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psnet.ahrq.gov/node/42658/psn-pdf
March 17, 2014 - Systematic review of the application of the plan-do-study-
act method to improve quality in healthcare … Systematic review of the application of the plan-do-study-act
method to improve quality in healthcare … https://psnet.ahrq.gov/issue/systematic-review-application-plan-do-study-act-method-improve-quality- … healthcare
This systematic review of the plan-do-study-act method of quality improvement showed that … https://psnet.ahrq.gov/issue/systematic-review-application-plan-do-study-act-method-improve-quality-healthcare
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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/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
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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
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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/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
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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
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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/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/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
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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
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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