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psnet.ahrq.gov/node/50803/psn-pdf
January 15, 2020 - psnet.ahrq.gov/issue/patient-safety-reporting-qualitative-study-thoughts-and-perceptions-experts-15-years-after
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psnet.ahrq.gov/node/73872/psn-pdf
September 22, 2021 - https://psnet.ahrq.gov/issue/parenteral-nutrition-errors-and-potential-errors-reported-over-past-10-years
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psnet.ahrq.gov/node/837909/psn-pdf
August 24, 2022 - This article discusses how an artificial
intelligence program at one hospital over two years contributed
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psnet.ahrq.gov/node/851071/psn-pdf
June 28, 2023 - transplant center and the
organizational-level factors that allowed these errors to continue for several years
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psnet.ahrq.gov/node/73124/psn-pdf
April 07, 2021 - psnet.ahrq.gov/issue/safety-and-quality-perioperative-anesthesia-care
https://psnet.ahrq.gov/issue/40-years-behind-mask-safety-revisited
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psnet.ahrq.gov/node/838139/psn-pdf
September 21, 2022 - guidelines-opioid-prescribing-children-and-adolescents-after-surgery-expert-panel-opinion
https://psnet.ahrq.gov/issue/pain-neglected-patient-safety-concern-five-years
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psnet.ahrq.gov/node/48113/psn-pdf
July 10, 2019 - This
news article reports on an analysis of 5 years of Medicare data that revealed particular physician
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psnet.ahrq.gov/perspective/conversation-edwin-loftin-dnp-mba-rn-nea-bc-fache
August 31, 2020 - I have been a nurse for 35 years, so I'm not young at this game. … Another experience that was of vital importance to me occurred just a couple of years ago when I met … KH : I assume that it takes time to see the culture shift, over years. … We had an event, I guess it's been eleven years ago now, in which I was called to a patient’s room. … One of the phrases that I've used around here for years is, be comfortable being uncomfortable.
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psnet.ahrq.gov/perspective/safety-across-board
August 31, 2020 - I have been a nurse for 35 years, so I'm not young at this game. … Another experience that was of vital importance to me occurred just a couple of years ago when I met … KH : I assume that it takes time to see the culture shift, over years. … We had an event, I guess it's been eleven years ago now, in which I was called to a patient’s room. … One of the phrases that I've used around here for years is, be comfortable being uncomfortable.
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psnet.ahrq.gov/node/72598/psn-pdf
January 01, 2021 - Based on five years of data
from one large hospital in Australia, the authors estimate that 1.05 per
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psnet.ahrq.gov/node/61124/psn-pdf
November 11, 2020 - patient-centered-insights-using-health-care-complaints-reveal-hot-spots-and-blind-spots
https://psnet.ahrq.gov/issue/doctors-turned-my-sister-away-less-two-years-later-she-died-cervical-cancer
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psnet.ahrq.gov/node/49566/psn-pdf
July 01, 2008 - 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
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psnet.ahrq.gov/node/33843/psn-pdf
October 01, 2017 - Baylor College of Medicine and
served as Infection Control Officer at Texas Children's Hospital for 22 years … Even in other industries, it has only been about 10 or 15 years since the
word has been introduced. … For instance, my wife for many years ran the pediatric
emergency medicine at our place. … Other businesses have been talking about
presenteeism for 10 to 15 years. … But in health care, we've just been talking about it for the last few years.
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psnet.ahrq.gov/node/33803/psn-pdf
January 01, 2015 - It's been
nearly 15 years since the IOM's initial report on patient safety galvanized the movement. … substantial progress, as evidenced by the remarkable improvement in hospital safety over the past few
years … Recent estimates are around 20 million fewer people uninsured than just a few years ago. … Full implementation of this agreement,
which will take a few years, will make progress on the "too many … RW: AHRQ has gotten into health IT in a major way over the last 5 or 6 years.
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psnet.ahrq.gov/perspective/role-graduate-medical-education-gme-improving-patient-safety
February 01, 2010 - these mandates, a record of accomplishment that will undoubtedly be built upon in the next several years … Mortality among patients in VA hospitals in the first 2 years following ACGME resident duty hour reform … RW: How do you think the ACGME's work has changed in the last 10 years with the modern patient safety … Looking back now 5 years later, how do you think that's gone? … Obviously, it's going to take us a few more years until we get those outcomes measurable.
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psnet.ahrq.gov/perspective/safety-considerations-building-point-care-ultrasound-program
June 01, 2018 - We decided from the very beginning that we wanted to have it integrated across all 4 years. … About 7 years ago, we started a primary care ultrasound fellowship. … RW : Will we be carrying stethoscopes in 5 or 10 years?
RH : Good question. … years. … Fortunately, the pace has accelerated rapidly in the last few years.
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psnet.ahrq.gov/perspective/strengthening-business-case-patient-safety
May 01, 2013 - The hospital withhold is set to increase over the first 5 years of the program, from 1% in FY 2013 to … I'm particularly sensitive to the theme that's come out in the last few years that, despite a lot of … It's been 4-plus years since his landmark paper in the New England Journal of Medicine that showed … AJ : In a survey a few years ago, we asked hospital board chairs to prioritize what they thought was … That to me is what the research agenda for patient safety has to focus on over the next 3 to 5 years.
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psnet.ahrq.gov/perspective/conversation-ashish-k-jha-md-mph
May 01, 2013 - I'm particularly sensitive to the theme that's come out in the last few years that, despite a lot of … My sense is that if 15 years ago one said, "Errors are caused by systems," people would look at you funny … We've implemented all sorts of systems and processes and yet the Landrigan study a few years ago showed … It's been 4-plus years since his landmark paper in the New England Journal of Medicine that showed … AJ : In a survey a few years ago, we asked hospital board chairs to prioritize what they thought was
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psnet.ahrq.gov/node/33672/psn-pdf
September 01, 2008 - So I'm hopeful that over the next couple of years we'll be able to have more
definitive studies that … There is some early evidence from the VA Hospital
showing that, over the years as barcode technology … RW: Bar coding seems like very old technology—we had it in the supermarket 20 years ago. … With the FDA ruling that was put
in place a few years ago that each medication used in the hospital … https://psnet.ahrq.gov/issue/cost-benefit-analysis-hospital-pharmacy-bar-code-solution
RW: Ten years
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psnet.ahrq.gov/web-mm/mechanical-prosthetic-valve-thrombosis-thromboembolism
August 21, 2005 - 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.