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141. Measuring team hierarchy during high-stakes clinical decision making: development and validation of a new behavioral observation method. | PSNet
     psnet.ahrq.gov/issue/measuring-team-hierarchy-during-high-stakes-clinical-decision-making-development-and
     April 05, 2023 - Statement types by gender and status varied slightly between transcript and video, but were largely consistent

142. Adaptive design: adaptation and adoption of patient safety practices in daily routines, a multi-site study. | PSNet
     psnet.ahrq.gov/issue/adaptive-design-adaptation-and-adoption-patient-safety-practices-daily-routines-multi-site
     November 25, 2020 - Adaptation varied amongst the ten participating Dutch hospitals, but all implemented the intervention

143. Patient participation in patient safety still missing: patient safety experts' views. | PSNet
     psnet.ahrq.gov/issue/patient-participation-patient-safety-still-missing-patient-safety-experts-views
     February 13, 2019 - patient safety experts, researchers determined that patient participation in maintaining their own safety varied

144. How is physicians' implicit prejudice against the obese and mentally ill moderated by specialty and experience? | PSNet
     psnet.ahrq.gov/issue/how-physicians-implicit-prejudice-against-obese-and-mentally-ill-moderated-specialty-and
     January 19, 2022 - Results varied by specialty, physician age, gender, and experience level.

145. Hospital inpatient falls across clinical departments. | PSNet
     psnet.ahrq.gov/issue/hospital-inpatient-falls-across-clinical-departments
     September 15, 2021 - In this analysis of falls within one hospital, rates and trends varied across six clinical departments

146. Work system barriers and facilitators of a team health information technology. | PSNet
     psnet.ahrq.gov/issue/work-system-barriers-and-facilitators-team-health-information-technology
     March 11, 2020 - Numerous barriers and facilitators were identified and varied across department and role.

147. The relationship between nursing home staffing and resident safety outcomes: a systematic review of reviews. | PSNet
     psnet.ahrq.gov/issue/relationship-between-nursing-home-staffing-and-resident-safety-outcomes-systematic-review
     April 20, 2022 - review of reviews found higher nurse staffing was generally associated with positive outcomes, results varied

148. Developing standardized "receiver-driven" handoffs between referring providers and the emergency department: results of a multidisciplinary needs assessment. | PSNet
     psnet.ahrq.gov/issue/developing-standardized-receiver-driven-handoffs-between-referring-providers-and-emergency
     June 03, 2020 - handoffs between outpatient pediatric providers and the emergency department at a single institution varied

149. React, reframe and engage. Establishing a receiver mindset for more effective safety negotiations. | PSNet
     psnet.ahrq.gov/issue/react-reframe-and-engage-establishing-receiver-mindset-more-effective-safety-negotiations
     March 29, 2023 - participants were more likely to respond positively to the accommodating tone, but the impact of seniority varied

150. Nurse judgements of hospitalized patients' safety concerns are affected by patient, nurse and event characteristics: a factorial survey experiment. | PSNet
     psnet.ahrq.gov/issue/nurse-judgements-hospitalized-patients-safety-concerns-are-affected-patient-nurse-and-event
     May 13, 2020 - Results varied by patient and nurse characteristics.

151. Preventing iatrogenic overdose: a review of in–emergency department opioid-related adverse drug events and medication errors. | PSNet
     psnet.ahrq.gov/issue/preventing-iatrogenic-overdose-review-emergency-department-opioid-related-adverse-drug-events
     August 12, 2020 - These results clearly demonstrate the need for multimodal interventions that address the varied factors

152. Developing a cancer-specific trigger tool to identify treatment-related adverse events using administrative data. | PSNet
     psnet.ahrq.gov/issue/developing-cancer-specific-trigger-tool-identify-treatment-related-adverse-events-using
     May 20, 2020 - that triggers affected 19% of patients during their initial year in treatment, and that trigger burden varied

153. ICU attending handoff practices: results from a national survey of academic intensivists. | PSNet
     psnet.ahrq.gov/issue/icu-attending-handoff-practices-results-national-survey-academic-intensivists
     February 06, 2019 - physicians found that although most reported participating in end-of-shift handoffs , the handoff process varied

154. Coping with errors in the operating room: intraoperative strategies, postoperative strategies, and sex differences. | PSNet
     psnet.ahrq.gov/issue/coping-errors-operating-room-intraoperative-strategies-postoperative-strategies-and-sex
     September 09, 2020 - events at approximately the same rate, the coping methods utilized and effectiveness of the methods varied

155. Pharmacist-led educational interventions provided to healthcare providers to reduce medication errors: a systematic review and meta-analysis. | PSNet
     psnet.ahrq.gov/issue/pharmacist-led-educational-interventions-provided-healthcare-providers-reduce-medication
     October 14, 2020 - The phase, educational strategy , patient population, and audience varied across studies; however most

156. The accuracy of preliminary diagnoses made by paramedics - a cross-sectional comparative study. | PSNet
     psnet.ahrq.gov/issue/accuracy-preliminary-diagnoses-made-paramedics-cross-sectional-comparative-study
     September 16, 2020 - Agreement between the preliminary diagnosis and the hospital diagnosis was 70% and varied depending on

157. Pediatric prehospital medication dosing errors: a national survey of paramedics. | PSNet
     psnet.ahrq.gov/issue/pediatric-prehospital-medication-dosing-errors-national-survey-paramedics
     August 25, 2021 - Respondents used varied methods for estimating weight of pediatric patients in order to calculate drug

158. Role of communicating diagnostic uncertainty in the safety-netting process: insights from a vignette study. | PSNet
     psnet.ahrq.gov/issue/role-communicating-diagnostic-uncertainty-safety-netting-process-insights-vignette-study
     February 20, 2019 - Safety-netting was common, but the specific content and recommended actions varied, and few physicians

159. Integrating computerized clinical decision support systems into clinical work: a meta-synthesis of qualitative research. | PSNet
     psnet.ahrq.gov/issue/integrating-computerized-clinical-decision-support-systems-clinical-work-meta-synthesis
     October 19, 2022 - This meta-analysis interpreted qualitative CDSS studies to better understand why these varied results

160. Professionalising patient safety? Findings from a mixed-methods formative evaluation of the patient safety specialist role in the English National Health Service. | PSNet
     psnet.ahrq.gov/issue/professionalising-patient-safety-findings-mixed-methods-formative-evaluation-patient-safety
     August 28, 2024 - Respondents reported experiencing varied levels of organizational support and highlighted tensions between