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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865708/psn-pdf
    May 01, 2024 - Nearly a quarter of RNs and NAs intended to leave within the year. … reason for missed nursing care is understaffing, and that a quarter of staff intend to leave within the year
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866953/psn-pdf
    October 16, 2024 - General surgery senior residents (SR; 3rd to 5th year residents) and junior learners (JL; medical students … , 1st and 2nd year residents) were presented with several clinical scenarios and asked if the JL should
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838252/psn-pdf
    October 05, 2022 - Three years after implementation, the hospital achieved one year without any newborn falls and there … were no fall-related injuries over the three-year period.
  4. psnet.ahrq.gov/issue/inadequate-outpatient-mental-health-triage-and-care-patient-chico-community-based-outpatient
    November 29, 2023 - Summary Report: Evaluation of Care Coordination in Veterans Health Administration Facilities, Fiscal Year … Inspection Summary Report: Evaluation of Mental Health in Veterans Health Administration Facilities, Fiscal Year … Summary Report: Evaluation of Care Coordination in Veterans Health Administration Facilities, Fiscal Year
  5. psnet.ahrq.gov/issue/applying-toyota-production-system-principles-psychiatric-hospital-making-transfers-safer-and
    January 27, 2016 - January 27, 2016 Academic year-end transfers of outpatients from outgoing to incoming … January 28, 2011 "July Effect": impact of the academic year-end changeover on patient … September 20, 2011 Improving follow-up of high-risk psychiatry outpatients at resident year-end … August 10, 2011 Year-end resident clinic handoffs: narrative review and recommendations
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853615/psn-pdf
    September 20, 2023 - This study replicates the 2011 study with first- and second-year physician assistant (PA) students. … The results suggest PA students, regardless of year, identified prescribing errors at similar rates
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837903/psn-pdf
    August 24, 2022 - software (DERS) was implemented across two large UK National Health Service (NHS) institutes for one year … Findings indicate that compliance with DERS was 45%, but across one year of implementation, severe harm
  8. psnet.ahrq.gov/issue/burden-peri-operative-work-night-perceived-anaesthesiologists-international-survey
    May 08, 2024 - National improvements in resident physician-reported patient safety after limiting first-year … March 19, 2018 Surgical residents' work hours and well-being in year 2 of the FIRST trial … April 25, 2016 Residency schedule, burnout and patient care among first-year residents
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45113/psn-pdf
    May 11, 2016 - https://psnet.ahrq.gov/issue/medical-error-third-leading-cause-death-us How many patients die each year … deaths were potentially avoidable, which translates to approximately 26,000 preventable deaths each year … This commentary argues that preventable deaths total more than 250,000 deaths per year, which would
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60687/psn-pdf
    July 15, 2020 - researchers also observed that the beneficial impacts of flexible duty-hours persisted over the four-year … national-cluster-randomized-trial-duty-hour-flexibility-surgical-training https://psnet.ahrq.gov/issue/surgical-residents-work-hours-and-well-being-year
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60049/psn-pdf
    March 18, 2020 - authors found that men and women are reviewed as equally capable at the beginning of residency, but by year … feedback on medical errors, women receive more harsh criticism and less supportive feedback than men by year
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48063/psn-pdf
    June 26, 2019 - teams: a retrospective observational cohort study of prehospital versus hospital diagnosis in a 10- year … teams: a retrospective observational cohort study of prehospital versus hospital diagnosis in a 10-year
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73443/psn-pdf
    June 30, 2021 - of technological and departmental changes on incident rates in radiation oncology over a seventeen-yearyear period. J Med Radiat Sci. 2021;68(4):356-363. doi:10.1002/jmrs.517.
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73070/psn-pdf
    March 24, 2021 - This cohort study, consisting of 3,500 patients with tuberculosis (TB) over a 17-year period, found … than three-quarters of patients experienced at least one missed opportunity for a diagnosis in the year
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33616/psn-pdf
    August 01, 2005 - estimated to potentially avert some 60,000 deaths and hundreds of thousands of medication errors a year … participating in the Institute for Healthcare Improvement's (IHI) campaign to save 100,000 lives a year … Approximately 4 million common surgical procedures of the type we studied (3,4) are undertaken each year … Moreover, given approximately 35 million hospital admissions a year, well over 50,000 lives a year could … estimated 125,000 qualified applicants the National League for Nursing reported were turned away last year
  16. psnet.ahrq.gov/perspective/conversation-withdiane-rydrych-ma
    February 26, 2025 - Then a couple of times a year, we go to different parts of the state to do day-long in-person training … However, there's still apprehension every year when it's about to come out, especially for new facilities … the data, it's interesting that the vast majority of hospitals seem to have one to three events per year … We have had a couple of facilities, in fact, each year that have reported a larger number of events. … We get a certain number of events reported each year.
  17. psnet.ahrq.gov/perspective/conversation-leah-binder-ma-mga
    February 26, 2025 - out of the IOM report To Err Is Human , which suggested upwards of 98,000 people were dying every year … LB : Our board met for a major strategic planning event at their 10-year anniversary in 2010. … That's an enormous percentage for a year-old program. … We put together some concepts and ideas of how it might be done and took about a year. … When we started the score, most of the data was covered periods a year or two in the past.
  18. psnet.ahrq.gov/issue/deficiencies-after-new-electronic-health-record-go-live-mann-grandstaff-va-medical-center
    March 16, 2022 - Inspection Summary Report: Evaluation of Mental Health in Veterans Health Administration Facilities, Fiscal Year … Summary Report: Evaluation of Care Coordination in Veterans Health Administration Facilities, Fiscal Year … Summary Report: Evaluation of Care Coordination in Veterans Health Administration Facilities, Fiscal Year
  19. psnet.ahrq.gov/issue/multiple-failures-test-results-follow-patient-diagnosed-prostate-cancer-hampton-va-medical
    July 26, 2023 - Inspection Summary Report: Evaluation of Mental Health in Veterans Health Administration Facilities, Fiscal Year … Summary Report: Evaluation of Care Coordination in Veterans Health Administration Facilities, Fiscal Year … Inspection Summary Report: Evaluation of Mental Health in Veterans Health Administration Facilities, Fiscal Year
  20. psnet.ahrq.gov/issue/effects-computerized-decision-support-system-implementations-patient-outcomes-inpatient-care
    November 06, 2019 - November 19, 2014 'Matching Michigan': a 2-year stepped interventional programme to minimise … March 6, 2013 Five-year audit of adherence to an anaesthesia pre-induction checklist. … March 30, 2022 Introducing second-year medical students to diagnostic reasoning concepts

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