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psnet.ahrq.gov/issue/reducing-warfarin-medication-interactions-interrupted-time-series-evaluation
May 27, 2011 - Tool for Improving Patient Safety
March 29, 2023
Medication errors: the year … January 11, 2023
Medication errors: the year in review. … March 23, 2012
Year in review: medication mishaps in the elderly.
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psnet.ahrq.gov/node/42705/psn-pdf
November 26, 2013 - Commission-accredited hospitals that report core measure performance data, a 77% increase
compared to the previous year … Hospitals have measurably improved the quality of care over the past year
for heart attacks, pneumonia
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psnet.ahrq.gov/node/44596/psn-pdf
December 04, 2016 - literacy in transitions of care: an innovative
objective structured clinical examination for fourth-year … Literacy in Transitions of Care: An Innovative
Objective Structured Clinical Examination for Fourth-Year
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psnet.ahrq.gov/issue/insurers-stop-paying-care-linked-errors
January 18, 2023 - July 23, 2010
Medication errors: the year in review. … June 16, 2021
Medication errors 2018: the year in review.
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psnet.ahrq.gov/node/43349/psn-pdf
July 16, 2014 - Trained observers assessed checklist
performance over three 1-year periods during which various interventions … The authors
report only 30% adherence to the WHO surgical checklist 1 year after adoption.
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psnet.ahrq.gov/node/41726/psn-pdf
September 26, 2012 - This represents 50% more hospitals than last
year and now accounts for about 18% of all Joint Commission-accredited … According to the report, hospitals have measurably improved the quality of
care over the past year for
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psnet.ahrq.gov/primer/duty-hours-and-patient-safety
June 15, 2024 - was paid to the potential patient safety effects of fatigue among residents until March 1984, when 18-year-old … On the basis of these results, in 2017 the ACGME eliminated the 16-hour shift limit for first-year residents … , 2022
National improvements in resident physician-reported patient safety after limiting first-year … National improvements in resident physician-reported patient safety after limiting first-year
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psnet.ahrq.gov/node/37362/psn-pdf
December 01, 2010 - The report suggests that hospital performance consistently improved from year to year as measured
by
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psnet.ahrq.gov/node/42474/psn-pdf
September 19, 2015 - The seminal 1999 Institute of Medicine study estimated that as many as 98,000 patients may die each year … concludes that between 210,000 and 400,000 patients experience
harm contributing to their death each year
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psnet.ahrq.gov/node/73873/psn-pdf
September 29, 2021 - In the first year, there were 176 events reported (mean of 14.76
events per month) and 236 events reported … in the second year (mean of 19.66 events per month).
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psnet.ahrq.gov/issue/investigation-detection-retained-vaginal-swabs-and-tampons-following-childbirth
April 01, 2019 - May 31, 2023
HSIB Maternity Investigation Programme Year in Review 2021/22. … November 16, 2022
HSIB Maternity Investigation Programme Year in Review 2021/22.
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psnet.ahrq.gov/issue/choosing-patient-safety-organization
April 01, 2020 - December 18, 2008
AHRQ Health Information Technology Research: 2018 Year in Review. … July 28, 2013
AHRQ Projects to Prevent Healthcare-Associated Infections, Fiscal Year
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psnet.ahrq.gov/issue/pharmacy-mixes-prescriptions
March 10, 2021 - March 10, 2021
Medication errors: the year in review. … November 21, 2018
Medication errors 2018: the year in review.
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psnet.ahrq.gov/issue/how-perioperative-nurses-define-attribute-causes-and-react-intraoperative-nursing-errors
September 11, 2024 - used in a mental health hospital and types of medication errors: a cross-sectional study over an 8-year … November 29, 2023
The Pursuing Excellence Collaborative: engaging first-year residents
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psnet.ahrq.gov/issue/impact-attending-physician-workload-patient-care-survey-hospitalists
November 26, 2014 - November 26, 2014
Residency schedule, burnout and patient care among first-year residents … hospital-wide clinical laboratory specimen identification errors following process interventions: a 10-year … July 3, 2014
Residency schedule, burnout and patient care among first-year residents.
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psnet.ahrq.gov/issue/fake-and-expired-medications-simulation-based-education-underappreciated-risk-patient-safety
September 26, 2012 - of the WHO surgical safety checklist combined with pulse oximetry in a resource-limited setting: two-year … Resources
Developing open disclosure strategies to medical error using simulation in final-year … Teaching medication reconciliation through simulation: a patient safety initiative for second year
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psnet.ahrq.gov/node/33651/psn-pdf
June 01, 2007 - 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.
-
psnet.ahrq.gov/node/37167/psn-pdf
February 03, 2011 - community hospitals) found no evidence of harm
to patients, but inconsistent benefits, in the first year … decreased significantly for four common medical diagnoses (but not surgical
diagnoses) by the second year
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psnet.ahrq.gov/perspective/patient-safety-ambulatory-care-setting
April 27, 2022 - PubMedId RIS
Download Citation
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/perspective/measuring-and-responding-deaths-medical-errors
April 01, 2008 - 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.