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psnet.ahrq.gov/issue/explaining-negative-effects-patient-participation-patient-safety-exploratory-qualitative
November 04, 2020 - Study
Explaining the negative effects of patient participation in patient safety: … an exploratory qualitative study in an academic tertiary healthcare centre in the Netherlands. … Explaining the negative effects of patient participation in patient safety: an exploratory qualitative study … This qualitative study with 16 patients and obstetric healthcare professionals examined the negative … September 21, 2016
Role of the regulator in enabling a just culture: a qualitative study
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psnet.ahrq.gov/issue/higher-incidence-adverse-events-isolated-patients-compared-non-isolated-patients-cohort-study
June 01, 2022 - Study
Higher incidence of adverse events in isolated patients compared with non-isolated … patients: a cohort study. … Higher incidence of adverse events in isolated patients compared with non-isolated patients: a cohort study … This prospective cohort study found that the incidence of all AEs and preventable AEs were significantly … December 9, 2020
Intervention study for the reduction of medication errors in elderly
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psnet.ahrq.gov/issue/learning-high-risk-industries-may-not-be-straightforward-qualitative-study-hierarchy-risk
September 11, 2019 - Study
Classic
Learning from high risk industries may not … be straightforward: a qualitative study of the hierarchy of risk controls approach in healthcare. … A qualitative study combining human factors/ergonomics and social science analysis. … A multisite case study. … A qualitative study and framework for implementation.
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psnet.ahrq.gov/issue/risk-factors-clinically-relevant-deviations-patients-medication-lists-reported-patients
March 23, 2022 - Study
Risk factors for clinically relevant deviations in patients' medication lists … reported by patients in personal health records: a prospective cohort study in a hospital setting. … in patients’ medication lists reported by patients in personal health records: a prospective cohort study … This study explored clinically relevant deviations in a patient’s medication list by comparing the personal … in patients’ medication lists reported by patients in personal health records: a prospective cohort study
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psnet.ahrq.gov/issue/implementation-and-facilitation-post-resuscitation-debriefing-comparative-crossover-study-two
March 23, 2022 - Study
Implementation and facilitation of post-resuscitation debriefing: a comparative … crossover study of two post-resuscitation debriefing frameworks. … Implementation and facilitation of post-resuscitation debriefing: a comparative crossover study of two … This study compared two post-resuscitation debriefing tools ( Debriefing In Situ Conversation after Emergent … Implementation and facilitation of post-resuscitation debriefing: a comparative crossover study of two
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psnet.ahrq.gov/issue/irish-national-adverse-event-study-2-inaes-2-longitudinal-trends-adverse-event-rates-irish
March 03, 2021 - Study
The Irish National Adverse Event Study-2 (INAES-2): longitudinal trends in … The Irish National Adverse Event Study-2 (INAES-2): longitudinal trends in adverse event rates in the … This longitudinal study set in Ireland found that adverse event rates remained stable between 2009 … The Irish National Adverse Event Study-2 (INAES-2): longitudinal trends in adverse event rates in the … nature of adverse events in Irish hospitals—a retrospective record review study.
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psnet.ahrq.gov/issue/accuracy-global-trigger-tool-higher-identification-adverse-events-greater-harm-diagnostic
November 17, 2021 - Study
The accuracy of the Global Trigger Tool is higher for the identification of … adverse events of greater harm: a diagnostic test study. … In this study, researchers aimed to determine the accuracy of the GTT through a diagnostic test study … A descriptive study. … A survey study.
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psnet.ahrq.gov/issue/incidence-and-preventability-adverse-events-older-acutely-admitted-patients-longitudinal
June 08, 2022 - Study
The incidence and preventability of adverse events in older acutely admitted … patients: a longitudinal study with 4292 patient records. … The incidence and preventability of adverse events in older acutely admitted patients: a longitudinal study … This study compared the incidence and preventability of adverse events in older patients over an eight-year … A cross-sectional study.
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psnet.ahrq.gov/issue/why-safety-intrapartum-electronic-fetal-monitoring-so-hard-qualitative-study-combining-human
October 21, 2020 - Study
Why is safety in intrapartum electronic fetal monitoring so hard? … A qualitative study combining human factors/ergonomics and social science analysis. … A qualitative study combining human factors/ergonomics and social science analysis. … A multisite case study. … A qualitative study and framework for implementation.
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psnet.ahrq.gov/issue/how-do-hospital-boards-govern-quality-improvement-mixed-methods-study-15-organisations
February 20, 2019 - Study
How do hospital boards govern for quality improvement? … A mixed methods study of 15 organisations in England. … A mixed methods study of 15 organisations in England. … This study used interviews, direct observation of board meetings, and review of important documents to … A mixed methods study of 15 organisations in England.
