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Total Results: 580 records

Showing results for "last months".

441. In Conversation With… Robert M. Wachter, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-robert-m-wachter-md
     August 01, 2015 - Particularly over the last 20 or 30 years—I liken it to a Christmas tree on which we're hanging so many … If you were a quality department, you could pull the chart 3 months later and see what the doctor wrote … Silicon Valley has figured out in the last year or two that health care is the only part of the economy … Perspective Despite the widespread adoption of electronic health records (EHRs) over the last

442. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851870/psn-pdf
     July 31, 2023 - For example, we had an event a few months ago where a patient‘s finger was amputated in a wheelchair. … For example, for nurses, safety training should start from the first day of nursing school and last

443. How Does Health Care Simulation Affect Patient Care? | PSNet
     psnet.ahrq.gov/perspective/how-does-health-care-simulation-affect-patient-care
     August 01, 2018 - The primary role for simulation for the last 20 years has been in training. … And that happens once every 18 months. Do they do too much? … RW : Looking back over the last 10 to 20 years of research, how would you summarize what the research … competence, one could see ongoing assessment of practitioners along the lines of a paper we published last

444. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50841/psn-pdf
     January 29, 2020 - relevant financial relationships as “financial relationships in any amount occurring within the past 12 months … infections such as the human immunodeficiency virus (HIV) and hepatitides have plummeted over the last

445. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838900/psn-pdf
     October 27, 2022 - relevant financial relationships as “financial relationships in any amount occurring within the past 24 months … Thus, in cases of serial drain removal, a radiograph should be performed following removal of the last

446. Postdischarge Follow-Up Phone Call | PSNet
     psnet.ahrq.gov/web-mm/postdischarge-follow-phone-call
     May 19, 2021 - prescriptions, issues relating to medication management, and new or worsening symptoms.( 10-12 ) In the last … Telephone follow up in patients with CHF was associated with fewer hospital days and readmissions in the 6 months

447. When the Lytes Go Out: A Case of Inpatient Cardiac Arrest | PSNet
     psnet.ahrq.gov/web-mm/when-lytes-go-out-case-inpatient-cardiac-arrest
     February 01, 2023 - relevant financial relationships as “financial relationships in any amount occurring within the past 12 months

448. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49415/psn-pdf
     September 01, 2003 - identified in 61% of the 42 events that have been reviewed by the Sentinel Event Committee over the last

449. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33820/psn-pdf
     December 01, 2016 - RW: What do you think the lessons of the last 15 or so years have been as we've tried to apply this

450. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49809/psn-pdf
     October 01, 2017 - all phototherapy devices; and that a label is placed on each device with the date and time of the last

451. In Conversation with Lucy Savitz about Learning Health Systems for Patient Safety | PSNet
     psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learning-health-systems-patient-safety
     February 26, 2025 - Lucy Savitz: I have been working for the last 5 years with a volunteer group across the nation spearheaded … They had tried 52 ways to address this over the last year, and only four had any evidence behind them

452. Learning Health Systems for Patient Safety | PSNet
     psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
     February 26, 2025 - Lucy Savitz: I have been working for the last 5 years with a volunteer group across the nation spearheaded … They had tried 52 ways to address this over the last year, and only four had any evidence behind them

453. Intubation Mishap | PSNet
     psnet.ahrq.gov/web-mm/intubation-mishap
     April 26, 2023 - identified in 61% of the 42 events that have been reviewed by the Sentinel Event Committee over the last

454. Primary Care and Patient Safety: Opportunities at the Interface | PSNet
     psnet.ahrq.gov/perspective/primary-care-and-patient-safety-opportunities-interface
     September 28, 2022 - Page last reviewed November 2018. Accessed August 10, 2022. … Page last reviewed September 27, 2019. Accessed March 10, 2022. … Over the last 25 years since the IOM report “Crossing the Quality Chasm,” patient safety has been a … been times when somebody had an abnormal blood test that didn’t get reported back to the patient for months … Jones in the last week and maybe there’s an outbreak of something.

455. In Conversation With... James P. Bagian, MD, PE | PSNet
     psnet.ahrq.gov/perspective/conversation-james-p-bagian-md-pe
     February 26, 2025 - RW : What do you think the lessons of the last 15 or so years have been as we've tried to apply this

456. Diagnostic Error | PSNet
     psnet.ahrq.gov/curated-library/diagnostic-error
     September 14, 2025 - Subscribe Created By: Karen Cosby, AHRQ Date Created: May 8, 2024 Last

457. Medication Safety in Nursing Homes: What's Wrong and How to Fix It | PSNet
     psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it
     August 01, 2012 - care facilities indicated that the overall rate of adverse drug events was nearly 10 per 100 resident-months … severe events (i.e., serious, life-threatening, or fatal events) occur at a rate of 2.5 per 100 resident-months … But one thing that you really cannot improve is: for many residents this is their last place.

458. In Conversation with...Sir Liam Donaldson, MD, MSc | PSNet
     psnet.ahrq.gov/perspective/conversation-withsir-liam-donaldson-md-msc
     May 01, 2007 - short paper, we outline the evolution of patient safety and trace its development and progress over the last … "( 11 ) Following a review of progress during 2006, the Department of Health issued a document last December … Considerable progress has been made in some respects in the last 5 years.

459. In Conversation with…Jack Barker, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-withjack-barker-phd
     January 01, 2006 - And we always tell people to plan on at least 12 to 18 months, or perhaps even 2 to 3 years, before you … He's had the same cleaning lady for probably the last 4 or 5 years but never knew her first name. … Over the last 6 years, health care reporting systems have proliferated, and some have become well established

460. Becoming a Certified Professional in Patient Safety—A Registered Nurse's Perspective | PSNet
     psnet.ahrq.gov/perspective/becoming-certified-professional-patient-safety-registered-nurses-perspective
     June 01, 2016 - Looking at the evolution of patient safety science over the last 20–25 years, we have really started … major changes that I tried to make in health care organizations that I've been associated with over the last