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psnet.ahrq.gov/node/43713/psn-pdf
December 03, 2014 - Laboratory medicine handoff gaps experienced by
primary care practices: a report from the Shared
Networks … Laboratory medicine handoff gaps experienced by primary care
practices: A report from the shared networks … https://psnet.ahrq.gov/issue/laboratory-medicine-handoff-gaps-experienced-primary-care-practices-report … https://psnet.ahrq.gov/issue/laboratory-medicine-handoff-gaps-experienced-primary-care-practices-report-shared-networks … https://psnet.ahrq.gov/issue/laboratory-medicine-handoff-gaps-experienced-primary-care-practices-report-shared-networks
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psnet.ahrq.gov/node/48139/psn-pdf
July 17, 2019 - is now acknowledged as a cornerstone of patient safety, but the perspectives of
patients who have experienced … This interview study of 92 patients
who had experienced iatrogenic injury identified several insights … perceptions of patient safety research and expressed a desire that others learn from the adverse event
they experienced … authors suggest that institutional review boards permit investigators to approach
patients who have experienced
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psnet.ahrq.gov/node/36407/psn-pdf
April 19, 2011 - Adverse events experienced while transferring the
critically ill patient from the emergency department … Adverse events experienced while transferring the critically ill patient
from the emergency department … https://psnet.ahrq.gov/issue/adverse-events-experienced-while-transferring-critically-ill-patient-emergency … https://psnet.ahrq.gov/issue/adverse-events-experienced-while-transferring-critically-ill-patient-emergency-department … https://psnet.ahrq.gov/issue/adverse-events-experienced-while-transferring-critically-ill-patient-emergency-department
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psnet.ahrq.gov/issue/systematic-review-workplace-triggers-emotions-healthcare-environment-emotions-experienced-and
July 05, 2023 - A systematic review of workplace triggers of emotions in the healthcare environment, the emotions experienced … A systematic review of workplace triggers of emotions in the healthcare environment, the emotions experienced … A systematic review of workplace triggers of emotions in the healthcare environment, the emotions experienced
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psnet.ahrq.gov/issue/exploring-factors-drive-clinical-negligence-claims-stated-preferences-those-who-have
April 08, 2020 - Exploring the factors that drive clinical negligence claims: stated preferences of those who have experienced … Exploring the factors that drive clinical negligence claims: stated preferences of those who have experienced … Exploring the factors that drive clinical negligence claims: stated preferences of those who have experienced
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psnet.ahrq.gov/node/866825/psn-pdf
September 25, 2024 - AHRQ
Quality and Safety Review System (QSRS) data shows that hospitalized Medicare patients have
experienced … The analysis showed that in 2022, 6.2% of
Medicare patients experienced at least one adverse event per … measuring-patient-safety-medicare-patient-safety-monitoring-system-past-present-and-future
https://psnet.ahrq.gov/issue/adverse-events-hospitals-quarter-medicare-patients-experienced-harm-october
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psnet.ahrq.gov/issue/i-made-mistake-narrative-analysis-experienced-physicians-stories-preventable-error
September 26, 2016 - : a narrative analysis of experienced physicians' stories of preventable error. … : a narrative analysis of experienced physicians' stories of preventable error. … : a narrative analysis of experienced physicians' stories of preventable error.
