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psnet.ahrq.gov/node/45865/psn-pdf
March 15, 2017 - Exploring relationships between hospital patient safety
culture and Consumer Reports safety scores. … Exploring relationships between hospital patient safety culture and Consumer
Reports safety scores. … https://psnet.ahrq.gov/issue/exploring-relationships-between-hospital-patient-safety-culture-and-consumer … experience and
adverse event data by an independent nonprofit organization. … your-hospital-really-safe-you-think-our-updated-hospital-safety-score-can-help-you-find-out
https://psnet.ahrq.gov/issue/systematic-review-evidence-links-between-patient-experience-and-clinical-safety-and
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psnet.ahrq.gov/issue/getting-ahead-harm-it-happens-guide-about-proactive-analysis-improving-surgical-care-safety
November 30, 2016 - Proactive analysis can help uncover process weaknesses and ensure improvements are implemented before patients … experience harm . … November 22, 2016
Canadian Disclosure Guidelines: Being Open and Honest with Patients … September 8, 2010
Harm to Healing - Partnering with Patients Who Have Been Harmed. … : the first cohort's learning experience.
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psnet.ahrq.gov/issue/secondary-traumatic-stress-ob-gyn-mixed-methods-analysis-assessing-physician-impact-and-needs
July 07, 2021 - Physicians commonly experience adverse psychological outcomes after being involved in an adverse … ACGME 2011 duty hours restrictions and their effects on surgical residency training and patients … August 25, 2021
Patients' willingness and ability to identify and respond to errors in … February 2, 2022
Understanding the second victim experience among multidisciplinary providers … Second victim experiences of nurses in obstetrics and gynaecology: a Second Victim Experience
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psnet.ahrq.gov/issue/medical-error-reporting-patient-safety-and-physician
February 04, 2009 - March 30, 2022
Association of rapid response teams with hospital mortality in Medicare patients … and safety framework: a health system’s response to airway complications in mechanically ventilated patients … March 8, 2023
Explaining the negative effects of patient participation in patient safety … July 21, 2021
Understanding the second victim experience among multidisciplinary providers … Second victim experiences of nurses in obstetrics and gynaecology: a Second Victim Experience
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psnet.ahrq.gov/node/47906/psn-pdf
August 21, 2019 - Creating a just culture: the Ottawa Hospital's experience. … Creating a Just Culture: The Ottawa Hospital's experience. … https://psnet.ahrq.gov/issue/creating-just-culture-ottawa-hospitals-experience
The just culture paradigm … https://psnet.ahrq.gov/issue/creating-just-culture-ottawa-hospitals-experience
https://psnet.ahrq.gov … assessment-impact-just-culture-quality-and-safety-us-hospitals
https://psnet.ahrq.gov/issue/balancing-no-blame-accountability-patient-safety
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psnet.ahrq.gov/node/44020/psn-pdf
March 25, 2015 - Wrong-site orthopedic operations on the extremities: the
Pennsylvania experience. … PA-PSRS Patient Saf Advis. 2015;12:19-27. … https://psnet.ahrq.gov/issue/wrong-site-orthopedic-operations-extremities-pennsylvania-experience
Wrong-site … https://psnet.ahrq.gov/issue/wrong-site-orthopedic-operations-extremities-pennsylvania-experience
https … ://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery
https://psnet.ahrq.gov/
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psnet.ahrq.gov/node/42970/psn-pdf
December 29, 2014 - issue/association-hospital-quality-ratings-adverse-events
A recent systematic review found that better patient … experiences of care are associated with improved
patient safety and quality of care. … Among patients who experienced an AE, it appeared that patient satisfaction was
highest (and nearly … These
findings imply that even when patients experience complications, "service recovery" efforts, such … association-hospital-quality-ratings-adverse-events
https://psnet.ahrq.gov/issue/systematic-review-evidence-links-between-patient-experience-and-clinical-safety-and
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psnet.ahrq.gov/issue/medication-error-reporting-and-pharmacy-resident-experience-during-implementation
November 17, 2010 - Study
Medication-error reporting and pharmacy resident experience during implementation … Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber … March 30, 2022
Incidence of prescription errors in patients discharged from the emergency … December 21, 2014
Improving the accuracy of patient identification in the medication-use … diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient
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psnet.ahrq.gov/issue/effects-second-victim-phenomenon-work-related-outcomes-connecting-self-reported-caregiver
September 19, 2016 - The authors point out that this is the first study to look at the impact of the second victim experience … June 28, 2017
The Second Victim Experience and Support Tool: validation of an organizational … June 22, 2017
Adverse drug event detection in pediatric oncology and hematology patients … December 12, 2014
Validation of the second victim experience and support tool-revised … February 15, 2023
Support for healthcare workers and patients after medical error through
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psnet.ahrq.gov/node/866816/psn-pdf
September 25, 2024 - -
organization
Patients who experience patient safety events may suffer physical, emotional, psychological … Using an electronic trigger tool, researchers in this study evaluated financial impacts
among patients … who experienced harm events versus similar patients who did not across 37 acute-care
facilities in … Patients who experienced preventable harm had longer length of stay and higher
costs compared to patients … who did not experience harm despite similarities in demographics and
comorbidities in the two patient
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psnet.ahrq.gov/node/73312/psn-pdf
May 26, 2021 - Healthcare professionals experience of psychological
safety, voice, and silence. … Healthcare professionals experience of psychological safety, voice,
and silence. … https://psnet.ahrq.gov/issue/healthcare-professionals-experience-psychological-safety-voice-and-silence … https://psnet.ahrq.gov/issue/healthcare-professionals-experience-psychological-safety-voice-and-silence … psychological-safety-and-error-reporting-within-veterans-health-administration-hospitals
https://psnet.ahrq.gov/issue/barriers-speaking-about-patient-safety-concerns
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psnet.ahrq.gov/node/60746/psn-pdf
July 29, 2020 - The radiologist on call had little recent experience in obstetric sonography. … errors involve processes such as clear communication, teamwork, breaking
down silos, and involvement of patients … Better engagement and communication with patients are likely to contribute to better outcomes. … Patient
engagement is seen as a potential intervention for error prevention, since patients can recognize … Errors in imaging patients in the emergency setting.
