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psnet.ahrq.gov/issue/patient-safety-plastic-surgery-identifying-areas-quality-improvement-efforts
November 01, 2017 - February 21, 2015
Determining the safety of office-based surgery: what 10 years of Florida … data and 6 years of Alabama data reveal. … February 10, 2012
Office surgery incidents: what seven years of Florida data show us. … Promoting a culture of patient safety: a review of the Florida moratoria data: what we have learned in 6 years
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psnet.ahrq.gov/issue/mortality-among-hospitalized-medicare-beneficiaries-first-2-years-following-acgme-resident
February 17, 2009 - Classic
Mortality among hospitalized Medicare beneficiaries in the first 2 years … February 17, 2011
Mortality among patients in VA hospitals in the first 2 years following
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psnet.ahrq.gov/node/60013/psn-pdf
March 04, 2020 - In the two years following checklist implementation, suicide
attempts decreased by 42% (compared to … the preceding two years); the number of patients sustaining
temporary or minor injuries also decreased
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psnet.ahrq.gov/perspective/conversation-david-blumenthal-md-mpp
July 01, 2012 - We will probably get to 50% to 60% in 5 years for hospitals; rural facilities and small facilities will … RW : The literature in the last 5 to 7 years about unanticipated consequences—does it feel like it's … If you woke up 5 years ago and read the literature about IT, you might believe that in some ways there … DB : If you read the literature 5 years ago, you would have found that there was more good than harm … A study published in Health Affairs 2 or 3 years later more or less said the same thing.
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psnet.ahrq.gov/node/853069/psn-pdf
August 30, 2023 - Findings suggest that breast cancer may be potentially overdiagnosed among
31% of women aged 70 to 74 years … , 47% of women aged 75 to 84 years, and 54% of women aged 85 and
older who continue to receive screening
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psnet.ahrq.gov/node/850164/psn-pdf
June 07, 2023 - psnet.ahrq.gov/issue/freedom-speak-review-whistleblowing-nhs
https://psnet.ahrq.gov/issue/mid-staffs-scandal-10-years-inquiry-chair-worries-nhs-staff-too-scared-speak … https://psnet.ahrq.gov/issue/mid-staffs-scandal-10-years-inquiry-chair-worries-nhs-staff-too-scared-speak
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psnet.ahrq.gov/issue/association-icu-or-hospital-admission-unintentional-discontinuation-medications-chronic
November 06, 2015 - to identify the incidence of potentially unintentional medication discontinuation among patients 66 years … April 22, 2011
Ten years after the IOM report: engaging residents in quality and patient
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psnet.ahrq.gov/node/854623/psn-pdf
January 01, 2025 - and severity of prescribing errors between junior
doctors (i.e., those in training with less than 10 years … ’ work experience) and consultants (i.e., not in training
with 10 or more years of work experience).
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psnet.ahrq.gov/curated-library/diagnostic-errors-case-studies
September 15, 2025 - MD and Diane O’Leary, PhD | June 30, 2021
Beginning in her teenage years … An elderly man had iron deficiency anemia with progressively falling hemoglobin levels for nearly 2 years … a history of multiple myeloma and multiple healthcare encounters for diarrhea in the previous five years … Facebook
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Beginning in her teenage years … When she was 40 years old, the patient experienced another severe episode and went to the ED.
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psnet.ahrq.gov/node/73206/psn-pdf
May 05, 2021 - This study examined sepsis
patient encounters at one health system two years before and two years after
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psnet.ahrq.gov/node/844051/psn-pdf
February 08, 2023 - wrong-side, wrong-organ, wrong-
procedure, or wrong-person surgical errors: a
retrospective study for 10 years … wrong-side, wrong-organ, wrong-procedure,
or wrong-person surgical errors: a retrospective study for 10 years
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psnet.ahrq.gov/node/855097/psn-pdf
November 08, 2023 - program on anesthesia professionals' second
victim experiences (SVEs) and perceptions of support two
years … Two years after program implementation, reported psychological distress decreased and
over 80% of participants
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psnet.ahrq.gov/node/852457/psn-pdf
August 16, 2023 - adverse
events as contributing factors--a single-center,
retrospective analysis of the first two years … : adverse events as
contributing factors--a single-center, retrospective analysis of the first two years
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psnet.ahrq.gov/perspective/conversation-john-d-birkmeyer-md
January 31, 2024 - Birkmeyer : Well, we'd been interested for many years in what drives very large variations in surgical … For many years working with this large collaborative of bariatric surgeons and hospitals in the state … JB : For many years, we had been engaged in the practice of round-robin site visits, where I and other … I don't know whether we'll be there in 3 years or 5 years or 50 years, but I have no doubt that we'll … I'm sure, however, that as the literature is fleshed out over the next several years, we'll find other
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psnet.ahrq.gov/node/60173/psn-pdf
March 30, 2020 - We have had CPOE [computerized
provider order entry] for years, but as patient engagement with technology … do you think may have the largest impact on patients and patient
safety over the next five to ten years … Ten years from
now, if AHRQ is producing a new report, what will the new issues where there wasn’t quite … Ten years from now I expect to have much more in the ambulatory safety space. … There is this great desire to get the rate to 0, but in ten years we will say that we’ve
achieved 98%
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psnet.ahrq.gov/web-mm/endometriosis-common-and-commonly-missed-and-delayed-diagnosis
May 26, 2021 - Over the next 3 years, her dysmenorrhea continued, and she developed severe abdominal cramps, bloating … Nine years after the onset of her severe menstrual symptoms and six years after the onset of her disabling … Three years later, the patient experienced “sharp” right-sided abdominal pain. … Indeed, when colonoscopy was performed several years later, no mucosal abnormalities were identified, … Is Endometriosis More Common and More Severe Than It Was 30 Years Ago?.
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psnet.ahrq.gov/node/845298/psn-pdf
March 01, 2023 - This study describes the quality of reports
submitted during the first three years of England’s mandatory … Three years in, the identification, reporting, and investigation of
deaths has improved, but evidence
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psnet.ahrq.gov/node/61035/psn-pdf
October 21, 2020 - More than 3% of children ages 1 to 17 years had
at least one opioid prescription filled annually; 76.6 … Adolescents ages 15 to 17 years disproportionately experienced these harms
compared to younger age groups
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psnet.ahrq.gov/node/36948/psn-pdf
September 09, 2011 - Errors in a stat laboratory: types and frequencies 10 years later. Clin Chem.
2007;53(7):1338-42. … The investigators conducted a study to compare clinical laboratory error data to that collected 10 years
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psnet.ahrq.gov/perspective/conversation-j-bryan-sexton-phd-ma
February 26, 2025 - How do you think that has changed over the last 5 or 6 years? Dr. J. … Bryan Sexton : Safety culture as a term 10 years ago was not well understood, but there is a much broader … Although we have to wait 2 full years to get the turnover data, we do collect intention-to-leave data … RW : As we think back on the early years of the quality and safety movement, let's say, 8 or 10 years … Ten years from now, people will probably still say that the projects that led to checklists being the