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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39798/psn-pdf
    January 19, 2011 - Clinical handover in the trauma setting: a qualitative study of paramedics and trauma team members. … Clinical handover in the trauma setting: a qualitative study of paramedics and trauma team members. … https://psnet.ahrq.gov/issue/clinical-handover-trauma-setting-qualitative-study-paramedics-and-trauma … - team-members This qualitative study draws on interviews with paramedics and trauma team members to … https://psnet.ahrq.gov/issue/clinical-handover-trauma-setting-qualitative-study-paramedics-and-trauma-team-members
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47122/psn-pdf
    June 13, 2018 - Intravenous chemotherapy compounding errors in a follow-up pan-Canadian observational study. … Intravenous Chemotherapy Compounding Errors in a Follow-Up Pan-Canadian Observational Study. … psnet.ahrq.gov/issue/intravenous-chemotherapy-compounding-errors-follow-pan-canadian- observational-study … This direction observation study identified multiple vulnerabilities in the chemotherapy medication … /psnet.ahrq.gov/issue/intravenous-chemotherapy-compounding-errors-follow-pan-canadian-observational-study
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42136/psn-pdf
    March 27, 2013 - Prospects for comparing European hospitals in terms of quality and safety: lessons from a comparative study … Prospects for comparing European hospitals in terms of quality and safety: lessons from a comparative study … psnet.ahrq.gov/issue/prospects-comparing-european-hospitals-terms-quality-and-safety-lessons- comparative-study … This study found that methods of detecting and monitoring safety hazards differed widely across five … psnet.ahrq.gov/issue/prospects-comparing-european-hospitals-terms-quality-and-safety-lessons-comparative-study
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42987/psn-pdf
    June 25, 2014 - Developing a reliable and valid patient measure of safety in hospitals (PMOS): a validation study. … Developing a reliable and valid patient measure of safety in hospitals (PMOS): a validation study. … psnet.ahrq.gov/issue/developing-reliable-and-valid-patient-measure-safety-hospitals-pmos- validation-study … This study reports on the validation of the Patient Measure of Safety survey tool, designed to elicit … psnet.ahrq.gov/issue/developing-reliable-and-valid-patient-measure-safety-hospitals-pmos-validation-study
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42507/psn-pdf
    December 18, 2013 - Electronic error-reporting systems: a case study into the impact on nurse reporting of medical errors … Electronic error-reporting systems: a case study into the impact on nurse reporting of medical errors … https://psnet.ahrq.gov/issue/electronic-error-reporting-systems-case-study-impact-nurse-reporting-medical … - errors This qualitative study found considerable barriers to nurses' use of an electronic incident … https://psnet.ahrq.gov/issue/electronic-error-reporting-systems-case-study-impact-nurse-reporting-medical-errors
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39968/psn-pdf
    November 03, 2010 - Pharmacists' interventions in prescribing errors at hospital discharge: an observational study in the … Pharmacists' interventions in prescribing errors at hospital discharge: an observational study in the … psnet.ahrq.gov/issue/pharmacists-interventions-prescribing-errors-hospital-discharge-observational- study-context … Prescribing errors remained relatively common at hospital discharge in this study, despite the presence … /psnet.ahrq.gov/issue/pharmacists-interventions-prescribing-errors-hospital-discharge-observational-study-context
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41392/psn-pdf
    July 02, 2014 - Exploring error in team-based acute care scenarios: an observational study from the United Kingdom. … Exploring error in team-based acute care scenarios: an observational study from the United kingdom. … https://psnet.ahrq.gov/issue/exploring-error-team-based-acute-care-scenarios-observational-study-united … - kingdom This study used an error-modeling system initially devised by Dr. … https://psnet.ahrq.gov/issue/exploring-error-team-based-acute-care-scenarios-observational-study-united-kingdom
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42540/psn-pdf
    September 04, 2013 - A qualitative study comparing experiences of the surgical safety checklist in hospitals in high-income … A qualitative study comparing experiences of the surgical safety checklist in hospitals in high-income … https://psnet.ahrq.gov/issue/qualitative-study-comparing-experiences-surgical-safety-checklist-hospitals … - high-income-and This study suggests that though implementation of surgical checklists can be challenging … https://psnet.ahrq.gov/issue/qualitative-study-comparing-experiences-surgical-safety-checklist-hospitals-high-income-and
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37689/psn-pdf
    April 16, 2008 - Resident uncertainty in clinical decision making and impact on patient care: a qualitative study. … Resident uncertainty in clinical decision making and impact on patient care: a qualitative study. … psnet.ahrq.gov/issue/resident-uncertainty-clinical-decision-making-and-impact-patient-care- qualitative-study … This study used critical incident analysis techniques to explore how internal medicine residents handled … psnet.ahrq.gov/issue/resident-uncertainty-clinical-decision-making-and-impact-patient-care-qualitative-study
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40255/psn-pdf
    March 02, 2011 - Medication details documented on hospital discharge: cross-sectional observational study of factors … Medication details documented on hospital discharge: cross- sectional observational study of factors … psnet.ahrq.gov/issue/medication-details-documented-hospital-discharge-cross-sectional- observational-study-factors … This study analyzed the patient- and medication-specific factors associated with medication reconciliation … psnet.ahrq.gov/issue/medication-details-documented-hospital-discharge-cross-sectional-observational-study-factors
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41541/psn-pdf
