-
psnet.ahrq.gov/node/49818/psn-pdf
January 01, 2018 - Two months later, the clinic's nurse called the patient to see if he had obtained the colonoscopy. … The clinic nurse followed up with the patient a few months later. … The
colonoscopy demonstrated colon cancer; the diagnosis was made more than 6 months after the positive … million adults aged 19 to 64 (34%) reported having a cost-related problem accessing medical
care in the past … finally called the insurance company,
he was able to quickly resolve a problem that had been ongoing for months
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psnet.ahrq.gov/node/49537/psn-pdf
June 01, 2007 - The patient noted a bulging mass in the middle of his abdomen a
few months prior to surgery but did … Instead, he underwent unnecessary surgery
that conferred risk, took time from his remaining months of … long-term relationship with the patient, would be most likely to know all details of
the relevant past … such as the alkaline phosphatase), evidence suggests that a normal test
result obtained within the past … 4 months can be used as a preoperative test as long as there has been no
change in the clinical status
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psnet.ahrq.gov/web-mm/hip-fractures-older-patients-case-geriatrics-comanagement
July 01, 2004 - The Case An 82-year-old man with a past medical history of dementia, coronary artery disease, hypertension … After discussion with his family, the patient was ultimately transitioned to hospice and died several months … age 60 and older found that patients operated on within 48 hours had a 20% lower mortality within 12 months … availability, and broad organizational challenges.( 8 ) The fact that patients often don't die for weeks or months … decreased mortality rates, shorter length of stay, and improved functional independence at 4 and 12 months
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psnet.ahrq.gov/web-mm/missing-large-vessel-occlusion-stroke-patient-history-seizures
August 31, 2022 - and relevant financial relationships as “financial relationships in any amount occurring within the past … 24 months that create a conflict of interest. … The Case A 58-year-old man with a past medical history of seizures, meningioma, type 2 diabetes mellitus … The patient’s past medical history of seizures and his normal non-contrast cranial CT could be compatible … systematic review and meta-analysis found no difference in mortality or in functional independence at 3 months
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psnet.ahrq.gov/node/33753/psn-pdf
August 22, 2013 - of learning and driving improvement
through debriefings.(1)
Collecting safety culture data for the past … In one system, never
events occurred once every 38 months when more than 60% of surgical suite personnel … perceived safety
as good or excellent, versus once every 12 months in surgical areas with scores below
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psnet.ahrq.gov/periodic-issue/periodic-issue-472
February 26, 2025 - Past issues of the PSNet Weekly Update are
available to browse. … WebM&M presents current and past monthly issues of Cases & Commentaries and
Perspectives
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psnet.ahrq.gov/node/33689/psn-pdf
October 01, 2009 - anniversary provides an
opportunity to reflect on the forces that have promoted safety efforts over the past … Looking
back at the big, mediagenic errors over the past 25 years (Table), a striking pattern emerges … Selected Errors in US Hospitals over the Past 25 Years That Received Extensive Media
Coverage.
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psnet.ahrq.gov/node/837215/psn-pdf
July 08, 2022 - and relevant financial
relationships as “financial relationships in any amount occurring within the past … 24 months that create a
conflict of interest.??? … The Case
A 58-year-old man with a past medical history of seizures, meningioma, type 2 diabetes mellitus … The
patient’s past medical history of seizures and his normal non-contrast cranial CT could be compatible … systematic review and meta-analysis found no difference in mortality or in
functional independence at 3 months
-
psnet.ahrq.gov/web-mm/coming-short
May 20, 2020 - The child was delivered 2 months prematurely (likely due to domestic violence) in Puerto Rico. … She had an intracerebral hemorrhage and was in the neonatal intensive care unit (NICU) for 6 months. … mother stated that the child had been seen twice in a family practice office for "well checks" over the past
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psnet.ahrq.gov/node/840175/psn-pdf
November 16, 2022 - Her past medical history was notable
for having had an aortic valve replaced with a titanium valve and … caged-ball, single-disk), or a history of stroke or transient ischemic
attack (TIA) within the preceding 6 months … the INR falls from 2.0 down to 1.0.5 However, patients
with a mechanical aortic valve may survive months … 1972 and 1982, and who received anticoagulation treatment for only approximately 1 year (mean = 13
months … , range 4-35 months) thereafter, for an average of 7.25 years.
