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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46428/psn-pdf
    November 01, 2017 - Translating staff experience into organisational improvement: the HEADS-UP stepped wedge, cluster controlled … Translating staff experience into organisational improvement: the HEADS-UP stepped wedge, cluster controlled … https://psnet.ahrq.gov/issue/translating-staff-experience-organisational-improvement-heads-stepped- … https://psnet.ahrq.gov/issue/translating-staff-experience-organisational-improvement-heads-stepped-wedge-cluster … escalation-care-and-failure-rescue-multicenter-multiprofessional-qualitative-study https://psnet.ahrq.gov/issue/quality-improvement-implementation-and-hospital-performance-patient-safety-indicators
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46683/psn-pdf
    February 14, 2018 - Changing experience of adverse medical events in the National Health Service: comparison of two population … Changing experience of adverse medical events in the National Health Service: Comparison of two population … https://psnet.ahrq.gov/issue/changing-experience-adverse-medical-events-national-health-service- comparison-two-population … https://psnet.ahrq.gov/issue/changing-experience-adverse-medical-events-national-health-service-comparison-two-population … https://psnet.ahrq.gov/perspective/media-essential-if-sometimes-arbitrary-promoter-patient-safety https
  3. psnet.ahrq.gov/issue/implementing-national-program-reduce-catheter-associated-urinary-tract-infection-quality
    June 08, 2016 - The authors suggest that this experience may serve as a model for other large, national improvement efforts … 2011 Eradicating central line–associated bloodstream infections statewide: the Hawaii experience … national multimodal intervention to prevent catheter-related bloodstream infection in the ICU: the Spanish experience … October 4, 2013 Tennessee Center for Patient Safety. … September 10, 2013 Eliminating CLABSI: A National Patient Safety Imperative.
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33613/psn-pdf
    May 01, 2005 - The Duke Experience May 1, 2005 Frush K. … The Duke Experience. PSNet [internet]. 2005. … Physicians, nurses, and other providers who care for patients at Duke are hard-working, intelligent, … rounds, physician leaders and hospital executives join local safety teams in talking with patientsPatient Safety Leadership WalkRounds.
  5. psnet.ahrq.gov/print/pdf/node/867461
    January 31, 2024 - Data indicates that more than 20% of patients in these settings experience an adverse event during their … Patients provide a unique insight on patient safety. … Patient inability to see and hear diminishes the effectiveness of their care experience, yet these conditions … Patients provide a unique insight on patient safety. … Data indicates that more than 20% of patients in these settings experience an adverse event during their
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42654/psn-pdf
    December 21, 2014 - Primary care closed claims experience of Massachusetts malpractice insurers. … Primary care closed claims experience of Massachusetts malpractice insurers. … primary care settings will become increasingly important for malpractice claims with the advent of patient-centered … https://psnet.ahrq.gov/issue/refocusing-lens-patient-safety-ambulatory-chronic-disease-care https:// … delivering-high-quality-cancer-care-charting-new-course-system-crisis https://psnet.ahrq.gov/issue/characteristics-medical-professional-liability-claims-patients-cardiovascular-diseases
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60311/psn-pdf
    May 06, 2020 - Many COVID-19 survivors will be left traumatized by their ICU experience. May 6, 2020 Jee C. … https://psnet.ahrq.gov/issue/many-covid-19-survivors-will-be-left-traumatized-their-icu-experience Patient … safety can be challenged even after patients are discharged and return home. … This story discusses the potential for psychological trauma in patients who survive a COVID-19 ICU stay … https://psnet.ahrq.gov/issue/many-covid-19-survivors-will-be-left-traumatized-their-icu-experience https
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72788/psn-pdf
    February 24, 2021 - Harmed Patient Alliance. February 24, 2021 United Kingdom. … https://psnet.ahrq.gov/issue/harmed-patient-alliance Patients and families that experience medical harm … This organization works to improve health system and clinician response to harmed patients. … https://psnet.ahrq.gov/issue/harmed-patient-alliance https://psnet.ahrq.gov/issue/improving-patient-family-and-clinician-experience-after-harmful-events-when-things-go-wrong
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38255/psn-pdf
    December 03, 2008 - The effect of clinical experience on the error rate of emergency physicians. … The effect of clinical experience on the error rate of emergency physicians. … https://psnet.ahrq.gov/issue/effect-clinical-experience-error-rate-emergency-physicians Physician performance … diagnostic errors, is often examined by conducting case reviews or root cause analyses when an undesired patient … Investigators found that physicians with more than 1.5 years of experience were less likely to make
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36475/psn-pdf
