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Showing results for "study".

8701. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34914/psn-pdf
      February 27, 2009 - Drug error in anaesthetic practice: a review of 896 reports from the Australian Incident Monitoring Study … Drug error in anaesthetic practice: a review of 896 reports from the Australian Incident Monitoring Study … psnet.ahrq.gov/issue/drug-error-anaesthetic-practice-review-896-reports-australian-incident- monitoring-study … This study provides a detailed analysis of incidents due to medication errors collected from the Australian … Incident Monitoring Study database.

8702. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42905/psn-pdf
      July 30, 2014 - The surgical safety checklist and teamwork coaching tools: a study of inter-rater reliability. … The Surgical Safety Checklist and Teamwork Coaching Tools: a study of inter-rater reliability. … https://psnet.ahrq.gov/issue/surgical-safety-checklist-and-teamwork-coaching-tools-study-inter-rater- … effectiveness of safety checklists depends mostly on how well they are implemented and performed—a recent study … This study created reliable observation tools for measuring surgical safety checklist performance and

8703. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37543/psn-pdf
      March 03, 2011 - Rates of medication errors among depressed and burnt out residents: prospective cohort study. … Rates of medication errors among depressed and burnt out residents: prospective cohort study. … Although extended shifts were associated with self-reported attentional failures in one study, other … To assess for depression or burnout, this prospective study surveyed pediatric residents and correlated … This study adds to a growing body of research suggesting that emotional stressors as well as work hours

8704. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43590/psn-pdf
      October 08, 2014 - Disentangling quality and safety indicator data: a longitudinal, comparative study of hand hygiene … Disentangling quality and safety indicator data: a longitudinal, comparative study of hand hygiene compliance … - hand-hygiene This large Australian study sought to examine whether hand hygiene compliance rates … The study revealed that hand hygiene rates across 118 acute hospitals in New South Wales improved from … A previous study from Canada found that increasing overall hand hygiene adherence did not result in

8705. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44156/psn-pdf
      November 10, 2015 - Exploring the role of communications in quality improvement: a case study of the 1000 Lives Campaign … Exploring the role of communications in quality improvement: A case study of the 1000 Lives Campaign … https://psnet.ahrq.gov/issue/exploring-role-communications-quality-improvement-case-study-1000-lives- … campaign-nhs-wales This study examined how a quality improvement effort was communicated to frontline … safety programs incorporate structured communication to frontline staff, but they suggest further study

8706. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47017/psn-pdf
      November 28, 2018 - In pursuit of quality and safety: an 8-year study of clinical peer review best practices in US hospitals … In pursuit of quality and safety: an 8-year study of clinical peer review best practices in US hospitals … https://psnet.ahrq.gov/issue/pursuit-quality-and-safety-8-year-study-clinical-peer-review-best-practices-us … This survey study suggests that adopting certain best practices might make peer review programs more … https://psnet.ahrq.gov/issue/longitudinal-study-clinical-peer-reviews-impact-quality-and-safety-us-hospitals

8707. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44347/psn-pdf
      November 20, 2015 - An experimental study of medical error explanations: do apology, empathy, corrective action, and compensation … An Experimental Study of Medical Error Explanations: Do Apology, Empathy, Corrective Action, and Compensation … https://psnet.ahrq.gov/issue/experimental-study-medical-error-explanations-do-apology-empathy- corrective-action-and … This simulation study of the disclosure process following a medical error demonstrates the importance … This study also confirms the role of error severity in the decision to seek compensation, consistent

8708. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45978/psn-pdf
      May 03, 2017 - Nursing interruptions in a trauma intensive care unit: a prospective observational study. … Nursing Interruptions in a Trauma Intensive Care Unit: A Prospective Observational Study. … //psnet.ahrq.gov/issue/nursing-interruptions-trauma-intensive-care-unit-prospective-observational- study … This direct observation study demonstrated that intensive care unit nurses were interrupted about every … The authors conclude that further study is needed to determine the clinical significance of interruptions

8709. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44545/psn-pdf
      December 20, 2017 - Work conditions, mental workload and patient care quality: a multisource study in the emergency department … Work conditions, mental workload and patient care quality: a multisource study in the emergency department … https://psnet.ahrq.gov/issue/work-conditions-mental-workload-and-patient-care-quality-multisource-study … This mixed-method study in a medium-sized community emergency department (ED) found that ED personnels … Similar to a prior study by some of the same authors, interruptions were common and associated with

8710. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36342/psn-pdf
      March 02, 2011 - Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims. … Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims. … https://psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-ambulatory-setting-study-closed-malpractice … This study analyzed data from malpractice claims at four liability insurers, similar to companion studies … https://psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-ambulatory-setting-study-closed-malpractice-claims

