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psnet.ahrq.gov/node/49465/psn-pdf
December 22, 2021 - The hospital was able to access the electronic
health record (EHR) of the large multi-specialty clinic … Medication lists commonly lagged far behind
clinic notes, frequently containing medications no longer … The clinic approached the EHR vendor to ask about modifications to the current system that would allow … a system, add a flag to
medication and problem lists indicating that the patient has been seen in clinic … In the meantime, clinic nurses added a medication review to vital signs
and weight prior to each patient's
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psnet.ahrq.gov/issue/implementing-safer-and-more-reliable-system-monitor-test-results-teaching-university
November 07, 2018 - As an academic family practice clinic, an important first step was allowing residents to order tests … June 24, 2009
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Ambulatory Clinic or
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psnet.ahrq.gov/issue/structured-patient-handoff-internal-medicine-ward-cluster-randomized-control-trial
September 23, 2020 - Patient safety outcomes after two years of an enhanced internal medicine residency clinic … February 24, 2011
Pharmacist medication assessments in a surgical preadmission clinic
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psnet.ahrq.gov/issue/perceptions-standards-based-electronic-prescribing-systems-implemented-outpatient-primary
September 23, 2020 - December 16, 2013
Medication reconciliation campaign in a clinic for homeless patients … July 23, 2008
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Ambulatory Clinic or
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psnet.ahrq.gov/issue/accuracy-interpretation-preparticipation-screening-electrocardiograms
May 18, 2022 - statin prescriptions in patients with coronary artery disease in a large, academic, multispecialty clinic … October 22, 2008
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Ambulatory Clinic
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psnet.ahrq.gov/issue/identifying-discrepancies-electronic-medical-records-through-pharmacist-medication
August 03, 2022 - January 2, 2017
Medication reconciliation campaign in a clinic for homeless patients. … August 20, 2008
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Ambulatory Clinic or
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psnet.ahrq.gov/issue/pharmacists-reducing-medication-risk-medical-outpatient-clinics-retrospective-study-18
June 16, 2021 - January 18, 2023
Association between in-clinic opioid administration and discharge opioid … September 25, 2008
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Ambulatory Clinic
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psnet.ahrq.gov/issue/model-framework-patient-safety-training-chiropractic-literature-synthesis
March 19, 2019 - 1, 2022
Assessing adverse events after chiropractic care at a chiropractic teaching clinic … March 9, 2009
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Ambulatory Clinic or
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psnet.ahrq.gov/issue/lessons-learned-building-culture-patient-safety-within-veterans-health-administration
November 06, 2019 - Inadequate Outpatient Mental Health Triage and Care of a Patient at the Chico Community-Based Outpatient Clinic … View More
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General Public
Hospitals
Ambulatory Clinic
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psnet.ahrq.gov/issue/causes-medical-errors-obstetrics-and-gynaecology
May 01, 2019 - 19 patients: prevalence, severity, and risk factors in patients visiting a post-COVID-19 outpatient clinic … View More
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Researchers
Labor and Delivery
Ambulatory Clinic
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psnet.ahrq.gov/issue/key-potentially-inappropriate-drugs-pediatrics-kids-list
September 23, 2020 - 2020
Patient errors in use of injectable antidiabetic medications: a need for improved clinic-based … 2006
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Hospitals
Ambulatory Clinic
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psnet.ahrq.gov/issue/call-action-addressing-pediatric-fall-safety-ambulatory-environments
June 30, 2021 - Improving Diagnostic Safety and Quality
April 26, 2023
Clinic … February 1, 2003
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Ambulatory Clinic
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psnet.ahrq.gov/web-mm/sepsis-resulting-delays-treatment-and-miscommunication-among-specialists
February 26, 2025 - Even integrated health systems may have variation in their clinic scheduling processes, and clinic constraints … However, as clinic schedules have been increasingly busy with long referral wait times, it can be difficult … The common practice of simply including clinic referral and contact information for follow-up in the … coordinating the recommended follow-up, an earlier “add-on” appointment might have been approved by the clinic … 2003
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Hospitals
Ambulatory Clinic
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psnet.ahrq.gov/issue/incidence-and-preventability-adverse-drug-events-among-older-persons-ambulatory-setting
March 11, 2011 - review of hospital discharge summaries and emergency department notes, free-text review of electronic clinic … June 12, 2008
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Ambulatory Clinic or
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psnet.ahrq.gov/issue/safer-out-hours-primary-care
March 14, 2022 - Implementation of a medication reconciliation process in an ambulatory internal medicine clinic … October 30, 2008
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Ambulatory Clinic
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psnet.ahrq.gov/issue/racism-root-cause-approach-new-framework
December 17, 2020 - Improving Diagnostic Safety and Quality
April 26, 2023
Clinic … View More
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Children's Hospitals
Ambulatory Clinic
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psnet.ahrq.gov/issue/vital-signs-overdoses-prescription-opioid-pain-relievers-united-states-1999-2008
February 27, 2019 - Acute Hepatitis C virus infections attributed to unsafe injection practices at an endoscopy clinic—Nevada … June 28, 2017
Mandatory provider review and pain clinic laws reduce the amounts of opioids
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psnet.ahrq.gov/web-mm/one-got-away-elopement-suicidal-patient-emergency-department
September 27, 2023 - Case A 25-year-old female was sent by ambulance to the emergency department (ED) by a mental health clinic … This case involves a suicidal psychiatric patient who was sent to the ED from a psychiatric clinic, when … All patients who present to the ED, even if directly referred from a psychiatry clinic, must go through … Opportunities for System Improvement When a mental health clinic patient is sent to the ED for urgent … When a mental health clinic patient is sent to the ED for urgent evaluation of psychiatric symptoms,
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psnet.ahrq.gov/issue/performance-fail-safe-system-follow-abnormal-mammograms-primary-care
September 11, 2013 - Tests pending after hospital discharge or following a clinic visit continue to challenge most health … May 6, 2009
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Ambulatory Clinic or Office
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psnet.ahrq.gov/issue/blackbox-error-management-how-do-practices-deal-critical-incidents-everyday-practice
May 01, 2024 - Inadequate Outpatient Mental Health Triage and Care of a Patient at the Chico Community-Based Outpatient Clinic … August 7, 2019
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Ambulatory Clinic or