Results

Total Results: 2,073 records

Showing results for "month".

181. Applying root cause analysis to improve patient safety: decreasing falls in postpartum women. | PSNet
     psnet.ahrq.gov/issue/applying-root-cause-analysis-improve-patient-safety-decreasing-falls-postpartum-women
     August 04, 2021 - findings to design a quality improvement intervention that significantly reduced the fall rate over a 6-month

182. Improving discharge safety in a pediatric emergency department. | PSNet
     psnet.ahrq.gov/issue/improving-discharge-safety-pediatric-emergency-department
     June 22, 2022 - Over a 19-month period, implementation of the revised discharge process led to the elimination of preventable

183. Retrospective review for medication dose errors in pediatric emergency department medication orders that bypassed pharmacist review. | PSNet
     psnet.ahrq.gov/issue/retrospective-review-medication-dose-errors-pediatric-emergency-department-medication-orders
     January 12, 2022 - Over 46,000 medication orders were placed in a 12-month period: of those, 32,000 bypassed pharmacist

184. A pause in pediatrics: implementation of a pediatric diagnostic time-out. | PSNet
     psnet.ahrq.gov/issue/pause-pediatrics-implementation-pediatric-diagnostic-time-out
     April 20, 2022 - implementation of diagnostic timeouts among eight pediatric hospital medicine providers over a 12-month

185. Pediatric clinician comfort discussing diagnostic errors for improving patient safety: a survey. | PSNet
     psnet.ahrq.gov/issue/pediatric-clinician-comfort-discussing-diagnostic-errors-improving-patient-safety-survey
     July 06, 2022 - Over a 2-month period, researchers surveyed pediatric clinicians to asses their comfort discussing medical

186. Prevented harm and cost avoidance with pharmacist intervention while utilizing a discharge medication reconciliation tool. | PSNet
     psnet.ahrq.gov/issue/prevented-harm-and-cost-avoidance-pharmacist-intervention-while-utilizing-discharge
     October 19, 2022 - This study found an estimate cost avoidance of $47,000 - $231,000 during one month in one hospital.

187. Therapeutic duplication on the general surgical wards. | PSNet
     psnet.ahrq.gov/issue/therapeutic-duplication-general-surgical-wards
     December 22, 2021 - After one month of education and reminders, the rate of therapeutic duplication decreased by more than

188. Elopement: evidence-based mitigation and management. | PSNet
     psnet.ahrq.gov/issue/elopement-evidence-based-mitigation-and-management
     October 19, 2022 - After implementation, the number of elopements occurring over a six-month period decreased from 34 to

189. Elimination of emergency department medication errors due to estimated weights. | PSNet
     psnet.ahrq.gov/issue/elimination-emergency-department-medication-errors-due-estimated-weights
     July 08, 2020 - approaches to develop and test a method of entering weights that eliminated these errors during the 6-month

190. Mother's Milk, but Whose Mother? | PSNet
     psnet.ahrq.gov/web-mm/mothers-milk-whose-mother
     November 15, 2023 - The Case A 2-month-old otherwise healthy infant was admitted to the hospital to rule out sepsis … The Commentary The case reveals a busy pediatric unit; a relatively healthy 2-month-old infant; an … Errors One pediatric hospital calculated the risk for breast-milk errors to be 1.04 errors per month

191. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43799/psn-pdf
     January 07, 2015 - psnet.ahrq.gov/issue/omission-high-alert-medications-hidden-danger Analyzing incidents reported over a 4-month

192. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44518/psn-pdf
     January 22, 2016 - immediate postcourse tests, but the group that included error training performed significantly better one month

193. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44519/psn-pdf
     December 02, 2015 - According to a 3-month follow-up survey, the majority of patients had implemented the pharmacist's recommendations

194. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34893/psn-pdf
     February 26, 2009 - More than 800 ADEs occurred during the 9-month study period, with nearly 42% deemed preventable.

195. Prescription opioid dose reductions and potential adverse events: a multi-site observational cohort study in diverse US health systems. | PSNet
     psnet.ahrq.gov/issue/prescription-opioid-dose-reductions-and-potential-adverse-events-multi-site-observational
     March 04, 2020 - associated with higher odds of emergency department visits, opioid overdose, and all-cause mortality in the month

196. Impact of simulation-based closed-loop communication training on medical errors in a pediatric emergency department. | PSNet
     psnet.ahrq.gov/issue/impact-simulation-based-closed-loop-communication-training-medical-errors-pediatric-emergency
     July 22, 2020 - Increases in perception of closed-loop communication ability were sustained one-month after training.

197. A Mid-Summer Fog | PSNet
     psnet.ahrq.gov/web-mm/mid-summer-fog
     September 29, 2017 - The July effect refers to the expectation that processes and outcomes of patient care in the month … Each year, many clinicians and organizational leaders dread this otherwise lovely month, concerned about … Pneumothorax after insertion of central venous catheters in the intensive care unit: association with month … of year and week of month.

198. A system-wide hospital child maltreatment patient safety program. | PSNet
     psnet.ahrq.gov/issue/system-wide-hospital-child-maltreatment-patient-safety-program
     September 15, 2021 - Over a 30-month period, the program identified potential diagnostic errors and safe discharge concerns

199. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43798/psn-pdf
     January 07, 2015 - By the end of the 19-month pilot program, the service enhanced the quality of final medication lists

200. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41265/psn-pdf
     January 03, 2017 - This system resulted in a significant reduction in the use of UAAs over the 6-month study period.