    September 26, 2012 - Failures in communication and information transfer across the surgical care pathway: interview study … Failures in communication and information transfer across the surgical care pathway: interview study … psnet.ahrq.gov/issue/failures-communication-and-information-transfer-across-surgical-care-pathway- interview-study … This qualitative study found considerable evidence for communication failures between clinicians at … psnet.ahrq.gov/issue/failures-communication-and-information-transfer-across-surgical-care-pathway-interview-study
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40576/psn-pdf
    July 06, 2011 - A prospective study of paediatric cardiac surgical microsystems: assessing the relationships between … A prospective study of paediatric cardiac surgical microsystems: assessing the relationships between … https://psnet.ahrq.gov/issue/prospective-study-paediatric-cardiac-surgical-microsystems-assessing- relationships-between … This study used structured observations to identify effective teamwork behaviors and illustrated that … https://psnet.ahrq.gov/issue/prospective-study-paediatric-cardiac-surgical-microsystems-assessing-relationships-between
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42878/psn-pdf
    January 29, 2014 - A qualitative study examining the influences on situation awareness and the identification, mitigation … A qualitative study examining the influences on situation awareness and the identification, mitigation … https://psnet.ahrq.gov/issue/qualitative-study-examining-influences-situation-awareness-and-identification … - mitigation-and This study used focus groups with nurses, respiratory therapists, and resident physicians … https://psnet.ahrq.gov/issue/qualitative-study-examining-influences-situation-awareness-and-identification-mitigation-and
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43762/psn-pdf
    November 21, 2017 - Implementation of crew resource management: a qualitative study in 3 intensive care units. … Implementation of Crew Resource Management: A Qualitative Study in 3 Intensive Care Units. … https://psnet.ahrq.gov/issue/implementation-crew-resource-management-qualitative-study-3-intensive-care … This study describes the preparation, implementation, and impact of a crew resource management training … https://psnet.ahrq.gov/issue/implementation-crew-resource-management-qualitative-study-3-intensive-care-units
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41018/psn-pdf
    December 21, 2011 - A study of facilitators and barriers to physicians' use of electronic health records. … : a study of facilitators and barriers to physicians' use of electronic health records. … https://psnet.ahrq.gov/issue/what-stands-way-technology-mediated-patient-safety-improvements-study- … facilitators-and This qualitative study identifies user, system, organizational, and environmental factors … https://psnet.ahrq.gov/issue/what-stands-way-technology-mediated-patient-safety-improvements-study-facilitators-and
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42179/psn-pdf
    April 10, 2013 - Training health care professionals in root cause analysis: a cross-sectional study of post-training … Training health care professionals in root cause analysis: a cross-sectional study of post-training … https://psnet.ahrq.gov/issue/training-health-care-professionals-root-cause-analysis-cross-sectional-study … - post-training According to this study, the majority of health care providers trained in root cause … https://psnet.ahrq.gov/issue/training-health-care-professionals-root-cause-analysis-cross-sectional-study-post-training
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45059/psn-pdf
    July 01, 2016 - An observational study of direct oral anticoagulant awareness indicating inadequate recognition with … An observational study of direct oral anticoagulant awareness indicating inadequate recognition with … https://psnet.ahrq.gov/issue/observational-study-direct-oral-anticoagulant-awareness-indicating- inadequate-recognition … This study found that many physicians fail to recognize risks associated with direct oral anticoagulants … https://psnet.ahrq.gov/issue/observational-study-direct-oral-anticoagulant-awareness-indicating-inadequate-recognition
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38544/psn-pdf
    September 02, 2009 - A pilot study examining undesirable events among emergency department–boarded patients awaiting inpatient … A pilot study examining undesirable events among emergency department-boarded patients awaiting inpatient … https://psnet.ahrq.gov/issue/pilot-study-examining-undesirable-events-among-emergency-department- boarded-patients-awaiting … A prior study found that communication failures were a contributing factor to errors in this situation … https://psnet.ahrq.gov/issue/pilot-study-examining-undesirable-events-among-emergency-department-boarded-patients-awaiting
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45272/psn-pdf
    October 12, 2016 - Recognising and responding to 'cutting corners' when providing nursing care: a qualitative study. … Recognising and responding to 'cutting corners' when providing nursing care: a qualitative study. … psnet.ahrq.gov/issue/recognising-and-responding-cutting-corners-when-providing-nursing-care- qualitative-study … This qualitative study identified cutting corners—defined as partially or completely omitting a nursing … psnet.ahrq.gov/issue/recognising-and-responding-cutting-corners-when-providing-nursing-care-qualitative-study
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43384/psn-pdf
    June 15, 2017 - Patient involvement in patient safety: a qualitative study of nursing staff and patient perceptions. … Patient Involvement in Patient Safety: A Qualitative Study of Nursing Staff and Patient Perceptions. … https://psnet.ahrq.gov/issue/patient-involvement-patient-safety-qualitative-study-nursing-staff-and-patient … - perceptions This qualitative study found that nurses and patients perceive patient safety as a shared … https://psnet.ahrq.gov/issue/patient-involvement-patient-safety-qualitative-study-nursing-staff-and-patient-perceptions

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