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psnet.ahrq.gov/node/49871/psn-pdf
August 10, 2019 - frequency, nocturnal
urination, and difficulty initiating a stream, which had worsened considerably in the past … Several
months later, the patient underwent a TURP without complications and eventually was able to … intermittency, and incomplete
emptying).(1) These symptoms had been chronic, but acutely worsened in the past
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psnet.ahrq.gov/web-mm/beeline-spine
March 01, 2014 - The patient noted a bulging mass in the middle of his abdomen a few months prior to surgery but did not … Instead, he underwent unnecessary surgery that conferred risk, took time from his remaining months of … a long-term relationship with the patient, would be most likely to know all details of the relevant past … (such as the alkaline phosphatase), evidence suggests that a normal test result obtained within the past … 4 months can be used as a preoperative test as long as there has been no change in the clinical status
-
psnet.ahrq.gov/issue/investigating-association-alerts-national-mortality-surveillance-system-subsequent-hospital
October 20, 2021 - A past PSNet perspective discussed the use of risk-adjusted mortality as part of a safety measurement
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psnet.ahrq.gov/web-mm/cognitive-and-communication-blind-spot-contributes-permanent-paralysis
January 13, 2010 - and relevant financial relationships as “financial relationships in any amount occurring within the past … 24 months that create a conflict of interest. … persistent virtually complete paralysis below the C7 level upon hospital discharge and at follow-up six months
-
psnet.ahrq.gov/node/49665/psn-pdf
September 01, 2012 - https://psnet.ahrq.gov/web-mm/undetected-foreign-object
The Case
A 75-year-old man with a past medical … Eight months later, he was
admitted to the hospital with shaking chills and confusion and found to have … eight clinic visits with multiple physicians,
and had no symptoms until his dramatic presentation many months … In the case above, an RSI went undetected
for 8 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/decreasing-handoff-related-care-failures-childrens-hospitals
April 24, 2018 - A past AHRQ WebM&M commentary describes pitfalls of handoffs.
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psnet.ahrq.gov/innovation/cleveland-clinic-pairs-advanced-practice-registered-nurses-and-paramedics-provide-home
October 30, 2024 - After five months in Phase 1, the CCHS team found no significant difference in readmission rates for … with the APRN and the patient’s larger care team, often provided subsequent home visits. 2 After six months … and providers are studying different home visit and telehealth models to reduce readmissions in the months … Data collection—including data on outcomes beyond several months—will also help with efforts at improvement … If resources permit, the team believes that home visits should continue past 30 days.
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psnet.ahrq.gov/web-mm/lung-nodule-refused-grow
March 01, 2004 - In discussing his past medical history, the patient described having a "spot" on his lungs that doctors … In the past, most nodules were discovered incidentally on plain chest radiographs, as in this case. … recommends 3 rounds of surveillance (using non-contrast, low-dose techniques) at 3–6, 9–12, and 18–24 months … Subsequently, the patient had CT scans of the chest with and without contrast every 6–12 months for 8
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psnet.ahrq.gov/node/867986/psn-pdf
March 24, 2025 - For example,
people may admit to having had thoughts of killing themselves in the past two weeks, or … that they have
tried to kill themselves in the past six months. … This is being emphasized more now than it used
to be in the past. … In the past, health systems thought that they only needed to keep people protected while
the person … If they come in for an ED visit today and they
come in for another ED visit six months from now, that
-
psnet.ahrq.gov/node/49509/psn-pdf
April 01, 2006 - expulsion,
as well as to reassure the new user about abnormal bleeding, which is common in the first 3 months … However, these lists usually
focus on past risks for pelvic infection and fail to acknowledge that IUCs