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  1. Psn-Pdf (pdf file)

    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
  2. Psn-Pdf (pdf file)

    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
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40678/psn-pdf
    December 01, 2011 - of adverse events in the hospitals of five Latin American countries: results of the 'Iberoamerican Study … of adverse events in the hospitals of five Latin American countries: results of the 'Iberoamerican Study … psnet.ahrq.gov/issue/prevalence-adverse-events-hospitals-five-latin-american-countries-results- iberoamerican-study … This cross-sectional study conducted in 58 hospitals in 5 Latin American countries found an overall … psnet.ahrq.gov/issue/prevalence-adverse-events-hospitals-five-latin-american-countries-results-iberoamerican-study
  4. Psn-Pdf (pdf file)

    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
  5. 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
  6. 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
  7. 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
  8. 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
  9. 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
  10. 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
  11. 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
  12. 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
  13. 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
  14. 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
  15. 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.
  16. 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
  17. 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
  18. 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
  19. 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
  20. 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.

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