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psnet.ahrq.gov/issue/are-physician-assistants-able-correctly-identify-prescribing-errors-cross-sectional-study
May 29, 2019 - This study replicates the 2011 study with first- and second-year physician assistant (PA) students . … The results suggest PA students, regardless of year, identified prescribing errors at similar rates to … June 14, 2023
How would final-year medical students perform if their skill-based prescription
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psnet.ahrq.gov/issue/avoidable-death-three-year-old-child-sepsis
August 31, 2016 - Book/Report
An Avoidable Death of a Three-year-old Child from Sepsis. … Citation Text:
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An Avoidable Death of a Three-year-old
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psnet.ahrq.gov/issue/implementing-nurse-shadowing-program-first-year-medical-students-improve-interprofessional
January 15, 2025 - Commentary
Implementing a nurse-shadowing program for first-year medical students … Implementing a nurse-shadowing program for first-year medical students to improve interprofessional collaborations … Implementing a nurse-shadowing program for first-year medical students to improve interprofessional collaborations
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psnet.ahrq.gov/issue/effect-protected-sleep-period-hours-slept-during-extended-overnight-hospital-duty-hours-among
August 20, 2018 - While first-year trainees now may work no more than 16 consecutive hours, upper-level residents may still … August 20, 2018
Teaching hospital five-year mortality trends in the wake of duty hour … June 10, 2013
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Teaching hospital five-year … June 17, 2014
Residency schedule, burnout and patient care among first-year residents … April 17, 2013
The effects of a mid-day nap on the neurocognitive performance of first-year
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psnet.ahrq.gov/issue/suicide-incident-severe-patient-harm-retrospective-cohort-study-investigations-after-suicide
November 02, 2022 - patient harm: a retrospective cohort study of investigations after suicide in Swedish healthcare in a 13-year … patient harm: a retrospective cohort study of investigations after suicide in Swedish healthcare in a 13-year … patient harm: a retrospective cohort study of investigations after suicide in Swedish healthcare in a 13-year … NHS ‘Learning from Deaths’ reports: a qualitative and quantitative document analysis of the first year
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psnet.ahrq.gov/issue/july-effect-impact-academic-year-end-changeover-patient-outcomes-systematic-review
April 12, 2023 - Review
Classic
"July Effect": impact of the academic year-end … "July effect": impact of the academic year-end changeover on patient outcomes: a systematic review. … "July effect": impact of the academic year-end changeover on patient outcomes: a systematic review. … Improving resident education and patient safety: a method to balance initial caseloads at academic year-end
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psnet.ahrq.gov/issue/how-would-final-year-medical-students-perform-if-their-skill-based-prescription-assessment
October 18, 2023 - Study
How would final-year medical students perform if their skill-based prescription … How would final‐year medical students perform if their skill‐based prescription assessment was real life … How would final‐year medical students perform if their skill‐based prescription assessment was real life … October 18, 2023
Do final-year medical students have sufficient prescribing competencies
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psnet.ahrq.gov/issue/comprehensive-healthcare-inspection-summary-report-evaluation-mental-health-veterans-health
July 13, 2022 - Inspection Summary Report: Evaluation of Mental Health in Veterans Health Administration Facilities, Fiscal Year … Inspection Summary Report: Evaluation of Mental Health in Veterans Health Administration Facilities, Fiscal Year … Inspection Summary Report: Evaluation of Mental Health in Veterans Health Administration Facilities, Fiscal Year … Summary Report: Evaluation of Care Coordination in Veterans Health Administration Facilities, Fiscal Year
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psnet.ahrq.gov/issue/reducing-cardiopulmonary-arrest-rates-three-year-regional-rapid-response-system-collaborative
March 04, 2011 - Study
Reducing cardiopulmonary arrest rates in a three-year regional rapid response … Reducing cardiopulmonary arrest rates in a three-year regional rapid response system collaborative. … Reducing cardiopulmonary arrest rates in a three-year regional rapid response system collaborative. … February 6, 2012
Retrospective review of emergency response activations during a 13-year