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psnet.ahrq.gov/issue/calm-storm-utilizing-situ-simulation-evaluate-preparedness-alternative-care-hospital-during
December 23, 2020 - This in situ simulation was successful in identifying patient safety concerns, resulting in equipment … 2020
Interprofessional/interdisciplinary teamwork during the early COVID-19 pandemic: experience … May 11, 2022
Using smart IV infusion pumps outside of patient rooms. … Implementation of simulation training during the COVID-19 pandemic: a New York hospital experience … department of surgery in concert with the health care system during a pandemic: the University of Wisconsin Experience
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psnet.ahrq.gov/node/60008/psn-pdf
July 09, 2024 - IHI Patient Safety Congress.
July 9, 2024
Institute for Healthcare Improvement. … https://psnet.ahrq.gov/issue/ihi-patient-safety-congress
This annual conference will host pre-session … https://psnet.ahrq.gov/issue/ihi-patient-safety-congress
https://psnet.ahrq.gov/issue/national-action-plan-advance-patient-safety … https://psnet.ahrq.gov/issue/learning-collaboratives-insights-and-new-taxonomy-ahrqs-two-decades-experience … https://psnet.ahrq.gov/issue/learning-collaboratives-insights-and-new-taxonomy-ahrqs-two-decades-experience
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psnet.ahrq.gov/node/44001/psn-pdf
May 06, 2015 - Wrong-site nerve blocks: 10 yr experience in a large
multihospital health-care system. … Wrong-site nerve blocks: 10 yr experience in a large multihospital
health-care system. … https://psnet.ahrq.gov/issue/wrong-site-nerve-blocks-10-yr-experience-large-multihospital-health-care … https://psnet.ahrq.gov/issue/wrong-site-nerve-blocks-10-yr-experience-large-multihospital-health-care-system … https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/46863/psn-pdf
December 05, 2024 - December 5, 2024
Child Health Patient Safety Organization. … perfecting-detection-understanding-source-harm
This annual publication provides common cause analyses of incidents submitted to a pediatric patient … perfecting-detection-understanding-source-harm
https://psnet.ahrq.gov/issue/common-cause-analysis
https://psnet.ahrq.gov/issue/child-health-patient-safety-organization … https://psnet.ahrq.gov/issue/child-health-patient-safety-organization
https://psnet.ahrq.gov/issue/safe-tables-collaborative-statewide-experience … https://psnet.ahrq.gov/issue/safe-tables-collaborative-statewide-experience
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psnet.ahrq.gov/node/45087/psn-pdf
May 04, 2016 - Exploring the impact of consultants' experience on
hospital mortality by day of the week: a retrospective … Exploring the impact of consultants’ experience on hospital mortality by day of
the week: a retrospective … https://psnet.ahrq.gov/issue/exploring-impact-consultants-experience-hospital-mortality-day-week-
retrospective-analysis … done on Friday, Saturday, or Sunday compared with other
days of the week, even after adjusting for patient … https://psnet.ahrq.gov/issue/mortality-among-patients-admitted-hospitals-weekends-compared-weekdays
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psnet.ahrq.gov/node/45700/psn-pdf
September 01, 2018 - Resolving malpractice claims after tort reform: experience
in a self-insured Texas public academic health … a large university health system declined substantially after a state law was
enacted that reduced patients … Data
demonstrated that the university worked to provide compensation to some patients involved in cases … https://psnet.ahrq.gov/issue/patient-safety-and-medical-malpractice-case-study
https://psnet.ahrq.gov … /issue/disclosure-medical-injury-patients-improbable-risk-management-strategy
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psnet.ahrq.gov/node/43532/psn-pdf
June 23, 2017 - The Second Victim Experience and Support Tool:
validation of an organizational resource for assessing … The Second Victim Experience and Support Tool: validation of an
organizational resource for assessing … J Patient
Saf. 2017;13(2):93-102. doi:10.1097/PTS.0000000000000129. … https://psnet.ahrq.gov/issue/second-victim-experience-and-support-tool-validation-organizational-resource … https://psnet.ahrq.gov/issue/second-victim-experience-and-support-tool-validation-organizational-resource-assessing-second
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psnet.ahrq.gov/node/43845/psn-pdf
September 26, 2016 - Disrupting diagnostic reasoning: do interruptions,
instructions, and experience affect the diagnostic … Disrupting diagnostic reasoning: do interruptions, instructions,
and experience affect the diagnostic … https://psnet.ahrq.gov/issue/disrupting-diagnostic-reasoning-do-interruptions-instructions-and-experience … https://psnet.ahrq.gov/issue/disrupting-diagnostic-reasoning-do-interruptions-instructions-and-experience-affect … https://psnet.ahrq.gov/issue/systematic-review-psychological-literature-interruption-and-its-patient-safety-implications