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psnet.ahrq.gov/node/73377/psn-pdf
June 09, 2021 - examination-factors-predict-perioperative-culture-safety
Prior research identified variability in perioperative safety culture by provider type and experience … associated with self-reported safety culture in the operating room, but
length of perioperative nurse experience … safety-culture-operating-room-variability-among-perioperative-healthcare-workers
https://psnet.ahrq.gov/issue/perceptions-patient-safety-culture-among-physicians-and-rns-perioperative-area
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psnet.ahrq.gov/node/33697/psn-pdf
June 01, 2010 - Addressing the training, experience, and
general competence of physicians practicing in EDs requires … Individual Patient Issues
Many patient characteristics create diagnostic challenges, particularly in … Conclusions
ED safety requires a multi-faceted approach that addresses provider knowledge, experience … The effect of clinical experience on the error rate of emergency
physicians. … Model of Patient Safety.
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psnet.ahrq.gov/issue/are-pathologists-self-aware-their-diagnostic-accuracy-metacognition-and-diagnostic-process
May 18, 2022 - diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient … September 14, 2022
Understanding the second victim experience among multidisciplinary … March 13, 2019
Weak oversight allows lab failures to put patients at risk. … by mail to enhance patient safety. … December 3, 2008
Finding blunders in thyroid testing: experience in newborns.
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psnet.ahrq.gov/node/47812/psn-pdf
April 17, 2019 - lead to the ordering of unnecessary tests and procedures, a form of
overuse that may pose harm to patients … , researchers surveyed doctors
working in three emergency departments to understand their level of experience … They found a significant association between more
clinical experience and less risk aversion as well … as a significant association between more experience and
greater ease with uncertainty. … The authors caution that they cannot draw conclusions on how these
findings impact patient safety.
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psnet.ahrq.gov/node/42753/psn-pdf
November 20, 2013 - Dealing with a medical mistake: should physicians
apologize to patients? … https://psnet.ahrq.gov/issue/dealing-medical-mistake-should-physicians-apologize-patients
This article … discusses how apologies address patients' needs when a medical mistake has occurred and
how such disclosure … /issue/improving-patient-family-and-clinician-experience-after-harmful-events-when-things-go-wrong
https … ://psnet.ahrq.gov/issue/better-approach-medical-malpractice-claims-university-michigan-experience
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psnet.ahrq.gov/node/46738/psn-pdf
February 28, 2018 - Safe care for pediatric patients: a scoping review across
multiple health care settings. … Safe Care for Pediatric Patients: A Scoping Review Across Multiple
Health Care Settings. … Medication
errors were the main patient safety concern identified in the literature. … https://psnet.ahrq.gov/issue/tenfold-medication-errors-5-years-experience-university-affiliated-pediatric-hospital … https://psnet.ahrq.gov/issue/tenfold-medication-errors-5-years-experience-university-affiliated-pediatric-hospital
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psnet.ahrq.gov/issue/when-healthcare-hurts
January 15, 2014 - 2019
Examining causes and prevention strategies of adverse events in deceased hospital patients … : a retrospective patient record review study in the Netherlands. … June 16, 2021
Explaining the negative effects of patient participation in patient safety … August 21, 2019
View More
Related Resources
Learning from experience … June 26, 2019
The Second Victim Experience and Support Tool: validation of an organizational
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psnet.ahrq.gov/issue/infants-risk-when-nurse-fatigue-jeopardizes-quality-care
September 13, 2006 - September 13, 2006
The working hours of hospital staff nurses and patient safety. … February 19, 2010
To be sued less, doctors should consider talking to patients more. … who experience rapid response activation. … Analysis of incident reports from a patient safety organization. … July 17, 2019
Effects on resident work hours, sleep duration and work experience in a
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psnet.ahrq.gov/issue/side-errors-neurosurgery
November 17, 2010 - effect of a multi-faceted intervention on early recognition and intervention in deteriorating hospital patients … The introduction of a Neurosurgical Postoperative Checklist improved quality of care and patient … November 20, 2019
"Team time-out" and surgical safety—experiences in 12,390 neurosurgical patients … September 15, 2010
Eight-year experience with a neurosurgical checklist. … August 18, 2010
Spinal surgery and patient safety: a systems approach.
