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psnet.ahrq.gov/node/74830/psn-pdf
June 01, 2022 - One model found that a hospital that places 1,000 PICCs per year (25% of which are single lumen and … CQIs: a 20-year partnership. Value Partnerships blog. Accessed January 1, 2022. … Over 2.7 million PICC line insertion procedures are performed each year in the United States. iData … %20in%20the%20United%20States&text=According%20to%20the%20latest%20vascular,year%20in%20the%20United% … %20in%20the%20United%20States&text=According%20to%20the%20latest%20vascular,year%20in%20the%20United%
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psnet.ahrq.gov/node/39009/psn-pdf
April 08, 2011 - Pediatric adverse drug events in the outpatient setting: an
11-year national analysis. … Pediatric adverse drug events in the outpatient setting: an 11-year
national analysis. … https://psnet.ahrq.gov/issue/pediatric-adverse-drug-events-outpatient-setting-11-year-national-analysis … https://psnet.ahrq.gov/issue/pediatric-adverse-drug-events-outpatient-setting-11-year-national-analysis
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psnet.ahrq.gov/issue/advancing-next-generation-handover-research-and-practice-cognitive-load-theory
November 10, 2021 - Improving resident education and patient safety: a method to balance initial caseloads at academic year-end … July 2, 2014
"July Effect": impact of the academic year-end changeover on patient outcomes … September 20, 2011
Academic year-end transfers of outpatients from outgoing to incoming … January 3, 2017
Improving follow-up of high-risk psychiatry outpatients at resident year-end
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psnet.ahrq.gov/curated-library/diagnostic-errors-case-studies
September 15, 2025 - Schiff, MD | January 7, 2022
An 18-year-old man with a history of untreated … Schiff, MD
| August 25, 2021
A 31-year-old woman presented to the … Garnick, MD | August 10, 2019
Referred to urology for a 5-year history … disease, diagnostic biases, and the failure to validate a young woman’s complaints resulted in a 12-year … Facebook
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Referred to urology for a 5-year
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psnet.ahrq.gov/node/40020/psn-pdf
September 20, 2011 - Case 34-2010: a 65-year-old woman with an incorrect
operation on the left hand. … Case records of The Massachusetts General Hospital: Case 34-2010: a
65-year-old woman with an incorrect … https://psnet.ahrq.gov/issue/case-34-2010-65-year-old-woman-incorrect-operation-left-hand
The Case Records … https://psnet.ahrq.gov/issue/case-34-2010-65-year-old-woman-incorrect-operation-left-hand
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/39402/psn-pdf
August 08, 2010 - The quest to eliminate intrathecal vincristine errors: a 40-
year journey. … The quest to eliminate intrathecal vincristine errors: a 40-year journey. … https://psnet.ahrq.gov/issue/quest-eliminate-intrathecal-vincristine-errors-40-year-journey
Accidental … https://psnet.ahrq.gov/issue/quest-eliminate-intrathecal-vincristine-errors-40-year-journey
https://psnet.ahrq.gov
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psnet.ahrq.gov/issue/mri-safety-10-years-later
December 10, 2014 - June 13, 2011
Preventing wrong-site surgery in Minnesota: a 5-year journey.
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psnet.ahrq.gov/node/37146/psn-pdf
August 29, 2007 - Medical error reporting system still a year off.
August 29, 2007
Hansen D. … https://psnet.ahrq.gov/issue/medical-error-reporting-system-still-year
This article reports on the progress … https://psnet.ahrq.gov/issue/medical-error-reporting-system-still-year
https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act
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psnet.ahrq.gov/node/40211/psn-pdf
February 09, 2011 - The Patient Safety Initiative at America’s Public Hospitals:
The Year One Overview. … https://psnet.ahrq.gov/issue/patient-safety-initiative-americas-public-hospitals-year-one-overview
This … https://psnet.ahrq.gov/issue/patient-safety-initiative-americas-public-hospitals-year-one-overview
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psnet.ahrq.gov/node/36110/psn-pdf
April 04, 2024 - The data
and graphs are updated regularly and include a 10 year trend analysis and specific analysis … associated
with event source by year from 2013 through 2023.
