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psnet.ahrq.gov/node/50586/psn-pdf
October 23, 2019 - AHRQ Health Information Technology Research: 2018
Year in Review. … October 23, 2019
AHRQ Health Information Technology Research: 2018 Year in Review. … September 2019
https://psnet.ahrq.gov/issue/ahrq-health-information-technology-research-2018-year-review … https://psnet.ahrq.gov/issue/ahrq-health-information-technology-research-2018-year-review
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psnet.ahrq.gov/node/39322/psn-pdf
February 24, 2010 - Complications and death at the start of the new academic
year: is there a July phenomenon? … Complications and death at the start of the new academic year: is
there a July phenomenon? … https://psnet.ahrq.gov/issue/complications-and-death-start-new-academic-year-there-july-phenomenon
Trauma … patients admitted in the early weeks of the academic year were in fact more likely to experience in- … also found an increase in
anesthesia-related errors associated with the beginning of the academic year
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psnet.ahrq.gov/node/40597/psn-pdf
August 10, 2011 - 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. … https://psnet.ahrq.gov/issue/improving-follow-high-risk-psychiatry-outpatients-resident-year-end-transfer … This study required outgoing residents to explicitly identify their high-risk patients as part of a year-end … https://psnet.ahrq.gov/issue/improving-follow-high-risk-psychiatry-outpatients-resident-year-end-transfer
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psnet.ahrq.gov/issue/patient-safety-movement-foundation
January 01, 2020 - organization shares best practices to align and optimize efforts toward eliminating patient harm by the year … Safer Workplace
October 31, 2023
Medical errors kill thousands of people each year
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psnet.ahrq.gov/issue/classifying-errors-preventable-and-potentially-preventable-trauma-deaths-9-year-review-using
November 27, 2012 - Classifying errors in preventable and potentially preventable trauma deaths: a 9-year … Classifying errors in preventable and potentially preventable trauma deaths: a 9-year review using the … Classifying errors in preventable and potentially preventable trauma deaths: a 9-year review using the
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psnet.ahrq.gov/node/47237/psn-pdf
January 01, 2020 - First-year analysis of the Operating Room Black Box
study. … First-year Analysis of the Operating Room Black Box Study. … https://psnet.ahrq.gov/issue/first-year-analysis-operating-room-black-box-study
Analysis of errors in … https://psnet.ahrq.gov/issue/first-year-analysis-operating-room-black-box-study
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/847729/psn-pdf
April 19, 2023 - STAMP: a 5-year project to reduce paediatric prescribing
errors. … STAMP: a 5-year project to reduce paediatric prescribing errors. … https://psnet.ahrq.gov/issue/stamp-5-year-project-reduce-paediatric-prescribing-errors
Pediatric patients … https://psnet.ahrq.gov/issue/stamp-5-year-project-reduce-paediatric-prescribing-errors
https://psnet.ahrq.gov
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psnet.ahrq.gov/issue/fall-prevention-hospitals-training-program
May 01, 2017 - The toolkit draws from a 2-year pilot project that achieved sustained improvements for organizations … December 24, 2008
AHRQ Health Information Technology Research: 2018 Year in Review.
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psnet.ahrq.gov/node/836823/psn-pdf
March 30, 2022 - Five-year audit of adherence to an anaesthesia pre-
induction checklist. … year audit of adherence to an anaesthesia pre?induction checklist. … https://psnet.ahrq.gov/issue/five-year-audit-adherence-anaesthesia-pre-induction-checklist
Pre-procedure … https://psnet.ahrq.gov/issue/five-year-audit-adherence-anaesthesia-pre-induction-checklist
https://psnet.ahrq.gov
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psnet.ahrq.gov/issue/two-year-longitudinal-assessment-physicians-perceptions-after-replacement-longstanding
December 31, 2014 - Study
Two-year longitudinal assessment of physicians' perceptions after replacement … Two-year longitudinal assessment of physicians' perceptions after replacement of a longstanding homegrown … Two-year longitudinal assessment of physicians' perceptions after replacement of a longstanding homegrown
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psnet.ahrq.gov/node/838146/psn-pdf
September 21, 2022 - HSIB Maternity Investigation Programme Year in Review
2021/22. … https://psnet.ahrq.gov/issue/hsib-maternity-investigation-programme-year-review-202122-summary-
highlights-themes-and … https://psnet.ahrq.gov/issue/hsib-maternity-investigation-programme-year-review-202122-summary-highlights-themes-and … https://psnet.ahrq.gov/issue/hsib-maternity-investigation-programme-year-review-202122-summary-highlights-themes-and
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psnet.ahrq.gov/node/60039/psn-pdf
March 11, 2020 - A 25-year-old teacher died after waiting hours at the ER.