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psnet.ahrq.gov/node/47177/psn-pdf
January 23, 2019 - Effect of increased inpatient attending physician
supervision on medical errors, patient safety, and … Over the past decade, with the goal of improving both the educational experience and patient safety … safety and the educational experience for housestaff. … care discussions and encounters with newly admitted and existing patients) was compared to
standard … directly supervised residents only for new admissions, meeting later in the
day to discuss existing patients
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psnet.ahrq.gov/node/33838/psn-pdf
July 01, 2017 - Many studies have
profiled physicians who experience medicolegal events, typically by comparing them … Available evidence suggests that,
compared to physicians who experience no or few events, medicolegal … Alternatively, the may signal a much larger quality problem that afflicts many of the patients that … Physician–patient communication. … Medical malpractice experience of
physicians. Predictable or haphazard? JAMA. 1989;262:3291-3297.
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psnet.ahrq.gov/node/44648/psn-pdf
February 14, 2017 - alert overrides in electronic health
records: an observational retrospective study of a decade
of experience … alert overrides in electronic health records: an
observational retrospective study of a decade of experience … rising-drug-allergy-alert-overrides-electronic-health-records-observational-
retrospective
Alert fatigue is recognized as a barrier to patient … overuse of alerts in health care settings and the need to
improve their use to effectively support patient
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psnet.ahrq.gov/node/37966/psn-pdf
January 15, 2009 - electronic medical records in primary care:
lessons learned from health information systems
implementation experience … electronic medical records in primary care: lessons learned from health
information systems implementation experience … regarding adoption of health information systems in primary care and
assessed whether quality and patient
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psnet.ahrq.gov/node/42685/psn-pdf
December 06, 2013 - An AHRQ WebM&M perspective reveals a nurse's experience with MRSA. … https://psnet.ahrq.gov/perspective/interpreting-patient-safety-literature
https://psnet.ahrq.gov/perspective … /interpreting-patient-safety-literature
https://psnet.ahrq.gov/issue/interrelationship-isolation-precautions-and-adverse-events-acute-care-facility … https://psnet.ahrq.gov/issue/unexpected-hypoglycemia-critically-ill-patient
https://psnet.ahrq.gov/issue … /health-care-associated-infections
https://psnet.ahrq.gov/perspective/connies-story-nurses-personal-experience-mrsa
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psnet.ahrq.gov/node/49846/psn-pdf
November 01, 2018 - Supervision and Entrustment in Clinical Training: Protecting Patients, Protecting Trainees. … by experienced clinicians;
(iii) but experience must emerge in trainees who start without experience … ; and (iv) experience requires the
active care of patients. … While they deserve adequate guidance, progression to unsupervised practice may require that they
experience … , experience with learners, propensity to trust).(5,6) Challenging learners to engage in
new clinical
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psnet.ahrq.gov/node/43239/psn-pdf
June 11, 2014 - cycle-redemption-medical-error-disclosure-and-apology-program
Clinicians who are involved in a medical error and experience … cycle-redemption-medical-error-disclosure-and-apology-program
https://psnet.ahrq.gov/issue/medical-error-second-victim
https://psnet.ahrq.gov/issue/improving-patient-family-and-clinician-experience-after-harmful-events-when-things-go-wrong
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psnet.ahrq.gov/issue/preventing-wrong-site-surgery-minnesota-5-year-journey
December 19, 2007 - Patient Saf Qual Healthc. November/December 2012;9:24-27,30-32,34. … Patient Saf Qual Healthc. November/December 2012;9:24-27,30-32,34. … The Massachusetts experience. … June 13, 2011
Debriefing for patient safety. … July 30, 2014
Eight-year experience with a neurosurgical checklist.
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psnet.ahrq.gov/node/37344/psn-pdf
March 28, 2012 - Introduction of an obstetric-specific medical emergency
team for obstetric crises: implementation and experience … Introduction of an obstetric-specific medical emergency team
for obstetric crises: implementation and experience … introduction-obstetric-specific-medical-emergency-team-obstetric-crises-
implementation-and
Implementation of rapid response systems is designed to improve patient
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psnet.ahrq.gov/node/41193/psn-pdf
August 02, 2012 - found that children in hospitals with high reliance on Medicaid reimbursements are more likely to
experience … In addition, pediatric inpatients with Medicaid are more likely than privately
insured children to experience … medicaid-hospital-financial-stress-and-incidence-adverse-medical-events-children
https://psnet.ahrq.gov/issue/does-patients-payer-matter-hospital-patient-safety-study-urban-hospitals
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psnet.ahrq.gov/node/47189/psn-pdf
August 17, 2018 - Association of opioid-related adverse drug events with
clinical and cost outcomes among surgical patients … Patients receiving higher dose and longer duration of
opioids were more likely to experience adverse … mortality risk, and a higher rate of
readmissions compared to those who did not experience problems … The authors
call for reducing opioid use in acute care, postoperative settings in order to improve patient … psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge
https://psnet.ahrq.gov/perspective/patient-safety-and-opioid-medications