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psnet.ahrq.gov/issue/sensitivity-routine-system-reporting-patient-safety-incidents-nhs-hospital-retrospective
March 28, 2012 - Nearly one-quarter of all patients experienced a safety incident, but virtually all of them were detected … April 11, 2011
Experience of wrong site surgery and surgical marking practices among … risk management as burdens of treatment in primary care: insights from a focused ethnographic study of patients … 14, 2018
Efficacy of an incident-reporting system in cellular pathology: a practical experience … July 6, 2012
Medication-error reporting and pharmacy resident experience during implementation
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psnet.ahrq.gov/issue/implementing-peer-evaluation-handoffs-associations-experience-and-workload
February 19, 2013 - Study
Implementing peer evaluation of handoffs: associations with experience and … Implementing peer evaluation of handoffs: associations with experience and workload. … Implementing peer evaluation of handoffs: associations with experience and workload. … September 22, 2010
Patient safety room of horrors: a novel method to assess medical students … September 26, 2012
Impact of resident workload and handoff training on patient outcomes
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psnet.ahrq.gov/issue/skating-thin-ice-consultant-surgeons-contemporary-experience-adverse-surgical-events
April 17, 2024 - Consultant surgeon's contemporary experience of adverse surgical events. … Consultant surgeon's contemporary experience of adverse surgical events. … Consultant surgeon's contemporary experience of adverse surgical events. … 29, 2020
Identifying quality markers of a safe surgical ward: an interview study of patients … A study of patients' and operating room team members' perceptions of error definition, reporting, and
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psnet.ahrq.gov/issue/implementation-pediatric-rapid-response-team-experience-hospital-sick-children-toronto
September 10, 2014 - Commentary
Implementation of a pediatric rapid response team: experience of the Hospital … Implementation of a pediatric rapid response team: experience of the Hospital for Sick Children in Toronto … RRTs) have been implemented to improve the identification and management of clinically deteriorating patients … Implementation of a pediatric rapid response team: experience of the Hospital for Sick Children in Toronto … mortality and unplanned readmission for Medicare fee-for-service patients with acute myocardial infarction
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psnet.ahrq.gov/issue/five-years-experience-using-front-line-ownership-improve-healthcare-quality-and-safety
March 09, 2016 - Special or Theme Issue
Five Years of Experience Using Front-line Ownership to Improve … Citation Text:
Five Years of Experience Using Front-line Ownership to Improve Healthcare Quality and … Copy URL
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Citation Text:
Five Years of Experience … July 3, 2013
Patient Safety Papers 5. … June 30, 2013
Patient Safety Papers.
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psnet.ahrq.gov/issue/neuroradiology-diagnostic-errors-tertiary-academic-centre-effect-participation-tumour-boards
September 15, 2021 - Bedside clinicians' perceptions on the contributing role of diagnostic errors in acutely ill patient … March 16, 2022
Prescribing errors in post-COVID-19 patients: prevalence, severity, and … risk factors in patients visiting a post-COVID-19 outpatient clinic. … who experience rapid response activation. … December 14, 2016
Improving patient safety: effects of a safety program on performance
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psnet.ahrq.gov/issue/finding-and-fixing-mistakes-do-checklists-work-clinicians-different-levels-experience
February 06, 2014 - Finding and fixing mistakes: do checklists work for clinicians with different levels of experience … Finding and fixing mistakes: do checklists work for clinicians with different levels of experience? … Checklists have been shown to improve patient safety and clinical outcomes when used in combination … Finding and fixing mistakes: do checklists work for clinicians with different levels of experience? … The diagnosis of patients with dyspnea.
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psnet.ahrq.gov/issue/peer-support-promote-surgeon-well-being-apsa-program-experience
February 10, 2021 - Peer support to promote surgeon well-being: the APSA program experience. … Peer support to promote surgeon well-being: the APSA program experience. … November 20, 2019
Protecting patients from an unsafe system: the etiology and recovery … September 28, 2022
Second victim: a traumatic experience. … June 16, 2021
Developing a patient safety culture in primary dental care.
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psnet.ahrq.gov/issue/practice-based-learning-and-improvement-two-year-experience-reporting-morbidity-and-mortality
August 04, 2021 - Study
Practice-based learning and improvement: a two-year experience with the reporting … Practice-based learning and improvement: a two-year experience with the reporting of morbidity and mortality … August 4, 2021
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … July 15, 2020
Effect on patient safety of a resident physician schedule without 24-hour … View More
Related Resources
Endorsements of surgeon punishment and patient
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psnet.ahrq.gov/issue/hospital-ward-incidents-through-eyes-nurses-thick-description-appeal-and-deadlock-incident
November 15, 2023 - comprehensive method to develop a checklist to increase safety of intra-hospital transport of critically ill patients … April 28, 2021
The association between complications, incidents, and patient experience … : retrospective linkage of routine patient experience surveys and safety data. … safety culture: effects on errors, incident reporting, and patient safety grade. … April 2, 2014
Medication-error reporting and pharmacy resident experience during implementation
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psnet.ahrq.gov/issue/improving-patient-family-and-clinician-experience-after-harmful-events-when-things-go-wrong
July 01, 2020 - Study
Improving the patient, family, and clinician experience after harmful events … Improving the patient, family, and clinician experience after harmful events: the "when things go wrong … Improving the patient, family, and clinician experience after harmful events: the "when things go wrong … March 20, 2017
When doctors share visit notes with patients: a study of patient and doctor … Open disclosure of adverse events to patients and their families.
