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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866847/psn-pdf
    September 25, 2024 - knowledge of this evidence-based process bundle, units and organizations began tracking “days since last … And when that CEO left, those organizations lost those gains in a matter of months when the new CEO
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851389/psn-pdf
    July 31, 2023 - over patient safety issues associated with inadequate tracking of test results has grown over the last … recognition to diagnosis, and finally to the initiation of lung cancer treatment is more than 4 ½ months … The creation and validation of registries and reports can take six months with input from various clinical … found that often manual chart review was necessary to validate report results and took close to six months
  3. psnet.ahrq.gov/web-mm/delayed-diagnosis-mesenteric-ischemia
    March 31, 2021 - relevant financial relationships as “financial relationships in any amount occurring within the past 24 months … She was seen by her PCP three times over the subsequent six months, each time following an Emergency … requiring additional operations, experienced cachexia despite parenteral nutrition, and died of sepsis 3 months
  4. psnet.ahrq.gov/innovation/michigan-hospital-medicine-safety-consortium-hms-finds-infectious-diseases-id-physician
    July 23, 2024 - Addressed Use of peripherally inserted central catheters (PICCs) in healthcare has increased in the last … observational study of the initiative included data collection over a period of four years and seven monthsLast reviewed March 5, 2021. Accessed November 17, 2021. … Last reviewed December 16, 2021. Accessed December 22, 2021.
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/84413/psn-pdf
    February 23, 2022 - relevant financial relationships as “financial relationships in any amount occurring within the past 24 months … She returned to her PCP a few months later and reported persistent pain. … pain over 6 weeks, with complete resolution in over 50% of patients by 12 weeks after onset.20 A few monthsLast AR, Hulbert K. Chronic low back pain: evaluation and management.
  6. psnet.ahrq.gov/sites/default/files/2024-11/spotlight_case_neurological_red_flags_final.pptx
    January 01, 2024 - Diagnosis of Acute Dizziness 12 The History (3) However, accumulating research findings from the last … Although there is significant overlap, over 60% of TIAs last less than one hour,23 and vestibular migraine … can last up to 72 hours.24 Multiple clinical factors can help distinguish TIA from vestibular migraine … over time Gradual in ~40% Variable but often > 1 hour Multiple prior attacksb common, occurring over months … or neck trauma less likely • Gradual symptom onset, duration minutes - days, multiple attacks over months
  7. psnet.ahrq.gov/perspective/conversation-joel-willis-do-pa-ma-mphil-and-neal-sikka-md
    May 14, 2020 - Over the last 5 years or so, we’ve really made an additional effort to leverage our remote medicine experiences … 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 … look 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 few
  8. psnet.ahrq.gov/curated-library/patient-team-member-clinical-care
    March 15, 2025 - Kendall Hall, AHRQ PSNet Team Date Created: October 23, 2023 Last Updated: September … The analysis found that 4,830 patients (21%) perceived a mistake in one or more notes in the past 12 months … Page 1 Page 2 Next page Next › Last … page Last »
  9. psnet.ahrq.gov/perspective/telehealth-and-patient-safety-during-covid-19-response
    May 14, 2020 - Over the last 5 years or so, we’ve really made an additional effort to leverage our remote medicine experiences … 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 … look 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 few
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33839/psn-pdf
    August 01, 2017 - standard policy arm, 13% of residents reported having to leave in the middle of an operation in the last … It was odd because we were already nearly 18 months into the trial. … They put together a group that worked over the course of 18 months to take testimony from all stakeholders
  11. psnet.ahrq.gov/perspective/conversation-david-juurlink-md-phd
    May 22, 2017 - randomized controlled trials on this issue that establish the efficacy of opioids are short term; they last … 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. … needed, a very slow gradual taper, you will often have a patient who feels better as a result a few months … and it's easy to impute causality when a person comes in with a massive upper GI bleed after a few months
  12. psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
    May 01, 2017 - randomized controlled trials on this issue that establish the efficacy of opioids are short term; they last … 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. … needed, a very slow gradual taper, you will often have a patient who feels better as a result a few months … and it's easy to impute causality when a person comes in with a massive upper GI bleed after a few months
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33781/psn-pdf
    March 01, 2015 - The new Chairman said last year that the old Care Quality Commission was like a fish rotten from the … And we did have a campaign at the beginning of last year to get the head of the NHS to resign, and he
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73526/psn-pdf
    July 28, 2021 - She was asked to provide her last name, but no other identifying information. … patient was inadvertently dispensed spironolactone that was meant for a different patient with the same last … the requirement to utilize two patient identifiers was not met due to recognition of the patient’s last … As opposed to two unique patient identifiers, such as patient’s first and last name, street address, … and/or date of birth, the pharmacy staff required only a last name from the patient.
  15. psnet.ahrq.gov/web-mm/benefits-vs-risks-intraosseous-vascular-access
    September 01, 2005 - After 2 months in the ICU and multiple complications, the patient was discharged. … For example, in the 12 months following the initial rollout of the IO device in the Dallas area ( 7 )
  16. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2022-12/spotlight_case_strongyloides_final_11.21.22.pdf
    January 01, 2022 - • Two months ago, he had worsening abdominal pain and was found to have gangrenous cholecystitis and … – Since strongyloidiasis can last for life, ideally all persons at risk should be screened, but it
  17. psnet.ahrq.gov/perspective/conversation-susan-e-skochelak-md-phd
    February 01, 2019 - Most students have a core of maybe 18 months that they have to complete, and then a lot of freedom in … SS : In the last decade, the approach to training our physicians in medical school has deeply changed … rotations earlier, so it's not unusual for students to be entering actual clerkships after 12 to 18 months … But in the last 10 years, we've also seen a shift in the way we store and move information around to … Professionalism lapses and adverse childhood experiences: reflections from the island of last
  18. psnet.ahrq.gov/perspective/ahrq-psnet-annual-perspective-impact-covid-19-pandemic-patient-safety
    August 31, 2020 - In the early months of the pandemic, the symptoms of the disease and details about how it was transmitted … In the early months of the COVID-19 pandemic, countries sought innovative alternative solutions when … anecdotal information, rather than rigorous evidence-based study, as was the case in the first few months … also age, particularly given the critical role telehealth and technology access has played over the last
  19. psnet.ahrq.gov/web-mm/new-patient-mistakenly-checked-another
    October 01, 2013 - Unknown to him, the physician he selected had another patient with the exact same first and last name … along with a note advising him to modify his diet and engage in a weight loss program for the next 3 months … warned when they attempt to create a new record for a patient (or look up a patient) whose first and last
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49789/psn-pdf
    April 01, 2017 - Notably, in the last year the patient had been hospitalized 5 times for CHF exacerbations or pneumonia … She had experienced a clear functional decline in the previous 3 months. … Health care costs in the last week of life: associations with end- of-life conversations.

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