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psnet.ahrq.gov/node/39264/psn-pdf
February 03, 2010 - 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.
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psnet.ahrq.gov/node/33610/psn-pdf
April 01, 2005 - psnet.ahrq.gov/perspective/introducing-new-ahrq-webmm-and-ahrq-patient-safety-network-psnet
Editorial
Five years … Yet, as AHRQ asked my colleagues and me to work with them to produce
WebM&M for the next few years, … Three years ago, I was privileged to help edit an AHRQ evidence report on patient safety practices.(3 … Luckily, that has changed over the past few years. … The end of the beginning: patient safety five years after 'To Err is Human'.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.72_slideshow.ppt
September 01, 2004 - Estimating Prognosis in This Case
If neck mass was benign goiter, estimated survival 4 years (her actuarial … Approach
Given the wide prognostic range associated with the patient’s neck mass — 4 months vs. 4 years … Analyzing the Diagnostic Approach
Life tables for 90-year-old American woman
50% survive at least 3.8 years … 25% survive less than 1.8 years
25% survive at least 6.8 years
Basic exploration of neck mass would
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psnet.ahrq.gov/perspective/conversation-lucian-leape-md
June 12, 2019 - They've learned over the last 10 years how to get this to happen. … RW : It's now 15 years since the IOM report, 20 years after your initial clarion call for a new approach … But it's like the literature on human factors 20 years ago. … That seemed to dominate many safety conversations for the last 5 or 6 years. … What do you think the next 5 to 7 years will hold in terms of the megatrends?
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psnet.ahrq.gov/issue/monitoring-medication-errors-outpatient-settings
December 31, 2014 - December 31, 2014
Adverse event reporting: lessons learned from 4 years of Florida office … August 9, 2017
Determining the safety of office-based surgery: what 10 years of Florida … data and 6 years of Alabama data reveal.
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psnet.ahrq.gov/perspective/conversation-tejal-k-gandhi-md-mph
February 26, 2025 - RW : How would you say the mission of the organization has evolved over the years? … I know places are spending days, weeks, months, and years trying to figure this out. … What do you think are the lessons of the last few years? … What are we now coming to understand that we didn't get 5 years ago? … It seems like 15 years later, we're still in that cultural discussion.
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psnet.ahrq.gov/node/38988/psn-pdf
October 07, 2009 - national database of patients with hip fractures to demonstrate that morbidity was
increased in the years … common-program-requirements-learning-and-working-environment-duty-hours
https://psnet.ahrq.gov/issue/mortality-among-hospitalized-medicare-beneficiaries-first-2-years-following-acgme-resident
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psnet.ahrq.gov/node/42972/psn-pdf
February 26, 2014 - paediatric early warning systems in Great Britain:
has there been a change of practice in the last 7 years … paediatric early warning systems in Great Britain: has there
been a change of practice in the last 7 years
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psnet.ahrq.gov/issue/residency-training-crossroads-duty-hour-standards-2010
April 17, 2013 - September 12, 2016
Mortality among patients in VA hospitals in the first 2 years following … February 17, 2011
Mortality among patients in VA hospitals in the first 2 years following … February 3, 2011
Mortality among hospitalized Medicare beneficiaries in the first 2 years
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psnet.ahrq.gov/issue/improving-self-reporting-adverse-drug-events-west-virginia-hospital
March 10, 2011 - Cheek
March 1, 2012
Determining the safety of office-based surgery: what 10 years … of Florida data and 6 years of Alabama data reveal. … February 10, 2012
Outcome of 6 years of protocol use for preventing wrong site office
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psnet.ahrq.gov/perspective/getting-patient-safety-personal-story
August 01, 2006 - At first he was merely my chairman, but, over the years, he became a guiding spirit, a model of work … ethic, commitment, and can-do sensibility, and in later years, a dear friend and guardian angel. … In 30 plus years since I started down this path, I'm not sure how far we've come. … Those problems were solved in the next 10 years or so. … It's going to take years. But I think it's really moving.
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psnet.ahrq.gov/node/45096/psn-pdf
May 05, 2016 - the National Patient Safety Foundation report investigating the
state of patient safety in the 15 years … patient-safety-crossroads
https://psnet.ahrq.gov/issue/free-harm-accelerating-patient-safety-improvement-fifteen-years-after-err-human
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psnet.ahrq.gov/node/34736/psn-pdf
October 24, 2017 - Even with the widespread interest in medical error and patient safety in recent years, diagnostic errors … collection of empiric studies on
clinical reasoning in action thus remains highly relevant more than 25 years
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psnet.ahrq.gov/perspective/conversation-david-blumenthal-md-mpp-0
March 27, 2024 - RW : As you look back 10 years later, does the fact that many people attribute HITECH and the federal … DB : I don't think anything would have happened for many years thereafter. … Epic for a number of years did implementation better than anybody else. … Did that surprise you and how do you think that's going to play out over the next 5 years? … So that was 14 years ago.
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psnet.ahrq.gov/perspective/conversation-john-halamka-md-ms
March 27, 2024 - If you say you have $31 billion that will evaporate in 4 years, well sure. … so we'll be dealing with 1995 probably for another few years. … I have switched multiple products out in just the last several years. … RW : What does all this look like 10 years from now? … But here's what, for the moment, I think it looks like 10 years from now.
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psnet.ahrq.gov/node/33668/psn-pdf
May 01, 2008 - Robert Wachter, Editor, AHRQ WebM&M: Reflecting back to when you started this work 15 years
ago or so … And then
there was a shift 3 to 5 years ago, with a lot of literature about unintended consequences … RW: Ten or twenty years from now, how much of the work that we presently think of as cognitive and the … Ten years from now, I think the way that we'll be doing that will look quite a bit
different. … That's one of the big frontiers in software
in the next 5 to 10 years.
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psnet.ahrq.gov/node/43173/psn-pdf
June 04, 2014 - psnet.ahrq.gov/primer/checklists
https://psnet.ahrq.gov/issue/determining-safety-office-based-surgery-what-10-years-florida-data-and … -6-years-alabama-data
https://psnet.ahrq.gov/perspective/wild-west-patient-safety-office-based-anesthesia
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psnet.ahrq.gov/node/46738/psn-pdf
February 28, 2018 - are-parents-who-feel-need-watch-over-their-childrens-care-better-patient-safety-partners
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/perspective/conversation-susan-e-skochelak-md-phd
February 01, 2019 - I joined the AMA about 10 years ago to lead the medical education group. … For example, they might have multiple lectures on low back pain across the 4 years. … RW : The curriculum here is so vastly different than it was 5 or 10 years ago. … 4 years of medical school. … Ten years after To Err Is Human. Am J Med Qual. 2009;24:525-528. [go to PubMed]
4.
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psnet.ahrq.gov/node/47328/psn-pdf
January 01, 2020 - Overall, HAC rates declined
over the 2 years following implementation of the program, with only rates … initiatives, and
data from AHRQ has also demonstrated significant reductions in HACs over the past 5 years