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psnet.ahrq.gov/issue/clinical-decision-support-25-year-retrospective-and-25-year-vision
May 20, 2019 - Review
Clinical decision support: a 25 year retrospective and a 25 year vision. … Clinical Decision Support: a 25 Year Retrospective and a 25 Year Vision. … Clinical Decision Support: a 25 Year Retrospective and a 25 Year Vision.
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psnet.ahrq.gov/issue/eight-year-experience-neurosurgical-checklist
September 27, 2023 - Study
Eight-year experience with a neurosurgical checklist. … Eight-year experience with a neurosurgical checklist. … checklist was successfully implemented and used in more than 99% of neurosurgical cases over an 8-year … Eight-year experience with a neurosurgical checklist.
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psnet.ahrq.gov/issue/first-year-nursing-students-viewpoints-about-compromised-clinical-safety
July 15, 2020 - Study
First year nursing students' viewpoints about compromised clinical safety. … First year nursing students' viewpoints about compromised clinical safety. … First-year nursing students reported considerable clinical uncertainty and exposure to unsafe clinical … First year nursing students' viewpoints about compromised clinical safety.
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psnet.ahrq.gov/issue/safety-first-one-year
December 24, 2007 - Book/Report
Safety First: One Year On. … Citation Text:
Safety First: One Year On. … Copy URL
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Safety First: One Year
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psnet.ahrq.gov/issue/enhancing-patient-safety-and-resident-education-during-academic-year-end-transfer-outpatients
March 25, 2017 - Commentary
Enhancing patient safety and resident education during the academic year-end … Enhancing patient safety and resident education during the academic year-end transfer of outpatients: … commentary identifies the contributing factors in a case of patient suicide during the course of year-end … Enhancing patient safety and resident education during the academic year-end transfer of outpatients: … July 2, 2014
Improving follow-up of high-risk psychiatry outpatients at resident year-end
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psnet.ahrq.gov/issue/medication-errors-year-review
May 02, 2018 - Newspaper/Magazine Article
Medication errors: the year in review. … Citation Text:
Medication errors: the year in review. Valentine D, Ingram V, Fobi B et al. … Cite
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Medication errors 2018: the year
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psnet.ahrq.gov/issue/francis-report-one-year
April 02, 2014 - Book/Report
The Francis Report: One Year On. … Citation Text:
The Francis Report: One Year On. Thorlby R, Smith J, Williams S, Dayan M. … Cite
Citation
Citation Text:
The Francis Report: One Year
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psnet.ahrq.gov/issue/improving-follow-high-risk-psychiatry-outpatients-resident-year-end-transfer
January 27, 2016 - Study
Improving follow-up of high-risk psychiatry outpatients at resident year-end … Improving follow-up of high-risk psychiatry outpatients at resident year-end transfer. … Improving follow-up of high-risk psychiatry outpatients at resident year-end transfer. … January 27, 2016
Academic year-end transfers of outpatients from outgoing to incoming … January 3, 2017
"July Effect": impact of the academic year-end changeover on patient
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psnet.ahrq.gov/issue/year-end-resident-clinic-handoffs-narrative-review-and-recommendations-improvement
March 28, 2018 - Review
Year-end resident clinic handoffs: narrative review and recommendations for … Year-End Resident Clinic Handoffs: Narrative Review and Recommendations for Improvement. … Year-end handoffs in residency training settings are a known patient safety risk. … Year-End Resident Clinic Handoffs: Narrative Review and Recommendations for Improvement. … March 21, 2018
What do patients think about year-end resident continuity clinic handoffs
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psnet.ahrq.gov/issue/preventing-wrong-site-surgery-minnesota-5-year-journey
December 19, 2007 - Newspaper/Magazine Article
Preventing wrong-site surgery in Minnesota: a 5-year journey … Citation Text:
Preventing wrong-site surgery in Minnesota: a 5-year journey. … Discussing a 5-year effort to report , analyze, and reduce wrong-site procedures , this magazine article … More
Related Resources
Incidence of wrong-site surgery list errors for a 2-year … July 30, 2014
Eight-year experience with a neurosurgical checklist.
