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psnet.ahrq.gov/issue/strategies-improving-value-radiology-report-retrospective-analysis-errors-formally-over-read
November 10, 2021 - Related Resources From the Same Author(s)
Oncologic errors in diagnostic radiology: a 10-year … September 9, 2020
Clarifying radiology's role in safety events: a 5-year retrospective … November 22, 2017
Comparison of clinical diagnoses and autopsy findings: six-year retrospective
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psnet.ahrq.gov/issue/use-structured-approach-and-virtual-simulation-practice-improve-diagnostic-reasoning
December 15, 2021 - September 9, 2020
View More
Related Resources
Introducing second-year … safety: an investigation of the mechanisms that impact on student learning in a single cohort over a 5 year … August 13, 2014
Examining the diagnostic justification abilities of fourth-year medical
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psnet.ahrq.gov/node/73083/psn-pdf
March 31, 2021 - harm: a
retrospective cohort study of investigations after suicide
in Swedish healthcare in a 13-year … patient harm: a retrospective cohort
study of investigations after suicide in Swedish healthcare in a 13-year
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psnet.ahrq.gov/node/72614/psn-pdf
March 01, 2021 - The University of Kansas Hospital offered the course five times
per year, with roughly 50 individuals … Summary of
University of Kansas results also include data from a 7-year observation period. … United States by PROMPT North America, which holds 2 day
Train the Trainer courses throughout the year … A train-the-trainer course is run four times a year in Kansas City with on-site training available for … 2007 (Royal College of Obstetricians and Gynaecologists,
United Kingdom)
Hospital Doctor of the Year
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psnet.ahrq.gov/issue/determining-safety-office-based-surgery-what-10-years-florida-data-and-6-years-alabama-data
October 04, 2011 - Study
Determining the safety of office-based surgery: what 10 years of Florida data and 6 years of Alabama data reveal.
Citation Text:
Starling J, Thosani MK, Coldiron BM. Determining the safety of office-based surgery: what 10 years of Florida data and 6 years of Alabama data reveal. …
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psnet.ahrq.gov/web-mm/routine-goes-awry
September 23, 2020 - The Case A 6-year-old girl with a history of asthma and chronic adenotonsillitis was referred to a … breathing (SDB) in young children.( 3 ) With the high volume of tonsillectomies in children performed each year … Guidelines for Tonsillectomy The case presented offers an opportunity to first review whether the 6-year-old … tonsillectomy is recommended for children with at least 7 documented throat infections in the past year … , 5 per year for 2 years, or 3 per year for 3 years.
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psnet.ahrq.gov/node/847544/psn-pdf
April 12, 2023 - treated at teaching hospitals was significantly higher during the first six months of the academic year … nationwide-study-july-effect-concerning-postpartum-hemorrhage-and-its-risk-factors-teaching
https://psnet.ahrq.gov/issue/july-effect-impact-academic-year-end-changeover-patient-outcomes-systematic-review
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psnet.ahrq.gov/node/41177/psn-pdf
February 29, 2012 - educational intervention applied high-fidelity simulation to teach patient safety principles to senior year … psnet.ahrq.gov/issue/teaching-medication-reconciliation-through-simulation-patient-safety-initiative-second-year
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psnet.ahrq.gov/node/837791/psn-pdf
August 05, 2022 - psnet.ahrq.gov/perspective/patient-safety-ambulatory-care-setting
Introduction
There is no way to review the year … The shift in priorities toward fighting the pandemic made
it a challenging year for patient safety research … the daily realities that ambulatory care—especially primary care practices—faced during
the second year … by (1) areas addressed by the largest
number of key studies and commentaries on PSNet over the past year … Delays in Cancer Diagnosis
Several studies published this year emphasized challenges caused by delays
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psnet.ahrq.gov/issue/results-effort-integrate-quality-and-safety-medical-and-nursing-school-curricula-and-foster
September 08, 2021 - The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths a year—and … May 3, 2023
How would final-year medical students perform if their skill-based prescription … May 2, 2018
Laboratory session to improve first-year pharmacy students' knowledge and
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psnet.ahrq.gov/node/49763/psn-pdf
June 01, 2016 - https://psnet.ahrq.gov/web-mm/july-syndrome
The Case
A 64-year-old man was seen in the thoracic surgery … The attending surgeon saw the patient along with his fellow, who was completing his 1-
year fellowship … By that point in the year, the attending had supervised the fellow's operative and
postoperative care … Most studies have
reported no difference in outcomes between July and the rest of the year. … Rate of undesirable events at beginning of academic
year: retrospective cohort study.
