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psnet.ahrq.gov/node/33857/psn-pdf
July 01, 2012 - 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/node/33789/psn-pdf
August 01, 2015 - Over the course of thousands of years it took on additional functions. … What do you think will ultimately be different in 10 years compared to where we are now? … About 10 years ago Facebook was just founded. I
don't think there was Twitter. … Today that's 5%, and in a few years it will be 10% or 15% or
more. … Years 5 through 10, the tools are in place, now
they're talking to each other.
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psnet.ahrq.gov/node/33783/psn-pdf
April 01, 2015 - 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/when-misdiagnosis-child-abuse
June 09, 2021 - March 9, 2022
20 years after To Err Is Human: a bibliometric analysis of ‘the IOM report … September 16, 2020
Doctors turned my sister away; less than two years later she died
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psnet.ahrq.gov/perspective/conversation-ann-gaffey-rn-msn-cphrm-and-bruce-spurlock-md
March 30, 2020 - We have had CPOE [computerized provider order entry] for years, but as patient engagement with technology … 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. … and the ambulatory space and that’s going to be a big topic to work through in the next five to ten years … There is this great desire to get the rate to 0, but in ten years we will say that we’ve achieved 98%
-
psnet.ahrq.gov/perspective/making-healthcare-safer-iii-report
March 30, 2020 - We have had CPOE [computerized provider order entry] for years, but as patient engagement with technology … 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. … and the ambulatory space and that’s going to be a big topic to work through in the next five to ten years … There is this great desire to get the rate to 0, but in ten years we will say that we’ve achieved 98%
-
psnet.ahrq.gov/sites/default/files/2022-02/final_cme_reviewed_spotlight_loss_of_trust_and_a_missed_diagnosis_02.14.20221_-_clean_-_revised.pdf
January 01, 2022 - TRUST AND A MISSED
DIAGNOSIS
Missed lung cancer diagnosis in an older women with history of
50 pack-years … (1)
• A 65-year-old woman with a past medical history of
hypothyroidism, depression, and 50 pack-years … • The USPSTF recommends that patients between the ages of 50
and 80 years who >20 pack-year smoking … history, and who
currently smoke or who have stopped smoking in the previous 15
years, undergo annual … • Patients between the ages of 50 and 80 years, who have at least a 20
pack-year smoking history and
-
psnet.ahrq.gov/node/49870/psn-pdf
August 10, 2019 - A colonoscopy for colorectal cancer screening was normal 2 years prior
to this presentation. … He was told that he would not need a repeat colonoscopy because his had not shown any lesions
2 years … Four months later—2 years after his initial presentation—his hemoglobin fell again to 7.4 g/dL, and the … Richter, MD
This patient repeatedly presented with anemia, the cause of which was only discovered 2 years … adults age 50 to 75 should be screened for colorectal cancer, with subsequent intervals of
every 10 years
-
psnet.ahrq.gov/node/840175/psn-pdf
November 16, 2022 - or risk factor(s) for stroke, such as hypertension, diabetes, congestive
heart failure, or age >75 years … only approximately 1 year (mean = 13
months, range 4-35 months) thereafter, for an average of 7.25 years … After 5 and 10 years, 70% and 59%
of these patients, respectively, had no clinical thromboembolic events … Outcomes 15 years after valve replacement with
a mechanical versus a bioprosthetic valve: final report … A follow-up study from 1 to 15 years. Eur J Cardiothorac Surg.
1992;6:62–5.
-
psnet.ahrq.gov/perspective/conversation-gregg-s-meyer-md-msc
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 … Five years ago, there really was only one fellowship opportunity, through the National Patient Safety … A few years ago for the series, I called him back to do an update on safety culture .
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psnet.ahrq.gov/issue/quantifying-and-characterizing-adverse-events-dermatologic-surgery
November 16, 2022 - Cheek
March 1, 2012
Determining the safety of office-based surgery: what 10 years … of Florida data and 6 years of Alabama data reveal.
-
psnet.ahrq.gov/issue/multistep-approach-improving-biopsy-site-identification-dermatology-physician-staff-and
October 12, 2022 - wrong-side, wrong-organ, wrong-procedure, or wrong-person surgical errors: a retrospective study for 10 years … Cases
Turn the Other Cheek
March 1, 2012
Outcome of 6 years
-
psnet.ahrq.gov/issue/addressing-physician-burnout-way-forward
December 02, 2020 - Changes in burnout and satisfaction with work-life integration in physicians over the first 2 years … February 23, 2018
What have we learnt after 15 years of research into the 'weekend effect
-
psnet.ahrq.gov/issue/characteristics-medical-liability-claims-against-dermatologists-1991-through-2015
July 29, 2020 - March 19, 2018
Determining the safety of office-based surgery: what 10 years of Florida … data and 6 years of Alabama data reveal.
-
psnet.ahrq.gov/issue/time-change-injury-and-trauma-care-delivery-trauma-death-review-analysis
November 21, 2021 - October 15, 2014
Four years' experience with a hospitalist-led medical emergency team … prevention and early intervention of adverse events in pediatric cardiac catheterization: a review of three years
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psnet.ahrq.gov/issue/educational-interventions-improve-handover-health-care-systematic-review
August 04, 2021 - April 6, 2011
Ten years after the IOM report: engaging residents in quality and patient … July 14, 2010
Practising safely in the foundation years.
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psnet.ahrq.gov/issue/zero-preventable-deaths-after-traumatic-injury-achievable-goal
March 24, 2021 - the Same Author(s)
Changes in error patterns in unanticipated trauma deaths during 20 years … January 19, 2022
Changes in error patterns in unanticipated trauma deaths during 20 years
-
psnet.ahrq.gov/issue/medication-injection-safety-knowledge-and-practices-among-anesthesiologists-new-york-state
August 25, 2021 - August 28, 2017
10 years in, why time out still matters. … December 18, 2014
Adverse event reporting: lessons learned from 4 years of Florida office
-
psnet.ahrq.gov/issue/are-they-safe-there-patient-safety-and-trainees-practice
September 22, 2021 - June 20, 2012
Ten years after the IOM report: engaging residents in quality and patient … January 4, 2011
Practising safely in the foundation years.
-
psnet.ahrq.gov/issue/impact-rvu-based-compensation-patient-safety-outcomes-outpatient-otolaryngology-procedures
October 19, 2022 - October 31, 2012
Toward safer practice in otology: a report on 15 years of clinical negligence … September 22, 2010
Adverse event reporting: lessons learned from 4 years of Florida office