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psnet.ahrq.gov/issue/getting-doctors-report-medical-errors-project-disclose
January 07, 2011 - Jt Comm J Qual Patient Saf. 2006;32(7):382-392. … Jt Comm J Qual Patient Saf. 2006;32(7):382-392. … Author(s)
Establishing a rapid response team (RRT) in an academic hospital: one year's experience … August 4, 2021
Effects on resident work hours, sleep duration and work experience in … January 2, 2017
Medication-error reporting and pharmacy resident experience during implementation
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psnet.ahrq.gov/issue/psychosocial-working-conditions-determinants-concerns-have-made-important-medical-errors-and
July 13, 2022 - March 16, 2022
Patients and relatives as auditors of safe practices in oncology and hematology … January 31, 2024
Validation and use of the Second Victim Experience and Support Tool … December 20, 2023
Learning from experience: a qualitative study of surgeons' perspectives … June 28, 2023
Use of the revised second victim experience and support tool to examine … February 10, 2021
Patients' perceptions of safety in emergency medical services: an interview
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psnet.ahrq.gov/issue/healing-our-own-randomized-trial-assess-benefits-peer-support
May 19, 2021 - J Patient Saf. 2022;18(1):e308-e314. doi:10.1097/pts.0000000000000771. … J Patient Saf. 2022;18(1):e308-e314. doi:10.1097/pts.0000000000000771. … Related Resources From the Same Author(s)
Understanding the second victim experience … May 25, 2022
Engaging patients in the use of real-time electronic clinical data to improve … November 25, 2020
The psychological experience of obstetric patients and health care
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psnet.ahrq.gov/issue/design-and-implementation-tool-pharmacists-register-potential-errors-prescribed-medication
March 09, 2022 - An opportunity for sharing knowledge and experiences in patient safety. … January 30, 2019
Patient identification errors: the detective in the laboratory. … January 22, 2014
Patterns in medication incidents: a 10-yr experience of a cross-national … January 11, 2023
Experience of hospital-initiated medication changes in older people … with COVID-19 patients.
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psnet.ahrq.gov/issue/deployment-second-victim-peer-support-program-replication-study
January 12, 2022 - Related Resources From the Same Author(s)
Validation of the second victim experience … victim experiences and supportive resources in pediatric clinical specialties using the second victim experience … Assessing the perceived level of institutional support for the second victim after a patient … Collective insights from patient safety leaders in Maryland. … March 15, 2017
Sources and magnitude of error in preparing morphine infusions for nurse–patient
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psnet.ahrq.gov/issue/safe-prescribing-educational-intervention-medical-students
September 24, 2010 - August 2, 2010
Safe medication prescribing: training and experience of medical students … August 5, 2009
Patient concerns about medical errors in emergency departments. … February 22, 2023
Participation in a system-thinking simulation experience changes adverse … January 5, 2017
The impact of abbreviations on patient safety. … July 31, 2012
Safe medication prescribing: training and experience of medical students
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psnet.ahrq.gov/node/39142/psn-pdf
December 02, 2009 - Resident and RN perceptions of the impact of a medical
emergency team on education and patient safety … Resident and RN perceptions of the impact of a medical
emergency team on education and patient safety … Both groups agreed that the presence of the RRT
improved patient safety, and both also felt that the … RRT did not adversely affect their educational
experience or patient care skills. … Interestingly, both nurses and residents who had more experience with the RRT felt more positively about
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psnet.ahrq.gov/node/45192/psn-pdf
December 04, 2016 - evidence-summary-and-recommendations-improved-communication-during-
care-transitions
Transitions are a complicated and vulnerable time for patients … This review examines the literature around care transitions and insights from patient and family
advisory … and suggest focus on the use of real-time information exchange, documented care plans, and engaging
patients … https://psnet.ahrq.gov/issue/patient-and-family-advisory-councils-massachusetts-experience
https://psnet.ahrq.gov … /issue/patient-and-family-advisory-councils-massachusetts-experience
https://psnet.ahrq.gov/issue/optimizing-transitions-care-reduce-rehospitalizations
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psnet.ahrq.gov/node/47295/psn-pdf
September 24, 2018 - Jt Comm J Qual Patient Saf. 2018;44(10):566-573. doi:10.1016/j.jcjq.2018.03.010. … The learning
communities focused on patient-centered care, improving medication therapy for distinct … ahrq-health-care-innovations-exchange
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 … https://psnet.ahrq.gov/issue/implementing-interprofessional-patient-safety-learning-initiative-insights-participants
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psnet.ahrq.gov/node/33840/psn-pdf
August 01, 2017 - care provided by residents in training while assuring that the educational experience
prepares young … physicians to safely and effectively provide care for their patients after graduation. … outcomes among general surgical patients or overall resident well-being. … 2011 ACGME resident duty hour reforms with
mortality and readmissions among hospitalized Medicare patients … Effects of the 2011 duty hour reforms on interns and their
patients: a prospective longitudinal cohort
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psnet.ahrq.gov/issue/racial-and-ethnic-disparities-treatment-chronic-pain
December 16, 2020 - treatment of chronic pain as well as racial differences in long-term monitoring for opioid misuse among patients … and ethnic discrepancy in pulse oximetry and delayed identification of treatment eligibility among patients … June 22, 2022
Racial, ethnic, and socioeconomic disparities in estimates of AHRQ patient … March 2, 2022
The impact of power on health care team performance and patient safety: … July 24, 2019
Racial and ethnic differences in the experience and treatment of noncancer
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psnet.ahrq.gov/node/43629/psn-pdf
May 01, 2015 - Exposing physicians to reduced residency work hours
did not adversely affect patient outcomes after … Exposing physicians to reduced residency work hours did not
adversely affect patient outcomes after … performance after training, this study compared senior physicians (with 10 or more years of post-
residency experience … ) to new physicians (with no more than 1 year of experience) who had reduced duty-
hours during training … The authors found no difference in terms of their patients' length of stay or hospital
mortality.