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psnet.ahrq.gov/issue/some-version-most-time-surgical-safety-checklist-patient-safety-and-everyday-experience
December 15, 2021 - Study
"Some version, most of the time": the surgical safety checklist, patient safety … , and the everyday experience of practice variation. … “Some version, most of the time”: The surgical safety checklist, patient safety, and the everyday experience … “Some version, most of the time”: The surgical safety checklist, patient safety, and the everyday experience … learned and considerations to promote further improvement in patient safety.
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psnet.ahrq.gov/issue/patient-safety-recommendations-covid-19-epidemic-outbreak-lessons-italian-experience
February 15, 2023 - that requires a system orientation to diagnosis , management and post-acute care to keep clinicians, patients … triage decision ethics; discharge communications; home isolation; psychological safety of staff and patients … February 15, 2023
Human factors and ergonomics at time of crises: the Italian experience … patients and healthcare professionals' perspectives: a systematic review and meta-synthesis. … May 20, 2020
Joint Statement on Multiple Patients Per Ventilator.
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psnet.ahrq.gov/node/844551/psn-pdf
February 15, 2023 - Emotional safety is patient safety. … https://psnet.ahrq.gov/issue/emotional-safety-patient-safety
Patient perspectives can provide unique … This commentary examines how
ascertaining whether patients ‘feel safe’ results in their ‘being safe’ … is an ineffective goal in patient safety. … https://psnet.ahrq.gov/issue/serious-experience-events-applying-patient-safety-concepts-improve-patient-experience
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psnet.ahrq.gov/perspective/second-victim-phenomenon-harsh-reality-health-care-professions
November 13, 2024 - Professional experience ranged between 6 months and 36 years (mean = 13.5 years). … , length of professional relationships, cases that involved pediatric patients, and the clinician's past … from the second victim experience. … occurs, the health care system with a strong culture of safety immediately responds not only to support patients … J Patient Saf. 2007;3:107-119. [Available at]
17. Surveys on Patient Safety Culture.
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psnet.ahrq.gov/node/860392/psn-pdf
January 10, 2024 - Nurses' experience with presenteeism and the potential
consequences on patient safety: a qualitative … Nurses’ experience with presenteeism and the potential consequences on
patient safety: a qualitative … https://psnet.ahrq.gov/issue/nurses-experience-presenteeism-and-potential-consequences-patient-safety … https://psnet.ahrq.gov/issue/nurses-experience-presenteeism-and-potential-consequences-patient-safety-qualitative-study … https://psnet.ahrq.gov/issue/nurses-experience-presenteeism-and-potential-consequences-patient-safety-qualitative-study
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psnet.ahrq.gov/issue/importance-prevention-and-early-intervention-adverse-events-pediatric-cardiac-catheterization
March 24, 2019 - early intervention of adverse events in pediatric cardiac catheterization: a review of three years of experience … September 17, 2008
Identifying and reconciling patients' allergy information within the … December 4, 2024
Clinical data sharing improves quality measurement and patient safety … Related Resources
Design and reliability of a specific instrument to evaluate patient … patient record review study in a single tertiary hospital in the Netherlands.
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psnet.ahrq.gov/issue/measuring-perinatal-patient-safety-review-current-methods
October 19, 2022 - Commentary
Measuring perinatal patient safety: review of current methods. … Measuring perinatal patient safety: review of current methods. … Measuring perinatal patient safety: review of current methods. … victim experiences and supportive resources in pediatric clinical specialties using the second victim experience … August 23, 2011
One intensive care nursery's experience with enhancing patient safety
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psnet.ahrq.gov/node/43757/psn-pdf
March 20, 2015 - The association between patient-reported incidents in
hospitals and estimated rates of patient harm. … The association between patient-reported incidents in hospitals
and estimated rates of patient harm. … -
patient-harm
In this observational study, reports of poor patient experience was correlated with … These findings are consistent with a recent
systematic review which found that patient experience was … https://psnet.ahrq.gov/primer/patient-engagement-and-safety
https://psnet.ahrq.gov/issue/systematic-review-evidence-links-between-patient-experience-and-clinical-safety-and
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psnet.ahrq.gov/node/840150/psn-pdf
January 01, 2023 - Patients' experience of patient safety information and
participation in care during a hospital stay. … Patients' experience of patient safety information and participation
in care during a hospital stay. … https://psnet.ahrq.gov/issue/patients-experience-patient-safety-information-and-participation-care-during … https://psnet.ahrq.gov/issue/patients-experience-patient-safety-information-and-participation-care-during-hospital-stay … https://psnet.ahrq.gov/issue/patients-experience-patient-safety-information-and-participation-care-during-hospital-stay