    January 07, 2011 - The nurses' experience of barriers to safe practice in the neonatal intensive care unit in Thailand. … The nurses' experience of barriers to safe practice in the neonatal intensive care unit in Thailand. … https://psnet.ahrq.gov/issue/nurses-experience-barriers-safe-practice-neonatal-intensive-care-unit-thailand … incidents and found that understaffing and lack of emphasis on a culture of safety contributed to patient … https://psnet.ahrq.gov/issue/nurses-experience-barriers-safe-practice-neonatal-intensive-care-unit-thailand
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50646/psn-pdf
    November 06, 2019 - My patient almost died from a mistake I made. I apologized and it changed my life. … Medical mistakes cause stress for both patients and their clinicians who treat them. … This first-person account shares the experience of a gynecologic oncology fellow whose mistake harmed … a patient.  … https://psnet.ahrq.gov/issue/second-victim-experience-and-support-tool-validation-organizational-resource-assessing-second
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867038/psn-pdf
    October 30, 2024 - From reporting to improving: how root cause analysis in teams shape patient safety culture. … From reporting to improving: how root cause analysis in teams shape patient safety culture. … https://psnet.ahrq.gov/issue/reporting-improving-how-root-cause-analysis-teams-shape-patient-safety- … culture Morbidity and Mortality Conferences (MMCs) and Experience Feedback Committees (EFCs) are two … morbidity-and-mortality-conferences-narrative-review-strategies-prioritize-quality https://psnet.ahrq.gov/issue/experience-feedback-committees-way-implementing-root-cause-analysis-practice-hospital-medical
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50869/psn-pdf
    February 05, 2020 - How can patient-held lists of medication enhance patient safety? … A mixed-methods study with a focus on user experience. … How can patient-held lists of medication enhance patient safety? … A mixed-methods study with a focus on user experience. BMJ Qual Saf. 2020;29(9):764-773. … - study-focus-user This mixed-methods study of patients, caregivers and healthcare professionals explores
  14. psnet.ahrq.gov/issue/horror-awakening-during-surgery
    October 21, 2010 - experience. … Eisenberg Patient Safety and Quality Awards. … June 15, 2014 Surgeons must tell patients of double-booked surgeries, new guidelines … May 9, 2014 Achieving an Exceptional Patient and Family Experience of Inpatient Hospital … August 2, 2006 View More See More About The Topic Operating Room Patients
  15. psnet.ahrq.gov/web-mm/misdiagnosis-pelvic-mass-versus-pregnancy
    November 25, 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. 
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34773/psn-pdf
    March 08, 2017 - Medication Errors: The Nursing Experience. March 8, 2017 Wolf ZR. … https://psnet.ahrq.gov/issue/medication-errors-nursing-experience In one of the first professional books … Topics covered include a student’s experience with error, individual response to making a mistake, and … https://psnet.ahrq.gov/issue/medication-errors-nursing-experience https://psnet.ahrq.gov/primer/nursing-and-patient-safety
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45381/psn-pdf
    July 01, 2017 - Incorporating quality and safety values into a CLABSI simulation experience. … Incorporating Quality and Safety Values into a CLABSI Simulation Experience. … https://psnet.ahrq.gov/issue/incorporating-quality-and-safety-values-clabsi-simulation-experience Simulation … https://psnet.ahrq.gov/issue/incorporating-quality-and-safety-values-clabsi-simulation-experience https … /simulation-training https://psnet.ahrq.gov/issue/relationship-between-high-fidelity-simulation-and-patient-safety-prelicensure-nursing
  18. psnet.ahrq.gov/issue/medical-error
    August 07, 2018 - London, UK: National Patient Safety Agency; 2005. … This two-part report focuses on the experience of committing a medical error , along with strategies … April 3, 2009 Safety First: a Report for Patients, Clinicians and Healthcare Managers … Resources Identifying quality markers of a safe surgical ward: an interview study of patients … Consultant surgeon's contemporary experience of adverse surgical events.
  19. psnet.ahrq.gov/perspective/emergence-application-based-healthcare
    August 05, 2022 - are safe for patients. … User experience of instant blood pressure: exploring reasons for the popularity of an inaccurate mobile … Mathias Lee, with a mission of improving patient and clinician engagement and experience, and delivering … The digital health experience was designed to help patients engage with clinical guideline-directed management … to our patients.
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41522/psn-pdf
    December 02, 2014 - Tenfold medication errors: 5 years' experience at a university-affiliated pediatric hospital. … Tenfold medication errors: 5 years' experience at a university-affiliated pediatric hospital. … https://psnet.ahrq.gov/issue/tenfold-medication-errors-5-years-experience-university-affiliated-pediatric … errors, where children receive doses an order of magnitude different than appropriate, have resulted in patient … https://psnet.ahrq.gov/issue/tenfold-medication-errors-5-years-experience-university-affiliated-pediatric-hospital

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