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psnet.ahrq.gov/web-mm/do-you-want-everything-done-clarifying-code-status
March 27, 2024 - In fact, the rate of surviving in-hospital CPR for cardiac arrest to the endpoint of hospital discharge
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psnet.ahrq.gov/web-mm/difficult-encounters-cmo-and-cno-respond
March 01, 2018 - previously, resident behavior can be addressed at the department level in multiple ways, up to and including discharge
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psnet.ahrq.gov/web-mm/diagnosing-hiv-it-doesnt-take-brain-surgeon
January 01, 2018 - 2012
WebM&M Cases
Treatment Challenges After Discharge
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psnet.ahrq.gov/node/846975/psn-pdf
March 28, 2023 - We now have bundles on topics such as postpartum discharge and care for pregnant and
postpartum patients
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psnet.ahrq.gov/perspective/conversation-karl-bilimoria-md-ms-0
December 01, 2017 - For complex operations, we discharge people after a day or two, so most of their complications are occurring
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psnet.ahrq.gov/node/72516/psn-pdf
November 25, 2020 - , the history initially gathered from the patient may have warranted re-examination of the plan to
discharge
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psnet.ahrq.gov/node/33791/psn-pdf
September 01, 2015 - Or, on the day of discharge, it looks like a patient is unstable because the
note doesn't reflect the
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psnet.ahrq.gov/perspective/conversation-michael-cohen-rph-ms-scd-hon
April 01, 2006 - therapy is safer than traditional care.( 5 ) Follow-up telephone contact with a pharmacist after hospital discharge
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psnet.ahrq.gov/web-mm/tale-two-falls
March 27, 2024 - have a higher risk for increased hospital length of stay, decreased mobility, increased mortality, and discharge
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psnet.ahrq.gov/web-mm/postpartum-woman-erroneous-sars-cov-2-test
December 23, 2020 - Two days after the mother’s discharge, the commercial and state lab tests were both reported as negative
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psnet.ahrq.gov/web-mm/loss-trust-and-missed-diagnosis
October 31, 2023 - June 16, 2021
Medication reconciliation at hospital discharge: a qualitative exploration
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psnet.ahrq.gov/perspective/conversation-brian-jarman-phd
March 01, 2015 - result of today's short hospital stays, unsafe inpatient care may not manifest as death until after discharge
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psnet.ahrq.gov/web-mm/multiple-levels-involved-prescribing-wrong-medication
December 23, 2020 - October 1, 2008
WebM&M Cases
Discharge Fumbles
-
psnet.ahrq.gov/primer/maternal-safety
January 10, 2024 - Conditions (AIM) Cardiac Conditions in Obstetrical Care (AIM) Obstetric Hemorrhage (AIM) Postpartum Discharge
-
psnet.ahrq.gov/web-mm/premature-closure-was-it-just-syncope
February 10, 2021 - trauma, the history initially gathered from the patient may have warranted re-examination of the plan to discharge
-
psnet.ahrq.gov/perspective/where-does-risk-adjusted-mortality-fit-safety-measurement-program
March 01, 2015 - result of today's short hospital stays, unsafe inpatient care may not manifest as death until after discharge
-
psnet.ahrq.gov/node/33726/psn-pdf
March 01, 2012 - trial lawyer I started a practice of sending a letter
back to my clients that I called a "litigation discharge
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psnet.ahrq.gov/node/846564/psn-pdf
March 29, 2023 - Technology as a Tool for Improving Patient Safety
March 29, 2023
Holmgren AJ, McBride S, Gale B, et al. Technology as a Tool for Improving Patient Safety . PSNet
[internet]. 2023.
https://psnet.ahrq.gov/perspective/technology-tool-improving-patient-safety
Introduction
In the past several decades, technological a…
-
psnet.ahrq.gov/web-mm/right-regimen-wrong-cancer-patient-catches-medical-error
August 01, 2006 - SPOTLIGHT CASE
Right Regimen, Wrong Cancer: Patient Catches Medical Error
Citation Text:
Weingart SN, Jacobson J. Right Regimen, Wrong Cancer: Patient Catches Medical Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2…
-
psnet.ahrq.gov/node/49831/psn-pdf
June 01, 2018 - Chest Pain in a Rural Hospital
June 1, 2018
MacKinney CA, Mohr NM. Chest Pain in a Rural Hospital. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/chest-pain-rural-hospital
Case Objectives
Recognize that a significant proportion of the Unites States population receives care in rural safety
net emergency dep…