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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43590/psn-pdf
    October 08, 2014 - Disentangling quality and safety indicator data: a longitudinal, comparative study of hand hygiene … Disentangling quality and safety indicator data: a longitudinal, comparative study of hand hygiene compliance … - hand-hygiene This large Australian study sought to examine whether hand hygiene compliance rates … The study revealed that hand hygiene rates across 118 acute hospitals in New South Wales improved from … A previous study from Canada found that increasing overall hand hygiene adherence did not result in

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44599/psn-pdf
    December 09, 2015 - Association between day of delivery and obstetric outcomes: observational study. … Association between day of delivery and obstetric outcomes: observational study. … https://psnet.ahrq.gov/issue/association-between-day-delivery-and-obstetric-outcomes-observational-study … In this retrospective observational study, investigators examined maternal and neonatal quality measures … This study is consistent with prior work suggesting patient safety vulnerabilities during the weekend

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44545/psn-pdf
    December 20, 2017 - Work conditions, mental workload and patient care quality: a multisource study in the emergency department … Work conditions, mental workload and patient care quality: a multisource study in the emergency department … https://psnet.ahrq.gov/issue/work-conditions-mental-workload-and-patient-care-quality-multisource-study … This mixed-method study in a medium-sized community emergency department (ED) found that ED personnels … Similar to a prior study by some of the same authors, interruptions were common and associated with

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36342/psn-pdf
    March 02, 2011 - Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims. … Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims. … https://psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-ambulatory-setting-study-closed-malpractice … This study analyzed data from malpractice claims at four liability insurers, similar to companion studies … https://psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-ambulatory-setting-study-closed-malpractice-claims

  5. Barriers and facilitators to reporting medical device-related pressure ulcers: a qualitative exploration of international practice. | PSNet

    psnet.ahrq.gov/issue/barriers-and-facilitators-reporting-medical-device-related-pressure-ulcers-qualitative
    April 07, 2019 - Study Barriers and facilitators to reporting medical device-related pressure ulcers … severity and preventability of medication-related visits to the emergency department: a prospective study … suppression are associated with greater risk perceptions among emergency nurses: a cross-sectional study … policies related to COVID-19 on perceived organizational support among U.S. internists: a national study … A cross-sectional study.

  6. Exploring mediating effects between nursing leadership and patient safety from a person-centred perspective: a literature review. | PSNet

    psnet.ahrq.gov/issue/exploring-mediating-effects-between-nursing-leadership-and-patient-safety-person-centred
    October 08, 2016 - Study Exploring mediating effects between nursing leadership and patient safety from … October 8, 2016 When doctors share visit notes with patients: a study of patient and … March 22, 2023 Publication of inspection frameworks: a qualitative study exploring the … Speaking up as an extension of socio-cultural dynamics in hospital settings: a study … August 5, 2020 Public sector organizational failure: a study of collective denial in

  7. Supporting Continuity of Care for Poisonings with Electronic Information Exchange - 2010 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/supporting-continuity-care-poisonings-electronic-information-exchange/annual-summary/2010
    January 01, 2010 - In addition, a four-round Delphi study will determine consensus among national experts on significant … Monthly team meetings addressed the content and conduct of Delphi study. … The study team updated and expanded the literature search on electronic information exchange between … The Delphi study was conducted between September and December 2010. … The study team received University of Utah institutional review board approval for this study aim.

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34818/psn-pdf
    April 22, 2011 - The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada … The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada … https://psnet.ahrq.gov/issue/canadian-adverse-events-study-incidence-adverse-events-among-hospital- … patients-canada Using methodology originally developed for the Harvard Medical Practice Study, the authors … https://psnet.ahrq.gov/issue/canadian-adverse-events-study-incidence-adverse-events-among-hospital-patients-canada

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47199/psn-pdf
    October 03, 2018 - Patient safety in palliative care: a mixed-methods study of reports to a national database of serious … Patient safety in palliative care: A mixed-methods study of reports to a national database of serious … https://psnet.ahrq.gov/issue/patient-safety-palliative-care-mixed-methods-study-reports-national-database … In this mixed-methods study, researchers analyzed patient safety incidents among patients receiving … psnet.ahrq.gov/issue/patients-perception-types-errors-palliative-care-results-qualitative-interview-study

