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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
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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
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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
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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
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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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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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