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  1. Psn-Pdf (pdf file)

    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
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42069/psn-pdf
    February 27, 2013 - Nurses' perceptions of patient safety climate in intensive care units: a cross-sectional study. … Nurses' perceptions of patient safety climate in intensive care units: a cross-sectional study. … psnet.ahrq.gov/issue/nurses-perceptions-patient-safety-climate-intensive-care-units-cross-sectional- study … The study used the AHRQ Hospital Survey on Patient Safety Culture. … psnet.ahrq.gov/issue/nurses-perceptions-patient-safety-climate-intensive-care-units-cross-sectional-study
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46900/psn-pdf
    August 29, 2018 - Developing agreement on never events in primary care dentistry: an international eDelphi study. … Developing agreement on never events in primary care dentistry: an international eDelphi study. … psnet.ahrq.gov/issue/developing-agreement-never-events-primary-care-dentistry-international- edelphi-study … This Delphi study aimed to identify expert consensus on never events in dentistry. … psnet.ahrq.gov/issue/developing-agreement-never-events-primary-care-dentistry-international-edelphi-study
  4. Psn-Pdf (pdf file)

    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
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41341/psn-pdf
    June 01, 2012 - A systematic proactive risk assessment of hazards in surgical wards: a quantitative study. … A systematic proactive risk assessment of hazards in surgical wards: a quantitative study. … https://psnet.ahrq.gov/issue/systematic-proactive-risk-assessment-hazards-surgical-wards-quantitative- study … This study reports on a failure mode and effect analysis used to detect and prioritize potential patient … https://psnet.ahrq.gov/issue/systematic-proactive-risk-assessment-hazards-surgical-wards-quantitative-study
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46621/psn-pdf
    November 22, 2017 - Patient involvement for improved patient safety: a qualitative study of nurses' perceptions and experiences … Patient involvement for improved patient safety: A qualitative study of nurses' perceptions and experiences … https://psnet.ahrq.gov/issue/patient-involvement-improved-patient-safety-qualitative-study-nurses- perceptions-and … This qualitative study examines nurses' perspectives regarding patient engagement. … https://psnet.ahrq.gov/issue/patient-involvement-improved-patient-safety-qualitative-study-nurses-perceptions-and
  7. Psn-Pdf (pdf file)

    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
  8. Psn-Pdf (pdf file)

    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
  9. Psn-Pdf (pdf file)

    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
  10. Psn-Pdf (pdf file)

    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
  11. Psn-Pdf (pdf file)

    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.
  12. Psn-Pdf (pdf file)

    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
  13. Psn-Pdf (pdf file)

    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
  14. Psn-Pdf (pdf file)

    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
  15. Psn-Pdf (pdf file)

    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
  16. Psn-Pdf (pdf file)

    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.
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41034/psn-pdf
    January 04, 2012 - role of the medical emergency team in end-of-life care: a multicenter, prospective, observational study … role of the medical emergency team in end-of-life care: a multicenter, prospective, observational study … psnet.ahrq.gov/issue/role-medical-emergency-team-end-life-care-multicenter-prospective- observational-study … In this study, conducted at seven hospitals in three countries, nearly one-third of patients seen by … psnet.ahrq.gov/issue/role-medical-emergency-team-end-life-care-multicenter-prospective-observational-study
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38098/psn-pdf
    March 03, 2011 - Quality of clinical aspects of call handling at Dutch out of hours centres: cross sectional national study … Quality of clinical aspects of call handling at Dutch out of hours centres: cross sectional national study … psnet.ahrq.gov/issue/quality-clinical-aspects-call-handling-dutch-out-hours-centres-cross-sectional- national-study … This detailed study using simulated patients found that triage personnel frequently failed to ask recommended … psnet.ahrq.gov/issue/quality-clinical-aspects-call-handling-dutch-out-hours-centres-cross-sectional-national-study
  19. Psn-Pdf (pdf file)

    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
  20. Psn-Pdf (pdf file)

    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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