/sex-differences-operating-room-care-giver-perceptions-patient-safety-pilot-study-veterans
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43412/psn-pdf
    May 28, 2015 - An observational study of how patients are identified before medication administrations in medical and … An observational study of how patients are identified before medication administrations in medical and … https://psnet.ahrq.gov/issue/observational-study-how-patients-are-identified-medication-administrations … - medical-and This direct observation study found that verifying patients' identity prior to medication … https://psnet.ahrq.gov/issue/observational-study-how-patients-are-identified-medication-administrations-medical-and
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41305/psn-pdf
    April 18, 2012 - A prospective surveillance study in walk-in patients with non-life-threatening medical conditions. … A prospective surveillance study in walk-in patients with non-life-threatening medical conditions. … https://psnet.ahrq.gov/issue/computer-assisted-telephone-triage-safe-prospective-surveillance-study-walk … - patients-non-life This study compared assessments of hospital physicians, primary care physicians … https://psnet.ahrq.gov/issue/computer-assisted-telephone-triage-safe-prospective-surveillance-study-walk-patients-non-life
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45420/psn-pdf
    December 04, 2016 - Patients' perception of types of errors in palliative care—results from a qualitative interview study … Patients' perception of types of errors in palliative care - results from a qualitative interview study … psnet.ahrq.gov/issue/patients-perception-types-errors-palliative-care-results-qualitative-interview- study … This qualitative interview study of patients who received palliative care identified errors specific … psnet.ahrq.gov/issue/patients-perception-types-errors-palliative-care-results-qualitative-interview-study
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44647/psn-pdf
    November 18, 2015 - An organisation without a memory: a qualitative study of hospital staff perceptions on reporting and … An organisation without a memory: A qualitative study of hospital staff perceptions on reporting and … https://psnet.ahrq.gov/issue/organisation-without-memory-qualitative-study-hospital-staff-perceptions … - reporting-and This qualitative study found that despite the public outcry over care standards at … https://psnet.ahrq.gov/issue/organisation-without-memory-qualitative-study-hospital-staff-perceptions-reporting-and
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45151/psn-pdf
    May 18, 2016 - Role of relatives of ethnic minority patients in patient safety in hospital care: a qualitative study … Role of relatives of ethnic minority patients in patient safety in hospital care: a qualitative study … psnet.ahrq.gov/issue/role-relatives-ethnic-minority-patients-patient-safety-hospital-care-qualitative- study … This study used interviews with health care providers, patients, and caregivers to explore the safety … psnet.ahrq.gov/issue/role-relatives-ethnic-minority-patients-patient-safety-hospital-care-qualitative-study
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45812/psn-pdf
    June 22, 2017 - A primer on PDSA: executing plan–do–study–act cycles in practice, not just in name. … A primer on PDSA: executing plan-do-study-act cycles in practice, not just in name. … https://psnet.ahrq.gov/issue/primer-pdsa-executing-plan-do-study-act-cycles-practice-not-just-name Although … plan–do–study–act (PDSA) cycles were promoted as an in-depth rapid-cycle improvement mechanism, this … https://psnet.ahrq.gov/issue/primer-pdsa-executing-plan-do-study-act-cycles-practice-not-just-name https
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40984/psn-pdf
    September 01, 2016 - Provider and pharmacist responses to warfarin drug–drug interaction alerts: a study of healthcare downstream … Provider and pharmacist responses to warfarin drug-drug interaction alerts: a study of healthcare downstream … https://psnet.ahrq.gov/issue/provider-and-pharmacist-responses-warfarin-drug-drug-interaction-alerts- study-healthcare … This study highlights the role of alert fatigue and provider overrides in contributing to warfarin-related … https://psnet.ahrq.gov/issue/provider-and-pharmacist-responses-warfarin-drug-drug-interaction-alerts-study-healthcare
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45301/psn-pdf
    April 22, 2017 - Reviewing deaths in British and US hospitals: a study of two scales for assessing preventability. … Reviewing deaths in British and US hospitals: a study of two scales for assessing preventability. … https://psnet.ahrq.gov/issue/reviewing-deaths-british-and-us-hospitals-study-two-scales-assessing- preventability … Comparing two scales that assess preventability for mortality, this study found that there is high variability … https://psnet.ahrq.gov/issue/reviewing-deaths-british-and-us-hospitals-study-two-scales-assessing-preventability

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