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  1. 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
  2. digital.ahrq.gov/sites/default/files/docs/publication/r01hs015459-goldberg-final-report-2008.pdf
    January 01, 2008 - The Self Management intervention was a unique feature of this study. … The clinical site study teams then had to re-introduce the team and study to all participating practices … The clinical site study teams then had to re-introduce the team and study to all participating practices … This study was closed to enrollment May 2007. … Study Update (Challenges/Issues/Complaints) Dr.
  3. 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
  4. 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
  5. 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
  6. digital.ahrq.gov/sites/default/files/docs/citation/r21hs022336-farris-final-report-2017.pdf
    January 01, 2017 - Methods Study Design. … that they could phone the health plan study staff to opt-out of a phone call about the study. … the study. … We will compare the medication possession ratio 6 months before the study, 9 months during the study … and 6 months after the study.
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37328/psn-pdf
    January 05, 2012 - Training operating room teams in damage control surgery for trauma: a followup study of the Norwegian … Training operating room teams in damage control surgery for trauma: a followup study of the Norwegian … https://psnet.ahrq.gov/issue/training-operating-room-teams-damage-control-surgery-trauma-followup-study … - norwegian-model This study discovered that trauma team members valued the effect of a team-oriented … https://psnet.ahrq.gov/issue/training-operating-room-teams-damage-control-surgery-trauma-followup-study-norwegian-model
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40681/psn-pdf
    March 19, 2012 - Nurses' perceptions of an electronic patient record from a patient safety perspective: a qualitative study … Nurses' perceptions of an electronic patient record from a patient safety perspective: a qualitative study … psnet.ahrq.gov/issue/nurses-perceptions-electronic-patient-record-patient-safety-perspective- qualitative-study … This qualitative study among Swedish nurses found that many perceived their electronic medical record … psnet.ahrq.gov/issue/nurses-perceptions-electronic-patient-record-patient-safety-perspective-qualitative-study
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37925/psn-pdf
    July 23, 2008 - Mix of methods is needed to identify adverse events in general practice: a prospective observational study … Mix of methods is needed to identify adverse events in general practice: a prospective observational study … psnet.ahrq.gov/issue/mix-methods-needed-identify-adverse-events-general-practice-prospective- observational-study … reporting, patient surveys, medical record review, and review of deceased patients—were compared in this study … psnet.ahrq.gov/issue/mix-methods-needed-identify-adverse-events-general-practice-prospective-observational-study
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41081/psn-pdf
    February 01, 2012 - Workarounds in the use of IS in healthcare: a case study of an electronic medication administration … Workarounds in the use of IS in healthcare: A case study of an electronic medication administration … https://psnet.ahrq.gov/issue/workarounds-use-healthcare-case-study-electronic-medication-administration … - system This case study of electronic medical record implementation at a public hospital provides … https://psnet.ahrq.gov/issue/workarounds-use-healthcare-case-study-electronic-medication-administration-system
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41511/psn-pdf
    June 03, 2013 - A multicentre observational study to evaluate a new tool to assess emergency physicians' non-technical … A multicentre observational study to evaluate a new tool to assess emergency physicians' non-technical … https://psnet.ahrq.gov/issue/multicentre-observational-study-evaluate-new-tool-assess-emergency- physicians-non-technical … teamwork, communication, and leadership, appeared to be reliable and reproducible in this multicenter study … https://psnet.ahrq.gov/issue/multicentre-observational-study-evaluate-new-tool-assess-emergency-physicians-non-technical
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41791/psn-pdf
    December 04, 2016 - Managing the after effects of serious patient safety incidents in the NHS: an online survey study. … Managing the after effects of serious patient safety incidents in the NHS: an online survey study. … ://psnet.ahrq.gov/issue/managing-after-effects-serious-patient-safety-incidents-nhs-online-survey- study … This study explored current practices related to the National Health Services' being open policy for … https://psnet.ahrq.gov/issue/managing-after-effects-serious-patient-safety-incidents-nhs-online-survey-study
