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psnet.ahrq.gov/node/49835/psn-pdf
January 01, 2020 - Five months later, the patient was seen by his nephrologist and was found to have worsening renal function … have poor vein quality due to the
many venipuncture attempts during the PICC line placements several months … Instead of a
fistula, the patient had an arteriovenous graft placed, and dialysis was initiated 3 months
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psnet.ahrq.gov/node/45868/psn-pdf
January 31, 2018 - Increasing trainee reporting of adverse events with
monthly, trainee-directed review of adverse events.
January 31, 2018
Smith A, Hatoun J, Moses J. Increasing Trainee Reporting of Adverse Events With Monthly Trainee-
Directed Review of Adverse Events. Acad Pediatr. 2017;17(8):902-906. doi:10.1016/j.acap.2017.01.00…
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psnet.ahrq.gov/node/840173/psn-pdf
November 16, 2022 - Over the first 13 months of implementation, the system reported 982 incidental findings.
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psnet.ahrq.gov/node/44131/psn-pdf
May 13, 2015 - They searched for any relevant cancer symptoms or signs up to 12 months prior to the
diagnosis and calculated
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psnet.ahrq.gov/node/36105/psn-pdf
May 27, 2011 - In contrast to the earlier study, the authors found no change in PICU mortality in 13
months after the
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psnet.ahrq.gov/node/45118/psn-pdf
January 23, 2017 - All 31
hospitals in the study had implemented a surgical safety checklist a median of 19 months prior
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psnet.ahrq.gov/node/34039/psn-pdf
June 16, 2010 - Spike in fatal medication errors at the beginning of each
month.
June 16, 2010
Phillips DP, Jarvinen JR, Phillips RR. A spike in fatal medication errors at the beginning of each month.
Pharmacotherapy. 2005;25(1):1-9.
https://psnet.ahrq.gov/issue/spike-fatal-medication-errors-beginning-each-month
This study found…
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psnet.ahrq.gov/submit-innovations-landing
February 26, 2025 - The first 13 months of...
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psnet.ahrq.gov/node/43824/psn-pdf
January 21, 2015 - from a rate
of approximately 0.61% to below 0.2%, where it has remained for at least 10 consecutive months
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psnet.ahrq.gov/node/45210/psn-pdf
September 27, 2016 - physicians and nurses in Belgium examined the
relationship between involvement in an error in the past 6 months
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psnet.ahrq.gov/node/46890/psn-pdf
December 21, 2018 - More than 10% of
respondents reported a major medical error in the prior 3 months, and these rates were
-
psnet.ahrq.gov/node/44845/psn-pdf
July 01, 2016 - On the acute assessment unit, falls
and medication errors temporarily increased for the first 6 months
-
psnet.ahrq.gov/node/39526/psn-pdf
December 02, 2014 - inpatient mortality
decreased after CPOE was launched, with an estimated 36 lives saved in the first 18 months
-
psnet.ahrq.gov/node/39837/psn-pdf
September 15, 2010 - scores assigned increased significantly in
the positive direction, and findings were sustained at 24 months
-
psnet.ahrq.gov/node/45407/psn-pdf
September 27, 2016 - Risk factors identified for undertriage included
age younger than 3 months, type of medical presenting
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psnet.ahrq.gov/node/44094/psn-pdf
November 03, 2015 - were more likely to seek non-VA dental care in the short term, but
most returned to the VA within 18 months
-
psnet.ahrq.gov/node/38331/psn-pdf
October 20, 2010 - Investigators interviewed surgeons and senior nurses in the 12-15
months following the alert and discovered
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psnet.ahrq.gov/node/40730/psn-pdf
August 27, 2012 - Analysis of risk of medical errors using structural-
equation modelling: a 6-month prospective cohort study.
August 27, 2012
Tanaka M, Tanaka K, Takano T, et al. Analysis of risk of medical errors using structural-equation
modelling: a 6-month prospective cohort study. BMJ Qual Saf. 2012;21(9):784-790. doi:10.1136/…
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psnet.ahrq.gov/web-mm/dying-hospital-advanced-dementia
November 01, 2016 - end of life, including feeding tubes, hospitalizations, and intensive care unit stays in their last months … illness, to be eligible for Medicare's hospice care benefit, patients must have an expected survival of 6 months … Case & Commentary—Part 3
Two months later, the primary care clinic staff called the patient's home … The family informed the PCP that the patient had died 2 months earlier.
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psnet.ahrq.gov/issue/focusing-medical-errors
May 29, 2019 - October 15, 2018
US poison control center calls for infants 6 months of age and younger