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9881. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47906/psn-pdf
      August 21, 2019 - Creating a just culture: the Ottawa Hospital's experience. … Creating a Just Culture: The Ottawa Hospital's experience. … https://psnet.ahrq.gov/issue/creating-just-culture-ottawa-hospitals-experience The just culture paradigm … https://psnet.ahrq.gov/issue/creating-just-culture-ottawa-hospitals-experience https://psnet.ahrq.gov … assessment-impact-just-culture-quality-and-safety-us-hospitals https://psnet.ahrq.gov/issue/balancing-no-blame-accountability-patient-safety

9882. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44020/psn-pdf
      March 25, 2015 - Wrong-site orthopedic operations on the extremities: the Pennsylvania experience. … PA-PSRS Patient Saf Advis. 2015;12:19-27. … https://psnet.ahrq.gov/issue/wrong-site-orthopedic-operations-extremities-pennsylvania-experience Wrong-site … https://psnet.ahrq.gov/issue/wrong-site-orthopedic-operations-extremities-pennsylvania-experience https … ://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery https://psnet.ahrq.gov/

9883. 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.

9884. 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.

9885. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44001/psn-pdf
      May 06, 2015 - Wrong-site nerve blocks: 10 yr experience in a large multihospital health-care system. … Wrong-site nerve blocks: 10 yr experience in a large multihospital health-care system. … https://psnet.ahrq.gov/issue/wrong-site-nerve-blocks-10-yr-experience-large-multihospital-health-care … https://psnet.ahrq.gov/issue/wrong-site-nerve-blocks-10-yr-experience-large-multihospital-health-care-system … https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery https://psnet.ahrq.gov

9886. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45087/psn-pdf
      May 04, 2016 - Exploring the impact of consultants' experience on hospital mortality by day of the week: a retrospective … Exploring the impact of consultants’ experience on hospital mortality by day of the week: a retrospective … https://psnet.ahrq.gov/issue/exploring-impact-consultants-experience-hospital-mortality-day-week- retrospective-analysis … done on Friday, Saturday, or Sunday compared with other days of the week, even after adjusting for patient … https://psnet.ahrq.gov/issue/mortality-among-patients-admitted-hospitals-weekends-compared-weekdays

9887. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45700/psn-pdf
      September 01, 2018 - Resolving malpractice claims after tort reform: experience in a self-insured Texas public academic health … a large university health system declined substantially after a state law was enacted that reduced patients … Data demonstrated that the university worked to provide compensation to some patients involved in cases … https://psnet.ahrq.gov/issue/patient-safety-and-medical-malpractice-case-study https://psnet.ahrq.gov … /issue/disclosure-medical-injury-patients-improbable-risk-management-strategy

9888. 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

9889. 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

9890. 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

9891. 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

9892. 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.

9893. 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

9894. 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

9895. 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

9896. 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

9897. 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

9898. 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

9899. O'Connell RT et al. 2004 "Take note(s): differential EHR satisfaction with two implementations under one roof." | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/oconnell-rt-et-al-2004
      January 01, 2004 - the system had been designed to improve billing (RR = 1.50, 95% CI = 1.05-2.04) and not to improve patient … and more preventive care patient encounters for which structured data entry may be well suited. … to improve billing, pediatrics users were more likely to believe the design was intended to improve patient … high level of agreement in both specialties that use of the system did not interfere with the doctor-patient … The Veterans Affairs Hospital's Computerized Patient Record System (CPRS) is used by all medical residents

9900. 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?