She's not the only one who saw delays. … https://psnet.ahrq.gov/issue/25-year-old-teacher-died-after-waiting-hours-er-shes-not-only-one-who-saw … https://psnet.ahrq.gov/issue/25-year-old-teacher-died-after-waiting-hours-er-shes-not-only-one-who-saw-delays … https://psnet.ahrq.gov/issue/25-year-old-teacher-died-after-waiting-hours-er-shes-not-only-one-who-saw-delays
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psnet.ahrq.gov/issue/quality-journey-ascension-health-how-weve-prevented-least-1500-avoidable-deaths-year-and-aim
June 06, 2018 - The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths a year—and … The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths a year … The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths a year
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psnet.ahrq.gov/issue/developing-open-disclosure-strategies-medical-error-using-simulation-final-year-medical
September 29, 2018 - Developing open disclosure strategies to medical error using simulation in final-year … Developing open disclosure strategies to medical error using simulation in final-year medical students … Developing open disclosure strategies to medical error using simulation in final-year medical students
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psnet.ahrq.gov/issue/implementing-pre-operative-checklist-increase-patient-safety-1-year-follow-personnel
October 19, 2012 - Study
Implementing a pre-operative checklist to increase patient safety: a 1-year … Implementing a pre-operative checklist to increase patient safety: a 1-year follow-up of personnel attitudes … Implementing a pre-operative checklist to increase patient safety: a 1-year follow-up of personnel attitudes
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psnet.ahrq.gov/issue/four-year-impact-alert-notification-system-closed-loop-communication-critical-test-results
June 21, 2016 - Study
Four-year impact of an alert notification system on closed-loop communication … Four-year impact of an alert notification system on closed-loop communication of critical test results … Four-year impact of an alert notification system on closed-loop communication of critical test results
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psnet.ahrq.gov/issue/harmful-medication-errors-children-5-year-analysis-data-usps-medmarxr-program
July 12, 2010 - Study
Harmful medication errors in children: a 5-year analysis of data from the USP's … Harmful medication errors in children: a 5-year analysis of data from the USP's MEDMARX program. … Harmful medication errors in children: a 5-year analysis of data from the USP's MEDMARX program.
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psnet.ahrq.gov/issue/out-hospital-medication-errors-6-year-analysis-national-poison-data-system
September 08, 2010 - Study
Out-of-hospital medication errors: a 6-year analysis of the national poison … Out-of-hospital medication errors: a 6-year analysis of the national poison data system. … Out-of-hospital medication errors: a 6-year analysis of the national poison data system.
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psnet.ahrq.gov/issue/six-year-audit-cardiac-arrests-and-medical-emergency-team-calls-australian-outer-metropolitan
October 29, 2008 - Study
Six year audit of cardiac arrests and medical emergency team calls in an Australian … Six year audit of cardiac arrests and medical emergency team calls in an Australian outer metropolitan … Six year audit of cardiac arrests and medical emergency team calls in an Australian outer metropolitan
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psnet.ahrq.gov/issue/do-we-know-what-foundation-year-doctors-think-about-patient-safety-incident-reporting
April 12, 2017 - Study
Do we know what foundation year doctors think about patient safety incident … Do we know what foundation year doctors think about patient safety incident reporting? … Do we know what foundation year doctors think about patient safety incident reporting?