-
psnet.ahrq.gov/issue/managing-patients-identical-names-same-ward
November 16, 2022 - evaluates the experience of managing two patients with identical names in the same ward over a five-month
-
psnet.ahrq.gov/issue/effect-prescriber-notifications-patients-fatal-overdose-opioid-prescribing-4-12-months
October 06, 2021 - received notification, total weekly MME continued to decrease more than the control group during the 4-12 month
-
psnet.ahrq.gov/node/47735/psn-pdf
June 24, 2019 - errors and calculated excess claim costs
due to medical errors of more than $617 million over a 12-month
-
psnet.ahrq.gov/node/40508/psn-pdf
June 08, 2011 - issues with the work environment
and information technology, were then prospectively monitored over a 6-month
-
psnet.ahrq.gov/node/38123/psn-pdf
June 10, 2010 - related to equipment problems,
including more than 500 incidents of overt equipment failure during a 6-month
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psnet.ahrq.gov/node/34894/psn-pdf
July 10, 2008 - than 3300 nursing home residents,
investigators reported greater odds of being hospitalized in the month
-
psnet.ahrq.gov/issue/patient-hand-initiation-and-evaluation-phone-study-randomized-trial-patient-handoff-methods
December 20, 2023 - This randomized trial compared a formal patient handoff process to a focused one over a 10-month period
-
psnet.ahrq.gov/issue/evaluation-measure-dx-resource-accelerate-diagnostic-safety-learning-and-improvement
February 07, 2024 - This article describes the efforts of 11 healthcare organizations' implementation and six-month sustainment
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psnet.ahrq.gov/node/612828/psn-pdf
February 23, 2022 - His serum creatinine decreased
postoperatively but began to increase about a month later. … function with decreasing creatinine; however, his post-transplant laboratory
tests after the first month … His worsening creatinine at
one month, however, did appropriately lead to transplant kidney ultrasound
-
psnet.ahrq.gov/node/836844/psn-pdf
April 07, 2022 - During the 12-month study period, findings show that the TRANSAFE Rx intervention significantly reduced
-
psnet.ahrq.gov/node/42706/psn-pdf
December 13, 2013 - attending hospitalists, 40% of respondents reported an unsafe, high workload at
least once in the prior month
-
psnet.ahrq.gov/node/45445/psn-pdf
September 27, 2016 - implement
a new bedside handoff process and reports positive reactions from nurses and patients one month
-
psnet.ahrq.gov/node/47305/psn-pdf
March 19, 2019 - Over a 20-month period, 601 out of 1519 patient cases were accepted by the UDN for evaluation.
-
psnet.ahrq.gov/node/34787/psn-pdf
March 28, 2005 - medication-misadventures-resulting-emergency-department-visits-hmo-
medical-center
During this 12-month
-
psnet.ahrq.gov/node/46116/psn-pdf
May 24, 2017 - approaches to develop and test a method of entering weights that eliminated these errors during
the 6-month
-
psnet.ahrq.gov/node/45795/psn-pdf
May 24, 2017 - This randomized trial compared a formal patient handoff process to a focused one over a 10-month period
-
psnet.ahrq.gov/node/45640/psn-pdf
September 01, 2018 - Investigators analyzed 125 adverse event cases from 5 New York City hospitals over a 22-month period
-
psnet.ahrq.gov/node/45767/psn-pdf
April 17, 2017 - Drawing from 889 medication error reports submitted over a 6-month
period, this analysis found that
-
psnet.ahrq.gov/node/46000/psn-pdf
April 26, 2017 - presenting to an ambulatory clinic following an emergency department visit for minor trauma over a 6-
month
-
psnet.ahrq.gov/issue/using-kotters-change-model-implementing-bedside-handoff-quality-improvement-project
September 23, 2020 - implement a new bedside handoff process and reports positive reactions from nurses and patients one month