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341. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46539/psn-pdf
     January 01, 2020 - Independent and clinic-based pharmacists reported a more robust safety culture compared to national

342. Spotlight Case July 2008 (ppt file)
     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

343. 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

344. 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

345. Bad Writing, Wrong Medication | PSNet
     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.

346. Multitasking during patient handover in the recovery room. | PSNet
     psnet.ahrq.gov/issue/multitasking-during-patient-handover-recovery-room
     October 05, 2011 - 2017 Implementing situation-background-assessment-recommendation in an anaesthetic clinic … May 4, 2011 Pharmacist medication assessments in a surgical preadmission clinic.

347. Development and validation of a tool to improve paediatric referral/consultation communication. | PSNet
     psnet.ahrq.gov/issue/development-and-validation-tool-improve-paediatric-referralconsultation-communication
     May 25, 2011 - Related Resources Identification of patient safety threats in a post-intensive care clinic … May 1, 2006 View More See More About The Topic Ambulatory Clinic

348. Injection practices among clinicians in United States health care settings. | PSNet
     psnet.ahrq.gov/issue/injection-practices-among-clinicians-united-states-health-care-settings
     January 06, 2017 - reconciliation: comparing a customized medication history form to a standard medication form in a specialty clinic … July 31, 2013 View More See More About The Topic Ambulatory Clinic or

349. Using morbidity and mortality conferences to drive quality improvement and reduce errors. | PSNet
     psnet.ahrq.gov/issue/using-morbidity-and-mortality-conferences-drive-quality-improvement-and-reduce-errors
     February 04, 2015 - Implementation of a medication reconciliation process in an ambulatory internal medicine clinic … November 2, 2010 View More See More About The Topic Ambulatory Clinic

350. Improving medication safety in primary care using electronic health records. | PSNet
     psnet.ahrq.gov/issue/improving-medication-safety-primary-care-using-electronic-health-records
     April 23, 2008 - Implementation of a medication reconciliation process in an ambulatory internal medicine clinic … March 19, 2008 View More See More About The Topic Ambulatory Clinic or

351. Improving resident education and patient safety: a method to balance initial caseloads at academic year-end transfer. | PSNet
     psnet.ahrq.gov/issue/improving-resident-education-and-patient-safety-method-balance-initial-caseloads-academic
     January 27, 2016 - March 9, 2022 Year-end resident clinic handoffs: narrative review and recommendations … December 7, 2009 View More See More About The Topic Ambulatory Clinic

352. Patient safety climate in primary care: age matters. | PSNet
     psnet.ahrq.gov/issue/patient-safety-climate-primary-care-age-matters
     June 11, 2010 - Implementation of a medication reconciliation process in an ambulatory internal medicine clinic … January 19, 2011 View More See More About The Topic Ambulatory Clinic

353. An automated, dynamic radiation oncology prescription checking system. | PSNet
     psnet.ahrq.gov/issue/automated-dynamic-radiation-oncology-prescription-checking-system
     October 27, 2010 - statin prescriptions in patients with coronary artery disease in a large, academic, multispecialty clinic … May 27, 2011 View More See More About The Topic Ambulatory Clinic or Office

354. Inpatient housestaff discontinuity of care and patient adverse events. | PSNet
     psnet.ahrq.gov/issue/inpatient-housestaff-discontinuity-care-and-patient-adverse-events
     July 02, 2008 - 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

355. Adequacy of information transferred at resident sign-out (in-hospital handover of care): a prospective survey. | PSNet
     psnet.ahrq.gov/issue/adequacy-information-transferred-resident-sign-out-hospital-handover-care-prospective-survey
     April 30, 2008 - Resources 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

356. Limited health literacy is a barrier to medication reconciliation in ambulatory care. | PSNet
     psnet.ahrq.gov/issue/limited-health-literacy-barrier-medication-reconciliation-ambulatory-care
     March 24, 2010 - June 3, 2020 Medication reconciliation campaign in a clinic for homeless patients. … February 24, 2011 Pharmacist medication assessments in a surgical preadmission clinic

357. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60186/psn-pdf
     April 01, 2020 - oral surgical procedures, and having an action plan for life-threatening emergencies in the dental clinic

358. 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.

359. After-Visit Confusion | PSNet
     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

360. Safer Services: A Toolkit for Specialist Mental Health Services and Primary Care. | PSNet
     psnet.ahrq.gov/issue/safer-services-toolkit-specialist-mental-health-services-and-primary-care
     November 25, 2009 - Inadequate Outpatient Mental Health Triage and Care of a Patient at the Chico Community-Based Outpatient Clinic … See More About The Topic Psychiatric Facilities Emergency Departments Ambulatory Clinic