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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/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
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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
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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
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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
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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
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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
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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
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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/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/41414/psn-pdf
June 06, 2012 - Factors associated with reported preventable adverse
drug events: a retrospective, case-control study … Factors associated with reported preventable adverse drug events:
a retrospective, case-control study … psnet.ahrq.gov/issue/factors-associated-reported-preventable-adverse-drug-events-retrospective-
case-control-study … This study analyzed more than 4300 medication errors and noted that 4% were preventable adverse drug … psnet.ahrq.gov/issue/factors-associated-reported-preventable-adverse-drug-events-retrospective-case-control-study
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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/44704/psn-pdf
February 09, 2016 - Sensemaking and the co-production of safety: a
qualitative study of primary medical care patients. … Sensemaking and the co-production of safety: a qualitative
study of primary medical care patients. … https://psnet.ahrq.gov/issue/sensemaking-and-co-production-safety-qualitative-study-primary-medical-care … -
patients
This sociology study used qualitative interviews with primary care patients to explore their … https://psnet.ahrq.gov/issue/sensemaking-and-co-production-safety-qualitative-study-primary-medical-care-patients
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psnet.ahrq.gov/node/46900/psn-pdf
August 29, 2018 - Developing agreement on never events in primary care
dentistry: an international eDelphi study. … Developing agreement on never events in
primary care dentistry: an international eDelphi study. … psnet.ahrq.gov/issue/developing-agreement-never-events-primary-care-dentistry-international-
edelphi-study … This Delphi study aimed to identify expert consensus on never events in dentistry. … psnet.ahrq.gov/issue/developing-agreement-never-events-primary-care-dentistry-international-edelphi-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/43097/psn-pdf
April 23, 2014 - A study of staff perspectives.
April 23, 2014
Van Noord IV-, Wagner C, van Dyck C, et al. … A study of staff perspectives. Int J Qual Health Care. 2014;26(1):64-70. … https://psnet.ahrq.gov/issue/culture-associated-patient-safety-emergency-department-study-staff-
perspectives … This study highlights the increasingly widespread use of
safety culture surveys in clinical settings … https://psnet.ahrq.gov/issue/culture-associated-patient-safety-emergency-department-study-staff-perspectives
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psnet.ahrq.gov/node/44547/psn-pdf
November 25, 2015 - Monitoring patient safety in primary care: an exploratory
study using in-depth semistructured interviews … Monitoring patient safety in primary care: an exploratory study using in-depth
semistructured interviews … https://psnet.ahrq.gov/issue/monitoring-patient-safety-primary-care-exploratory-study-using-depth-
semistructured … This study reviews insights from interviews of primary care physicians, practice nurses, practice managers … https://psnet.ahrq.gov/issue/monitoring-patient-safety-primary-care-exploratory-study-using-depth-semistructured
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psnet.ahrq.gov/node/44997/psn-pdf
July 21, 2016 - A multisite controlled before-after study. … A multisite controlled before-after study. … psnet.ahrq.gov/issue/crew-resource-management-training-intensive-care-unit-multisite-controlled-
after-study … This study found that classroom-based crew resource management training for intensive care unit staff … psnet.ahrq.gov/issue/crew-resource-management-training-intensive-care-unit-multisite-controlled-after-study
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psnet.ahrq.gov/node/42069/psn-pdf
February 27, 2013 - Nurses' perceptions of patient safety climate in intensive
care units: a cross-sectional study. … Nurses' perceptions of patient safety climate in intensive care units:
a cross-sectional study. … psnet.ahrq.gov/issue/nurses-perceptions-patient-safety-climate-intensive-care-units-cross-sectional-
study … The study used the AHRQ
Hospital Survey on Patient Safety Culture. … psnet.ahrq.gov/issue/nurses-perceptions-patient-safety-climate-intensive-care-units-cross-sectional-study