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Total Results: 7,791 records

Showing results for "year".

7761. Organizing Patient Safety: Failsafe Fantasies and Pragmatic Practices. | PSNet
      psnet.ahrq.gov/issue/organizing-patient-safety-failsafe-fantasies-and-pragmatic-practices
      August 01, 2018 - July 23, 2014 The Francis Report: One Year On. … November 20, 2013 The Patient Safety Initiative at America’s Public Hospitals: The Year

7762. Safe prescribing: an educational intervention for medical students. | PSNet
      psnet.ahrq.gov/issue/safe-prescribing-educational-intervention-medical-students
      September 24, 2010 - March 21, 2017 View More Related Resources How would final-year … February 13, 2019 Do final-year medical students have sufficient prescribing competencies

7763. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33796/psn-pdf
      January 01, 2016 - and in our peer review program, we were seeing all sorts of diagnostic errors that kept recurring year … after year after year. … The best estimate from autopsy studies is that there are 40,000 to 80,000 deaths a year from diagnostic … But after 3 or 4 years of conferences, we realized that we get together once a year and we reaffirm … For example the 40,000 to 80,000 deaths a year was just a back-of-the-envelope calculation based on

7764. Ignoring the Alarms: How NHS Eating Disorder Services Are Failing Patients. | PSNet
      psnet.ahrq.gov/issue/ignoring-alarms-how-nhs-eating-disorder-services-are-failing-patients
      August 31, 2016 - August 31, 2016 An Avoidable Death of a Three-year-old Child from Sepsis. … March 18, 2015 An Avoidable Death of a Three-year-old Child from Sepsis.

7765. Patient Safety in Private Hospitals: the Known and the Unknown Risk. | PSNet
      psnet.ahrq.gov/issue/patient-safety-private-hospitals-known-and-unknown-risk
      June 18, 2013 - June 18, 2013 An Avoidable Death of a Three-year-old Child from Sepsis. … May 8, 2013 The Patient Safety Initiative at America’s Public Hospitals: The Year One

7766. The Swiss cheese model of safety incidents: are there holes in the metaphor? | PSNet
      psnet.ahrq.gov/issue/swiss-cheese-model-safety-incidents-are-there-holes-metaphor
      February 24, 2011 - March 2, 2011 Rate of undesirable events at beginning of academic year: retrospective … April 21, 2011 The quest to eliminate intrathecal vincristine errors: a 40-year journey

7767. Point-of-care medication error prevention: best practices in action. | PSNet
      psnet.ahrq.gov/issue/point-care-medication-error-prevention-best-practices-action
      December 24, 2007 - National improvements in resident physician-reported patient safety after limiting first-year … June 14, 2023 Medication errors: the year in review: January through December 2021.

7768. Optimal Resources for Surgical Quality and Safety. | PSNet
      psnet.ahrq.gov/issue/optimal-resources-surgical-quality-and-safety
      September 29, 2017 - Resources From the Same Author(s) Research in Ambulatory Patient Safety 2000-2010: A 10-Year … August 17, 2022 First-year analysis of the Operating Room Black Box study.

7769. Administration of concentrated potassium chloride for injection during a code: still deadly! | PSNet
      psnet.ahrq.gov/issue/administration-concentrated-potassium-chloride-injection-during-code-still-deadly
      May 02, 2018 - February 1, 2023 Medication errors: the year in review: January through December 2021 … November 2, 2022 Start the year off right by addressing these top 10 medication safety

7770. AHRQ Health Information Technology Division's 2017 Annual Report. | PSNet
      psnet.ahrq.gov/issue/ahrq-health-information-technology-divisions-2017-annual-report
      May 02, 2018 - May 2, 2018 AHRQ Health Information Technology Research: 2018 Year in Review. … October 27, 2021 AHRQ Health Information Technology Research: 2018 Year in Review.