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psnet.ahrq.gov/node/38796/psn-pdf
April 04, 2011 - A 62-year-old woman with skin cancer who experienced
wrong-site surgery. … A 62-year-old woman with skin cancer who experienced wrong-site surgery: review of
medical error. … https://psnet.ahrq.gov/issue/62-year-old-woman-skin-cancer-who-experienced-wrong-site-surgery
This case … https://psnet.ahrq.gov/issue/62-year-old-woman-skin-cancer-who-experienced-wrong-site-surgery
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psnet.ahrq.gov/issue/adverse-events-experienced-while-transferring-critically-ill-patient-emergency-department
November 13, 2024 - Study
Adverse events experienced while transferring the critically ill patient from … Adverse events experienced while transferring the critically ill patient from the emergency department … Adverse events experienced while transferring the critically ill patient from the emergency department
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psnet.ahrq.gov/node/851665/psn-pdf
July 26, 2023 - review process used in the 2018 report Adverse Events in Hospitals: A Quarter of
Medicare Patients Experienced … systematic-review-methods-medical-record-analysis-detect-adverse-events-hospitalized-patients
https://psnet.ahrq.gov/issue/adverse-events-hospitals-quarter-medicare-patients-experienced-harm-october … -2018
https://psnet.ahrq.gov/issue/adverse-events-hospitals-quarter-medicare-patients-experienced-harm-october
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psnet.ahrq.gov/issue/what-i-wish-id-known-how-experienced-physician-managers-diagnose-treat-and-prevent-disruptive
September 23, 2020 - Commentary
What I wish I’d known: how experienced physician managers diagnose, treat … What I wish I’d known: how experienced physician managers diagnose, treat and prevent disruptive behaviour … What I wish I’d known: how experienced physician managers diagnose, treat and prevent disruptive behaviour
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www.ahrq.gov/sites/default/files/2025-03/toledo-report.pdf
January 01, 2025 - Results: A total of 385 women experienced new nerve injuries (incidence 0.3%), and
anesthetic factors … The median percentage change in mean arterial pressure (MAP)was larger in
patients who experienced nerve … Results:
A total of 385 women experienced new confirmed nerve injuries (incidence 0.3%). … The
median percentage change in mean arterial pressure was larger in patients who
experienced nerve … It is
possible that women who experienced nerve injuries had denser blocks that masked
nociceptive
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psnet.ahrq.gov/issue/validity-unplanned-admission-intensive-care-unit-measure-patient-safety-surgical-patients
May 26, 2021 - indicator in surgical patients, this study used a cohort of more than 44,000 to identify 200 patients who experienced … Investigators discovered that more than half of these patients experienced at least one incident or near … April 3, 2012
Adverse events experienced while transferring the critically ill patient
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psnet.ahrq.gov/issue/mixed-methods-study-challenges-experienced-clinical-teams-measuring-improvement
February 20, 2019 - Study
A mixed-methods study of challenges experienced by clinical teams in measuring … A mixed-methods study of challenges experienced by clinical teams in measuring improvement. … A mixed-methods study of challenges experienced by clinical teams in measuring improvement.
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psnet.ahrq.gov/issue/video-based-communication-assessment-physician-error-disclosure-skills-crowdsourced-laypeople
August 21, 2024 - 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 … assessment of physician error disclosure skills by crowdsourced laypeople and patient advocates who experienced
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psnet.ahrq.gov/issue/lifetime-prevalence-and-correlates-patient-perceived-medical-errors-experienced-us-ambulatory
June 09, 2021 - Study
Lifetime prevalence and correlates of patient-perceived medical errors experienced … Lifetime prevalence and correlates of patient-perceived medical errors experienced in the U.S. ambulatory … Lifetime prevalence and correlates of patient-perceived medical errors experienced in the U.S. ambulatory
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psnet.ahrq.gov/node/61035/psn-pdf
October 21, 2020 - children-and-opioid-epidemic-age-stratified-exposures-and-harms
Over the last decade, children have experienced … ages 1 to 17 years had
at least one opioid prescription filled annually; 76.6 children per 100,000 experienced … Adolescents ages 15 to 17 years disproportionately experienced these harms
compared to younger age groups
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www.ahrq.gov/nursing-home/resources/covid-impact-long-haulers.html
June 01, 2022 - Haulers
Resource: COVID-19 Impact Long Haulers
This podcast describes the chronic symptoms experienced
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patient-role1.html
September 01, 2024 - Patients and caregivers who have experienced a diagnostic error can provide a unique perspective. … in their lifetime. 5 Patients are concerned about the quality of their diagnoses 6 and many have experienced … Almost one-quarter of Americans have been affected by a diagnostic error experienced personally or by … Perhaps counterintuitively, those who have experienced diagnostic limbo, had long or difficult diagnostic
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-new_sops_diagnostic_safety-schiff.pdf
January 01, 2020 - ambulatory setting
• Safety experts’ ranking
18
19
20
Most Common Types of Medical Error
Experienced … (Among the 23% who said they or a person close to them experienced a medical error)
Your/their medical … The Public’s View on Medical Error in Massachusetts, September 2–28, 2014.
21% Experienced Medical … Frequent -#1 Type of Errors
Most Common Types of Medical Error Experienced by MA Residents
21% Experienced