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psnet.ahrq.gov/node/50842/psn-pdf
January 29, 2020 - Event #1 involved a 68-year-old woman who presented to the emergency department (ED) from the
ambulatory … Patient #1 was a 23-year-old man
found unconscious outside a bar with multiple facial injuries and bruises … Patient
#2 was a 21-year-old man with facial injuries and head pain following a motor vehicle accident … Event #4 was a 21-year-old female patient seen in the ED. … The same report states that, on average, a
hospital loses $17.4 million per year in denied insurance
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psnet.ahrq.gov/node/45401/psn-pdf
August 17, 2016 - https://psnet.ahrq.gov/issue/better-safety-net-young-doctors
First-year residents may be reluctant to … psnet.ahrq.gov/issue/better-safety-net-young-doctors
https://psnet.ahrq.gov/issue/july-effect-impact-academic-year-end-changeover-patient-outcomes-systematic-review
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psnet.ahrq.gov/node/46521/psn-pdf
December 18, 2017 - psnet.ahrq.gov/primer/handoffs-and-signouts
https://psnet.ahrq.gov/issue/what-do-patients-think-about-year-end-resident-continuity-clinic-handoffs-qualitative-study … association-between-end-rotation-resident-transition-care-and-mortality-among-hospitalized
https://psnet.ahrq.gov/issue/academic-year-end-transfers-outpatients-outgoing-incoming-residents-unaddressed-patient
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psnet.ahrq.gov/node/49860/psn-pdf
April 01, 2019 - ://psnet.ahrq.gov/web-mm/hip-fractures-older-patients-case-geriatrics-comanagement
The Case
An 82-year-old … common in older patients, with a lifetime estimated risk of 6% for men and 18% for
women.(1) A 50-year-old … However,
even with surgery, hip fracture patients have a 1-year mortality of 20%–24% (3,4), and for … those that do
survive 33% are totally dependent or in nursing home care in the year following the fracture … The literature demonstrates that early surgery is associated with lower complication rates and 1-year
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psnet.ahrq.gov/issue/adverse-events-robotic-surgery-retrospective-study-14-years-fda-data
June 24, 2020 - March 10, 2011
Clarifying radiology's role in safety events: a 5-year retrospective common … Peer review comments augment diagnostic error characterization and departmental quality assurance: 1-year
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psnet.ahrq.gov/node/33830/psn-pdf
March 22, 2016 - Institute of Medicine To Err Is Human report estimated that
between 44,000 and 98,000 Americans die every year … estimated in the BMJ study,
several preventable deaths still occur at each hospital in the US every year … Although some analyses claim that
hundreds of thousands of patients may die every year in the US due … Regardless, individual hospitals
almost certainly experience several preventable deaths each year, and … At a national level, the toll is clearly in the tens of thousands of deaths per year, perhaps more.
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psnet.ahrq.gov/node/42159/psn-pdf
March 04, 2015 - review comments augment diagnostic error
characterization and departmental quality assurance: 1-
year … Peer review comments augment diagnostic error characterization and
departmental quality assurance: 1-year
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.72_slideshow.ppt
September 01, 2004 - Appreciate the cognitive steps to determine prognosis in elderly patients
Case: Poor Prognosis
A 91-year-old … 10x/year
Withdrawal of life support 5x/year
Refer patients to hospice 5x/year
Christakis NA, Iwashyna … Analyzing the Diagnostic Approach
Life tables for 90-year-old American woman
50% survive at least 3.8
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psnet.ahrq.gov/node/46949/psn-pdf
March 28, 2018 - The authors conclude that identifying and prioritizing follow-up for high-risk patients improves year … patient-safety-outcomes-after-two-years-enhanced-internal-medicine-residency-clinic-handoff
https://psnet.ahrq.gov/issue/july-effect-impact-academic-year-end-changeover-patient-outcomes-systematic-review