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psnet.ahrq.gov/node/837033/psn-pdf
May 04, 2022 - Department of Veterans Affairs specifies abnormal test results be
communicated to the patient within seven days … if treatment is required, and within 14 days if no treatment is
required.
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psnet.ahrq.gov/issue/fall-prevention-smart-socks-system-reduces-hospital-fall-rates
September 09, 2020 - Over a 13-month period, investigators observed a decreased fall rate (0 per 1000 patient days) among … patients wearing Smart Socks compared to prior to intervention implementation (4 per 1000 patient days
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psnet.ahrq.gov/web-mm/late-anemia-following-rh-disease-newborn
June 17, 2010 - Over 3 visits in the subsequent 10 days, the patient was seen by different providers who all noted that … Two days later, the family brought the infant back to the urgent care clinic with unrelated concerns … Most infants should be seen 1–2 days after discharge; an online tool ( www.bilitool.org ) can help with … We would not expect clinicians to be alarmed at a drop from a hemoglobin of 12 g/dL from 10–20 days to … 10 g/dL at 25 days because hemoglobin levels in newborns commonly drop by about 5 g/dL over the first
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psnet.ahrq.gov/node/836841/psn-pdf
June 01, 2020 - CCHS adapted
the innovation by delivering a total of four home visits to referred patients within 30 days … and 17% of Medicare patients that are discharged from a U.S. hospital are
readmitted in less than 30 days … program is to reduce preventable 30-day hospital readmissions (i.e., readmissions
in the first 30 days … the patient about the services as well as checking in with
the patient in the first five to seven days … If resources
permit, the team believes that home visits should continue past 30 days.
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psnet.ahrq.gov/node/60814/psn-pdf
August 19, 2020 - from 2009 to 2017, this retrospective analysis looked at Emergency Department
(ED) visits within 30 days … Within 30 days of a subsequent hospitalization for AMI, common ED
discharge diagnoses included chest
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psnet.ahrq.gov/node/50755/psn-pdf
December 18, 2019 - Over the first 10
days of hospitalization, the patient refused most oral nutrition and medications. … for four days due to a diet order error that inappropriately extended a nil per os (NPO) order. … For 10 days this patient frequently refused oral intake. … This bias likely led to the patient being inappropriately held
fasting for four days. … In
this case, four days of NPO was not warranted and detrimental to the health of the patient.
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psnet.ahrq.gov/web-mm/need-eat
February 10, 2021 - Over the first 10 days of hospitalization, the patient refused most oral nutrition and medications. … for four days due to a diet order error that inappropriately extended a nil per os (NPO) order. … For 10 days this patient frequently refused oral intake. … This bias likely led to the patient being inappropriately held fasting for four days. … In this case, four days of NPO was not warranted and detrimental to the health of the patient.
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psnet.ahrq.gov/web-mm/postdischarge-follow-phone-call
May 19, 2021 - year-old woman with a history of chronic obstructive pulmonary disease (COPD) presented with several days … Over the next few days following discharge, the patient's cough worsened, and the shortness of breath … At this hospital, all patients discharged from the medicine service are called by a nurse within 3 days … The nurse who had called previously called again 2 days later to check on the patient. … Telephone follow up in patients with CHF was associated with fewer hospital days and readmissions in
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psnet.ahrq.gov/issue/implementation-discharge-education-program-improve-transitions-care-patients-high-risk
January 12, 2022 - for high-risk patients, including scheduling a post-hospital discharge telephone follow-up within 2 days … successfully contacted post-discharge (from 20% pre-intervention to 78%) and seen in clinic within 14-days
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psnet.ahrq.gov/issue/critical-care-safety-study-incidence-and-nature-adverse-events-and-serious-medical-errors
July 15, 2020 - Investigators used a variety of methods, including direct observation, to examine nearly 1500 patient-days … The incident rate per 1000 patient-days was greatest for the category defined as serious errors followed
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psnet.ahrq.gov/issue/prospective-evaluation-multifaceted-intervention-improve-outcomes-intensive-care-promoting
August 03, 2022 - The rate of adverse events decreased by almost 30%, from 59.0 per 1000 patient days in the baseline period … to 41.9 per 1000 patient days during the intervention period.
