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psnet.ahrq.gov/issue/emergency-preparedness-be-ready-unanticipated-electronic-health-record-ehr-downtime
April 20, 2022 - September 8, 2021
Start the year off right by addressing these top 10 medication safety … of technological and departmental changes on incident rates in radiation oncology over a seventeen-year
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psnet.ahrq.gov/issue/preventing-medication-errors-hospitals-through-systems-approach-and-technological-innovation
September 11, 2019 - September 14, 2011
A 7-year analysis of attributable costs of healthcare-associated infections … October 11, 2023
Medication errors: the year in review: January through December 2021
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psnet.ahrq.gov/issue/senators-threaten-consequences-after-va-confirms-4-deaths-tied-computer-system-tested-spokane
September 21, 2022 - September 1, 2011
What's changed 1 year after RaDonda Vaught's conviction? … Summary Report: Evaluation of Care Coordination in Veterans Health Administration Facilities, Fiscal Year
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psnet.ahrq.gov/issue/national-survey-consumers-experiences-patient-safety-and-quality-information
December 17, 2008 - January 31, 2018
The Patient Safety Initiative at America’s Public Hospitals: The Year … February 9, 2011
AHRQ Health Information Technology Research: 2018 Year in Review.
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psnet.ahrq.gov/node/39653/psn-pdf
November 15, 2011 - maximizing patient safety in training environments through
targeted reductions in work hours for first-year … work week will be preserved, the new regulations would
eliminate extended-duration shifts for first-year
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psnet.ahrq.gov/web-mm/poor-prognosis
March 15, 2016 - Case & Commentary: Part 1
A 91-year-old woman presented with 2 days of nausea and vomiting. … ten times per year, withdraws life support five times per year, and refers patients to hospice-based … palliative care five times per year.( 1 ) Among these physicians, 60% reported that they found prognostication … It is certainly hard to imagine that a 37-year-old woman would have been managed this way. … Life-tables indicate that 50% of 90-year-old American women will live at least an additional 3.8 years
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psnet.ahrq.gov/issue/impossible-workload-doctors-training
February 27, 2013 - April 25, 2016
Teaching hospital five-year mortality trends in the wake of duty hour … September 4, 2013
Residency schedule, burnout and patient care among first-year residents
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psnet.ahrq.gov/web-mm/patient-identification-errors-systems-challenge
February 23, 2011 - 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/45759/psn-pdf
July 11, 2017 - potential for harm associated with changes in the entire team of care (such as at the
end of the academic year … psnet.ahrq.gov/primer/handoffs-and-signouts
https://psnet.ahrq.gov/issue/july-effect-impact-academic-year-end-changeover-patient-outcomes-systematic-review
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psnet.ahrq.gov/issue/avoidable-mistakes-rise-despite-hospital-efforts
September 27, 2016 - 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/33873/psn-pdf
February 01, 2019 - Between my first and second year as a student, I had a formative experience working
in a rural community … What about the experience is in the third and fourth
year? … A lot of opportunity in the fourth year to individualize the work that you're doing and go deep into … Using the fourth year rather than just as a place to gather a bunch of different electives as a place … They spent the first year working
on faculty development.
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psnet.ahrq.gov/node/33781/psn-pdf
March 01, 2015 - They spent a year on that
investigation. … it, they planned it for quite a while, got a big buy in,
and started it and monitored it for a full year … They are published each year and the
replacement for the Health Care Commission, which is now called … The new Chairman said last year that the old Care Quality
Commission was like a fish rotten from the … And we did have a campaign at the beginning of
last year to get the head of the NHS to resign, and he
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-43
September 26, 2017 - Connectors in the United Kingdom; Value of the Independent Double-Check; Medication Errors Column in 35th Year … Connectors in the United Kingdom; Value of the Independent Double-Check; Medication Errors Column in 35th Year
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psnet.ahrq.gov/issue/never-events-framework-200910
January 31, 2018 - March 28, 2018
An Avoidable Death of a Three-year-old Child from Sepsis. … NHS ‘Learning from Deaths’ reports: a qualitative and quantitative document analysis of the first year
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psnet.ahrq.gov/issue/congress-once-again-debates-legislation-patient-safety-doctors-and-others-would-be-able
December 18, 2008 - February 22, 2010
The APSF: 20-year anniversary of the first patient safety organization … July 14, 2010
Medical error reporting system still a year off.
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psnet.ahrq.gov/issue/too-exhausted-act-safely
June 28, 2016 - September 24, 2017
The plague year. … April 9, 2014
Residency schedule, burnout and patient care among first-year residents
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psnet.ahrq.gov/issue/using-workforce-practices-drive-quality-improvement-guide-hospitals
March 22, 2017 - February 23, 2015
The Francis Report: One Year On. … December 11, 2013
The Patient Safety Initiative at America’s Public Hospitals: The Year
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psnet.ahrq.gov/issue/transforming-health-care-compendium-reports-national-patient-safety-foundations-lucian-leape
November 23, 2016 - October 14, 2015
The Francis Report: One Year On. … September 21, 2011
The Patient Safety Initiative at America’s Public Hospitals: The Year
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psnet.ahrq.gov/web-mm/hip-fractures-older-patients-case-geriatrics-comanagement
July 01, 2004 - The Case An 82-year-old man with a past medical history of dementia, coronary artery disease, hypertension … 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/procedures-should-promote-patient-safety
March 01, 2007 - February 3, 2021
Structural racism--a 60-year-old black woman with breast cancer. … April 10, 2019
In pursuit of quality and safety: an 8-year study of clinical peer review