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Total Results: 7,791 records

Showing results for "years".

301. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33752/psn-pdf
     August 01, 2013 - 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 … RW: If you asked people what the largest victory in the last 10 years in the safety field was, people

302. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33776/psn-pdf
     January 01, 2015 - RW: During the first 7 or 8 years of the patient safety field after the Institute of Medicine report, … Lean was not part of that vocabulary, and it seems like it's cropped up in the last 3 to 5 years as … Did we make a mistake not embracing Lean as an important model in the early years of the safety field … John Shook from the Lean Enterprise Institute spent many years at Toyota. … I think it's multiple years.

303. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33809/psn-pdf
     June 01, 2016 - Looking at the evolution of patient safety science over the last 20–25 years, we have really started … RW: You were very involved in the early years of safety in lots of roles, including at AHRQ. … As you reflect back over 15 or 20 years of experience, has anything surprised you in terms of content … RW: About 10 years ago, I interviewed Brian Sexton about safety culture, one of the world's experts. … A few years ago for the series, I called him back to do an update on safety culture.

304. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33730/psn-pdf
     June 01, 2012 - RW: In the US over the last 5 to 10 years the main economic pressure to improve has shifted from the … What is the history in the UK over the last 5 to 10 years, and what are the parallels, differences, and … Regulation has progressively become a much more serious matter over the years, but it's not clear how … It was running for some years when An Organisation with a Memory was published. … As you know, there's been a big increase in spending in recent years under the Labour government.

305. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38909/psn-pdf
     September 02, 2009 - effect-work-hours-regulations-intensive-care-unit-mortality-united-states- teaching-hospitals Six 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

306. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39171/psn-pdf
     February 10, 2015 - Overall, Wachter gives the safety movement a "B–" grade, compared to the "C+" awarded 5 years ago. … psnet.ahrq.gov/primer/culture-safety https://psnet.ahrq.gov/issue/end-beginning-patient-safety-five-years-after-err-human

307. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44721/psn-pdf
     August 20, 2016 - 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

308. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43629/psn-pdf
     May 01, 2015 - examine physician performance after training, this study compared senior physicians (with 10 or more 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

309. The impact of patient and public involvement on UK NHS health care: a systematic review. | PSNet
     psnet.ahrq.gov/issue/impact-patient-and-public-involvement-uk-nhs-health-care-systematic-review
     January 15, 2025 - August 18, 2021 A medication error prevention survey: five years of results. … 3, 2014 Identification of poor performance in a national medical workforce over 11 years

310. Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience | PSNet
     psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-i-dana-farber-cancer-institute
     December 23, 2020 - Weingart, Director of the Center for Patient Safety at DFCI, to reflect on the lessons of the past 10 years … The media reported the event intensively, with 28 front-page headlines over the next 3 years. … During those years, another patient, Maureen Bateman, also had a cyclophosphamide overdose and suffered … Eight years ago, we established and nurtured adult and pediatric patient and family advisory councils … "( 2 ) In fact, we reported to the Globe 8 years of data from our confidential incident reporting system

311. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33694/psn-pdf
     April 01, 2010 - In 11 years, through its endorsement of measures that have fueled public reporting and pay-for-performance … We do review all measures at a minimum every 3 years, as a part of our maintenance process. … About 3 years ago, our Board of Directors expanded the mission of NQF. … Now it's taken quite a few years and, frankly, the progress there has been too slow. … That's where we've made the least progress in the last 10 years.

312. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33764/psn-pdf
     April 01, 2014 - 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.

313. Perioperative team-based morbidity and mortality conferences: a systematic review of the literature. | PSNet
     psnet.ahrq.gov/issue/perioperative-team-based-morbidity-and-mortality-conferences-systematic-review-literature
     November 29, 2023 - Surgical teams' attitudes about surgical safety and the surgical safety checklist at 10 years … June 24, 2020 10 years in, why time out still matters.

314. Introducing the Redesigned AHRQ Patient Safety Network | PSNet
     psnet.ahrq.gov/perspective/introducing-redesigned-ahrq-patient-safety-network
     December 01, 2005 - RIS Download Citation Editorial It's hard to believe that it has been 15 years … Within a few years, we began confronting the opposite challenge—as research began to emerge on everything … Over the years, we have added features such as Patient Safety Primers and the education database. … filled specific needs in the world of patient safety, the boundaries between them have blurred over the years … team at Silverchair, and our colleagues at AHRQ for their support of these efforts for the past 15 years

315. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42245/psn-pdf
     July 22, 2013 - patient safety consequences of diagnostic errors have been receiving greater attention in the past few years … The authors analyzed 25 years of closed malpractice claims from the National Practitioner Data Bank

316. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40165/psn-pdf
     December 29, 2014 - were experiencing a care coordination problem, having seen four or more doctors within the past 2 years … , and having used the emergency department in the last 2 years.

317. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38744/psn-pdf
     July 01, 2009 - patient-safety-indicators-overview https://psnet.ahrq.gov/issue/mortality-among-hospitalized-medicare-beneficiaries-first-2-years-following-acgme-resident … https://psnet.ahrq.gov/issue/mortality-among-hospitalized-medicare-beneficiaries-first-2-years-following-acgme-resident

318. What Was in Those Platelets? | PSNet
     psnet.ahrq.gov/web-mm/what-was-those-platelets
     August 28, 2024 - Prior to routine HIV screening of blood donors 23 years ago, and prior to routine HCV screening 18 years … of blood has been a well-recognized and documented problem in transfusion therapy for more than 60 years … By comparison, the two leading causes of transfusion-related deaths reported to the FDA for fiscal years … Transfusion errors in New York state: an analysis of 10 years' experience. … Fatalities Reported to FDA Following Blood Collection and Transfusion: Annual Summary for Fiscal Years

319. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33724/psn-pdf
     February 01, 2012 - Lawrence Smith: My concern many years ago was that residents were undersupervised. … RW: What do you think of the trend of increased supervision that has developed over the past 20 years … They're willing to put 5 years of observe, second, and first assist work through their residency. … But, I think it was important to understand that this training program watching him for 4 years had … RW: What do you think this issue will look like 5 or 10 years from now?

320. Becoming a Certified Professional in Patient Safety—A Registered Nurse's Perspective | PSNet
     psnet.ahrq.gov/perspective/becoming-certified-professional-patient-safety-registered-nurses-perspective
     June 01, 2016 - nurse, patient safety officer, and director of accreditation for a large health care system for many years … After 12 years of working in the fields of patient safety and harm avoidance, I realized that I needed … Looking at the evolution of patient safety science over the last 20–25 years, we have really started … RW : You were very involved in the early years of safety in lots of roles, including at AHRQ. … A few years ago for the series, I called him back to do an update on safety culture .