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psnet.ahrq.gov/web-mm/procedural-mishap-learning-curve
April 28, 2021 - The patient had an uncomplicated postoperative course. … safely, to enable trainees to transit their learning curves without harming their patients. … , animals, or simulators before operating on patients.( 9,10 ) The second category for potential system … subcutaneous tissue resistance.( 3 ) Preventing all of these technical mishaps is more difficult in obese patients … Laparoscopy is a demanding technique, but one that can be performed safely in a very high percentage of patients
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psnet.ahrq.gov/node/45403/psn-pdf
September 21, 2016 - superbug-scourge-spreads-us-fails-track-rising-human-toll
Antimicrobial resistance is a pervasive threat to patient … A PSNet perspective described one nurse's experience with MRSA as a
patient. … /health-care-associated-infections
https://psnet.ahrq.gov/perspective/connies-story-nurses-personal-experience-mrsa
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psnet.ahrq.gov/issue/look-nature-and-causes-human-errors-intensive-care-unit
June 29, 2009 - The methodology, referred to as task analysis, was used to interpret the activities around patients in … October 19, 2022
Validation of the second victim experience and support tool-revised … May 26, 2021
The effects of rudeness, experience, and perspective-taking on challenging … November 26, 2014
Healthy work environments, nurse-physician communication, and patients … January 12, 2011
The nurses' experience of barriers to safe practice in the neonatal
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psnet.ahrq.gov/node/49763/psn-pdf
June 01, 2016 - the year, the attending had supervised the fellow's operative and
postoperative care of nearly 100 patients … the
patient was not receiving VTE prophylaxis. … surgery—showed no effect while
another study showed an increase in hospital-acquired complications for patients … On the whole, it seems fair to conclude that outcomes likely worsen during the July transition for patients … Perioperative characteristics and outcomes of
patients undergoing anterior cervical fusion in July:
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psnet.ahrq.gov/node/40232/psn-pdf
February 23, 2011 - Large scale organisational intervention to improve patient
safety in four UK hospitals: mixed method … Large scale organisational intervention to improve patient safety in
four UK hospitals: mixed method … hospitals-mixed-method
The United Kingdom's Safer Patients Initiative (SPI) is a large-scale effort … https://psnet.ahrq.gov/issue/safer-patients-network
https://psnet.ahrq.gov/issue/medical-engagement-organisation-wide-safety-and-quality-improvement-programmes-experience-uk … https://psnet.ahrq.gov/issue/perceptions-impact-large-scale-collaborative-improvement-programme-experience-uk-safer
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psnet.ahrq.gov/node/73147/psn-pdf
April 14, 2021 - psnet.ahrq.gov/issue/endometriosis-affects-1-out-10-women-me-yet-it-often-takes-decade-get-
diagnosed
Patients … with endometriosis often experience care delays and misdiagnoses that contribute to harm. … This
news story discusses a patient’s experience with common contributors to delay that include Insufficient … /web-mm/endometriosis-common-and-commonly-missed-and-delayed-diagnosis
https://psnet.ahrq.gov/issue/patient-perceptions-misdiagnosis-endometriosis-results-online-national-survey
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psnet.ahrq.gov/node/47210/psn-pdf
November 16, 2018 - Jt
Comm J Qual Patient Saf. 2018;44(7):424-435. doi:10.1016/j.jcjq.2018.03.007. … '
emotional experience of these events has garnered less scientific attention. … identified 4 priorities
and delineated 20 steps organizations can take immediately to support those who experience … with
the impact of errors on patients and families. … https://psnet.ahrq.gov/perspective/accountability-patient-safety
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psnet.ahrq.gov/node/838180/psn-pdf
January 01, 2023 - psnet.ahrq.gov/issue/err-human-what-happens-when-surgeons-err
Clinicians involved in adverse events may experience … In this study of pediatric surgeons and surgical trainees, 84%
experienced a poor patient outcome. … Responses to the adverse event varied by level of experience (e.g.,
resident, attending), gender, and