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  1. psnet.ahrq.gov/issue/association-between-unmet-nonmedication-needs-after-hospital-discharge-and-readmission-or
    September 23, 2020 - June 29, 2009 Association between in-clinic opioid administration and discharge opioid … 29, 2023 Patient Safety Innovations The Cleveland Clinic
  2. psnet.ahrq.gov/issue/learning-diagnostic-errors-improve-patient-safety-when-gps-work-or-alongside-emergency
    December 15, 2021 - 19 patients: prevalence, severity, and risk factors in patients visiting a post-COVID-19 outpatient clinic … View More See More About The Topic Emergency Departments Ambulatory Clinic
  3. psnet.ahrq.gov/web-mm/after-visit-confusion
    August 21, 2007 - The Case An otherwise healthy 18-year-old woman presented to an urgent care clinic with new bumps … The patient was then discharged from the urgent care clinic and provided an after-visit summary that … After-visit summaries provide patients with a recap of what happened during their clinic visit or hospitalization … View More See More About The Topic Emergency Departments Ambulatory Clinic
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49693/psn-pdf
    October 01, 2013 - Describe how registration and clinic processes can be modified to ensure that transgender patients are … aware that her child's preferred name was not consistent with her legal name and sex, had alerted the clinic … When the patient and her mother arrived for the clinic visit, the medical staff was unaware of the registration … The clinic staff had received prior training in addressing transgender and gender-variant people by … apologized for the harm done, and reassured both mother and child that it was not the intention of the clinic
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837748/psn-pdf
    August 05, 2022 - The patient was seen in the preoperative assessment clinic prior to admission, where the nursing staff … at the clinic obtained an accurate medication history regarding the patient’s diabetic regimen. … The involvement of a pharmacist as part of the multidisciplinary team in the surgical preadmission clinic … In case 2, dedicated pharmacy staff at the preoperative assessment clinic would not only be able to … Pharmacist medication assessments in a surgical preadmission clinic.
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49535/psn-pdf
    May 01, 2007 - Later in the morning, that anesthesiologist staffs the preoperative anesthesia clinic. … On the day of the scheduled ECT, the clinic anesthesiologist called in sick. … "(1) After the clinic anesthesiologist called in sick, clinic personnel desperately sought a short-term … Instead, we have a patient who has already arrived at the clinic and is waiting to receive his scheduled … ECT, creating pressure on the clinic staff to get the procedure done that day, and subsequently on
  7. psnet.ahrq.gov/web-mm/bad-writing-wrong-medication
    March 01, 2015 - Commentary: Part 1 A 73-year-old man with a long-standing cardiac arrhythmia came to the ambulatory clinic … The patient delivered the prescription to the clinic pharmacy, and it was filled. … 13,14 ) In a recent study that investigated the impact of a CPOE system on errors in the ambulatory clinic … The pharmacy was associated with the clinic, but we do not know whether the clinic had an EMR in place … March 4, 2011 Characterization of prescribing errors in an internal medicine clinic.
  8. psnet.ahrq.gov/issue/health-care-associated-invasive-mrsa-infections-2005-2008
    February 17, 2011 - Acute Hepatitis C virus infections attributed to unsafe injection practices at an endoscopy clinic—Nevada … See More About The Topic Outpatient Surgery Hospitals Long-Term Care Ambulatory Clinic
  9. psnet.ahrq.gov/issue/medication-reconciliation-and-hypertension-control
    December 19, 2017 - Implementation of a medication reconciliation process in an ambulatory internal medicine clinic … March 11, 2009 View More See More About The Topic Ambulatory Clinic or
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866966/psn-pdf
    October 16, 2024 - psnet.ahrq.gov/issue/applying-medications-transitions-and-clinical-handoffs-toolkit-rural-primary-care-clinic
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850450/psn-pdf
    June 14, 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, … 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,
  12. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.290_slideshow.ppt
    February 01, 2013 - positive laboratory result was sent through the electronic medical record (EMR) to a nurse in the OB/GYN clinic … She notified her clinic supervisor who noted the result, but made no further attempts to contact the … The next day, a different OB/GYN clinic nurse tried to call the patient with the ultrasound results, … * * Case: Failure to Contact (4) The patient received the letter and came to the clinic 2 weeks
  13. psnet.ahrq.gov/issue/harm-caused-adverse-events-primary-care-clinical-observational-study
    July 23, 2008 - Implementation of a medication reconciliation process in an ambulatory internal medicine clinic … April 9, 2009 View More See More About The Topic Ambulatory Clinic or
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865597/psn-pdf
    April 17, 2024 - patient-safety-and-mental-health-growing-quality-gap-canada https://psnet.ahrq.gov/issue/staff-warned-about-lack-psychiatric-care-va-clinic-they-couldnt-prevent-tragedy
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49509/psn-pdf
    April 01, 2006 - ://psnet.ahrq.gov/web-mm/insert-omission The Case A multiparous woman presented to the gynecology clinic … One month later, the patient presented to the clinic because she was unable to find the strings. … As a result of this error, the clinic now requires urine human chorionic gonadotropin (HCG) testing … This case describes how the clinic now requires urine HCG testing prior to intrauterine procedures in
  16. psnet.ahrq.gov/issue/how-teams-work-or-dont-primary-care-field-study-internal-medicine-practices
    November 28, 2012 - Implementation of a medication reconciliation process in an ambulatory internal medicine clinic … April 9, 2009 View More See More About The Topic Ambulatory Clinic or
  17. psnet.ahrq.gov/issue/clinical-outcomes-use-medication-report-when-elderly-patients-are-discharged-hospital
    January 27, 2012 - Implementation of a medication reconciliation process in an ambulatory internal medicine clinic … January 23, 2009 View More See More About The Topic Ambulatory Clinic
  18. psnet.ahrq.gov/issue/quality-and-safety-track-training-future-physician-leaders
    March 28, 2018 - s) Patient safety outcomes after two years of an enhanced internal medicine residency clinic … March 28, 2018 Results of an enhanced clinic handoff and resident education on resident
  19. psnet.ahrq.gov/issue/inpatient-suicide-mental-health-units-veterans-affairs-va-hospitals-avoiding-environmental
    September 05, 2018 - June 21, 2017 Suicide and suicide attempts on hospital grounds and clinic areas. … August 17, 2022 Suicide and suicide attempts on hospital grounds and clinic areas.
  20. psnet.ahrq.gov/issue/prospective-daily-review-discharge-medications-pharmacists-effects-measures-safety-and
    July 14, 2010 - Influence of a systems-based approach to prescribing errors in a pediatric resident clinic … May 21, 2009 Pharmacist medication assessments in a surgical preadmission clinic.

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