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psnet.ahrq.gov/issue/patient-activation-related-fall-prevention-multisite-study
February 01, 2023 - Study
Patient activation related to fall prevention: a multisite study … Patient activation related to fall prevention: a multisite study . … This study demonstrated that patients with access to the Fall TIPS program are more engaged and feel … Patient activation related to fall prevention: a multisite study . … April 24, 2018
A multi-hospital before–after observational study using a point-prevalence
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psnet.ahrq.gov/issue/twelve-month-review-infusion-pump-near-miss-medication-and-dose-selection-errors-and-user
November 04, 2020 - Study
Twelve-month review of infusion pump near-miss medication and dose selection … errors and user-initiated "good save" corrections: retrospective study. … near-miss medication and dose selection errors and user-Initiated "good save" corrections: retrospective study … This study used smart pump medication logs and reporting software to identify cancelled infusions and … The study identified a high number of lookalike-soundalike near-miss errors.
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psnet.ahrq.gov/issue/experience-learning-everyday-work-daily-safety-huddles-multi-method-study
June 23, 2021 - Study
Experience of learning from everyday work in daily safety huddles: a multi-method … study. … Experience of learning from everyday work in daily safety huddles—a multi-method study. … This mixed-methods study found that patient safety huddles including a focus on learning from what works … Experience of learning from everyday work in daily safety huddles—a multi-method study.
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psnet.ahrq.gov/issue/managing-patient-safety-and-staff-safety-nursing-homes-exploring-how-leaders-nursing-homes
September 13, 2023 - Study
Managing patient safety and staff safety in nursing homes: exploring how leaders … of nursing homes negotiate their dual responsibilities- a case study. … nursing homes: exploring how leaders of nursing homes negotiate their dual responsibilities—a case study … nursing homes: exploring how leaders of nursing homes negotiate their dual responsibilities—a case study … May 15, 2024
Investigating hospital supervision: a case study of regulatory inspectors
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psnet.ahrq.gov/issue/intravenous-smart-pumps-point-care-descriptive-observational-study
February 24, 2021 - Study
Intravenous smart pumps at the point of care: a descriptive, observational … study. … Intravenous smart pumps at the point of care: a descriptive, observational study. … Intravenous smart pumps at the point of care: a descriptive, observational study. … A descriptive study.
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psnet.ahrq.gov/issue/detection-adverse-events-affected-record-review-methodology-evaluation-harvard-medical
August 05, 2020 - Study
Is detection of adverse events affected by record review methodology? … An evaluation of the "Harvard Medical Practice Study" method and the "Global Trigger Tool." … an evaluation of the "Harvard Medical Practice Study" method and the "Global Trigger Tool". … an evaluation of the "Harvard Medical Practice Study" method and the "Global Trigger Tool". … July 26, 2023
Acting between guidelines and reality- an interview study exploring the
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psnet.ahrq.gov/issue/early-warning-scores-predict-noncritical-events-overnight-hospitalized-medical-patients
March 30, 2022 - Study
Early warning scores to predict noncritical events overnight in hospitalized … medical patients: a prospective case cohort study. … to predict noncritical events overnight in hospitalized medical patients: a prospective case cohort study … March 2, 2022
Investigating hospital supervision: a case study of regulatory inspectors … August 26, 2020
Safely practicing in a new environment: a qualitative study to inform
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psnet.ahrq.gov/issue/are-physician-assistants-able-correctly-identify-prescribing-errors-cross-sectional-study
May 29, 2019 - Study
Are physician assistants able to correctly identify prescribing errors? … A cross-sectional study. … This study replicates the 2011 study with first- and second-year physician assistant (PA) students . … A cross-sectional study. … A cross-sectional study.
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psnet.ahrq.gov/issue/associations-between-internet-based-patient-ratings-and-conventional-surveys-patient
August 26, 2020 - Study
Associations between internet-based patient ratings and conventional surveys … of patient experience in the English NHS: an observational study. … patient ratings and conventional surveys of patient experience in the English NHS: an observational study … This study found that unsolicited patient ratings of hospitals in the United Kingdom correlated reasonably … A mixed-methods study with a focus on user experience.
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psnet.ahrq.gov/issue/burden-difficult-encounters-primary-care-data-minimizing-error-maximizing-outcomes-study
May 18, 2019 - Study
Burden of difficult encounters in primary care: data from the Minimizing Error … , Maximizing Outcomes Study. … Burden of difficult encounters in primary care: data from the minimizing error, maximizing outcomes study … These findings were captured from a nested analysis of data from a previously published study . … Results from the Healthy Work Place Study.