Results

Total Results: 2,073 records

Showing results for "month".

241. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44711/psn-pdf
     September 21, 2016 - Over a 15- month period, 2465 events were recorded, representing 5.4 events per day.

242. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41610/psn-pdf
     January 25, 2017 - A preventable error in a critically ill 8-month-old child is discussed in an AHRQ WebM&M commentary.

243. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45870/psn-pdf
     March 25, 2017 - able to increase verbal communication with PCPs at discharge to 80%, and they sustained this for a 7-month

244. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39489/psn-pdf
     June 11, 2010 - visits and discovered 86% experienced at least one adverse or potential adverse event during the 9-month

245. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49678/psn-pdf
     March 01, 2013 - The Case A 17-month-old toddler was brought to the emergency department (ED) by her parents with concerns … rather than relying on automation, would she have realized that this weight was incongruent with the 17-month-old … triage nurse certainly would have been warned that a weight of 25 kg is exceedingly uncommon for a 17-month-old … World Health Organization standard growth charts indicate that the 98th percentile cut-off for a 17-month-old

246. Health literacy-related safety events: a qualitative study of health literacy failures in patient safety events. | PSNet
     psnet.ahrq.gov/issue/health-literacy-related-safety-events-qualitative-study-health-literacy-failures-patient
     August 24, 2022 - Researchers examined safety events occurring at one children’s hospital over a nine-month period and

247. Discontinuation of outpatient medications: implications for electronic messaging to pharmacies using CancelRx. | PSNet
     psnet.ahrq.gov/issue/discontinuation-outpatient-medications-implications-electronic-messaging-pharmacies-using
     October 05, 2022 - This evaluation of discontinued medications at one health systems over a one-month period found that

248. Improving communication with primary care physicians at the time of hospital discharge. | PSNet
     psnet.ahrq.gov/issue/improving-communication-primary-care-physicians-time-hospital-discharge
     November 16, 2022 - able to increase verbal communication with PCPs at discharge to 80%, and they sustained this for a 7-month

249. Association of surgical resident wellness with medical errors and patient outcomes. | PSNet
     psnet.ahrq.gov/issue/association-surgical-resident-wellness-medical-errors-and-patient-outcomes
     November 20, 2019 - Over a six-month period, 22.5% of residents self-reported a near-miss medical error and nearly 7% reported

250. Medication misadventures resulting in emergency department visits at an HMO medical center. | PSNet
     psnet.ahrq.gov/issue/medication-misadventures-resulting-emergency-department-visits-hmo-medical-center
     March 16, 2022 - During this 12-month study, patient records from emergency department visits were studied to evaluate

251. Diagnostic error in the emergency department: follow up of patients with minor trauma in the outpatient clinic. | PSNet
     psnet.ahrq.gov/issue/diagnostic-error-emergency-department-follow-patients-minor-trauma-outpatient-clinic
     November 15, 2023 - presenting to an ambulatory clinic following an emergency department visit for minor trauma over a 6-month

252. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42653/psn-pdf
     January 07, 2015 - negative safety implications of EHR implementation and ongoing use by analyzing interview data from a 30-month

253. Clinically significant medication errors in surgical units detected by clinical pharmacist: a real-life study. | PSNet
     psnet.ahrq.gov/issue/clinically-significant-medication-errors-surgical-units-detected-clinical-pharmacist-real
     October 20, 2021 - observational study found that 20% of patients presenting to surgical units at one French hospital over a two-month

254. Identifying medication errors in neonatal intensive care units: a two-center study | PSNet
     psnet.ahrq.gov/issue/identifying-medication-errors-neonatal-intensive-care-units-two-center-study
     November 11, 2020 - This study compared the incidence of medication errors occurring in two NICUs over a three-month period

255. Effect of a mobile app on prehospital medication errors during simulated pediatric resuscitation: a randomized clinical trial. | PSNet
     psnet.ahrq.gov/issue/effect-mobile-app-prehospital-medication-errors-during-simulated-pediatric-resuscitation
     October 06, 2021 - Advanced paramedics were exposed to a standardized video simulation of an 18-month of child with cardiac

256. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49420/psn-pdf
     October 01, 2003 - https://psnet.ahrq.gov/web-mm/lp-or-not-lp The Case A 4-month-old male infant was seen in the office … Current recommendations are that all febrile children younger than 1 month of age should have samples … In this case involving a 4-month-old, unexplained irritability with fever would merit a lumbar puncture

257. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37622/psn-pdf
     May 26, 2011 - This study evaluated the impact of a commercial CPOE system on medication errors over a 16- month time

258. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41526/psn-pdf
     April 05, 2013 - pharmacist-driven intervention still experienced a clinically important medication error within one month

259. Delayed Diagnosis of Kidney Transplant Complications | PSNet
     psnet.ahrq.gov/web-mm/delayed-diagnosis-kidney-transplant-complications
     January 29, 2020 - 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

260. Case outcomes in a communication-and-resolution program in New York hospitals. | PSNet
     psnet.ahrq.gov/issue/case-outcomes-communication-and-resolution-program-new-york-hospitals
     February 05, 2014 - Investigators analyzed 125 adverse event cases from 5 New York City hospitals over a 22-month period