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psnet.ahrq.gov/issue/reducing-failure-rescue-rates-paediatric-patient-setting-9-year-quality-improvement-study
January 18, 2023 - Study
Reducing failure to rescue rates in a paediatric in-patient setting: a 9-year … Reducing failure to rescue rates in a paediatric in‐patient setting: a 9‐year quality improvement study … Over a nine-year period, 520 emergency events were identified; 25% were cardiac arrest events and 60% … Over the nine-year period, failure to rescue events decreased from 23.6% to 2.5%. … Reducing failure to rescue rates in a paediatric in‐patient setting: a 9‐year quality improvement study
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psnet.ahrq.gov/issue/national-improvements-resident-physician-reported-patient-safety-after-limiting-first-year
July 15, 2020 - National improvements in resident physician-reported patient safety after limiting first-year … National improvements in resident physician-reported patient safety after limiting first-year resident … yield significant differences in patient outcomes and the ACGME eliminated the shift limit for first-year … National improvements in resident physician-reported patient safety after limiting first-year resident … June 17, 2014
Residency schedule, burnout and patient care among first-year residents
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psnet.ahrq.gov/issue/medication-errors-2018-year-review
October 23, 2019 - Newspaper/Magazine Article
Medication errors 2018: the year in review. … Citation Text:
Medication errors 2018: the year in review. … Cite
Citation
Citation Text:
Medication errors 2018: the year … January 14, 2019
Medication errors 2023: the year in review: January through December … March 6, 2024
Medication errors: the year in review: January through December 2021.
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psnet.ahrq.gov/issue/first-year-who-surgical-safety-checklist-7148-otorhinolaryngological-operations-use-and-user
October 30, 2019 - Study
First year with WHO Surgical Safety Checklist in 7148 otorhinolaryngological … First year with WHO Surgical Safety Checklist in 7148 otorhinolaryngological operations: use and user … the use of, and attitudes towards, the World Health Organization's Surgical Safety Checklist one year … First year with WHO Surgical Safety Checklist in 7148 otorhinolaryngological operations: use and user
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psnet.ahrq.gov/issue/hemodialysis-bleeding-events-and-deaths-18-year-retrospective-analysis-patient-safety-and
June 23, 2021 - Study
Hemodialysis bleeding events and deaths: an 18-year retrospective analysis … Hemodialysis bleeding events and deaths: an 18-year retrospective analysis of patient safety and root … bleeding events reported to the Veterans Health Administration Patient Safety Authority over an 18-year … Hemodialysis bleeding events and deaths: an 18-year retrospective analysis of patient safety and root … May 4, 2012
A 5-year analysis of rapid response system activation at an in-hospital haemodialysis
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psnet.ahrq.gov/issue/complications-and-death-start-new-academic-year-there-july-phenomenon
February 13, 2008 - Study
Complications and death at the start of the new academic year: is there a July … Complications and death at the start of the new academic year: is there a July phenomenon? … Trauma patients admitted in the early weeks of the academic year were in fact more likely to experience … in-hospital complications than patients admitted at the end of the academic year, according to this … Complications and death at the start of the new academic year: is there a July phenomenon?
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psnet.ahrq.gov/issue/effects-mid-day-nap-neurocognitive-performance-first-year-medical-residents-controlled
November 16, 2022 - Study
The effects of a mid-day nap on the neurocognitive performance of first-year … The effects of a mid-day nap on the neurocognitive performance of first-year medical residents: a controlled … First-year residents who were allowed to nap for 20 minutes at midday had improved cognitive performance … The effects of a mid-day nap on the neurocognitive performance of first-year medical residents: a controlled
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psnet.ahrq.gov/issue/38-year-old-woman-fetal-loss-and-hysterectomy
January 12, 2011 - Commentary
Classic
A 38-year-old woman with fetal loss … A 38-Year-Old Woman With Fetal Loss and Hysterectomy. … JAMA entitled Clinical Crossroads , this case study discusses the unfortunate events surrounding a 38-year-old … A 38-Year-Old Woman With Fetal Loss and Hysterectomy.
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psnet.ahrq.gov/issue/what-do-patients-think-about-year-end-resident-continuity-clinic-handoffs-qualitative-study
March 28, 2018 - Study
What do patients think about year-end resident continuity clinic handoffs? … What do patients think about year-end resident continuity clinic handoffs? A qualitative study. … The academic year-end transfer of primary care patients from graduating residents to their successors … What do patients think about year-end resident continuity clinic handoffs? A qualitative study. … March 21, 2018
Year-end resident clinic handoffs: narrative review and recommendations
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psnet.ahrq.gov/issue/ambulance-diversion-associated-reduced-access-cardiac-technology-and-increased-one-year
October 27, 2016 - Ambulance diversion associated with reduced access to cardiac technology and increased one-year … Ambulance diversion associated with reduced access to cardiac technology and increased one-year mortality … significant ambulance diversion had decreased access to life-saving therapies and had an increased one-year … Ambulance diversion associated with reduced access to cardiac technology and increased one-year mortality … hospital-wide clinical laboratory specimen identification errors following process interventions: a 10-year