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  1. 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
  2. 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
  3. 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
  4. 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
  5. 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
  6. 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
  7. 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
  8. 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
  9. 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
  10. 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
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42509/psn-pdf
    August 21, 2013 - Explaining Matching Michigan: an ethnographic study of a patient safety program. … Explaining Matching Michigan: an ethnographic study of a patient safety program. … https://psnet.ahrq.gov/issue/explaining-matching-michigan-ethnographic-study-patient-safety-program … The Matching Michigan program attempted to replicate the success of the Keystone ICU study at preventing … A counterpart to the landmark study exploring why the Keystone ICU study succeeded, this ethnographic
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45410/psn-pdf
    July 27, 2018 - Allocation of physician time in ambulatory practice: a time and motion study in four specialties. … Allocation of Physician Time in Ambulatory Practice: A Time and Motion Study in 4 Specialties. … https://psnet.ahrq.gov/issue/allocation-physician-time-ambulatory-practice-time-and-motion-study-four … This study used direct observation and time diaries to characterize the work of outpatient physicians … psnet.ahrq.gov/issue/effect-electronic-health-records-ambulatory-care-retrospective-serial-cross-sectional-study
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35611/psn-pdf
    June 23, 2010 - A study of patients' and operating room team members' perceptions of error definition, reporting, and … A study of patients' and operating room team members' perceptions of error definition, reporting, and … https://psnet.ahrq.gov/issue/error-or-act-god-study-patients-and-operating-room-team-members- perceptions-error-definition … This study discovered both similarities and differences in the way surgeons, nurses, anesthesiologists … While the study represents a small sample size from two tertiary institutions, it does emphasize the
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45043/psn-pdf
    July 01, 2016 - Exclusion of residents from surgery-intensive care team communication: a qualitative study. … Exclusion of Residents From Surgery-Intensive Care Team Communication: A Qualitative Study. … ://psnet.ahrq.gov/issue/exclusion-residents-surgery-intensive-care-team-communication-qualitative- study … According to this qualitative study at a single academic institution, staff surgeons and intensivists … https://psnet.ahrq.gov/issue/exclusion-residents-surgery-intensive-care-team-communication-qualitative-study
  15. 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
  16. 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
  17. 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
  18. 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
  19. 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
  20. 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

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