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9641. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39144/psn-pdf
      June 09, 2011 - Medication safety in community pharmacy: a qualitative study of the sociotechnical context. … Medication safety in community pharmacy: a qualitative study of the sociotechnical context. … https://psnet.ahrq.gov/issue/medication-safety-community-pharmacy-qualitative-study-sociotechnical- … context This human factors study examined components of the work environment in outpatient pharmacies … https://psnet.ahrq.gov/issue/medication-safety-community-pharmacy-qualitative-study-sociotechnical-context

9642. 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

9643. 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

9644. 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

9645. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35529/psn-pdf
      May 27, 2011 - Case study: identifying potential problems at the human/technical interface in complex clinical systems … Case study: identifying potential problems at the human/technical interface in complex clinical systems … https://psnet.ahrq.gov/issue/case-study-identifying-potential-problems-humantechnical-interface-complex … - clinical-systems The authors present a case study to illustrate system vulnerabilities related to … https://psnet.ahrq.gov/issue/case-study-identifying-potential-problems-humantechnical-interface-complex-clinical-systems

9646. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37926/psn-pdf
      July 30, 2008 - Adaptive coordination in cardiac anaesthesia: a study of situational changes in coordination patterns … Adaptive coordination in cardiac anaesthesia: a study of situational changes in coordination patterns … https://psnet.ahrq.gov/issue/adaptive-coordination-cardiac-anaesthesia-study-situational-changes- coordination-patterns … This study used direct observation to evaluate how anesthesia teams engaged in teamwork during cardiac … https://psnet.ahrq.gov/issue/adaptive-coordination-cardiac-anaesthesia-study-situational-changes-coordination-patterns

9647. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42760/psn-pdf
      May 29, 2014 - Senior charge nurses' leadership behaviours in relation to hospital ward safety: a mixed method study … Senior charge nurses' leadership behaviours in relation to hospital ward safety: a mixed method study … psnet.ahrq.gov/issue/senior-charge-nurses-leadership-behaviours-relation-hospital-ward-safety- mixed-method-study … This study conducted in the United Kingdom indicates that supportive, safety-oriented behaviors by … psnet.ahrq.gov/issue/senior-charge-nurses-leadership-behaviours-relation-hospital-ward-safety-mixed-method-study

9648. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39844/psn-pdf
      November 02, 2010 - Safety through redundancy: a case study of in-hospital patient transfers. … Safety through redundancy: a case study of in-hospital patient transfers. … https://psnet.ahrq.gov/issue/safety-through-redundancy-case-study-hospital-patient-transfers This study … https://psnet.ahrq.gov/issue/safety-through-redundancy-case-study-hospital-patient-transfers https:// … psnet.ahrq.gov/issue/observational-study-practice-during-transfer-patients-anaesthetic-room-operating-theatre

9649. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39177/psn-pdf
      May 04, 2010 - The impact of organisational and individual factors on team communication in surgery: a qualitative study … The impact of organisational and individual factors on team communication in surgery: a qualitative study … psnet.ahrq.gov/issue/impact-organisational-and-individual-factors-team-communication-surgery- qualitative-study … This qualitative study used interviews with operating room personnel to identify aspects of interpersonal … psnet.ahrq.gov/issue/impact-organisational-and-individual-factors-team-communication-surgery-qualitative-study

9650. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38657/psn-pdf
      September 27, 2016 - Medication Administration Time Study (MATS): nursing staff performance of medication administration. … Medication Administration Time Study (MATS): nursing staff performance of medication administration. … https://psnet.ahrq.gov/issue/medication-administration-time-study-mats-nursing-staff-performance- medication-administration … This study analyzed nursing workflow during medication administration and found that the potential … https://psnet.ahrq.gov/issue/medication-administration-time-study-mats-nursing-staff-performance-medication-administration

9651. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38588/psn-pdf
      July 13, 2009 - Nursing student medication errors involving tubing and catheters: a descriptive study. … Nursing student medication errors involving tubing and catheters: A descriptive study. … psnet.ahrq.gov/issue/nursing-student-medication-errors-involving-tubing-and-catheters-descriptive- study … This study describes characteristics associated with various tubing- and catheter-related errors, and … //psnet.ahrq.gov/issue/nursing-student-medication-errors-involving-tubing-and-catheters-descriptive-study

