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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.
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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
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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
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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
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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
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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
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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
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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.
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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
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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.
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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