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461. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36310/psn-pdf
     January 05, 2017 - A statewide voluntary patient safety initiative: the Georgia experience. … A statewide voluntary patient safety initiative: the Georgia experiene. … Jt Comm J Qual Patient Saf. 2006;32(10):564-72. … https://psnet.ahrq.gov/issue/statewide-voluntary-patient-safety-initiative-georgia-experience The authors … https://psnet.ahrq.gov/issue/statewide-voluntary-patient-safety-initiative-georgia-experience

462. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41323/psn-pdf
     July 06, 2012 - Efficacy of an incident-reporting system in cellular pathology: a practical experience. … Efficacy of an incident-reporting system in cellular pathology: a practical experience. … https://psnet.ahrq.gov/issue/efficacy-incident-reporting-system-cellular-pathology-practical-experience … reports in a cellular pathology laboratory revealed a low incidence of safety problems resulting in patient … https://psnet.ahrq.gov/primer/reporting-patient-safety-events

463. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42283/psn-pdf
     February 27, 2014 - Finding and fixing mistakes: do checklists work for clinicians with different levels of experience? … Finding and fixing mistakes: do checklists work for clinicians with different levels of experience? … Checklists have been shown to improve patient safety and clinical outcomes when used in combination … common and have serious clinical consequences, checklists such as this have the potential to improve patient … psnet.ahrq.gov/issue/implications-failure-identify-high-risk-electrocardiogram-findings-quality-care-patients

464. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47560/psn-pdf
     January 09, 2019 - Scaling safety: the South Carolina Surgical Safety Checklist experience. … Scaling Safety: The South Carolina Surgical Safety Checklist Experience. … https://psnet.ahrq.gov/issue/scaling-safety-south-carolina-surgical-safety-checklist-experience This … study in the Health Affairs patient safety theme issue examines the implementation of surgical safety … Checklists have been shown to improve patient outcomes in randomized control trials, but implementation

465. Electronic Health Record End User Survey (pdf file)
     digital.ahrq.gov/sites/default/files/docs/survey/electronic-health-record-end-user-survey.pdf
     June 16, 2021 - about your current use of EHRs and your opinions about how EHRs affect issues related to quality of patient … (Prior Experience with EHRs) 6. … In what particular way does your experience with GE Centricity differ from your prior experience with … Never Occasionally Frequently Always When you need patient test results nmlkj nlj mk nljmk n klj … you want to identify all of your patients with gaps in their care Section 3 (of 5).

466. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44995/psn-pdf
     July 01, 2016 - The relationship between nursing experience and education and the occurrence of reported pediatric … The Relationship Between Nursing Experience and Education and the Occurrence of Reported Pediatric Medication … This Canadian study found that nurses with more experience reported a greater number of pediatric … This finding suggests widespread underreporting of medication errors by nurses with a lower level of experience … frequency-pediatric-medication-administration-errors-and-contributing-factors https://psnet.ahrq.gov/primer/reporting-patient-safety-events

467. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72547/psn-pdf
     December 09, 2020 - The effects of rudeness, experience, and perspective- taking on challenging premature closure after … The effects of rudeness, experience, and perspective-taking on challenging premature closure after pediatric … https://psnet.ahrq.gov/issue/effects-rudeness-experience-and-perspective-taking-challenging-premature … - closure-after Disruptive and rude behavior can hinder teamwork and diminish patient safety. … https://psnet.ahrq.gov/issue/effects-rudeness-experience-and-perspective-taking-challenging-premature-closure-after

468. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60317/psn-pdf
     May 13, 2020 - The nurse's experience of decision-making processes in missed nursing care: a qualitative study. … The nurse’s experience of decision?making processes in missed nursing care: a qualitative study. … https://psnet.ahrq.gov/issue/nurses-experience-decision-making-processes-missed-nursing-care- qualitative-study … situations, and situational factors triggering fluctuations in their awareness (such as "difficult" patients … https://psnet.ahrq.gov/perspective/missed-nursing-care-key-measure-patient-safety

469. Diagnostic Excellence Initiative. | PSNet
     psnet.ahrq.gov/issue/diagnostic-excellence-improving-experience-and-outcomes-patient-care
     October 06, 2022 - Missed or delayed diagnoses lead to delays in care and significant preventable harm for patients. … May 30, 2012 Joint Statement on Multiple Patients Per Ventilator. … October 24, 2018 2015 Rosenthal Symposium: Protecting Patients: Advances and Future Directions … in Patient Safety. … See More About The Topic Health Care Providers Health Care Executives and Administrators Patients

470. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45477/psn-pdf
     October 05, 2016 - Promoting safety through well-being: an experience in healthcare. … Promoting Safety through Well-Being: An Experience in Healthcare. … https://psnet.ahrq.gov/issue/promoting-safety-through-well-being-experience-healthcare The work environment … This commentary describes an initiative to increase commitment to workplace and patient safety through … https://psnet.ahrq.gov/issue/promoting-safety-through-well-being-experience-healthcare https://psnet.ahrq.gov

471. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851061/psn-pdf
     June 28, 2023 - Learning from experience: a qualitative study of surgeons' perspectives on reporting and dealing with … Learning from experience: a qualitative study of surgeons’ perspectives on reporting and dealing with … https://psnet.ahrq.gov/issue/learning-experience-qualitative-study-surgeons-perspectives-reporting-and … - dealing-serious Reporting and learning from adverse events are core components of patient safety. … https://psnet.ahrq.gov/issue/learning-experience-qualitative-study-surgeons-perspectives-reporting-and-dealing-serious

472. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48077/psn-pdf
     June 26, 2019 - Effects on resident work hours, sleep duration and work experience in a Randomized Order Safety Trial … Effects on resident work hours, sleep duration, and work experience in a randomized order safety trial … https://psnet.ahrq.gov/issue/effects-resident-work-hours-sleep-duration-and-work-experience-randomized … https://psnet.ahrq.gov/issue/effects-resident-work-hours-sleep-duration-and-work-experience-randomized-order-safety-trial … https://psnet.ahrq.gov/primer/duty-hours-and-patient-safety https://psnet.ahrq.gov/issue/resident-duty-hours-enhancing-sleep-supervision-and-safety

473. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43766/psn-pdf
     September 26, 2016 - Driven to distraction: a prospective controlled study of a simulated ward round experience to improve … patient safety teaching for medical students. … Driven to distraction: a prospective controlled study of a simulated ward round experience to improve … patient safety teaching for medical students. … https://psnet.ahrq.gov/issue/driven-distraction-prospective-controlled-study-simulated-ward-round- experience-improve

474. 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.

475. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73424/psn-pdf
     June 23, 2021 - issue/psychological-experiences-nurses-after-inpatient-suicide-meta-synthesis- qualitative-research Patient … Nurses caring for the patient may experience negative psychological symptoms following inpatient suicide … This review identified five themes based on nurses’ psychological experiences: emotional experience, … cognitive experience, coping strategies, self- reflection, and impact on self and practice. … psychological-responses-coping-and-supporting-needs-healthcare-professionals-second-victims https://psnet.ahrq.gov/issue/assessing-perceived-level-institutional-support-second-victim-after-patient-safety-event

476. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73246/psn-pdf
     May 12, 2021 - Self-Reported Learning (SRL), a voluntary incident reporting system experience within a large health … Self-Reported Learning (SRL), a voluntary incident reporting system experience within a large health … Jt Comm J Qual Patient Saf. 2021;47(5):288-295. doi:10.1016/j.jcjq.2021.01.002. … https://psnet.ahrq.gov/issue/self-reported-learning-srl-voluntary-incident-reporting-system-experience … https://psnet.ahrq.gov/issue/self-reported-learning-srl-voluntary-incident-reporting-system-experience-within-large-health

477. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45149/psn-pdf
     September 19, 2016 - Care at the point of impact: insights into the second- victim experience. … Care at the point of impact: Insights into the second-victim experience. … https://psnet.ahrq.gov/issue/care-point-impact-insights-second-victim-experience Health care workers … This commentary reviews the stages of recovery that such health care workers experience, determined … https://psnet.ahrq.gov/issue/natural-history-recovery-healthcare-provider-second-victim-after-adverse-patient-events

478. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46125/psn-pdf
     August 03, 2017 - Exploring the experience of nurse practitioners who have committed medical errors: a phenomenological … Exploring the experience of nurse practitioners who have committed medical errors: A phenomenological … https://psnet.ahrq.gov/issue/exploring-experience-nurse-practitioners-who-have-committed-medical-errors … phenomenological This qualitative interview study of nurse practitioners who had made errors found that they experience … complex reactions, including self-blame, concern for the patient, worries about their professional

479. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46528/psn-pdf
     January 10, 2018 - Five Years of Experience Using Front-line Ownership to Improve Healthcare Quality and Safety. … https://psnet.ahrq.gov/issue/five-years-experience-using-front-line-ownership-improve-healthcare-quality … - and-safety Patient safety leaders have noted the need to recognize the complexity of health care … https://psnet.ahrq.gov/issue/five-years-experience-using-front-line-ownership-improve-healthcare-quality-and-safety … complexity-science-challenge-complexity-health-care https://psnet.ahrq.gov/issue/front-line-ownership-generating-cure-mindset-patient-safety

480. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39778/psn-pdf
     August 18, 2010 - Eight-year experience with a neurosurgical checklist. August 18, 2010 Lyons MK. … Eight-year experience with a neurosurgical checklist. Am J Med Qual. 2010;25(4):285-8. … The institution did not experience any wrong-site surgeries during that time. … https://psnet.ahrq.gov/issue/eight-year-experience-neurosurgical-checklist https://psnet.ahrq.gov/primer … /checklists https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery