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psnet.ahrq.gov/node/851351/psn-pdf
July 12, 2023 - healthcare-workers-experiences-patient-safety-intensive-care-unit-during-
covid-19-pandemic
Intensive care units (ICU) experienced … This qualitative study of ICU personnel uncovered multiple ways they experienced decreases in
patient
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psnet.ahrq.gov/node/836857/psn-pdf
April 06, 2022 - 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
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psnet.ahrq.gov/issue/safety-inpatient-care-surgical-settings-cohort-study
May 15, 2024 - In this multicenter retrospective study of 1,009 surgical patients, 38% experienced an adverse event … and 15.9% experienced a major adverse event.
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psnet.ahrq.gov/node/50610/psn-pdf
October 30, 2019 - She experienced mechanical ventilation, intravenous nutrition, and blood transfusions. … Maci
experienced more than 1200 separate interventions, many of them painful, that conferred risk to … outcomes have been observed between
NICUs.(4) At the same time, many of the "routine" interventions experienced … Abi experienced 734 separate
interventions, many painful, while Cam experienced 500 fewer interventions
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digital.ahrq.gov/sites/default/files/docs/survey/clinician-survey-quality-improvement.pdf
June 16, 2021 - On the whole, how experienced a computer user do you consider yourself? … Not at all experienced
Somewhat experienced
Moderately experienced
Very experienced
Extremely … experienced
About Your Work
13.
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psnet.ahrq.gov/node/844549/psn-pdf
February 15, 2023 - review to monitor 131
pediatric patients with leukemia or lymphoma for six months and found that 10% experienced … adverse drug
events due to medication errors in the home and 42% experienced a medication error with
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psnet.ahrq.gov/issue/interactive-questioning-critical-care-during-handovers-transcript-analysis-communication
August 11, 2021 - Experienced providers utilized more interactive questioning, and physicians used interactive questioning … providers acquire handoff skills over time and that such techniques may be needed in education for less experienced
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psnet.ahrq.gov/issue/preventable-harm-because-outpatient-medication-errors-among-children-leukemia-and-lymphoma
January 15, 2020 - review to monitor 131 pediatric patients with leukemia or lymphoma for six months and found that 10% experienced … adverse drug events due to medication errors in the home and 42% experienced a medication error with
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psnet.ahrq.gov/issue/assessing-perceived-level-institutional-support-second-victim-after-patient-safety-event
April 07, 2021 - community teaching hospital did not feel that adequate support was available for clinicians whose patients experienced … : a narrative analysis of experienced physicians' stories of preventable error.
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psnet.ahrq.gov/issue/patient-perspectives-usefulness-artificial-intelligence-assisted-symptom-checker-cross
November 25, 2020 - Patients who had previously experienced a diagnostic error were more likely to use the tool to determine … where they should seek care than patients who had not previously experienced diagnostic error.
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psnet.ahrq.gov/node/42004/psn-pdf
March 11, 2013 - issue/incidence-adverse-events-among-home-care-patients
In this study, 13.2% of home care patients experienced … issue/incidence-adverse-events-among-home-care-patients
https://psnet.ahrq.gov/issue/adverse-events-experienced-homecare-patients-scoping-review-literature
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rojas.pdf
March 15, 2004 - Regardless of whether they experienced
an AO, patients who had major functional impairment at the time … Length of stay was nearly doubled for
patients who experienced an adverse occurrence. … To examine whether patients who have experienced
adverse occurrences have a greater risk of impairment … For length of stay, we found a near doubling in the median stay for patients
who experienced an adverse … an adverse occurrence, compared to similar patients
who did not experienced an adverse occurrence.
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pso.ahrq.gov/resources/oig-reports
August 01, 2025 - General (OIG) Reports
The HHS OIG has published a series of reports regarding adverse events experienced … Needed to Make Care Safer (July 24, 2025) Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit2.html
November 01, 2014 - at initiation of study
Recent = within the last year
Mid-point = within the last 2-4 years
Experienced
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psnet.ahrq.gov/issue/healthcare-workers-experiences-patient-safety-intensive-care-unit-during-covid-19-pandemic
May 01, 2024 - Intensive care units (ICU) experienced extensive, rapid reorganization at the beginning of the COVID … This qualitative study of ICU personnel uncovered multiple ways they experienced decreases in patient
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psnet.ahrq.gov/node/37098/psn-pdf
October 04, 2011 - More experienced residents made fewer cognitive
errors, including fewer instances of anchoring bias, … than less experienced residents.
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psnet.ahrq.gov/node/38525/psn-pdf
April 01, 2009 - of provider responses to critical incidents in the intensive care unit found that when
individuals experienced … emotional distress, other team members quickly experienced similar feelings, with
consequent negative
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psnet.ahrq.gov/issue/identifying-medication-errors-neonatal-intensive-care-units-two-center-study
November 11, 2020 - period, there were an average of 3.38 medication errors per patient and three-quarters of neonates experienced … Preterm neonates experienced medication errors significantly more often than term neonates.
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psnet.ahrq.gov/issue/unpacking-complexity-covid-19-fatalities-adverse-events-contributing-factors-single-center
January 25, 2023 - retrospective analysis of 477 fatal COVID-19 cases at one hospital in Poland found that one-third of patients experienced … The analysis also found that many patients experienced delays in specialist treatment (33%) or lack of
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psnet.ahrq.gov/issue/unintended-consequences-health-care-reform-impact-changes-payor-mix-patient-safety-indicators
March 16, 2022 - showed an overall improvement in patient safety in expansion states; however, when expansion states experienced … an increase in their safety-net burden, they also experienced significantly more safety events compared