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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
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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
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psnet.ahrq.gov/node/47791/psn-pdf
March 20, 2019 - Essential activities for electronic health record safety: a
qualitative study. … Essential activities for electronic health record safety: A qualitative study. … https://psnet.ahrq.gov/issue/essential-activities-electronic-health-record-safety-qualitative-study … This direct observation and interview study examined safety activities associated with electronic health … https://psnet.ahrq.gov/issue/essential-activities-electronic-health-record-safety-qualitative-study
https
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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
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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.
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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