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44640/psn-pdf
    February 20, 2016 - The problem with Plan-Do-Study-Act cycles. February 20, 2016 Reed JE, Card AJ. … The problem with Plan-Do-Study-Act cycles. BMJ Qual Saf. 2016;25(3):147-52. … https://psnet.ahrq.gov/issue/problem-plan-do-study-act-cycles Rapid-cycle improvement methods have been … This commentary explores how insufficient implementation of plan-do-study-act cycles can hinder its … https://psnet.ahrq.gov/issue/problem-plan-do-study-act-cycles https://psnet.ahrq.gov/issue/improvement-guide-practical-approach-enhancing-organizational-performance
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41778/psn-pdf
    January 18, 2013 - An observational study of the frequency, severity, and etiology of failures in postoperative care after … An observational study of the frequency, severity, and etiology of failures in postoperative care after … https://psnet.ahrq.gov/issue/observational-study-frequency-severity-and-etiology-failures-postoperative … - care-after-major This observational study at a large teaching hospital found that process failures … https://psnet.ahrq.gov/issue/observational-study-frequency-severity-and-etiology-failures-postoperative-care-after-major
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40731/psn-pdf
    December 31, 2014 - Making electronic prescribing alerts more effective: scenario-based experimental study in junior doctors … Making electronic prescribing alerts more effective: scenario-based experimental study in junior doctors … psnet.ahrq.gov/issue/making-electronic-prescribing-alerts-more-effective-scenario-based- experimental-study-junior … This study found that modal prescribing alerts—warnings that required a response from physicians, akin … psnet.ahrq.gov/issue/making-electronic-prescribing-alerts-more-effective-scenario-based-experimental-study-junior
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43563/psn-pdf
    November 17, 2014 - Creating spaces in intensive care for safe communication: a video-reflexive ethnographic study. … Creating spaces in intensive care for safe communication: a video-reflexive ethnographic study. … psnet.ahrq.gov/issue/creating-spaces-intensive-care-safe-communication-video-reflexive- ethnographic-study … This study used video-reflexive ethnography—a qualitative intervention approach that involves videotaping … psnet.ahrq.gov/issue/creating-spaces-intensive-care-safe-communication-video-reflexive-ethnographic-study
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39749/psn-pdf
    August 11, 2010 - An evaluation of information transfer through the continuum of surgical care: a feasibility study. … An evaluation of information transfer through the continuum of surgical care: a feasibility study. … /psnet.ahrq.gov/issue/evaluation-information-transfer-through-continuum-surgical-care-feasibility- study … ://psnet.ahrq.gov/issue/evaluation-information-transfer-through-continuum-surgical-care-feasibility-study … ://psnet.ahrq.gov/issue/evaluation-information-transfer-through-continuum-surgical-care-feasibility-study
  18. psnet.ahrq.gov/issue/how-hospital-leaders-contribute-patient-safety-through-development-trust
    January 22, 2014 - Study How hospital leaders contribute to patient safety through the development of … no-harm incidents and adverse events in hospitalized patients with ischemic stroke or TIA: a cohort study … March 28, 2012 Errors in nurse-led triage: an observational study. … December 2, 2020 Nursing skill mix in European hospitals: cross-sectional study of the … : The impact of workload, safety climate, and safety tools on medical errors: a study of intensive care
  19. digital.ahrq.gov/sites/default/files/docs/publication/r21hs021794-lakshiminarayan-final-report-2015.pdf
    January 01, 2015 - The goal of this study is to inform a larger health system based study on the clinical effectiveness … 8 Our pilot study addresses this evidence gap. … Study duration Participants were followed for 90 days. … completed the study and 24 control patients have completed the study. … Start 139 140 Average SBP Study End 128 135 Average DBP Study Start 83 78 Average DBP Study End
  20. digital.ahrq.gov/sites/default/files/docs/citation/r21hs021769-anderson-final-report-2016.pdf
    January 01, 2016 - Heather Anderson about the study. … A patient’s study period ended once they had been in the study for at least three months and they reached … period from the clinics participating in the study. … data collected during the study. … Specific Aim 2 Six participants have completed an end-of-study survey assessing their time in the study