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43013/psn-pdf
    March 12, 2014 - Laboratory test ordering and results management systems: a qualitative study of safety risks identified … Laboratory test ordering and results management systems: a qualitative study of safety risks identified … https://psnet.ahrq.gov/issue/laboratory-test-ordering-and-results-management-systems-qualitative-study … - safety-risks In this qualitative study, outpatient practice administrators identified weaknesses … This study underscores persisting concerns related to test results management, despite longstanding

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38515/psn-pdf
    March 03, 2011 - Errors in administration of parenteral drugs in intensive care units: multinational prospective study … Errors in administration of parenteral drugs in intensive care units: multinational prospective study … psnet.ahrq.gov/issue/errors-administration-parenteral-drugs-intensive-care-units-multinational- prospective-study … This cross-sectional study, conducted at hospitals in 27 countries, fused voluntary error reports to … psnet.ahrq.gov/issue/errors-administration-parenteral-drugs-intensive-care-units-multinational-prospective-study

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845074/psn-pdf
    March 02, 2011 - Preventable hospital admissions related to medication (HARM): cost analysis of the HARM study. … Preventable hospital admissions related to medication (HARM): cost analysis of the HARM study. … //psnet.ahrq.gov/issue/preventable-hospital-admissions-related-medication-harm-cost-analysis-harm- study … This study used data from the earlier Hospital Admissions Related to Medication (HARM) study to estimate … https://psnet.ahrq.gov/issue/preventable-hospital-admissions-related-medication-harm-cost-analysis-harm-study

  13. Assessing the Risk of Bias in Systematic Reviews of Health Care Interventions (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/ehc-presentation-risk-of-bias.pdf
    December 01, 2017 - Move Beyond Study Design Label • Do not rely solely on study design label (e.g., randomized controlled … design of each individual study. … Finally, summarize individual study risk of bias into overall strength of evidence study limitations … Key Messages • Risk of bias is an important consideration in whether to use a study or how the study … Risk of bias is an important consideration in whether to use a study or how the study should be analyzed

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37256/psn-pdf
    July 28, 2010 - Evaluating physician performance at individualizing care: a pilot study tracking contextual errors in … Evaluating physician performance at individualizing care: a pilot study tracking contextual errors in … https://psnet.ahrq.gov/issue/evaluating-physician-performance-individualizing-care-pilot-study-tracking … - contextual-errors This study describes a methodology for measuring physician performance and focuses … https://psnet.ahrq.gov/issue/evaluating-physician-performance-individualizing-care-pilot-study-tracking-contextual-errors

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40836/psn-pdf
    October 12, 2011 - Exploring varieties of knowledge in safe work practices—an ethnographic study of surgical teams. … Exploring varieties of knowledge in safe work practices - an ethnographic study of surgical teams. … https://psnet.ahrq.gov/issue/exploring-varieties-knowledge-safe-work-practices-ethnographic-study- surgical-teams … This qualitative study used direct observation and in-depth interviews to analyze teamwork practices … https://psnet.ahrq.gov/issue/exploring-varieties-knowledge-safe-work-practices-ethnographic-study-surgical-teams

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38545/psn-pdf
    April 22, 2009 - Burns surgery handover study: trainees' assessment of current practice in the British Isles. … Burns surgery handover study: trainees' assessment of current practice in the British Isles. … https://psnet.ahrq.gov/issue/burns-surgery-handover-study-trainees-assessment-current-practice-british … - isles This study conducted telephone questionnaires of trainees and discovered several areas for … https://psnet.ahrq.gov/issue/burns-surgery-handover-study-trainees-assessment-current-practice-british-isles

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39144/psn-pdf
    June 09, 2011 - Medication safety in community pharmacy: a qualitative study of the sociotechnical context. … Medication safety in community pharmacy: a qualitative study of the sociotechnical context. … https://psnet.ahrq.gov/issue/medication-safety-community-pharmacy-qualitative-study-sociotechnical- … context This human factors study examined components of the work environment in outpatient pharmacies … https://psnet.ahrq.gov/issue/medication-safety-community-pharmacy-qualitative-study-sociotechnical-context

  18. How hospital leaders contribute to patient safety through the development of trust. | PSNet

    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. Promoting Self-Management in Stroke Survivors Using Health-IT - Final Report (pdf file)

    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. Integrating patient-reported outcomes and electronic health record data to improve clinical decision support for depression treatment - Final Report (pdf file)

    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
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