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psnet.ahrq.gov/node/37449/psn-pdf
January 09, 2008 - Safety First: One Year On. … https://psnet.ahrq.gov/issue/safety-first-one-year
This report shares the results of the British National … https://psnet.ahrq.gov/issue/safety-first-one-year
https://psnet.ahrq.gov/issue/national-patient-safety-agency-npsa
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psnet.ahrq.gov/node/38902/psn-pdf
November 13, 2009 - 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. … https://psnet.ahrq.gov/issue/out-hospital-medication-errors-6-year-analysis-national-poison-data-system … https://psnet.ahrq.gov/issue/out-hospital-medication-errors-6-year-analysis-national-poison-data-system
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psnet.ahrq.gov/node/40937/psn-pdf
November 16, 2011 - AHRQ Projects to Prevent Healthcare-Associated
Infections, Fiscal Year 2011. … https://psnet.ahrq.gov/issue/ahrq-projects-prevent-healthcare-associated-infections-fiscal-year-2011 … https://psnet.ahrq.gov/issue/ahrq-projects-prevent-healthcare-associated-infections-fiscal-year-2011
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psnet.ahrq.gov/node/36973/psn-pdf
January 02, 2011 - The APSF: 20-year anniversary of the first patient safety
organization: past, present & future. … https://psnet.ahrq.gov/issue/apsf-20-year-anniversary-first-patient-safety-organization-past-present-future … https://psnet.ahrq.gov/issue/apsf-20-year-anniversary-first-patient-safety-organization-past-present-future
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psnet.ahrq.gov/node/42978/psn-pdf
February 26, 2014 - The Francis Report: One Year On.
February 26, 2014
Thorlby R, Smith J, Williams S, Dayan M. …
https://psnet.ahrq.gov/issue/francis-report-one-year
This publication offers insights from acute … https://psnet.ahrq.gov/issue/francis-report-one-year
https://psnet.ahrq.gov/issue/report-mid-staffordshire-nhs-foundation-trust-public-inquiry
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psnet.ahrq.gov/node/47028/psn-pdf
May 02, 2018 - Medication errors 2018: the year in review. … https://psnet.ahrq.gov/issue/medication-errors-2018-year-review
Despite considerable effort, medication … https://psnet.ahrq.gov/issue/medication-errors-2018-year-review
https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
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psnet.ahrq.gov/node/39834/psn-pdf
July 02, 2014 - Improving resident education and patient safety: a
method to balance initial caseloads at academic year-end … Improving resident education and patient safety: a method to balance
initial caseloads at academic year-end … improving-resident-education-and-patient-safety-method-balance-initial-caseloads-academic
https://psnet.ahrq.gov/primer/handoffs-and-signouts
https://psnet.ahrq.gov/issue/academic-year-end-transfers-outpatients-outgoing-incoming-residents-unaddressed-patient
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psnet.ahrq.gov/node/43361/psn-pdf
July 16, 2014 - An Avoidable Death of a Three-year-old Child from
Sepsis. … https://psnet.ahrq.gov/issue/avoidable-death-three-year-old-child-sepsis
This investigation outlines … https://psnet.ahrq.gov/issue/avoidable-death-three-year-old-child-sepsis
https://psnet.ahrq.gov/issue
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psnet.ahrq.gov/issue/delivering-promise-cler-patient-safety-rotation-aligns-resident-education-hospital-processes
March 25, 2017 - RIS
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psnet.ahrq.gov/node/866817/psn-pdf
January 01, 2025 - technology-related prescribing errors associated with computerized provider order entry (CPOE)
over a four-year … One-year post-CPOE implementation, researchers found that TRE rates
decreased by 40%; however, rates