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psnet.ahrq.gov/curated-library/covid-19-pandemic-impact-healthcare-associated-conditions
September 15, 2025 - homes in Italy found that one third of facilities reported at least one adverse event during the early weeks
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psnet.ahrq.gov/node/72636/psn-pdf
January 13, 2021 - Resident-faculty overnight discrepancy rates as a
function of number of consecutive nights during a week
of night float.
January 13, 2021
Peterson C, Moore M, Sarwani N, et al. Resident-faculty overnight discrepancy rates as a function of
number of consecutive nights during a week of night float. Diagnosis (Berl).…
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psnet.ahrq.gov/node/863762/psn-pdf
March 14, 2024 - Diagnostic Excellence: a Patient Safety Awareness Week
Webinar.
March 6, 2024
Institute for Healthcare Improvement. March 14, 2024.
https://psnet.ahrq.gov/issue/diagnostic-excellence-patient-safety-awareness-week-webinar
Diagnostic safety is core to care without harm. This webinar aligned with the 2024 Patient Saf…
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psnet.ahrq.gov/web-mm/delay-treatment-failure-contact-patient-leads-significant-complications
February 01, 2004 - The patient received the letter and came to clinic 2 weeks later (now 26 days after her initial presentation … Then the patient did not return for treatment for another 2 weeks, by which time significant harm had … effort to reach the patient, while a condition that would not cause appreciable harm if unaddressed for weeks—and … it conveyed an appropriate sense of urgency the patient could be considered negligent for waiting 2 weeks
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psnet.ahrq.gov/node/49568/psn-pdf
September 01, 2008 - However, this proportion falls rapidly over the first few weeks of life, and by 6 months less than 40% … with blunt-ended scissors is usually all that is needed, and bleeding is minimal.(12,13)
The first 2 weeks … Management of
hyperbilirubinemia in the newborn infant 35 or more weeks of gestation.
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psnet.ahrq.gov/node/49402/psn-pdf
June 01, 2003 - After 2 weeks in the hospital, the patient was given vancomycin and piperacillin/tazobactam for altered … Although no clear
source of infection was identified, antibiotics were continued for 3 weeks, at which … Starting antibiotics in these circumstances is not necessarily an error, but
continuing them for 3 weeks
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psnet.ahrq.gov/web-mm/seasonal-care-transition-failure
June 01, 2016 - often without access to the previous provider, even though many of these patients will not be seen for weeks … These patients should be scheduled proactively by the clinic for longer appointments during the first weeks … patient of their new clinician ( 13 ) or a phone call from the new clinician during the first days or weeks
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psnet.ahrq.gov/node/49512/psn-pdf
May 01, 2006 - Two weeks prior to this
admission, she had spontaneously developed right ankle and foot pain and had … The right
ankle and foot were in the same splint that had been applied 2 weeks earlier. … The first error (or series of errors) occurred 2 weeks prior to admission when the staff in the ED who
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psnet.ahrq.gov/node/74134/psn-pdf
December 01, 2021 - Remember that patient you saw last week: characteristics
and frequency of patients experiencing anticipated and
unanticipated death following ED discharge.
December 1, 2021
Hoang R, Sampsel K, Willmore A, et al. Remember that patient you saw last week: characteristics and
frequency of patients experiencing anticip…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.290_slideshow.ppt
February 01, 2013 - *
*
Case: Failure to Contact (4)
The patient received the letter and came to the clinic 2 weeks … strong effort to reach the patient
A result that would not cause appreciable harm if unaddressed for weeks
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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
analysis of hospital episode statistics.
May 4, 2016
Ruiz M, Bottle A, Aylin PP. Exploring the impact of consultants’ experience on hospital mortality by day of
the week: a retrospective analysis of hospital e…
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psnet.ahrq.gov/Webmm/submit-case-info
August 10, 2025 - regarding your
submission (selected or not) within 10–12 weeks … should expect an email reply regarding their submission (selected or
not) within 10–12 weeks
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psnet.ahrq.gov/node/45171/psn-pdf
August 01, 2016 - Weekly variation in health-care quality by day and time of
admission: a nationwide, registry-based, prospective
cohort study of acute stroke care.
August 1, 2016
Bray BD, Cloud GC, James MA, et al. Weekly variation in health-care quality by day and time of admission:
a nationwide, registry-based, prospective cohor…
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psnet.ahrq.gov/node/60825/psn-pdf
August 19, 2020 - Effect of delays in the 2-week-wait cancer referral
pathway during the COVID-19 pandemic on cancer
survival in the UK: a modelling study.
August 19, 2020
Sud A, Torr B, Jones ME, et al. Effect of delays in the 2-week-wait cancer referral pathway during the
COVID-19 pandemic on cancer survival in the UK: a modellin…
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psnet.ahrq.gov/issue/second-victim-experiences-nurses-obstetrics-and-gynaecology-second-victim-experience-and
May 19, 2021 - February 15, 2023
Her child was stillborn at 39 weeks.
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psnet.ahrq.gov/issue/explaining-negative-effects-patient-participation-patient-safety-exploratory-qualitative
November 04, 2020 - February 15, 2023
Her child was stillborn at 39 weeks.
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psnet.ahrq.gov/issue/effectiveness-communication-interventions-obstetrics-systematic-review
April 13, 2022 - February 15, 2023
Her child was stillborn at 39 weeks.
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psnet.ahrq.gov/issue/problem-engaging-hospital-doctors-promoting-safety-and-quality-clinical-care
August 18, 2017 - Weeks, MD, MBA
May 1, 2009
Adverse Events in Hospitals: Overview of Key Issues
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psnet.ahrq.gov/issue/respectful-maternity-care-dissemination-and-implementation-perinatal-safety-culture-improve
June 08, 2011 - February 15, 2023
Her child was stillborn at 39 weeks.
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psnet.ahrq.gov/issue/effect-day-week-short-and-long-term-mortality-after-emergency-general-surgery
January 23, 2019 - Study
Effect of day of the week on short- and long-term mortality after emergency general surgery.
Citation Text:
Gillies MA, Lone NI, Pearse RM, et al. Effect of day of the week on short- and long-term mortality after emergency general surgery. Br J Surg. 2017;104(7):936-945. doi:10.100…