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psnet.ahrq.gov/node/42877/psn-pdf
January 22, 2014 - Identification of poor performance in a national medical
workforce over 11 years: an observational study … Identification of poor performance in a national medical
workforce over 11 years: an observational study … https://psnet.ahrq.gov/issue/identification-poor-performance-national-medical-workforce-over-11-years … https://psnet.ahrq.gov/issue/identification-poor-performance-national-medical-workforce-over-11-years-observational-study … https://psnet.ahrq.gov/issue/identification-poor-performance-national-medical-workforce-over-11-years-observational-study
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psnet.ahrq.gov/issue/infection-control-deficiencies-were-widespread-and-persistent-nursing-homes-prior-covid-19
April 29, 2020 - Medicaid Services (CMS) and found 82% (13,299) of nursing homes surveyed were cited in one or more years … June 3, 2020
Crisis Standards of Care: Ten Years of Successes and Challenges–Proceedings
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psnet.ahrq.gov/node/46949/psn-pdf
March 28, 2018 - Patient safety outcomes after two years of an enhanced
internal medicine residency clinic handoff. … Patient Safety Outcomes after Two Years of an
Enhanced Internal Medicine Residency Clinic Handoff. … https://psnet.ahrq.gov/issue/patient-safety-outcomes-after-two-years-enhanced-internal-medicine-
residency-clinic-handoff … https://psnet.ahrq.gov/issue/patient-safety-outcomes-after-two-years-enhanced-internal-medicine-residency-clinic-handoff … https://psnet.ahrq.gov/issue/patient-safety-outcomes-after-two-years-enhanced-internal-medicine-residency-clinic-handoff
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psnet.ahrq.gov/node/43289/psn-pdf
July 09, 2014 - Designing a critical care nurse–led rapid response team
using only available resources: 6 years later … Designing a critical care nurse-led rapid response team using only
available resources: 6 years later … psnet.ahrq.gov/issue/designing-critical-care-nurse-led-rapid-response-team-using-only-available-
resources-6-years … psnet.ahrq.gov/issue/designing-critical-care-nurse-led-rapid-response-team-using-only-available-resources-6-years … psnet.ahrq.gov/issue/designing-critical-care-nurse-led-rapid-response-team-using-only-available-resources-6-years
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psnet.ahrq.gov/node/45851/psn-pdf
February 22, 2017 - Eight years of decreased methicillin-resistant
Staphylococcus aureus health care–associated infections … Eight years of decreased methicillin-resistant Staphylococcus
aureus health care-associated infections … https://psnet.ahrq.gov/issue/eight-years-decreased-methicillin-resistant-staphylococcus-aureus-health … https://psnet.ahrq.gov/issue/eight-years-decreased-methicillin-resistant-staphylococcus-aureus-health-care-associated … https://psnet.ahrq.gov/issue/eight-years-decreased-methicillin-resistant-staphylococcus-aureus-health-care-associated
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psnet.ahrq.gov/node/43141/psn-pdf
April 30, 2014 - Engaging residents and fellows to improve institution-
wide quality: the first six years of a novel … Engaging residents and fellows to improve institution-wide
quality: the first six years of a novel financial … https://psnet.ahrq.gov/issue/engaging-residents-and-fellows-improve-institution-wide-quality-first-six-years … https://psnet.ahrq.gov/issue/engaging-residents-and-fellows-improve-institution-wide-quality-first-six-years-novel … https://psnet.ahrq.gov/issue/engaging-residents-and-fellows-improve-institution-wide-quality-first-six-years-novel
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psnet.ahrq.gov/node/60905/psn-pdf
September 09, 2020 - Doctors turned my sister away; less than two years later
she died of cervical cancer. …
https://psnet.ahrq.gov/issue/doctors-turned-my-sister-away-less-two-years-later-she-died-cervical-cancer … https://psnet.ahrq.gov/issue/doctors-turned-my-sister-away-less-two-years-later-she-died-cervical-cancer
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psnet.ahrq.gov/issue/tall-man-lettering-and-potential-prescription-errors-time-series-analysis-42-childrens
January 12, 2012 - potential prescription errors: a time series analysis of 42 children's hospitals in the USA over 9 years … potential prescription errors: a time series analysis of 42 children's hospitals in the USA over 9 years … potential prescription errors: a time series analysis of 42 children's hospitals in the USA over 9 years
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psnet.ahrq.gov/node/38580/psn-pdf
April 22, 2009 - Practising safely in the foundation years.
April 22, 2009
Long SJ, Neale G, Vincent CA. … Practising safely in the foundation years. BMJ. 2009;338:b1046.
doi:10.1136/bmj.b1046. … https://psnet.ahrq.gov/issue/practising-safely-foundation-years
Through case scenarios, this commentary … https://psnet.ahrq.gov/issue/practising-safely-foundation-years
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psnet.ahrq.gov/node/50722/psn-pdf
December 04, 2019 - 20 years later: to err is a leadership failure.
