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psnet.ahrq.gov/node/44051/psn-pdf
August 02, 2015 - the WHO
surgical safety checklist combined with pulse oximetry in
a resource-limited setting: two-year … the WHO surgical safety
checklist combined with pulse oximetry in a resource-limited setting: two-year
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psnet.ahrq.gov/node/866848/psn-pdf
September 25, 2024 - They win the most championships, but the goal at the beginning of each
year is not to win the championship … A better structural measure
could direct hospitals to set a goal for year-over-year improvement in the … ve talked about the importance of incremental goals that hospitals have the means
to implement for year-over-year … , we know that we're going to have a number of harms,
and our goal is to have slightly fewer harms year-over-year
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psnet.ahrq.gov/node/40820/psn-pdf
October 05, 2011 - systematic review found evidence that patient outcomes do worsen in association with the
academic year-end … influence-house-staff-experience-teaching-hospital-mortality-july-phenomenon-revisited
https://psnet.ahrq.gov/issue/july-effect-impact-academic-year-end-changeover-patient-outcomes-systematic-review
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psnet.ahrq.gov/node/47126/psn-pdf
May 16, 2018 - unintended-adverse-consequences-clinical-decision-support-system-two-cases
https://psnet.ahrq.gov/issue/clinical-decision-support-25-year-retrospective-and … -25-year-vision
https://psnet.ahrq.gov/issue/clinical-decision-support-and-malpractice-risk
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/45173/psn-pdf
November 18, 2016 - Prior analyses have suggested
that HACs lead to nearly $150 million per year in excess Medicare costs … for
increased deductibles, copayments, and coinsurance, resulting in approximately $20.5 million per year
-
psnet.ahrq.gov/node/34801/psn-pdf
February 10, 2011 - medication-prescribing-errors-teaching-hospital
This study analyzed nearly 290,000 medication orders during a 1-year … errors per 1000 orders
written, with the greatest rate seen between noon and 4 pm and among first-year
-
psnet.ahrq.gov/node/47825/psn-pdf
March 06, 2019 - clinical-impact-and-frequency-anatomic-pathology-errors-cancer-diagnoses
https://psnet.ahrq.gov/issue/clinical-decision-support-25-year-retrospective-and … -25-year-vision
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psnet.ahrq.gov/node/45433/psn-pdf
October 27, 2016 - hospital-wide clinical laboratory specimen
identification errors following process interventions: a 10-
year … Hospital-Wide Clinical Laboratory Specimen Identification
Errors following Process Interventions: A 10-Year
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psnet.ahrq.gov/node/37761/psn-pdf
May 14, 2008 - Student perceptions of medical errors: incorporating an
explicit professionalism curriculum in the third-year … Student perceptions of medical errors: incorporating an explicit
professionalism curriculum in the third-year
-
psnet.ahrq.gov/node/49628/psn-pdf
June 01, 2011 - https://psnet.ahrq.gov/web-mm/routine-goes-awry
The Case
A 6-year-old girl with a history of asthma … breathing (SDB) in young children.(3) With the
high volume of tonsillectomies in children performed each year … psnet.ahrq.gov//#references
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.
-
psnet.ahrq.gov/issue/50-years-inquiries-national-health-service
March 02, 2010 - May 2, 2012
The Francis Report: One Year On.
-
psnet.ahrq.gov/print/pdf/node/865864
January 01, 2024 - Healthcare Research and Quality
Diagnostic Error
Curated Library
Incidence of Diagnostic Errors
25-Year … https://psnet.ahrq.gov/
https://psnet.ahrq.gov/node/865864
https://psnet.ahrq.gov/issue/25-year-summary-us-malpractice-claims-diagnostic-errors … -1986-2010-analysis-national
https://psnet.ahrq.gov/issue/25-year-summary-us-malpractice-claims-diagnostic-errors … and
recommends tactics to improve its measurement, including trigger tools and patient reporting.
25-Year … -1986-2010-analysis-national
https://psnet.ahrq.gov/issue/25-year-summary-us-malpractice-claims-diagnostic-errors
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psnet.ahrq.gov/issue/20-years-later-err-leadership-failure
November 30, 2016 - Special or Theme Issue
20 years later: to err is a leadership failure.
Citation Text:
20 years later: to err is a leadership failure. Castellucci M, Meyer H. Modern Healthcare: November 11, 2019;49:18-22;28-30;32-34.
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psnet.ahrq.gov/issue/40-years-behind-mask-safety-revisited
January 13, 2012 - April 30, 2014
Practice-based learning and improvement: a two-year experience with the
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psnet.ahrq.gov/issue/clinician-support-five-years-lessons-learned
March 20, 2017 - Newspaper/Magazine Article
Clinician support: five years of lessons learned.
Citation Text:
Clinician support: five years of lessons learned. Hirschinger LE, Scott SD, Hahn-Cover K. Patient Saf Qual Heathc. April 2015;12:26-31.
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psnet.ahrq.gov/node/44947/psn-pdf
November 18, 2016 - not find any significant differences between
patient experience or processes-of-care scores in the year … before compared to the year after the 2011
resident duty hour reforms.
-
psnet.ahrq.gov/node/44423/psn-pdf
January 22, 2016 - Effect," as the number of morbidity and mortality cases did not change in the beginning of the
academic year … resident-supervision-and-patient-safety-do-different-levels-resident-supervision-affect-rate
https://psnet.ahrq.gov/issue/july-effect-impact-academic-year-end-changeover-patient-outcomes-systematic-review
-
psnet.ahrq.gov/node/46078/psn-pdf
June 14, 2017 - vital-signs-overdoses-prescription-opioid-pain-relievers-united-states-1999-2008
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/issue/teaching-hospital-financial-status-and-patient-outcomes-following-acgme-duty-hour-reform
November 26, 2014 - Citation
Related Resources From the Same Author(s)
Teaching hospital five-year … December 2, 2014
Teaching hospital five-year mortality trends in the wake of duty hour … June 17, 2014
Residency schedule, burnout and patient care among first-year residents
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psnet.ahrq.gov/cme
February 26, 2025 - February 26, 2025
Mismanagement of Acute Decompensated Heart Failure with Hypertensive Emergency A 55-year-old … December 31, 2024
A Fatal Twist in Pseudohyperkalemia A 54-year-old man with a history of tobacco … October 30, 2024
A Cognitive and Communication Blind Spot Contributes to Permanent Paralysis A 38-year-old … A 67-year-old man with severe low back pain was admitted to the hospital for anterior lumbar interbody