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psnet.ahrq.gov/node/853076/psn-pdf
August 30, 2023 - Hospital bosses ignored months of doctors' warnings
about Lucy Letby. … https://psnet.ahrq.gov/issue/hospital-bosses-ignored-months-doctors-warnings-about-lucy-letby
Whistleblowers … https://psnet.ahrq.gov/issue/hospital-bosses-ignored-months-doctors-warnings-about-lucy-letby
https:/
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psnet.ahrq.gov/web-mm/dual-therapy-debacle
February 01, 2007 - he received follow-up from a cardiologist and was informed he should remain on triple therapy for 6 months … The cardiologist noted that an FDA Advisory Panel recommends just 12 months of DAPT after drug-eluting … stent implantation, due to an increased risk of bleeding after 24 months of DAPT. … and the DAPT to be discontinued after 12 months. … It appears that the warfarin was appropriately discontinued after 6 months; at this time the patient
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psnet.ahrq.gov/web-mm/missed-diagnosis-addisons-disease-adolescent-presenting-fatigue
October 28, 2020 - The family was advised to provide supportive care and counseled that it can take months to recover fully … Over the next several months the patient’s symptoms continued. … Yet the diagnosis was delayed for several months due to classic errors in the diagnostic process ; … Adrenal insufficiency often presents as a slow, progressive illness over many months. … Outpatient referral to a pediatric subspecialist often takes weeks or months and is not an appropriate
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psnet.ahrq.gov/issue/top-penn-state-health-surgeon-warned-leaders-about-transplant-problems-months-shutdown-then
July 18, 2018 - Article
Top Penn State Health surgeon warned leaders about transplant problems months … Citation Text:
Top Penn State Health surgeon warned leaders about transplant problems months before … Citation
Citation Text:
Top Penn State Health surgeon warned leaders about transplant problems months
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psnet.ahrq.gov/issue/opioid-prescribing-and-potential-overdose-errors-among-children-0-36-months-old
March 23, 2016 - Study
Opioid prescribing and potential overdose errors among children 0 to 36 months … Opioid Prescribing and Potential Overdose Errors Among Children 0 to 36 Months Old. … Opioid Prescribing and Potential Overdose Errors Among Children 0 to 36 Months Old.
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psnet.ahrq.gov/issue/any-new-process-poses-risk-errors-learning-4-months-coronavirus-disease-2019-covid-19
June 10, 2018 - Newspaper/Magazine Article
Any new process poses a risk for errors: learning from 4 months … Citation Text:
Any new process poses a risk for errors: learning from 4 months of Coronavirus disease … Citation
Citation Text:
Any new process poses a risk for errors: learning from 4 months
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psnet.ahrq.gov/node/866561/psn-pdf
August 21, 2024 - associated
with higher severity patient safety incidents, but that events occurring during the 7-8 months … of DST were
more severe compared to the 2-4 months of standard time.
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psnet.ahrq.gov/issue/covid-19-can-last-several-months-diseases-long-haulers-have-endured-relentless-waves
April 03, 2005 - Newspaper/Magazine Article
COVID-19 can last for several months. … COVID-19 can last for several months. … COVID-19 can last for several months.
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psnet.ahrq.gov/node/866434/psn-pdf
August 07, 2024 - In this study,
adverse events (AE) were measured 6 months before and after the opening of a new hospital … The rate of
AE increased in the new hospital during the first 6 months, highlighting the importance
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psnet.ahrq.gov/node/862613/psn-pdf
February 14, 2024 - Post-implementation, completed medication reconciliation in UCs increased from 25% to 82% within four
months … ; in the pediatric ED, completed reviews increased from 26% to 64% within 18 months.
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psnet.ahrq.gov/web-mm/did-we-forget-something
April 28, 2021 - Several months after discharge, he presented to another institution with recurrent fever, neurologic … The Commentary This patient died of a nosocomial candida infection months after an aorto-iliac aneurysm … obstruction or presence of a space-occupying lesion.( 3 ) Retained sponges have been discovered days, months … She had experienced abdominal pain since surgery 4 months earlier. … Using a data-matrix–coded sponge counting system across a surgical practice: impact after 18 months
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psnet.ahrq.gov/issue/observational-study-drug-formulation-manipulation-pediatric-versus-adult-inpatients
June 08, 2022 - commonly involved oral liquids and intravenous orders and occurred most often in patients aged 1 to 12 months … April 7, 2019
US poison control center calls for infants 6 months of age and younger.
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psnet.ahrq.gov/issue/using-data-matrix-coded-sponge-counting-system-across-surgical-practice-impact-after-18
January 02, 2017 - Using a data-matrix–coded sponge counting system across a surgical practice: impact after 18 months … Using a data-matrix-coded sponge counting system across a surgical practice: impact after 18 months. … Using a data-matrix-coded sponge counting system across a surgical practice: impact after 18 months.
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psnet.ahrq.gov/issue/falls-english-and-welsh-hospitals-national-observational-study-based-retrospective-analysis
June 15, 2011 - in English and Welsh hospitals: a national observational study based on retrospective analysis of 12 months … in English and Welsh hospitals: a national observational study based on retrospective analysis of 12 months … in English and Welsh hospitals: a national observational study based on retrospective analysis of 12 months
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psnet.ahrq.gov/issue/medical-malpractice-litigation-and-daylight-saving-time
March 24, 2019 - associated with higher severity patient safety incidents, but that events occurring during the 7-8 months … of DST were more severe compared to the 2-4 months of standard time.
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psnet.ahrq.gov/issue/trial-automated-decision-support-alerts-contraindicated-medications-using-computerized
May 20, 2019 - Investigators studied the likelihood of inappropriate prescribing 4 months before and 14 months after
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psnet.ahrq.gov/issue/unexpected-increased-mortality-after-implementation-commercially-sold-computerized-physician
September 23, 2020 - Investigators retrospectively analyzed several variables in the 13 months before and 5 months following
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psnet.ahrq.gov/issue/measuring-overall-development-patient-safety-new-hospital-using-trigger-tools
April 12, 2019 - In this study, adverse events (AE) were measured 6 months before and after the opening of a new hospital … The rate of AE increased in the new hospital during the first 6 months, highlighting the importance
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psnet.ahrq.gov/node/49743/psn-pdf
September 01, 2015 - he received follow-up from a cardiologist and was informed he should remain
on triple therapy for 6 months … to continue
the clopidogrel and aspirin (dual anticoagulation therapy [DAPT]) for an additional 6 months … The cardiologist noted
that an FDA Advisory Panel recommends just 12 months of DAPT after drug-eluting … stent implantation, due
to an increased risk of bleeding after 24 months of DAPT. … and the DAPT to be discontinued after 12 months.
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psnet.ahrq.gov/node/846769/psn-pdf
March 29, 2023 - The family was advised to provide supportive care and
counseled that it can take months to recover fully … Over the next several months the patient’s symptoms continued. … kind of diagnostic delay remains common, with 40-50% of
patients experiencing symptoms for over 6 months … Adrenal insufficiency often presents as a slow, progressive illness over many months. … Outpatient referral to a pediatric subspecialist often takes weeks or months and is not an
appropriate