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psnet.ahrq.gov/issue/misery-doctors-first-days
December 02, 2015 - Newspaper/Magazine Article
The misery of a doctor's first days. … Citation Text:
The misery of a doctor's first days. Hester JL. The Atlantic. October 1, 2015. … July effect " actually exists, it is not hard to imagine the difficulties associated with the first days … Cite
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Citation Text:
The misery of a doctor's first days
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psnet.ahrq.gov/issue/world-sepsis-day
May 12, 2021 - Multi-use Website
World Sepsis Day.
Citation Text:
World Sepsis Day. Global Sepsis Alliance.
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September 6,…
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psnet.ahrq.gov/issue/failure-follow-medication-changes-made-hospital-discharge-associated-adverse-events-30-days
October 16, 2019 - Failure to follow medication changes made at hospital discharge is associated with adverse events in 30 days … Failure to follow medication changes made at hospital discharge is associated with adverse events in 30 days … At 30-days post-discharge, nearly half of patients were nonadherent to at least one medication change … Patients who were non-adherent to all medication changes had a 35% higher risk of adverse events within 30-days … Failure to follow medication changes made at hospital discharge is associated with adverse events in 30 days
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psnet.ahrq.gov/issue/states-targeting-reduction-infections-engagement-strive
June 12, 2024 - observe reductions in central-line catheter use during the study period (24.05 to 22.07 central line-days … per 100 patient-days); however, this trend was also documented in the pre-intervention period. … rate decreased slightly; unadjusted rates decreased from 1.12 to 1.04 infections per 1,000 catheter-days … Unadjusted urinary catheter use decreased from 21.46 to 19.83 catheter-days per 100 patient-days. … to 5.7 cases per 10,000 patient-days.
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psnet.ahrq.gov/issue/retrospective-audit-postoperative-days-alive-and-out-hospital-including-and-after
March 17, 2021 - Study
A retrospective audit of postoperative days alive and out of hospital, including … A retrospective audit of postoperative days alive and out of hospital, including before and after implementation … In this study, postoperative mortality and increased days alive and out of hospital were measures for … Changes in mortality and days alive and out of hospital during these time periods were indistinguishable … A retrospective audit of postoperative days alive and out of hospital, including before and after implementation
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psnet.ahrq.gov/issue/global-comparators-project-international-comparison-30-day-hospital-mortality-day-week
May 04, 2016 - analysis of pooled hospital administrative data across four countries, in-hospital mortality within 30 days
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psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle
July 23, 2024 - analytic support, determined that a patient was harmed from an RSI at their facilities every eight days … After implementation, the average number of days between a patient harm caused by an RSI increased from … 8.6 days to 10.3 days, accounting for a 19.8% improvement. 2 Additionally, there was a 13.7% reduction … from 8.6 days to 9.2 days during the bundle activation and ongoing education periods. 2 Then, the days … The RSI harm event rate is per 10,000 patient days.
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psnet.ahrq.gov/issue/accident-prevention-day-day-clinical-radiation-therapy-practice
February 07, 2018 - Commentary
Accident prevention in day-to-day clinical radiation therapy practice.
Citation Text:
Baeza M. Accident prevention in day-to-day clinical radiation therapy practice. Ann ICRP. 2012;41(3-4):179-87. doi:10.1016/j.icrp.2012.06.001.
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DOI Google…
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psnet.ahrq.gov/issue/4-days-hospital-thought-he-had-just-pneumonia-it-was-coronavirus
November 29, 2023 - Newspaper/Magazine Article
For 4 days, the hospital thought he had just pneumonia … For 4 days, the hospital thought he had just pneumonia. It was coronavirus. … For 4 days, the hospital thought he had just pneumonia. It was coronavirus.
