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Total Results: 580 records

Showing results for "last months".

341. A Statewide Collaborative to Support Vaginal Birth and Reduce Unnecessary Cesarean Deliveries | PSNet
     psnet.ahrq.gov/innovation/statewide-collaborative-support-vaginal-birth-and-reduce-unnecessary-cesarean-deliveries
     July 23, 2024 - 26,27   Date First Implemented 2006 Problem Addressed   In the last

342. In Conversation With… Gordon Schiff, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-gordon-schiff-md
     February 26, 2025 - RW : What have we learned in the last 5 or 10 years about trying to measure diagnostic errors? … We've just reviewed all the primary care malpractice cases for the last several years for the two big … I immediately ordered a CT scan, but 6 months later when I saw her in the clinic and I asked, whatever

343. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867672/psn-pdf
     February 26, 2025 - relevant financial relationships as “financial relationships in any amount occurring within the past 24 months … /#3 https://psnet.ahrq.gov//#4 The use of diagnostic imaging has increased significantly over the last … Over the last decade, observation units have been increasingly utilized to determine a patient’s need

344. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33688/psn-pdf
     October 01, 2009 - RW: In the last few minutes, you've mentioned cases that you heard of because of state inspection reports … RW: You and I know very well that the paradigm in the safety world in the last 10 years has shifted from … And you'd write that story and then 3 or 4 months later, another nurse would be accused of doing something

345. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33826/psn-pdf
     February 01, 2017 - Those projects will extend over months, not over minutes. … Over the last 15 years, you have another overlay—the patient safety and quality movements. … In health care over the last 5 to 7 years, we have become primarily a digital industry.

346. In Conversation with...David Marx, JD | PSNet
     psnet.ahrq.gov/perspective/conversation-withdavid-marx-jd
     October 01, 2007 - After a career focused on safety assessment and improvement in aviation, he has spent the last decade … If a patient has been harmed, we're looking for the person last to touch the patient.

347. In Conversation With... José A, Morfín, MD, FASN | PSNet
     psnet.ahrq.gov/perspective/conversation-jose-morfin-md-fasn
     April 28, 2021 - There's a lot of technology that has facilitated some of these safeguards over the last few years with

348. Inadequate Preanesthetic Evaluation, Airway Trouble | PSNet
     psnet.ahrq.gov/web-mm/inadequate-preanesthetic-evaluation-airway-trouble
     November 01, 2023 - Overall, rates of difficult and failed intubations have declined fourfold in the last decade. … risk by optimizing the patient's medical status often exists, but may require several days, weeks, or months

349. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49705/psn-pdf
     January 01, 2020 - that typically begins in the hands and feet) and referred to see a neurologist sometime in the next 3 months … Last, the second pair of providers who saw the patient did not seem to consider alternative diagnoses

350. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60857/psn-pdf
     August 26, 2020 - pain and swelling in left great toe associated with progressive deformity of the toenail for past 6 months … normal perfusion is restored in 1-3 hours.19 The anesthesia effect of these blocks is reported to last

351. In Conversation With… Lucian Leape, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-lucian-leape-md
     June 12, 2019 - They spent 5 months training people, having joint calls, doing data collection, and so forth before they … They've learned over the last 10 years how to get this to happen. … That seemed to dominate many safety conversations for the last 5 or 6 years.

352. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/845472/psn-pdf
     March 15, 2023 - patient has an appointment for a physical, but forgot to record their blood pressure readings for the last … If you only check a patient’s blood pressure once every six months, but it is regularly high for those … six months, then you could potentially intervene earlier than at the next physical appointment.

353. Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations | PSNet
     psnet.ahrq.gov/web-mm/misdiagnosis-small-bowel-obstruction-setting-previous-abdominal-operations
     September 27, 2023 - relevant financial relationships as “financial relationships in any amount occurring within the past 24 months … The use of diagnostic imaging has increased significantly over the last 20 years, driven largely by improved … Over the last decade, observation units have been increasingly utilized to determine a patient’s need

354. In Conversation with...Atul Gawande, MD, MA, MPH | PSNet
     psnet.ahrq.gov/perspective/conversation-withatul-gawande-md-ma-mph
     September 01, 2007 - For example, bariatric surgeons do gastric bypass surgeries that in the last decade have exploded in … RW: What is your view of the progress in the field of patient safety over the last several years? … In the last year, though, I would say there's been a remarkable turnaround in the way we've gone about … We became frustrated after we realized in the last several years that we had no idea if we were making

355. Harm From Alarm Fatigue | PSNet
     psnet.ahrq.gov/web-mm/harm-alarm-fatigue
     February 14, 2018 - SPOTLIGHT CASE Harm From Alarm Fatigue Citation Text: Pelter MM, Drew BJ. Harm From Alarm Fatigue. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Scholar BibTeX EndNote X3 X…

356. 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 … changes that I tried to make in health care organizations that I've been associated with over the last

357. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33807/psn-pdf
     May 01, 2016 - example, a prompt could come up indicating that this patient's heart rate has averaged 135 for the last … in the cardiac ICU who has this disease and has been having these problems, and knows that in the last

358. Patient Engagement and Patient Safety | PSNet
     psnet.ahrq.gov/perspective/patient-engagement-and-patient-safety
     February 01, 2013 - In just the past few months, the Commonwealth Fund reported a striking degree of international variation … encouraged to check their medications, ask providers to disinfect their hands, and notify clinicians of last-minute … to home, their concerns about safety, their views about what happened and what didn't happen in the last … For the first time at our last seminar, administrative leaders, staff, and clinicians came with the intent

359. Innovations in Promoting Hand Hygiene Compliance | PSNet
     psnet.ahrq.gov/perspective/innovations-promoting-hand-hygiene-compliance
     May 01, 2014 - The last element of the strategy was to push for a change toward hand hygiene as an essential element … culture, you may be pushed today to make sure that every single ward will compare the rates that they got last … month to this month, or those from the last quarter to this quarter. … We performed a literature review (in press) of 48 studies published up to the end of last year.

360. A Stroke of Error | PSNet
     psnet.ahrq.gov/web-mm/stroke-error
     February 01, 2016 - The history should center on establishing the time of symptom onset or the time the patient was last … with either placebo or intravenous rtPA (0.9 mg/kg, maximum dose 90 mg).( 10 ) Favorable outcomes at 3 months