-
psnet.ahrq.gov/node/33572/psn-pdf
December 15, 2024 - Last reviewed in 2024. … a stunning reduction in line infections, with many ICUs completely
eliminating line infections for months
-
psnet.ahrq.gov/node/33833/psn-pdf
May 01, 2017 - randomized controlled trials on this issue that establish the efficacy
of opioids are short term; they last … those to people who would never have
been in those studies, people who are on them for years, not months … The pain relief, if you look at the
RCTs, clearly attenuates with time, even in the course of a few months … I'll make one last point about these subtle harms. … and it's
easy to impute causality when a person comes in with a massive upper GI bleed after a few months
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psnet.ahrq.gov/node/49460/psn-pdf
September 01, 2004 - Several months later, during the course of one of the student's clinical clerkships, he again mentioned … elapsed between the
student's initial identification of the problem and the hospital's solution was 18 months … I spoke to (in patient records, computer services, etc.) forwarded me to someone
else, until I at last
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.224_slideshow.ppt
October 01, 2010 - Dangerous Dialysis (3)
The patient was tested for HIV and hepatitis viruses and was treated for 3 months … survey of dialysis center staff, 87% acknowledged a mistake or error in a dialysis treatment in the last … 3 months
See Notes for references
-
psnet.ahrq.gov/issue/simulation-healthcare
November 23, 2014 - November 23, 2014
Remember that patient you saw last week: characteristics and frequency
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psnet.ahrq.gov/web-mm/patient-mix
December 01, 2007 - Overnight, another man with the last name Smith (Raymond Smith [not his real name]) was admitted to the … The problem of patients with the same or similar last names is common but unstudied. … name, Chan, and three other pairs of similar sounding last names (eg, Pena and Pineda). … We found that from December 2000 to February 2001, the service had 2 patients with the same last name … On two of these days, more than one pair of patients with matching last names was on the service.
-
psnet.ahrq.gov/perspective/conversation-withbradley-t-rosen-md-mba
March 01, 2008 - We have analyzed all data for the last 15 years, and our major and minor complication rate for all of … that goes into making sure that once the line is placed, the line is well cared for so that it can last … we have found that, certainly what my experience personally was, it takes somewhere between 3 to 6 months … Additionally, weeks to months would elapse before a resident could perform another similar procedure, … 2 procedures: 4.5* or greater
No areas of deficiency identified on last 2
-
psnet.ahrq.gov/node/60329/psn-pdf
May 14, 2020 - Over the last
5 years or so, we’ve really made an additional effort to leverage our remote medicine … I am on the ground, at a facility that wasn’t using
telemedicine 6 months ago and is now suddenly using … NS: Just last night we were recording a video showing how a clinician can walk a patient through an … at implementation of a telehealth program, with both small and large
practices it typically takes months … Therefore you need to be thoughtful when you’re
doing multiple months/years’ worth of work within a
-
psnet.ahrq.gov/node/74226/psn-pdf
February 01, 2019 - In the last 10 years, overdose deaths have more than doubled in
the United States.5 As one response … SUDs, overdose, and suicide.10 For example, the suicide rate in
veterans has been increasing in the last … STORM is one of many national
opioid safety initiatives implemented in the last 5 to 10 years. … At 9 months, a randomly selected half of facilities expanded the case review mandate to
cover patients … At 15 months, the other half of facilities expanded the
case review mandate to cover patients in the
-
psnet.ahrq.gov/perspective/creation-medical-procedure-service-improve-patient-safety
March 01, 2008 - Additionally, weeks to months would elapse before a resident could perform another similar procedure, … Minimum of 7 documented and supervised procedures
Average overall score on last … 2 procedures: 4.5* or greater
No areas of deficiency identified on last 2 … We have analyzed all data for the last 15 years, and our major and minor complication rate for all of … we have found that, certainly what my experience personally was, it takes somewhere between 3 to 6 months
-
psnet.ahrq.gov/innovation/remote-response-team-and-customized-alert-settings-help-improve-management-sepsis
February 26, 2025 - For the first few months, the WellSpan team spent time analyzing the data as part of rapid-cycle troubleshooting … Results
In the last 12 months of a 28-month study following implementation, the median monthly mortality
-
psnet.ahrq.gov/node/60242/psn-pdf
March 01, 2021 - Utilization in Low-Income Seniors and other High-Risk
Populations
Originally published on June 12, 2020
Last … 200 percent of the Federal poverty level, have had one or more
primary care visits in the past 12 months … ago increased from 36% at enrollment to 64% at 9 months (p =
0.002). … In comparing the 12 months before the GRACE intervention and the 25 months after the intervention, … after enrollment compared to 6 months before enrollment.
-
psnet.ahrq.gov/node/849661/psn-pdf
June 28, 2023 - relevant
financial relationships as “financial relationships in any amount occurring within the past 24 months … to the SOAP guidelines, with recommendations to place
neuraxial block at least 4-6 hours after the last … dose of UFH and 12 hours after the last dose of LMWH.20
By contrast, both ACOG and ACCP list LMWH as … that of SEH, even in the setting of recent prophylactic anticoagulation.21,22 However, the dose
and last … dose of UFH
5,000-7,500 units and 12 hours from the last dose of LMWH 40 mg.
-
psnet.ahrq.gov/web-mm/hurried-team-huddle-and-poor-communication-unsafe-practice-during-anesthesia-emergency
September 27, 2023 - relevant financial relationships as “financial relationships in any amount occurring within the past 24 months … to the SOAP guidelines, with recommendations to place neuraxial block at least 4-6 hours after the last … dose of UFH and 12 hours after the last dose of LMWH. 20 By contrast, both ACOG and ACCP list LMWH … these checklists should be adapted as needed, and review of anticoagulant name, dose, and timing of last … dose of UFH 5,000-7,500 units and 12 hours from the last dose of LMWH 40 mg.
-
psnet.ahrq.gov/node/33592/psn-pdf
December 15, 2024 - Last reviewed in 2024. … Twenty-two months later, after a 14-kg (30 lb) weight loss, he was admitted to a
https://psnet.ahrq.gov
-
psnet.ahrq.gov/node/49387/psn-pdf
February 01, 2003 - Overnight, another man with the last name Smith
(Raymond Smith [not his real name]) was admitted to … The problem of patients with the same or similar last names is common but unstudied. … name, Chan, and three other pairs of similar sounding last names (eg, Pena and Pineda). … We found that from December 2000 to February 2001, the service had 2 patients with the
same last name … On two of these days, more than one pair of patients with
matching last names was on the service.
-
psnet.ahrq.gov/issue/crisis-undiagnosed-cancers-emerging-pandemics-second-year
November 30, 2022 - July 22, 2020
The last person you'd expect to die in childbirth.
-
psnet.ahrq.gov/web-mm/security-lapse
December 18, 2019 - Several months later, during the course of one of the student's clinical clerkships, he again mentioned … elapsed between the student's initial identification of the problem and the hospital's solution was 18 months … person I spoke to (in patient records, computer services, etc.) forwarded me to someone else, until I at last
-
psnet.ahrq.gov/primer/checklists
September 15, 2024 - Last reviewed in 2024. … a stunning reduction in line infections, with many ICUs completely eliminating line infections for months
-
psnet.ahrq.gov/perspective/update-safety-culture
January 22, 2020 - In one system, never events occurred once every 38 months when more than 60% of surgical suite personnel … perceived safety as good or excellent, versus once every 12 months in surgical areas with scores below … educating clinicians about how teamwork can effectively counteract these stressors.( 12,13 )
The last