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psnet.ahrq.gov/issue/impact-drug-error-reduction-software-preventing-harmful-adverse-drug-events-england
November 16, 2022 - software (DERS) was implemented across two large UK National Health Service (NHS) institutes for one year … Findings indicate that compliance with DERS was 45%, but across one year of implementation, severe harm … Tool for Improving Patient Safety
March 29, 2023
Medication errors: the year
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psnet.ahrq.gov/issue/medical-error-third-leading-cause-death-us
September 16, 2020 - How many patients die each year due to preventable adverse events is difficult to determine. … deaths were potentially avoidable, which translates to approximately 26,000 preventable deaths each year … This commentary argues that preventable deaths total more than 250,000 deaths per year, which would rank
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psnet.ahrq.gov/issue/new-evidence-based-estimate-patient-harms-associated-hospital-care
October 19, 2022 - 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 … November 14, 2011
The Patient Safety Initiative at America’s Public Hospitals: The Year
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psnet.ahrq.gov/issue/impact-work-schedules-senior-resident-physicians-patient-and-resident-physician-safety
May 25, 2022 - Several studies have investigated the association between first year residents (i.e., interns, PGY1), … This study includes residents beyond the first year (i.e., PGY2+). … National improvements in resident physician-reported patient safety after limiting first-year
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psnet.ahrq.gov/issue/plague-year-mistakes-and-struggles-behind-americas-covid-19-tragedy
September 04, 2013 - Newspaper/Magazine Article
The plague year. … Citation Text:
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The plague year … May 11, 2022
Start the year off right by addressing these top 10 medication safety concerns
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psnet.ahrq.gov/issue/patient-safety-outcomes-after-two-years-enhanced-internal-medicine-residency-clinic-handoff
March 21, 2018 - The authors conclude that identifying and prioritizing follow-up for high-risk patients improves year-end … March 21, 2018
What do patients think about year-end resident continuity clinic handoffs … July 28, 2014
Year-end resident clinic handoffs: narrative review and recommendations
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psnet.ahrq.gov/issue/systematic-review-impact-physician-work-schedules-patient-safety-meta-analyses-mortality-risk
November 29, 2023 - however, there was no significant difference in mortality after the 2011 restrictions (limiting first-year … 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/issue/characterization-adverse-events-detected-large-health-care-delivery-system-using-enhanced
May 25, 2013 - events detected in a large health care delivery system using an enhanced Global Trigger Tool over a five-year … events detected in a large health care delivery system using an enhanced global trigger tool over a five-year … events detected in a large health care delivery system using an enhanced global trigger tool over a five-year … Hospitalisation for medication misadventures among older adults with and without dementia: a 5-year … 3, 2014
Characterisations of adverse events detected in a university hospital: a 4-year
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psnet.ahrq.gov/issue/mandatory-presuit-mediation-5-year-results-medical-malpractice-resolution-program
February 02, 2022 - Study
Mandatory presuit mediation: 5-year results of a medical malpractice resolution … Mandatory presuit mediation: 5-year results of a medical malpractice resolution program. … Mandatory presuit mediation: 5-year results of a medical malpractice resolution program.
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psnet.ahrq.gov/issue/evaluating-implementation-rapid-response-team-considering-alternative-outcome-measures
October 19, 2022 - Failure to rescue rates declined in the second year after implementation of the rapid response team in … October 4, 2013
Reducing cardiopulmonary arrest rates in a three-year regional rapid … January 5, 2012
A 5-year analysis of rapid response system activation at an in-hospital
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psnet.ahrq.gov/issue/apsf-20-year-anniversary-first-patient-safety-organization-past-present-future
October 26, 2022 - Newspaper/Magazine Article
The APSF: 20-year anniversary of the first patient safety … Citation Text:
The APSF: 20-year anniversary of the first patient safety organization: past, present … Copy URL
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The APSF: 20-year