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psnet.ahrq.gov/perspective/conversation-kaveh-shojania-md
February 26, 2025 - We spoke with him about the evolution of patient safety research over the past 15 years.
Dr. … Wachter : What did you think the role of research would be in patient safety 15 years ago? … Here were the things that were very, very different from the early years to the middle years of the safety … There was the pediatric adverse event study 4 or 5 years ago. … You'd never be able to have a service like this be as effective 20 years ago.
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psnet.ahrq.gov/issue/20-years-later-err-leadership-failure
November 30, 2016 - Special or Theme Issue
20 years later: to err is a leadership failure. … Citation Text:
20 years later: to err is a leadership failure. Castellucci M, Meyer H. … Linkedin
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20 years
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psnet.ahrq.gov/issue/50-years-inquiries-national-health-service
March 02, 2010 - Special or Theme Issue
50 Years of Inquiries in the National Health Service. … Citation Text:
50 Years of Inquiries in the National Health Service. Polit Q. 2019;90:177-342. … Linkedin
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50 Years
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psnet.ahrq.gov/issue/medication-error-prevention-survey-five-years-results
March 26, 2015 - Study
A medication error prevention survey: five years of results. … A medication error prevention survey: five years of results. … A medication error prevention survey: five years of results.
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psnet.ahrq.gov/issue/ten-years-later-alarm-fatigue-still-safety-concern
October 25, 2023 - Commentary
Ten years later, alarm fatigue is still a safety concern. … Ten years later, alarm fatigue is still a safety concern. … Ten years later, alarm fatigue is still a safety concern.
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psnet.ahrq.gov/issue/nursing-student-errors-and-near-misses-three-years-data
October 20, 2021 - Study
Nursing student errors and near misses: three years of data. … Nursing student errors and near misses: three years of data. … Nursing student errors and near misses: three years of data.
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psnet.ahrq.gov/issue/outcome-6-years-protocol-use-preventing-wrong-site-office-surgery
February 10, 2012 - Study
Outcome of 6 years of protocol use for preventing wrong site office surgery … Outcome of 6 years of protocol use for preventing wrong site office surgery. … Outcome of 6 years of protocol use for preventing wrong site office surgery. … of Florida data and 6 years of Alabama data reveal. … July 20, 2009
Office surgery incidents: what seven years of Florida data show us.
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psnet.ahrq.gov/issue/older-patients-engagement-hospital-medication-safety-behaviours
November 17, 2021 - This study explored medication safety behaviors among young-old (65-74 years), middle-old (75-84 years … ) and old-old ( > 85 years) adults. … 22, 2014
A comprehensive pharmacist intervention to reduce morbidity in patients 80 years
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psnet.ahrq.gov/issue/child-health-pso-10-years-emerging-learning-network
July 28, 2021 - Commentary
The Child Health PSO at 10 years: an emerging learning network. … The Child Health PSO at 10 Years: an emerging learning network. … The Child Health PSO at 10 Years: an emerging learning network.
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psnet.ahrq.gov/issue/child-age-and-risk-medication-error-multisite-childrens-hospital-study
August 28, 2024 - There was little association between age and prescribing errors for ages 0-3 years, then increasing until … Administration errors were steady for ages 0-8 years, and then increased with age until 18 years .
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psnet.ahrq.gov/issue/association-hospitalist-years-experience-mortality-hospitalized-medicare-population
May 11, 2022 - Study
Association of hospitalist years of experience with mortality in the hospitalized … Association of Hospitalist Years of Experience With Mortality in the Hospitalized Medicare Population … Association of Hospitalist Years of Experience With Mortality in the Hospitalized Medicare Population
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psnet.ahrq.gov/issue/report-15-years-clinical-negligence-claims-rhinology
November 30, 2011 - Study
A report on 15 years of clinical negligence claims in rhinology. … A report on 15 years of clinical negligence claims in rhinology. … A report on 15 years of clinical negligence claims in rhinology. … Related Resources From the Same Author(s)
Toward safer practice in otology: a report on 15 years … July 1, 2013
Toward safer practice in otology: a report on 15 years of clinical negligence
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psnet.ahrq.gov/issue/changing-cardiac-arrest-and-hospital-mortality-rates-through-medical-emergency-team-takes
March 13, 2024 - This study demonstrated progressive declines in unexpected cardiac deaths within 2 years and in mortality … within 4 years, suggesting that benefits of this practice may simply take time to establish. … May 15, 2024
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Four years' experience
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psnet.ahrq.gov/issue/tenfold-medication-errors-5-years-experience-university-affiliated-pediatric-hospital
August 07, 2024 - Study
Tenfold medication errors: 5 years' experience at a university-affiliated pediatric … Tenfold medication errors: 5 years' experience at a university-affiliated pediatric hospital. … Tenfold medication errors: 5 years' experience at a university-affiliated pediatric hospital.
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psnet.ahrq.gov/issue/promoting-culture-patient-safety-review-florida-moratoria-data-what-we-have-learned-6-years
August 04, 2021 - Promoting a culture of patient safety: a review of the Florida moratoria data: what we have learned in 6 years … Promoting a culture of patient safety: a review of the Florida moratoria data: what we have learned in 6 years … Promoting a culture of patient safety: a review of the Florida moratoria data: what we have learned in 6 years … November 21, 2012
Office surgery incidents: what seven years of Florida data show us.
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psnet.ahrq.gov/issue/toward-safer-practice-otology-report-15-years-clinical-negligence-claims
January 21, 2015 - Study
Toward safer practice in otology: a report on 15 years of clinical negligence … Toward safer practice in otology: a report on 15 years of clinical negligence claims. … Toward safer practice in otology: a report on 15 years of clinical negligence claims. … Download Citation
Related Resources From the Same Author(s)
A report on 15 years … March 6, 2019
A report on 15 years of clinical negligence claims in rhinology.
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psnet.ahrq.gov/issue/adverse-events-and-emergency-department-opioid-prescriptions-adolescents
December 21, 2022 - opioid use disorder, or long-term use) among adolescents transitioning from “child” to “adult” at 18 years … increased risk for an opioid-related adverse outcome within one year when “adults” just over age 18 years … were prescribed opioids that would not have been prescribed if they were under 18 years and considered
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psnet.ahrq.gov/issue/20-years-after-err-human-bibliometric-analysis-iom-reports-impact-research-patient-safety
July 15, 2020 - Review
20 years after To Err Is Human: a bibliometric analysis of ‘the IOM report … Citation Text:
St.Pierre M, Grawe P, Bergström J, et al. 20 years after To Err Is Human: a bibliometric … Cite
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St.Pierre M, Grawe P, Bergström J, et al. 20 years … A qualitative study of perspectives on the early years of the English Healthcare Safety Investigation
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psnet.ahrq.gov/issue/fifteen-years-after-err-human-success-story-learn
August 04, 2021 - Commentary
Fifteen years after To Err Is Human: a success story to learn from. … Fifteen years after To Err is Human: a success story to learn from. … Fifteen years after To Err is Human: a success story to learn from.
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psnet.ahrq.gov/node/41067/psn-pdf
February 10, 2012 - Determining the safety of office-based surgery: what 10
years of Florida data and 6 years of Alabama … Determining the safety of office-based surgery: what 10 years of
Florida data and 6 years of Alabama … https://psnet.ahrq.gov/issue/determining-safety-office-based-surgery-what-10-years-florida-data-and-6 … -years-alabama-data
https://psnet.ahrq.gov/issue/determining-safety-office-based-surgery-what-10-years-florida-data-and … psnet.ahrq.gov/issue/office-surgery-incidents-what-seven-years-florida-data-show-us