7771. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33689/psn-pdf
      October 01, 2009 - experienced by the Quaid twins has happened hundreds of times, and millions of medication errors occur every year … (Go to table citation in the text) Error Site Year Description and Consequences An 18-year-old woman … prescriptions, and possible role of computerized prescribing and decision support Willie King, a 51-year-old … initiatives), demonstrating the power of institution–patient collaboration Jesica Santillan, a 17-year-old

7772. Residency training at a crossroads: duty-hour standards 2010. | PSNet
      psnet.ahrq.gov/issue/residency-training-crossroads-duty-hour-standards-2010
      April 17, 2013 - April 17, 2013 Teaching hospital five-year mortality trends in the wake of duty hour … November 26, 2014 Residency schedule, burnout and patient care among first-year residents

7773. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33725/psn-pdf
      February 01, 2012 - The death of 18-year-old Libby Zion at The New York Hospital in 1984 led to the recommendation by the … verbally transition or "hand off" patients shift-to-shift independently by the middle of their intern year … but not to coordinate a complex discharge transition independently until their second year. … mechanisms to objectively measure competency, which in some circumstances may be independent of the year

7774. Resident shift handoff strategies in US internal medicine residency programs. | PSNet
      psnet.ahrq.gov/issue/resident-shift-handoff-strategies-us-internal-medicine-residency-programs
      July 02, 2014 - March 21, 2018 Year-end resident clinic handoffs: narrative review and recommendations … March 25, 2017 What do patients think about year-end resident continuity clinic handoffs

7775. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49482/psn-pdf
      May 01, 2005 - https://psnet.ahrq.gov/web-mm/pregnant-danger The Case A 35-year-old woman, 38 weeks pregnant, presented … these patients, and be certain that the expectations and outcomes of the triage are similar. 1. 21-year-old … EMS calls and notes obvious deformity in right lower extremity and vaginal bleeding. 3. 17-year-old … G3P2 presents at term in labor with the presenting part visible at the introitus. 5. 34-year-old G3P2 … epigastric and right upper quadrant abdominal pain for 5 hours after eating a greasy meal. 6. 28-year-old

7776. Malpractice liability and health care quality: a review | PSNet
      psnet.ahrq.gov/issue/malpractice-liability-and-health-care-quality-review
      April 13, 2011 - View More Related Resources Oncologic errors in diagnostic radiology: a 10-year … July 3, 2014 25-Year summary of US malpractice claims for diagnostic errors 1986–2010

7777. Quality initiatives: developing a radiology quality and safety program: a primer. | PSNet
      psnet.ahrq.gov/issue/quality-initiatives-developing-radiology-quality-and-safety-program-primer
      March 04, 2015 - May 22, 2019 Structural racism--a 60-year-old black woman with breast cancer. … August 31, 2011 A 60-year-old man with delayed care for a renal mass.

7778. Error-avoidance recommendations for tubing misconnections when using luer-tip connectors: a statement by the USP Safe Medication Use Expert Committee. | PSNet
      psnet.ahrq.gov/issue/error-avoidance-recommendations-tubing-misconnections-when-using-luer-tip-connectors
      November 21, 2018 - July 12, 2010 Harmful medication errors in children: a 5-year analysis of data from the … January 3, 2017 The lingering safety menace: a 10-year review of enteral misconnection

7779. Patient Safety and Quality Improvement Act of 2005--HHS guidance regarding patient safety work product and providers' external obligations. | PSNet
      psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-hhs-guidance-regarding-patient-safety-work
      December 24, 2008 - December 24, 2008 AHRQ Health Information Technology Research: 2018 Year in Review. … January 14, 2009 Safety First: One Year On.

7780. Detection and measurement of rotator cuff tears with sonography: analysis of diagnostic errors. | PSNet
      psnet.ahrq.gov/issue/detection-and-measurement-rotator-cuff-tears-sonography-analysis-diagnostic-errors
      December 31, 2014 - December 3, 2008 Clinical decision support: a 25 year retrospective and a 25 year vision