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3021. Psn-Pdf (pdf file)
      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

3022. 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

3023. 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

3024. Psn-Pdf (pdf file)
      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

3025. 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

3026. 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

3027. 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

3028. 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

3029. 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

3030. 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

3031. 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

3032. 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

3033. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33744/psn-pdf
      February 01, 2013 - Has the patient gotten beyond anger about the experience? … Yes, we need to improve patient experience scores, but much more importantly we need to change the culture … BJ: Oh, I absolutely think the strategies to hold hospitals accountable for the patient experience are … Many hospitals now have patient experience teams where they review data from the national benchmarking … Patients and families come with different strengths to each health care experience.

3034. 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

3035. 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

3036. Employee / Staff Pre-Go-Live Expectations / Perceptions Clinical Information Systems Survey DR ONLY (pdf file)
      digital.ahrq.gov/sites/default/files/docs/survey/cis-survey-pre-go-live.pdf
      June 16, 2021 - How often patients are asked the same questions. … Sharing important information with patients and families. … Involving patients and families in the care planning process. … The overall safety of patient care. … Based on your experience in using the new clinical information systems... II.

3037. Meeting Summary (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/stakeholders-engagement-others_slides-2011.pdf
      January 01, 2011 - The AHRQ panel consisted of patients and consumers who have had the experience of representing the … Patient and consumer representatives include patients, patient advocates, community advocacy group … It is helpful if they have prior experience that has brought them in contact with other patients, as … Not only does this allow for a greater representation of the patient experience and perspective, it … have the opportunity to evaluate their experience.

3038. 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 patients … Patient Safety Leadership WalkRounds.

3039. Is misdiagnosis inevitable? | PSNet
      psnet.ahrq.gov/issue/misdiagnosis-inevitable
      June 16, 2011 - June 16, 2011 Improving Patient Safety Through Informed Consent for Patients with Limited … April 6, 2011 Engaging as partners in patient safety: the experience of librarians. … and Improve Family Experience and Communication Processes) January 31, 2024 … The Massachusetts experience. … August 22, 2007 How safe do patients feel?

3040. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40274/psn-pdf
      December 29, 2014 - Predictors of the perceived impact of a patient safety collaborative: an exploratory study. … of program participants identified factors associated with the effect of the United Kingdom's Safer Patients … Initiative on patient safety at the organizational level. … https://psnet.ahrq.gov/issue/perceptions-impact-large-scale-collaborative-improvement-programme-experience-uk-safer … https://psnet.ahrq.gov/issue/perceptions-impact-large-scale-collaborative-improvement-programme-experience-uk-safer