December 4, 2019
Castellucci M, Meyer H. … https://psnet.ahrq.gov/issue/20-years-later-err-leadership-failure
This special segment shares commentaries … https://psnet.ahrq.gov/issue/20-years-later-err-leadership-failure
https://psnet.ahrq.gov/issue/err-human-building-safer-health-system
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psnet.ahrq.gov/node/38313/psn-pdf
June 16, 2009 - A medication error prevention survey: five years of
results. … A medication error prevention survey: five years of results. … https://psnet.ahrq.gov/issue/medication-error-prevention-survey-five-years-results
This survey of cancer … https://psnet.ahrq.gov/issue/medication-error-prevention-survey-five-years-results
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psnet.ahrq.gov/node/41522/psn-pdf
December 02, 2014 - Tenfold medication errors: 5 years' experience at a
university-affiliated pediatric hospital. … Tenfold medication errors: 5 years' experience at a university-affiliated pediatric
hospital. … https://psnet.ahrq.gov/issue/tenfold-medication-errors-5-years-experience-university-affiliated-pediatric … https://psnet.ahrq.gov/issue/tenfold-medication-errors-5-years-experience-university-affiliated-pediatric-hospital … https://psnet.ahrq.gov/issue/tenfold-medication-errors-5-years-experience-university-affiliated-pediatric-hospital
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psnet.ahrq.gov/node/44687/psn-pdf
June 21, 2016 - Free From Harm: Accelerating Patient Safety
Improvement Fifteen Years After To Err Is Human. … https://psnet.ahrq.gov/issue/free-harm-accelerating-patient-safety-improvement-fifteen-years-after-err … -
human
This report provides an objective assessment of the state of the safety field 15 years after … https://psnet.ahrq.gov/issue/free-harm-accelerating-patient-safety-improvement-fifteen-years-after-err-human … https://psnet.ahrq.gov/issue/free-harm-accelerating-patient-safety-improvement-fifteen-years-after-err-human
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psnet.ahrq.gov/node/40991/psn-pdf
January 17, 2017 - MRI safety 10 years later.
January 17, 2017
Gilk T, Latino RJ. Patient Saf Qual Healthc. … https://psnet.ahrq.gov/issue/mri-safety-10-years-later
Describing a case of accidental patient death … the event and notes that no regulatory efforts have been implemented to improve MRI safety in the 10
years … https://psnet.ahrq.gov/issue/mri-safety-10-years-later
https://psnet.ahrq.gov/primer/root-cause-analysis
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psnet.ahrq.gov/node/39994/psn-pdf
November 10, 2010 - Building safer systems through critical occurrence
reviews: nine years of learning. … Building safer systems through critical occurrence reviews: nine
years of learning. … https://psnet.ahrq.gov/issue/building-safer-systems-through-critical-occurrence-reviews-nine-years-learning … https://psnet.ahrq.gov/issue/building-safer-systems-through-critical-occurrence-reviews-nine-years-learning
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psnet.ahrq.gov/node/35368/psn-pdf
July 20, 2009 - Adverse event reporting: lessons learned from 4 years of
Florida office data. … Adverse event reporting: lessons learned from 4 years of Florida
office data. … https://psnet.ahrq.gov/issue/adverse-event-reporting-lessons-learned-4-years-florida-office-data
The … https://psnet.ahrq.gov/issue/adverse-event-reporting-lessons-learned-4-years-florida-office-data
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psnet.ahrq.gov/issue/inside-preventable-deaths-happened-within-prominent-transplant-center
May 02, 2018 - transplant center and the organizational-level factors that allowed these errors to continue for several years … How Columbia ignored women, undermined prosecutors and protected a predator for more than 20 years
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psnet.ahrq.gov/issue/adult-hospital-stays-infections-due-medical-care-2007
April 27, 2011 - presents data on health care–associated infections (HAI) that reveals a reduction of HAIs in the 3 years … Opioid-Related Inpatient Stays and Emergency Department Visits Among Patients Aged 65 Years
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psnet.ahrq.gov/node/44382/psn-pdf
June 21, 2016 - Patient safety reporting: a qualitative study of thoughts
and perceptions of experts 15 years after … Patient safety incident reporting: a qualitative study of thoughts and
perceptions of experts 15 years … psnet.ahrq.gov/issue/patient-safety-reporting-qualitative-study-thoughts-and-perceptions-experts-15-
years-after … psnet.ahrq.gov/issue/patient-safety-reporting-qualitative-study-thoughts-and-perceptions-experts-15-years-after … psnet.ahrq.gov/issue/patient-safety-reporting-qualitative-study-thoughts-and-perceptions-experts-15-years-after
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psnet.ahrq.gov/node/35032/psn-pdf
February 03, 2011 - Five years after 'To Err is Human': what have we learned?
February 3, 2011
Leape L, Berwick DM. … Five years after To Err Is Human: what have we learned? JAMA.
2005;293(19):2384-90. … https://psnet.ahrq.gov/issue/five-years-after-err-human-what-have-we-learned
Two of the leaders in the … The
authors provide a vision for the next five years with expectations for rapid change in adoption … https://psnet.ahrq.gov/issue/five-years-after-err-human-what-have-we-learned
https://psnet.ahrq.gov/issue