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psnet.ahrq.gov/node/45222/psn-pdf
June 08, 2016 - This study thus represents one of the few safety interventions that has achieved a sustainable
improvement
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psnet.ahrq.gov/issue/sensemaking-patient-safety-risks-and-hazards
March 03, 2011 - The authors conclude that identifying risks to patient safety represents a critical step in prevention
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psnet.ahrq.gov/issue/building-memory-preventing-harm-reducing-risks-and-improving-patient-safety
December 24, 2007 - This represents the first of a series of expected reports from NPSA on patient safety data to be published
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psnet.ahrq.gov/issue/committed-safety-ten-case-studies-reducing-harm-patients
July 31, 2012 - The collection of stories represents a diverse group of health care organizations, with each sharing
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psnet.ahrq.gov/issue/medical-device-alarm-safety-hospitals
December 23, 2016 - Because the database relies on voluntary reporting, this number likely represents a small proportion
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psnet.ahrq.gov/issue/escape-fire-lessons-future-health-care
July 05, 2008 - This report represents an edited version of Donald Berwick’s Plenary Address presented at the Institute
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psnet.ahrq.gov/issue/defining-and-measuring-patient-safety
June 16, 2011 - While the intensive care unit represents the contextual background for this review, a past study also
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psnet.ahrq.gov/issue/patient-safety-problems-adolescent-medical-care
April 11, 2011 - While results were generated from retrospective chart reviews, this study represents the first population-based
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psnet.ahrq.gov/issue/perinatal-care-quality-and-safety-initiative-are-there-financial-rewards-improved-quality
April 27, 2019 - This finding represents a classic case of misaligned incentives: the outcome was beneficial for payers
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psnet.ahrq.gov/issue/new-persistent-opioid-use-after-minor-and-major-surgical-procedures-us-adults
April 18, 2019 - Opioid medication use represents a significant safety problem in the United States.
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psnet.ahrq.gov/issue/investigating-association-alerts-national-mortality-surveillance-system-subsequent-hospital
October 20, 2021 - Inpatient mortality represents one measure of hospital quality.
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psnet.ahrq.gov/issue/simulation-based-training-improves-physicians-performance-patient-care-high-stakes-clinical
October 07, 2020 - This study represents a significant advance in the simulation literature, as it found that anesthesia
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psnet.ahrq.gov/issue/impact-traditional-and-smart-pump-infusion-technology-nurse-medication-administration
May 18, 2022 - closed-loop " system that integrates technological solutions to prescription and administration errors represents
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psnet.ahrq.gov/issue/value-adding-verbal-report-written-handoffs-early-readmission-following-prolonged-respiratory
July 19, 2023 - Investigators estimated that nearly $185,000 was saved per 100 discharges, arguing that their intervention represents
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psnet.ahrq.gov/issue/we-will-not-compete-safety-how-childrens-hospitals-have-come-together-hasten-harm-reduction
August 10, 2022 - This represents almost $150 million in savings from harm avoided for an estimated 9000 children.
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psnet.ahrq.gov/issue/neurobehavioral-performance-residents-after-heavy-night-call-vs-after-alcohol-ingestion
June 22, 2022 - While past studies suggested an association between resident work hours and safety , this represents
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psnet.ahrq.gov/issue/we-cant-get-along-without-each-other-qualitative-interviews-physicians-about-device-industry
March 07, 2018 - Conflict of interest between health care providers and for-profit industry represents a patient safety
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psnet.ahrq.gov/issue/association-hospital-participation-surgical-outcomes-monitoring-program-inpatient
August 20, 2018 - This study examined 3 and a half years of data from the University HealthSystem Consortium, which represents
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psnet.ahrq.gov/issue/preoperative-site-marking-are-we-adhering-good-surgical-practice
August 02, 2017 - Wrong-site surgery represents a never event .
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psnet.ahrq.gov/issue/safe-practices-copy-and-paste-ehr-systematic-review-recommendations-and-novel-model-health-it
April 08, 2018 - The copy-and-paste phenomenon represents one of the unintended consequences of electronic health record