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Total Results: 605 records

Showing results for "past months".

41. Cluster randomized trial to evaluate the impact of team training on surgical outcomes. | PSNet
    psnet.ahrq.gov/issue/cluster-randomized-trial-evaluate-impact-team-training-surgical-outcomes
    April 24, 2018 - All 31 hospitals in the study had implemented a surgical safety checklist a median of 19 months prior … A past PSNet interview discussed challenges associated with implementing surgical safety checklists

42. Impact of a warning CPOE system on the inappropriate pill splitting of prescribed medications in outpatients. | PSNet
    psnet.ahrq.gov/issue/impact-warning-cpoe-system-inappropriate-pill-splitting-prescribed-medications-outpatients
    July 16, 2015 - from a rate of approximately 0.61% to below 0.2%, where it has remained for at least 10 consecutive months … hard stop order can be controversial, as this method has resulted in unintended consequences in the past

43. Burnout and medical errors among American surgeons. | PSNet
    psnet.ahrq.gov/issue/burnout-and-medical-errors-among-american-surgeons
    December 21, 2014 - survey of practicing surgeons revealed that 1 in 11 had committed a serious medical error within the past … 3 months, and those who had committed an error were much more likely to meet criteria for burnout or

44. Spotlight Case July 2008 (ppt file)
    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.182_slideshow.ppt
    September 01, 2008 - benefit from glucocorticoid use Case A: Part 1 A 55-year-old male immigrant with no significant past … She is post-menopausal, has an unremarkable past medical history and no allergies, and her only medications … She has not left her home for the past 6 months.

45. Emergency department contribution to the prescription opioid epidemic. | PSNet
    psnet.ahrq.gov/issue/emergency-department-contribution-prescription-opioid-epidemic
    June 21, 2016 - A past PSNet perspective discussed opioid medications and associated patient safety risks. … Effect of prescriber notifications of patient’s fatal overdose on opioid prescribing at 4 to 12 months

46. Surgical case listing accuracy: failure analysis at a high-volume academic medical center. | PSNet
    psnet.ahrq.gov/issue/surgical-case-listing-accuracy-failure-analysis-high-volume-academic-medical-center
    September 25, 2011 - Past AHRQ WebM&M commentaries have discussed the factors contributing to a near-miss wrong-site surgery … Using a data-matrix–coded sponge counting system across a surgical practice: impact after 18 months

47. Patient safety indicators for England from hospital administrative data: case-control analysis and comparison with US data. | PSNet
    psnet.ahrq.gov/issue/patient-safety-indicators-england-hospital-administrative-data-case-control-analysis-and
    June 15, 2011 - use the AHRQ Patient Safety Indicators (PSIs) as a method to screen for potential events, with a past … in English and Welsh hospitals: a national observational study based on retrospective analysis of 12 months

48. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/866995/psn-pdf
    October 30, 2024 - 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

49. Assessment of the implementation of a national patient safety alert to reduce wrong site surgery. | PSNet
    psnet.ahrq.gov/issue/assessment-implementation-national-patient-safety-alert-reduce-wrong-site-surgery
    March 28, 2011 - Investigators interviewed surgeons and senior nurses in the 12-15 months following the alert and discovered … A past AHRQ WebM&M commentary discussed the factors contributing to a near-miss wrong-site surgery,

50. Increased risk of burnout for physicians and nurses involved in a patient safety incident. | PSNet
    psnet.ahrq.gov/issue/increased-risk-burnout-physicians-and-nurses-involved-patient-safety-incident
    September 21, 2016 - of physicians and nurses in Belgium examined the relationship between involvement in an error in the past … 6 months and clinicians' emotional state, risk of engaging in high-risk behaviors, and work–life balance

51. Interim Report: Review of VHA's Patient Wait Times, Scheduling Practices, and Alleged Patient Deaths at the Phoenix Health Care System. | PSNet
    psnet.ahrq.gov/issue/interim-report-review-vhas-patient-wait-times-scheduling-practices-and-alleged-patient-deaths
    September 10, 2014 - Veterans Health Administration has earned widespread praise for improving quality of care during the past … average wait times of only 24 days, the investigation found that veterans typically waited nearly 4 months

52. The costs of adverse drug events in hospitalized patients. | PSNet
    psnet.ahrq.gov/issue/costs-adverse-drug-events-hospitalized-patients
    February 10, 2011 - Related Resources Parenteral nutrition errors and potential errors reported over the past … May 18, 2016 Opioid prescribing and potential overdose errors among children 0 to 36 months

53. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49631/psn-pdf
    July 01, 2011 - Two months earlier, the patient was diagnosed at a university hospital with toxoplasmosis, based on … university hospital, the patient said that his symptoms had improved after he was initially discharged two months … During the past week, did you miss any of your medications?" … https://psnet.ahrq.gov//#references When asked "did you miss any of your medications during the past

54. Microsoft PowerPoint - Spotlight Case_Delayed Diagnosis and Treatment of Lupus_SLIDES - FINAL.pptx (pdf file)
    psnet.ahrq.gov/sites/default/files/2024-03/delayed_diagnosis_and_treatment_of_sle.pdf
    January 01, 2024 - to ensure safe, high-quality care 4 Case Details (1) • An 18-year-old woman with no significant past … Case Details (3) • The patient’s delusions and other psychotic symptoms abated over the following months … , but she was admitted to a second hospital for exacerbation of psychotic symptoms six months after … • The medical team at this hospital quickly discovered the abnormal test results from six months … – In SLE, the “primarily rheumatologic” full syndrome is not always clearly connected to a past psychiatric

55. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/854849/psn-pdf
    October 31, 2023 - but had virtually complete paralysis below the C7 level upon hospital discharge and at follow-up six months … previous physician may have erroneously entered the patient’s wife’s gynecologic history into the “past … shorter notes can now justify the same evaluation and management codes that required longer notes in the past

56. The drawbacks of data-driven medicine. | PSNet
    psnet.ahrq.gov/issue/drawbacks-data-driven-medicine
    September 11, 2013 - December 4, 2013 COVID-19 can last for several months.

57. Periodic Issue | PSNet
    psnet.ahrq.gov/periodic-issue/periodic-issue-473
    March 25, 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 … After 3-6 months, 8.8% had implemented SDENA.

58. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33711/psn-pdf
    May 01, 2011 - in seven staff members (175/1,160) reported they had experienced a patient safety event within the past … Professional experience ranged between 6 months and 36 years (mean = 13.5 years). … Time lapse since the unanticipated clinical event ranged from 3 weeks to 44 months (mean = 14 months … length of professional relationships, cases that involved pediatric patients, and the clinician's past

59. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49499/psn-pdf
    December 02, 2020 - His past medical history included lumbar disc disease, hypertension, and active tobacco use. … end result is that each resident is in clinic different days of the week and is not in clinic some months … For instance, residents may spend 2 months in the ambulatory setting followed by 2 months in the inpatient

60. Routine Goes Awry | PSNet
    psnet.ahrq.gov/web-mm/routine-goes-awry
    September 23, 2020 - She was in otherwise good health, had never received anesthesia in the past, and was experiencing no … infectious tonsillitis with antibiotics.( 1 ) However, tonsillectomy rates have been increasing over the past … guidelines, tonsillectomy is recommended for children with at least 7 documented throat infections in the past … Related Resources Perspectives on anesthesia and perioperative patient safety: past … October 27, 2022 Adverse events in infants less than 6 months of age after ambulatory