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psnet.ahrq.gov/web-mm/stable-airway-fatal-airway-occlusion-after-inadequate-post-tracheostomy-care
June 28, 2023 - After 12 days in the ICU, he could not be weaned from mechanical ventilation and underwent a tracheostomy … Two days later, he was transferred directly to a long-term care hospital (LTCH) for continued mechanical … Complications of tracheostomy can occur days, months, or even years after placement . … for percutaneously placed and 3-7 days for surgically placed tubes, due to healing times. 1 , 15 If … the type of placement is unknown, no change should occur within the first five to seven days of the
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psnet.ahrq.gov/sites/default/files/2021-09/spotlight_lost_in_transitions_of_care_09.22.2021_final.pdf
January 01, 2021 - PDMP shows
the date filled, the drug name and formulation, the quantity dispensed, and
the number of days … – In the previous 365 days, she had spent 199 days hospitalized (54% of the
year) at one hospital … (possibly ~11-63 OME).
7
Case Details (Encounter 1)
8
Date Filled Drug Name Strength Quantity Days … – The patient's pain worsened within several days, and therefore her
oxycodone ER was titrated back … • Five days later, the 60 mg tablet prescription was filled.
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psnet.ahrq.gov/node/49533/psn-pdf
March 01, 2007 - Two days later, the wound cultures grew Staphylococcus aureus. … Three days later, a final sensitivity profile for the S. aureus
isolate returned, showing resistance … The patient died of
sepsis and multiorgan system failure 3 days later. … Moving back to this case, increased drainage from the surgical site was noted 3 days postoperatively … Considering the apparent lack of response to 6 days of clindamycin, an
empiric broadening of antibiotic
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psnet.ahrq.gov/web-mm/bandemia-harbinger-stercoral-colitis-and-impending-perforation
November 25, 2020 - The patient had no “chief complaint,” but admitted on “review of systems” to constipation for several days … safe and that follow-up with her well-regarded primary care physician would be arranged within 1-4 days … Three days later, the patient was admitted to a second hospital with perforated bowel and sepsis. … Despite aggressive surgical and postoperative care, she expired from sepsis ten days later. … It is unclear when her perforation occurred but given that she presented with a perforation three days
-
psnet.ahrq.gov/node/73899/psn-pdf
September 29, 2021 - In the previous 365 days, she had spent 199 days hospitalized (54% of the year) at one hospital. … Within several days
after admission, her pain was improved, but the pain pharmacy consultant noted that … The patient's pain worsened within several days, and therefore her oxycodone
ER was titrated back up … Five days later, the 60 mg
tablet prescription was filled. … Several days later, the pharmacy received a fax request to
deactivate the prescription; therefore, the
-
psnet.ahrq.gov/web-mm/lost-transitions-care-managing-opioid-dependent-patient-frequent-hospitalizations
October 27, 2022 - In the previous 365 days, she had spent 199 days hospitalized (54% of the year) at one hospital. … Within several days after admission, her pain was improved, but the pain pharmacy consultant noted that … The patient's pain worsened within several days, and therefore her oxycodone ER was titrated back up … Five days later, the 60 mg tablet prescription was filled. … Several days later, the pharmacy received a fax request to deactivate the prescription; therefore, the
-
psnet.ahrq.gov/issue/association-between-unmet-nonmedication-needs-after-hospital-discharge-and-readmission-or
September 23, 2020 - In this study, 200 survivors of acute respiratory failure were followed up 7-28 days post discharge to … least one unmet need, but this was not associated with hospital readmission or mortality within 90 days
-
psnet.ahrq.gov/issue/missed-acute-myocardial-infarction-emergency-department-standardizing-measurement
May 12, 2021 - from 2009 to 2017, this retrospective analysis looked at Emergency Department (ED) visits within 30 days … Within 30 days of a subsequent hospitalization for AMI, common ED discharge diagnoses included chest
-
psnet.ahrq.gov/web-mm/hidden-heparins-hit-happens
March 27, 2024 - typical presentation of HIT involves a hospitalized patient who develops thrombocytopenia within 5–10 days … in patients with HIT who present without thrombosis, the risk of thrombosis persists for at least 30 days … Over the next few days, however, she developed ischemia in her right hand, which eventually became cold … (CISN) rarely occurs when warfarin is introduced in a patient with HIT and typically begins within days … (2 points) or past 30–100 days (1 point).