9652. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43286/psn-pdf
      June 25, 2014 - Codifying knowledge to improve patient safety: a qualitative study of practice-based interventions. … Codifying knowledge to improve patient safety: a qualitative study of practice-based interventions. … https://psnet.ahrq.gov/issue/codifying-knowledge-improve-patient-safety-qualitative-study-practice-based … - interventions This qualitative study used morbidity and mortality conferences and medication safety … https://psnet.ahrq.gov/issue/codifying-knowledge-improve-patient-safety-qualitative-study-practice-based-interventions

9653. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37983/psn-pdf
      November 03, 2008 - A prospective study of factors influencing the outcome of patients after a Medical Emergency Team review … A prospective study of factors influencing the outcome of patients after a Medical Emergency Team review … https://psnet.ahrq.gov/issue/prospective-study-factors-influencing-outcome-patients-after-medical- emergency-team-review … activating a medical emergency team was associated with adverse clinical outcomes in this Australian study … https://psnet.ahrq.gov/issue/prospective-study-factors-influencing-outcome-patients-after-medical-emergency-team-review

9654. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41966/psn-pdf
      January 30, 2013 - Reasons for not reporting patient safety incidents in general practice: a qualitative study. … Reasons for not reporting patient safety incidents in general practice: a qualitative study. … /psnet.ahrq.gov/issue/reasons-not-reporting-patient-safety-incidents-general-practice-qualitative- study … This study investigates underlying reasons for low rates of reporting patient safety incidents by general … ://psnet.ahrq.gov/issue/reasons-not-reporting-patient-safety-incidents-general-practice-qualitative-study

9655. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41240/psn-pdf
      October 19, 2012 - Prescriptions analysis by clinical pharmacists in the post- operative period: a 4-year prospective study … Prescriptions analysis by clinical pharmacists in the post- operative period: a 4-year prospective study … psnet.ahrq.gov/issue/prescriptions-analysis-clinical-pharmacists-post-operative-period-4-year- prospective-study … This study found that pharmacist intervention can detect a significant number of medication-related … psnet.ahrq.gov/issue/prescriptions-analysis-clinical-pharmacists-post-operative-period-4-year-prospective-study

9656. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39900/psn-pdf
      October 06, 2010 - Computerized physician order entry of injectable antineoplastic drugs: an epidemiologic study of prescribing … Computerized physician order entry of injectable antineoplastic drugs: an epidemiologic study of prescribing … psnet.ahrq.gov/issue/computerized-physician-order-entry-injectable-antineoplastic-drugs- epidemiologic-study … The incidence of prescribing errors for chemotherapy drugs remained relatively high in this study, … psnet.ahrq.gov/issue/computerized-physician-order-entry-injectable-antineoplastic-drugs-epidemiologic-study

9657. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39656/psn-pdf
      July 07, 2010 - A questionnaire study of blood collection practices in primary health care. … A questionnaire study of blood collection practices in primary health care. … https://psnet.ahrq.gov/issue/test-result-correct-questionnaire-study-blood-collection-practices-primary … - health-care This study in Swedish primary care clinics revealed that recommended practices to prevent … https://psnet.ahrq.gov/issue/test-result-correct-questionnaire-study-blood-collection-practices-primary-health-care

9658. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42574/psn-pdf
      December 21, 2014 - Physicians' diagnostic accuracy, confidence, and resource requests: a vignette study. … Physicians' diagnostic accuracy, confidence, and resource requests: a vignette study. … https://psnet.ahrq.gov/issue/physicians-diagnostic-accuracy-confidence-and-resource-requests-vignette- study … https://psnet.ahrq.gov/issue/physicians-diagnostic-accuracy-confidence-and-resource-requests-vignette-study … https://psnet.ahrq.gov/issue/physicians-diagnostic-accuracy-confidence-and-resource-requests-vignette-study

9659. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42369/psn-pdf
      September 19, 2013 - Patient safety in healthcare preregistration educational curricula: multiple case study-based investigations … Patient safety in healthcare preregistration educational curricula: multiple case study-based investigations … psnet.ahrq.gov/issue/patient-safety-healthcare-preregistration-educational-curricula-multiple-case- study-based … This qualitative case study explored patient safety education across health care professional student … /psnet.ahrq.gov/issue/patient-safety-healthcare-preregistration-educational-curricula-multiple-case-study-based

9660. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39458/psn-pdf
      April 12, 2011 - Hospital admission medication reconciliation in medically complex children: an observational study. … Hospital admission medication reconciliation in medically complex children: an observational study. … psnet.ahrq.gov/issue/hospital-admission-medication-reconciliation-medically-complex-children- observational-study … This study documents the challenges in implementing medication reconciliation in a children's hospital … psnet.ahrq.gov/issue/hospital-admission-medication-reconciliation-medically-complex-children-observational-study