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psnet.ahrq.gov/node/60593/psn-pdf
June 17, 2020 - Failure to follow medication changes made at hospital
discharge is associated with adverse events in 30 days … Failure to follow medication changes made at hospital
discharge is associated with adverse events in 30 days … psnet.ahrq.gov/issue/failure-follow-medication-changes-made-hospital-discharge-associated-
adverse-events-30-days … At 30-days post-discharge, nearly half of patients were nonadherent to
at least one medication change … who were non-adherent to all medication changes had a 35% higher risk
of adverse events within 30-days
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psnet.ahrq.gov/node/74725/psn-pdf
February 02, 2022 - A retrospective audit of postoperative days alive and out
of hospital, including before and after implementation … A retrospective audit of postoperative days alive and out of
hospital, including before and after implementation … https://psnet.ahrq.gov/issue/retrospective-audit-postoperative-days-alive-and-out-hospital-including-and … In this study, postoperative mortality and increased days alive and out of hospital were
measures for … Changes in mortality and days alive and out of hospital during these time
periods were indistinguishable
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psnet.ahrq.gov/issue/reducing-retained-foreign-objects-operating-room-quality-improvement-initiative
April 19, 2023 - Following a decrease in days between RFO, this healthcare system implemented a quality improvement initiative … Following several cycles of plan-do-study-act, days between RFO events increased from 29 to 451 days … and that number of days was sustained at one year.
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psnet.ahrq.gov/node/50689/psn-pdf
November 20, 2019 - observe reductions in central-line catheter use during the study period (24.05 to 22.07 central line-
days … per 100 patient-days); however, this trend was also documented in the pre-intervention period. … rate decreased slightly; unadjusted rates decreased from 1.12 to 1.04 infections
per 1,000 catheter-days … Unadjusted urinary catheter use decreased from 21.46 to 19.83 catheter-
days per 100 patient-days. … to 5.7 cases per 10,000 patient-days.
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psnet.ahrq.gov/issue/world-patient-safety-day
September 30, 2020 - Multi-use Website
World Patient Safety Day.
Citation Text:
World Patient Safety Day. World Health Organization. September 17, 2025.
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psnet.ahrq.gov/issue/save-lives-clean-your-hands
July 14, 2021 - Multi-use Website
World Hand Hygiene Day.
Citation Text:
World Hand Hygiene Day. World Health Organization
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J…
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psnet.ahrq.gov/issue/human-factors-recognising-and-minimising-errors-our-day-day-practice
October 09, 2016 - Review
Human factors—recognising and minimising errors in our day to day practice.
Citation Text:
Green B, Tsiroyannis C, Brennan PA. Human factors--recognising and minimising errors in our day to day practice. Oral Dis. 2016;22(1):19-22. doi:10.1111/odi.12384.
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psnet.ahrq.gov/node/73324/psn-pdf
May 26, 2021 - Medication-related hospital readmissions within 30 days
of discharge: prevalence, preventability, type … Medication-related hospital readmissions within 30 days of
discharge: prevalence, preventability, type … https://psnet.ahrq.gov/issue/medication-related-hospital-readmissions-within-30-days-discharge-
prevalence-preventability … https://psnet.ahrq.gov/issue/medication-related-hospital-readmissions-within-30-days-discharge-prevalence-preventability … https://psnet.ahrq.gov/issue/medication-related-hospital-readmissions-within-30-days-discharge-prevalence-preventability
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psnet.ahrq.gov/node/74110/psn-pdf
November 24, 2021 - New problems and iatrogenic events among older adults
in the first 30 days of post-acute rehabilitation … New problems and iatrogenic events among older adults in the first 30 days of
post-acute rehabilitation … https://psnet.ahrq.gov/issue/new-problems-and-iatrogenic-events-among-older-adults-first-30-days-post … https://psnet.ahrq.gov/issue/new-problems-and-iatrogenic-events-among-older-adults-first-30-days-post-acute-rehabilitation … https://psnet.ahrq.gov/issue/new-problems-and-iatrogenic-events-among-older-adults-first-30-days-post-acute-rehabilitation
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psnet.ahrq.gov/issue/1300-days-and-counting-risk-model-approach-preventing-retained-foreign-objects-rfos
April 12, 2019 - Commentary
1,300 days and counting: a risk model approach to preventing retained … Citation Text:
Duggan EG, Fernandez J, Saulan MM, et al. 1,300 Days and Counting: A Risk Model Approach … Cite
Citation
Citation Text:
Duggan EG, Fernandez J, Saulan MM, et al. 1,300 Days
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psnet.ahrq.gov/node/60166/psn-pdf
March 25, 2020 - For 4 days, the hospital thought he had just pneumonia. It
was coronavirus. … For 4 days, the hospital thought he had just pneumonia. It was coronavirus. … https://psnet.ahrq.gov/issue/4-days-hospital-thought-he-had-just-pneumonia-it-was-coronavirus
Conditions … https://psnet.ahrq.gov/issue/4-days-hospital-thought-he-had-just-pneumonia-it-was-coronavirus
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