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psnet.ahrq.gov/node/44547/psn-pdf
November 25, 2015 - Monitoring patient safety in primary care: an exploratory
study using in-depth semistructured interviews … Monitoring patient safety in primary care: an exploratory study using in-depth
semistructured interviews … https://psnet.ahrq.gov/issue/monitoring-patient-safety-primary-care-exploratory-study-using-depth-
semistructured … This study reviews insights from interviews of primary care physicians, practice nurses, practice managers … https://psnet.ahrq.gov/issue/monitoring-patient-safety-primary-care-exploratory-study-using-depth-semistructured
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psnet.ahrq.gov/node/43097/psn-pdf
April 23, 2014 - A study of staff perspectives.
April 23, 2014
Van Noord IV-, Wagner C, van Dyck C, et al. … A study of staff perspectives. Int J Qual Health Care. 2014;26(1):64-70. … https://psnet.ahrq.gov/issue/culture-associated-patient-safety-emergency-department-study-staff-
perspectives … This study highlights the increasingly widespread use of
safety culture surveys in clinical settings … https://psnet.ahrq.gov/issue/culture-associated-patient-safety-emergency-department-study-staff-perspectives
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psnet.ahrq.gov/node/45182/psn-pdf
June 08, 2016 - An observational study to evaluate the usability and
intent to adopt an artificial intelligence–powered … An Observational Study to Evaluate the Usability and Intent to Adopt an
Artificial Intelligence-Powered … https://psnet.ahrq.gov/issue/observational-study-evaluate-usability-and-intent-adopt-artificial-intelligence … -
powered
This study describes the development of a tablet-based program that includes artificial intelligence … https://psnet.ahrq.gov/issue/observational-study-evaluate-usability-and-intent-adopt-artificial-intelligence-powered
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psnet.ahrq.gov/node/44997/psn-pdf
July 21, 2016 - A multisite controlled before-after study. … A multisite controlled before-after study. … psnet.ahrq.gov/issue/crew-resource-management-training-intensive-care-unit-multisite-controlled-
after-study … This study found that classroom-based crew resource management training for intensive care unit staff … psnet.ahrq.gov/issue/crew-resource-management-training-intensive-care-unit-multisite-controlled-after-study
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psnet.ahrq.gov/node/47274/psn-pdf
November 21, 2018 - Developing a hospital-wide quality and safety dashboard:
a qualitative research study. … Developing a hospital-wide quality and safety
dashboard: a qualitative research study. … //psnet.ahrq.gov/issue/developing-hospital-wide-quality-and-safety-dashboard-qualitative-research-
study … In this retrospective study, researchers examined the process of
developing hospital-wide quality and … https://psnet.ahrq.gov/issue/developing-hospital-wide-quality-and-safety-dashboard-qualitative-research-study
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psnet.ahrq.gov/node/41228/psn-pdf
August 02, 2012 - Identifying the latent failures underpinning medication
administration errors: an exploratory study. … Identifying the latent failures underpinning medication
administration errors: an exploratory study. … psnet.ahrq.gov/issue/identifying-latent-failures-underpinning-medication-administration-errors-
exploratory-study … This study identified 10 latent failures that contributed to medication administration errors based … psnet.ahrq.gov/issue/identifying-latent-failures-underpinning-medication-administration-errors-exploratory-study
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psnet.ahrq.gov/node/41414/psn-pdf
June 06, 2012 - Factors associated with reported preventable adverse
drug events: a retrospective, case-control study … Factors associated with reported preventable adverse drug events:
a retrospective, case-control study … psnet.ahrq.gov/issue/factors-associated-reported-preventable-adverse-drug-events-retrospective-
case-control-study … This study analyzed more than 4300 medication errors and noted that 4% were preventable adverse drug … psnet.ahrq.gov/issue/factors-associated-reported-preventable-adverse-drug-events-retrospective-case-control-study
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psnet.ahrq.gov/node/45043/psn-pdf
July 01, 2016 - Exclusion of residents from surgery-intensive care team
communication: a qualitative study. … Exclusion of Residents From Surgery-Intensive Care Team
Communication: A Qualitative Study. … ://psnet.ahrq.gov/issue/exclusion-residents-surgery-intensive-care-team-communication-qualitative-
study … According to this qualitative study at a single academic institution, staff surgeons and intensivists … https://psnet.ahrq.gov/issue/exclusion-residents-surgery-intensive-care-team-communication-qualitative-study
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psnet.ahrq.gov/node/44655/psn-pdf
December 16, 2015 - Well it depends—a grounded theory study
of nurses, lighting, and medication administration. … Well It Depends--A Grounded Theory Study of
Nurses, Lighting, and Medication Administration. … https://psnet.ahrq.gov/issue/there-light-well-it-depends-grounded-theory-study-nurses-lighting-and- … medication
This qualitative study found that bedside nurses frequently experienced difficulty with medication … https://psnet.ahrq.gov/issue/there-light-well-it-depends-grounded-theory-study-nurses-lighting-and-medication
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psnet.ahrq.gov/node/38379/psn-pdf
April 30, 2014 - Clinical information technologies and inpatient outcomes:
a multiple hospital study. … Clinical information technologies and inpatient
outcomes: a multiple hospital study. … //psnet.ahrq.gov/issue/clinical-information-technologies-and-inpatient-outcomes-multiple-hospital-
study … This study, conducted at
41 Texas hospitals, provides support for IT's clinical benefits. … An accompanying editorial by David Bates discusses the policy
implications of the study.
