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Total Results: 7,791 records

Showing results for "year".

101. HSIB Maternity Investigation Programme Year in Review 2021/22. Summary of Highlights, Themes and Future Work. | PSNet
     psnet.ahrq.gov/issue/hsib-maternity-investigation-programme-year-review-202122-summary-highlights-themes-and
     September 14, 2022 - Book/Report HSIB Maternity Investigation Programme Year in Review 2021/22. … Citation Text: HSIB Maternity Investigation Programme Year in Review 2021/22. … Cite Citation Citation Text: HSIB Maternity Investigation Programme Year

102. The quest to eliminate intrathecal vincristine errors: a 40-year journey. | PSNet
     psnet.ahrq.gov/issue/quest-eliminate-intrathecal-vincristine-errors-40-year-journey
     September 15, 2010 - Commentary The quest to eliminate intrathecal vincristine errors: a 40-year journey … The quest to eliminate intrathecal vincristine errors: a 40-year journey. … The quest to eliminate intrathecal vincristine errors: a 40-year journey.

103. Medication-prescribing errors in a teaching hospital: a 9-year experience. | PSNet
     psnet.ahrq.gov/issue/medication-prescribing-errors-teaching-hospital-9-year-experience
     February 10, 2011 - Classic Medication-prescribing errors in a teaching hospital: a 9-year … A 9-year experience. Arch Intern Med. 1997;157(14):1569-76. … A 9-year experience. Arch Intern Med. 1997;157(14):1569-76.

104. A 62-year-old woman with skin cancer who experienced wrong-site surgery. | PSNet
     psnet.ahrq.gov/issue/62-year-old-woman-skin-cancer-who-experienced-wrong-site-surgery
     December 01, 2021 - Commentary Classic A 62-year-old woman with skin cancer … A 62-year-old woman with skin cancer who experienced wrong-site surgery: review of medical error. … A 62-year-old woman with skin cancer who experienced wrong-site surgery: review of medical error.

105. Research in Ambulatory Patient Safety 2000-2010: A 10-Year Review. | PSNet
     psnet.ahrq.gov/issue/research-ambulatory-patient-safety-2000-2010-10-year-review
     March 11, 2015 - Classic Research in Ambulatory Patient Safety 2000-2010: A 10-Year … Citation Text: Research in Ambulatory Patient Safety 2000-2010: A 10-Year Review. … Citation Citation Text: Research in Ambulatory Patient Safety 2000-2010: A 10-Year

106. Medical errors kill thousands of people each year. But are hospitals getting any safer? | PSNet
     psnet.ahrq.gov/issue/medical-errors-kill-thousands-people-each-year-are-hospitals-getting-any-safer
     June 17, 2020 - Newspaper/Magazine Article Medical errors kill thousands of people each year. … Citation Text: Medical errors kill thousands of people each year. … Cite Citation Citation Text: Medical errors kill thousands of people each year

107. Mortality among patients in VA hospitals in the first 2 years following ACGME resident duty hour reform. | PSNet
     psnet.ahrq.gov/issue/mortality-among-patients-va-hospitals-first-2-years-following-acgme-resident-duty-hour-reform
     February 18, 2011 - community hospitals ) found no evidence of harm to patients, but inconsistent benefits, in the first year … decreased significantly for four common medical diagnoses (but not surgical diagnoses) by the second year … January 13, 2010 Teaching hospital five-year mortality trends in the wake of duty hour

108. Relationships between medications used in a mental health hospital and types of medication errors: a cross-sectional study over an 8-year period. | PSNet
     psnet.ahrq.gov/issue/relationships-between-medications-used-mental-health-hospital-and-types-medication-errors
     November 29, 2023 - used in a mental health hospital and types of medication errors: a cross-sectional study over an 8-year … used in a mental health hospital and types of medication errors: a cross-sectional study over an 8-year … used in a mental health hospital and types of medication errors: a cross-sectional study over an 8-year

109. A 25-year-old teacher died after waiting hours at the ER. She's not the only one who saw delays. | PSNet
     psnet.ahrq.gov/issue/25-year-old-teacher-died-after-waiting-hours-er-shes-not-only-one-who-saw-delays
     September 09, 2020 - Newspaper/Magazine Article A 25-year-old teacher died after waiting hours at the … Citation Text: A 25-year-old teacher died after waiting hours at the ER. … Linkedin Copy URL Cite Citation Citation Text: A 25-year-old

110. Team-Developed Care Plan and Ongoing Care Management by Social Workers and Nurse Practitioners Result in Better Outcomes and Reduced Acute Care Utilization in Low-Income Seniors and other High-Risk Populations | PSNet
     psnet.ahrq.gov/innovation/team-developed-care-plan-and-ongoing-care-management-social-workers-and-nurse
     July 23, 2024 - A recent analysis found that the reduction in service usage saved the VA medical center $200k per year … office supplies, the estimated direct cost of providing the GRACE program is $1,260 per patient per year … Three teams participated in the 2-year pilot program, each serving two practice sites. … One analysis found that the program was cost neutral over a 2-year period and yielded cost savings in … the third year for high-risk enrollees, while the most recent analysis found substantial net savings

111. Practice-based learning and improvement: a two-year experience with the reporting of morbidity and mortality cases by general surgery residents. | PSNet
     psnet.ahrq.gov/issue/practice-based-learning-and-improvement-two-year-experience-reporting-morbidity-and-mortality
     August 04, 2021 - Study Practice-based learning and improvement: a two-year experience with the reporting … Practice-based learning and improvement: a two-year experience with the reporting of morbidity and mortality … Practice-based learning and improvement: a two-year experience with the reporting of morbidity and mortality

112. Adverse drug events in the outpatient setting: an 11-year national analysis. | PSNet
     psnet.ahrq.gov/issue/adverse-drug-events-outpatient-setting-11-year-national-analysis
     April 08, 2011 - Study Adverse drug events in the outpatient setting: an 11-year national analysis … Adverse drug events in the outpatient setting: an 11-year national analysis. … Adverse drug events in the outpatient setting: an 11-year national analysis. … From the Same Author(s) Pediatric adverse drug events in the outpatient setting: an 11-year

113. Medication prescribing errors in a teaching hospital. | PSNet
     psnet.ahrq.gov/issue/medication-prescribing-errors-teaching-hospital
     December 23, 2008 - This study analyzed nearly 290,000 medication orders during a 1-year study period to determine the rates … 3.13 errors per 1000 orders written, with the greatest rate seen between noon and 4 pm and among first-year … Resources From the Same Author(s) Medication-prescribing errors in a teaching hospital: a 9-year

114. Learning From Mistakes. | PSNet
     psnet.ahrq.gov/issue/learning-mistakes
     March 28, 2018 - Summarizing an NHS investigation into the death of a 3-year-old boy, this report highlights the need … October 7, 2020 An Avoidable Death of a Three-year-old Child from Sepsis. … January 14, 2015 An Avoidable Death of a Three-year-old Child from Sepsis.

115. Introducing second-year medical students to diagnostic reasoning concepts and skills via a virtual curriculum. | PSNet
     psnet.ahrq.gov/issue/introducing-second-year-medical-students-diagnostic-reasoning-concepts-and-skills-virtual
     April 24, 2018 - Study Introducing second-year medical students to diagnostic reasoning concepts and … Introducing second-year medical students to diagnostic reasoning concepts and skills via a virtual curriculum … Introducing second-year medical students to diagnostic reasoning concepts and skills via a virtual curriculum … March 20, 2019 Examining the diagnostic justification abilities of fourth-year medical

116. A 5-year analysis of rapid response system activation at an in-hospital haemodialysis unit. | PSNet
     psnet.ahrq.gov/issue/5-year-analysis-rapid-response-system-activation-hospital-haemodialysis-unit
     March 24, 2011 - Study A 5-year analysis of rapid response system activation at an in-hospital haemodialysis … A 5-year analysis of rapid response system activation at an in-hospital haemodialysis unit. … A 5-year analysis of rapid response system activation at an in-hospital haemodialysis unit. … July 5, 2013 Retrospective review of emergency response activations during a 13-year

117. Patient Safety Challenge Grants. | PSNet
     psnet.ahrq.gov/issue/patient-safety-challenge-grants
     December 24, 2008 - In fiscal year 2004, the Agency for Healthcare Research and Quality (AHRQ) awarded nearly $4 million … December 24, 2008 AHRQ Health Information Technology Research: 2018 Year in Review. … April 3, 2012 AHRQ Projects to Prevent Healthcare-Associated Infections, Fiscal Year

118. Nonpunitive medication error reporting: 3-year findings from one hospital's primum non nocere initiative. | PSNet
     psnet.ahrq.gov/issue/nonpunitive-medication-error-reporting-3-year-findings-one-hospitals-primum-non-nocere
     September 23, 2020 - Study Nonpunitive medication error reporting: 3-year findings from one hospital's … Nonpunitive medication error reporting: 3-year findings from one hospital's Primum Non Nocere initiative … Nonpunitive medication error reporting: 3-year findings from one hospital's Primum Non Nocere initiative

119. Reducing falls and fall-related injuries in mental health: a 1-year multihospital falls collaborative. | PSNet
     psnet.ahrq.gov/issue/reducing-falls-and-fall-related-injuries-mental-health-1-year-multihospital-falls
     January 25, 2023 - Commentary Reducing falls and fall-related injuries in mental health: a 1-year multihospital … Reducing falls and fall-related injuries in mental health: a 1-year multihospital falls collaborative … Reducing falls and fall-related injuries in mental health: a 1-year multihospital falls collaborative

120. Understanding ultrarare adverse events - lessons learned from a twelve-year review of intraoperative deaths at an academic medical center. | PSNet
     psnet.ahrq.gov/issue/understanding-ultrarare-adverse-events-lessons-learned-twelve-year-review-intraoperative
     March 29, 2023 - Review Understanding ultrarare adverse events - lessons learned from a twelve-year … Understanding ultrarare adverse events - lessons learned from a twelve-year review of intraoperative … Understanding ultrarare adverse events - lessons learned from a twelve-year review of intraoperative