8711. How hospital leaders contribute to patient safety through the development of trust. | PSNet
      psnet.ahrq.gov/issue/how-hospital-leaders-contribute-patient-safety-through-development-trust
      January 22, 2014 - Study How hospital leaders contribute to patient safety through the development of … no-harm incidents and adverse events in hospitalized patients with ischemic stroke or TIA: a cohort study … March 28, 2012 Errors in nurse-led triage: an observational study. … December 2, 2020 Nursing skill mix in European hospitals: cross-sectional study of the … : The impact of workload, safety climate, and safety tools on medical errors: a study of intensive care

8712. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44599/psn-pdf
      December 09, 2015 - Association between day of delivery and obstetric outcomes: observational study. … Association between day of delivery and obstetric outcomes: observational study. … https://psnet.ahrq.gov/issue/association-between-day-delivery-and-obstetric-outcomes-observational-study … In this retrospective observational study, investigators examined maternal and neonatal quality measures … This study is consistent with prior work suggesting patient safety vulnerabilities during the weekend

8713. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34818/psn-pdf
      April 22, 2011 - The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada … The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada … https://psnet.ahrq.gov/issue/canadian-adverse-events-study-incidence-adverse-events-among-hospital- … patients-canada Using methodology originally developed for the Harvard Medical Practice Study, the authors … https://psnet.ahrq.gov/issue/canadian-adverse-events-study-incidence-adverse-events-among-hospital-patients-canada

8714. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47199/psn-pdf
      October 03, 2018 - Patient safety in palliative care: a mixed-methods study of reports to a national database of serious … Patient safety in palliative care: A mixed-methods study of reports to a national database of serious … https://psnet.ahrq.gov/issue/patient-safety-palliative-care-mixed-methods-study-reports-national-database … In this mixed-methods study, researchers analyzed patient safety incidents among patients receiving … psnet.ahrq.gov/issue/patients-perception-types-errors-palliative-care-results-qualitative-interview-study

8715. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43013/psn-pdf
      March 12, 2014 - Laboratory test ordering and results management systems: a qualitative study of safety risks identified … Laboratory test ordering and results management systems: a qualitative study of safety risks identified … https://psnet.ahrq.gov/issue/laboratory-test-ordering-and-results-management-systems-qualitative-study … - safety-risks In this qualitative study, outpatient practice administrators identified weaknesses … This study underscores persisting concerns related to test results management, despite longstanding

8716. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38515/psn-pdf
      March 03, 2011 - Errors in administration of parenteral drugs in intensive care units: multinational prospective study … Errors in administration of parenteral drugs in intensive care units: multinational prospective study … psnet.ahrq.gov/issue/errors-administration-parenteral-drugs-intensive-care-units-multinational- prospective-study … This cross-sectional study, conducted at hospitals in 27 countries, fused voluntary error reports to … psnet.ahrq.gov/issue/errors-administration-parenteral-drugs-intensive-care-units-multinational-prospective-study

8717. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/845074/psn-pdf
      March 02, 2011 - Preventable hospital admissions related to medication (HARM): cost analysis of the HARM study. … Preventable hospital admissions related to medication (HARM): cost analysis of the HARM study. … //psnet.ahrq.gov/issue/preventable-hospital-admissions-related-medication-harm-cost-analysis-harm- study … This study used data from the earlier Hospital Admissions Related to Medication (HARM) study to estimate … https://psnet.ahrq.gov/issue/preventable-hospital-admissions-related-medication-harm-cost-analysis-harm-study

8718. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38722/psn-pdf
      June 24, 2009 - A study of patients and relatives taking legal action. … A study of patients and relatives taking legal action. Lancet. 1994;343(8913):1609-1613. … https://psnet.ahrq.gov/issue/why-do-people-sue-doctors-study-patients-and-relatives-taking-legal-action … In addition, a case study presented the tension between malpractice claims and patient safety initiatives … This United Kingdom study surveyed 227 patients and relatives who were taking legal action and found

8719. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38581/psn-pdf
      August 27, 2013 - HealthGrades Sixth Annual Patient Safety in American Hospitals Study. … https://psnet.ahrq.gov/issue/healthgrades-sixth-annual-patient-safety-american-hospitals-study This … The limitations of using PSIs as a performance measure have been discussed in a prior study and AHRQ … https://psnet.ahrq.gov/issue/healthgrades-sixth-annual-patient-safety-american-hospitals-study https: … //psnet.ahrq.gov/issue/healthgrades-quality-study-fifth-annual-patient-safety-american-hospitals-study

8720. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46303/psn-pdf
      November 21, 2017 - A mixed methods study of 15 organisations in England. … A mixed methods study of 15 organisations in England. … https://psnet.ahrq.gov/issue/how-do-hospital-boards-govern-quality-improvement-mixed-methods-study-15 … - organisations This study used interviews, direct observation of board meetings, and review of important … https://psnet.ahrq.gov/issue/how-do-hospital-boards-govern-quality-improvement-mixed-methods-study-15