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psnet.ahrq.gov/node/37729/psn-pdf
June 12, 2008 - Introduction of medical emergency teams in Australia and
New Zealand: a multi-centre study. … Introduction of medical emergency teams in Australia and New
Zealand: a multi-centre study. … /psnet.ahrq.gov/issue/introduction-medical-emergency-teams-australia-and-new-zealand-multi-
centre-study … This study took place in Australia and New Zealand, where a prior
randomized trial found no overall … ://psnet.ahrq.gov/issue/introduction-medical-emergency-teams-australia-and-new-zealand-multi-centre-study
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psnet.ahrq.gov/node/37290/psn-pdf
February 15, 2011 - Medical errors involving trainees: a study of closed
malpractice claims from 5 insurers. … Medical errors involving trainees: a study of closed malpractice
claims from 5 insurers. … https://psnet.ahrq.gov/issue/medical-errors-involving-trainees-study-closed-malpractice-claims-5-insurers … This AHRQ-funded study uncovered distinctive features of errors involving trainees, including teamwork … Building on
a past study of closed malpractice claims, investigators conducted a subanalysis of those
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psnet.ahrq.gov/node/45536/psn-pdf
October 05, 2016 - Clinician-identified problems and solutions for delayed
diagnosis in primary care: a PRIORITIZE study … Clinician-identified problems and solutions for delayed diagnosis in
primary care: a PRIORITIZE study … psnet.ahrq.gov/issue/clinician-identified-problems-and-solutions-delayed-diagnosis-primary-care-
prioritize-study … This study sought to determine
barriers and solutions to delays in diagnosis in primary care. … psnet.ahrq.gov/issue/clinician-identified-problems-and-solutions-delayed-diagnosis-primary-care-prioritize-study
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psnet.ahrq.gov/node/40271/psn-pdf
May 25, 2011 - Collaborative cohort study of an intervention to reduce
ventilator-associated pneumonia in the intensive … Collaborative cohort study of an intervention to reduce
ventilator-associated pneumonia in the intensive … https://psnet.ahrq.gov/issue/collaborative-cohort-study-intervention-reduce-ventilator-associated-
pneumonia-intensive-care … project at reducing central line–associated bloodstream infections has been widely publicized, and this
study … As with the prior
results, this article emphasizes that the success of the study was attributable to
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psnet.ahrq.gov/node/39368/psn-pdf
May 04, 2010 - Results of the Medications At Transitions and Clinical
Handoffs (MATCH) study: an analysis of medication … Results of the Medications At Transitions and Clinical
Handoffs (MATCH) Study: An Analysis of Medication … https://psnet.ahrq.gov/issue/results-medications-transitions-and-clinical-handoffs-match-study-analysis … Performed at an
academic medical center, this cohort study used a pharmacist-led medication reconciliation … The medication reconciliation process used in this study is available as an online toolkit.
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psnet.ahrq.gov/node/42497/psn-pdf
February 27, 2014 - A prospective study of the
link between the ward's learning practices and medication
administration … A prospective study of the link
between the ward's learning practices and medication administration … https://psnet.ahrq.gov/issue/how-do-we-learn-errors-prospective-study-link-between-wards-learning-
practices-and-medication … junior nurses, was
associated with a lower risk of medication administration errors in this Israeli study … https://psnet.ahrq.gov/issue/how-do-we-learn-errors-prospective-study-link-between-wards-learning-practices-and-medication
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psnet.ahrq.gov/node/47094/psn-pdf
June 13, 2018 - Polypharmacy and potentially inappropriate medication in
people with dementia: a nationwide study. … Polypharmacy and Potentially Inappropriate Medication
in People with Dementia: A Nationwide Study. … psnet.ahrq.gov/issue/polypharmacy-and-potentially-inappropriate-medication-people-dementia-
nationwide-study … This cross-sectional study of Danish patients age 65 and older found that
polypharmacy and potentially … psnet.ahrq.gov/issue/polypharmacy-and-potentially-inappropriate-medication-people-dementia-nationwide-study
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psnet.ahrq.gov/node/44267/psn-pdf
October 13, 2015 - Crew resource management in the intensive care unit: a
prospective 3-year cohort study. … Crew Resource Management in the Intensive Care Unit: a
prospective 3-year cohort study. … https://psnet.ahrq.gov/issue/crew-resource-management-intensive-care-unit-prospective-3-year-cohort-
study … management training for intensive care unit staff and implementation of a checklist
, this pre-post study … https://psnet.ahrq.gov/issue/crew-resource-management-intensive-care-unit-prospective-3-year-cohort-study
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psnet.ahrq.gov/node/39348/psn-pdf
March 10, 2010 - A qualitative study of strategic
stakeholders' accounts of a patient safety initiative. … A qualitative study of strategic stakeholders'
accounts of a patient safety initiative. … https://psnet.ahrq.gov/issue/how-will-it-work-qualitative-study-strategic-stakeholders-accounts-patient … -
safety-initiative
This study conducted semistructured interviews of key stakeholders to highlight … https://psnet.ahrq.gov/issue/how-will-it-work-qualitative-study-strategic-stakeholders-accounts-patient-safety-initiative
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psnet.ahrq.gov/node/46514/psn-pdf
October 18, 2017 - Comparison of clinical diagnoses and autopsy findings:
six-year retrospective study. … Comparison of clinical diagnoses and autopsy findings: six-year retrospective
study. … ://psnet.ahrq.gov/issue/comparison-clinical-diagnoses-and-autopsy-findings-six-year-retrospective-
study … This retrospective
observational study found that nearly 10% of autopsies had a previously unknown finding … https://psnet.ahrq.gov/issue/comparison-clinical-diagnoses-and-autopsy-findings-six-year-retrospective-study