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psnet.ahrq.gov/issue/knowledge-retention-after-simulated-crisis-importance-independent-practice-and-simulated
September 13, 2017 - further split so that half of those practicing independently and half of those working with an attending experienced … Residents who had practiced independently and experienced simulated mortality in the initial hyperkalemia
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psnet.ahrq.gov/issue/opioid-prescribing-after-nonfatal-overdose-and-association-repeated-overdose-cohort-study
January 23, 2019 - This cohort study examined treatment patterns for patients who had experienced a nonfatal opioid overdose … patients were prescribed opioids following such events, and within 2 years up to 17% of those patients experienced
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psnet.ahrq.gov/issue/objective-methodology-task-analysis-and-workload-assessment-anesthesia-providers
February 19, 2010 - measurement strategies, the investigators studied two cohorts of anesthesia providers, including a more experienced … group with less attending supervision and a less experienced group with more attending supervision.
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psnet.ahrq.gov/node/45554/psn-pdf
October 19, 2016 - This Swedish study
looked at a previously unexamined aspect of safety—harm experienced by patients while … The population-based analysis found that patients experienced an
increased risk of adverse events during
-
psnet.ahrq.gov/node/43254/psn-pdf
May 01, 2015 - multiple Medicare databases over a 7-year period, this study found that nearly
1 in 5 older adults experienced … Patients who experienced an adverse medical event had much higher mortality rates, though it
should
-
psnet.ahrq.gov/node/33591/psn-pdf
March 15, 2025 - is reviewed to determine whether an adverse event took place, and if
so, to grade the level of harm experienced … reliability of trigger tools, both for detection of adverse
events and for rating the severity of harm experienced … measurement-patient-safety
https://psnet.ahrq.gov/issue/assessment-adverse-events-medical-care-lack-consistency-between-experienced-teams-using
-
psnet.ahrq.gov/node/43037/psn-pdf
October 31, 2014 - Approximately 22% of beneficiaries who stayed
in a skilled nursing facility experienced an adverse event … More
than half of those who experienced harm were readmitted to the hospital.
-
psnet.ahrq.gov/node/43771/psn-pdf
May 01, 2015 - publics-views-medical-error-massachusetts
This statewide public telephone survey in Massachusetts found that more than 20% of respondents
experienced … About half of patients who
experienced medical errors reported the incident to a clinician, hospital
-
psnet.ahrq.gov/node/47189/psn-pdf
August 17, 2018 - than 100,000 patients
undergoing in-hospital surgical procedures at 21 hospitals found that about 10% experienced … Patients who experienced an opioid-related
adverse drug event had longer hospital stays, greater inpatient
-
psnet.ahrq.gov/node/43016/psn-pdf
May 28, 2014 - A prospective cohort study revealed that 10% of
home care patients experienced an adverse event, an … identification-serious-and-reportable-events-home-care-delphi-survey-develop-consensus
https://psnet.ahrq.gov/issue/adverse-events-experienced-homecare-patients-scoping-review-literature
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psnet.ahrq.gov/issue/they-say-they-listen-do-they-really-listen-qualitative-study-hospital-doctors-experiences
November 29, 2017 - As a result, physicians experienced burnout , moral injury, and job dissatisfaction. … November 13, 2024
Identifying and measuring administrative harms experienced by hospitalists
-
psnet.ahrq.gov/issue/increased-mortality-and-costs-associated-adverse-events-intensive-care-unit-patients
January 16, 2008 - An analysis of more than 17,000 adult intensive care unit patients showed approximately 35% experienced … Those patients had significantly longer hospital stays, experienced higher rates of in-hospital mortality
-
psnet.ahrq.gov/issue/investigating-long-term-consequences-adverse-medical-events-among-older-adults
March 24, 2019 - multiple Medicare databases over a 7-year period, this study found that nearly 1 in 5 older adults experienced … Patients who experienced an adverse medical event had much higher mortality rates, though it should be
-
psnet.ahrq.gov/issue/association-opioid-related-adverse-drug-events-clinical-and-cost-outcomes-among-surgical
March 12, 2014 - than 100,000 patients undergoing in-hospital surgical procedures at 21 hospitals found that about 10% experienced … Patients who experienced an opioid-related adverse drug event had longer hospital stays, greater inpatient
-
psnet.ahrq.gov/issue/second-victim-phenomenon
July 10, 2024 - Related Resources From the Same Author(s)
Identifying and measuring administrative harms experienced … A systematic review of workplace triggers of emotions in the healthcare environment, the emotions experienced
-
psnet.ahrq.gov/issue/err-human-unless-you-are-healthcare-provider
March 22, 2023 - March 22, 2023
Lifetime prevalence and correlates of patient-perceived medical errors experienced … November 18, 2020
Nearly all thirty most frequently used emergency department drugs experienced
-
psnet.ahrq.gov/issue/i-had-no-idea-happened-electronic-feedback-clinical-reasoning-hospitalists
February 28, 2024 - Related Resources From the Same Author(s)
Exploring clinical lessons learned by experienced … June 12, 2024
Exploring clinical lessons learned by experienced hospitalists from diagnostic
-
psnet.ahrq.gov/issue/elevated-mortality-among-weekend-hospital-admissions-not-associated-adoption-seven-day
July 21, 2017 - The weekend effect refers to higher rates of adverse outcomes experienced by patients admitted on … An interpretative phenomenological analysis of vulnerability as experienced by patients with complications
-
psnet.ahrq.gov/issue/crowdsourced-feedback-improve-resident-physician-error-disclosure-skills-randomized-clinical
May 18, 2022 - assessment of physician error disclosure skills by crowdsourced laypeople and patient advocates who experienced … assessment of physician error disclosure skills by crowdsourced laypeople and patient advocates who experienced
-
psnet.ahrq.gov/issue/what-interventions-could-reduce-diagnostic-error-emergency-departments-review-evidence
November 25, 2020 - : a narrative analysis of experienced physicians' stories of preventable error. … June 2, 2019
Are more experienced clinicians better able to tolerate uncertainty and