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81. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/836841/psn-pdf
    June 01, 2020 - Clinic Pairs Advanced Practice Registered Nurses and Paramedics To Provide Home Visits to Recently Discharged … High Risk Transitions in Care (HRTIC), with the goal of reducing 30-day hospital readmissions for discharged … Context of the Innovation Roughly 14% of all patients and 17% of Medicare patients that are discharged … Healthcare utilization and patient and provider experience with a home visit program for patients discharged … Healthcare utilization and patient and provider experience with a home visit program for patients discharged

82. A new approach of assessing patient safety aspects in routine practice using the example of "doctors handwritten prescriptions." | PSNet
    psnet.ahrq.gov/issue/new-approach-assessing-patient-safety-aspects-routine-practice-using-example-doctors
    April 24, 2019 - 2021 Clinical outcomes from the use of Medication Report when elderly patients are discharged … 2009 Medication report reduces number of medication errors when elderly patients are discharged

83. Why are patients not more involved in their own safety? A questionnaire-based survey in a multi-ethnic North London hospital population. | PSNet
    psnet.ahrq.gov/issue/why-are-patients-not-more-involved-their-own-safety-questionnaire-based-survey-multi-ethnic
    September 22, 2021 - Related Resources From the Same Author(s) Incidence of prescription errors in patients discharged … July 1, 2010 WebM&M Cases Discharged Blindly December

84. Anatomy of a cyberattack: part 4: quality assurance and error reduction, billing and compliance, transition to uptime. | PSNet
    psnet.ahrq.gov/issue/anatomy-cyberattack-part-4-quality-assurance-and-error-reduction-billing-and-compliance
    April 27, 2022 - April 27, 2022 Incidence of prescription errors in patients discharged from the emergency … October 29, 2017 Antibiotic prescribing errors in patients discharged from the pediatric

85. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/865655/psn-pdf
    April 24, 2024 - The patient was discharged that afternoon despite continuing to report extreme pain. … second case, the treating team failed to appreciate symptoms suggesting postoperative CS and instead discharged … Simple and inexpensive processes exist that may identify patients who were discharged prematurely and … In a study of 30,727 members of a commercial health plan, patients discharged after hospitalization … surgical patients, and has expanded the program to contact patients who are treated and discharged

86. Assessment of requests for medication-related follow-up after hospital discharge, and the relation to unplanned hospital revisits, in older patients: a multicentre retrospective chart review. | PSNet
    psnet.ahrq.gov/issue/assessment-requests-medication-related-follow-after-hospital-discharge-and-relation-unplanned
    November 17, 2021 - Clinical outcomes from the use of Medication Report when elderly patients are discharged … 2009 Medication report reduces number of medication errors when elderly patients are discharged

87. False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy. | PSNet
    psnet.ahrq.gov/web-mm/false-assumptions-result-missed-pneumothorax-after-bronchoscopy-transbronchial-biopsy
    March 15, 2023 - The patient was discharged home with family members, with instructions to follow up “as needed,” as his … The patient was admitted overnight for observation and discharged the next day after treatment with supplemental … expected recovery trajectory, and the milestones that must be achieved before the patient can be safely discharged … response from the radiologist was too late to ensure patient safety as it occurred after the patient was discharged … interpretation and communication of the CXR results did not happen until after the patient had been discharged

88. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49661/psn-pdf
    August 01, 2012 - Patients are often discharged with at least some part of the regional block still working to maximize … references https://psnet.ahrq.gov//#references of residual neurologic deficits if the patient will be discharged … If a patient is discharged with residual effects following regional anesthesia, instructions must include … Consider a special follow-up protocol for patients receiving local/regional anesthesia who are discharged … with a sensory block at dermatome T10 or below, with some movement of the lower extremity, may be discharged

89. Continuing Education | PSNet
    psnet.ahrq.gov/continuing-education
    February 26, 2025 - emergency department (ED) with abdominal pain and was initially diagnosed with cholelithiasis before being discharged … On exam, the patient had normal vital signs, neurologic exam, and initial imaging; he was discharged … A head CT scan was read as normal and he was diagnosed with a minor head injury and discharged without … including worsening cognition and increased headache and was diagnosed with post-concussive syndrome and discharged … He was discharged with antibiotic prescriptions, but returned three days later with worsening symptoms

90. WebM&M: Case Studies | PSNet
    psnet.ahrq.gov/webmm-case-studies
    March 25, 2025 - On exam, the patient had normal vital signs, neurologic exam, and initial imaging; he was discharged … A head CT scan was read as normal and he was diagnosed with a minor head injury and discharged without … including worsening cognition and increased headache and was diagnosed with post-concussive syndrome and discharged … He was discharged with antibiotic prescriptions, but returned three days later with worsening symptoms … A woman underwent surgery for carpal tunnel syndrome without complications and was discharged

91. Long-term outcomes of medication intervention using the screening tool of older persons potentially inappropriate prescriptions screening tool to alert doctors to right treatment criteria. | PSNet
    psnet.ahrq.gov/issue/long-term-outcomes-medication-intervention-using-screening-tool-older-persons-potentially
    July 31, 2024 - May 25, 2016 Discontinuity of chronic medications in patients discharged from the intensive … September 27, 2016 Potentially inappropriate prescribing in older patients discharged

92. Effect of emergency medicine pharmacists on medication-error reporting in an emergency department. | PSNet
    psnet.ahrq.gov/issue/effect-emergency-medicine-pharmacists-medication-error-reporting-emergency-department
    July 26, 2011 - May 4, 2012 Antibiotic prescribing errors in patients discharged from the pediatric emergency … March 30, 2022 Incidence of prescription errors in patients discharged from the emergency

93. Readmissions and Adverse Events After Discharge | PSNet
    psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge
    April 27, 2022 - Background Being discharged from the hospital can be dangerous. … More subtle discharge hazards arise from the fact that nearly 40% of patients are discharged with test … results pending , and a comparable proportion are discharged with a plan to complete the diagnostic

94. Prescription and transcription errors in multidose-dispensed medications on discharge from hospital: an observational and interventional study. | PSNet
    psnet.ahrq.gov/issue/prescription-and-transcription-errors-multidose-dispensed-medications-discharge-hospital
    February 15, 2011 - 2021 Medication report reduces number of medication errors when elderly patients are discharged … 2011 Clinical outcomes from the use of Medication Report when elderly patients are discharged

95. Spotlight (pdf file)
    psnet.ahrq.gov/sites/default/files/2022-10/spotlight_case_missed_pneumothorax_10.09.2022_-_final.pdf
    January 01, 2022 - • The patient was discharged home with family members, with instructions to follow up “as needed, … • The patient was admitted overnight for observation and discharged the next day after treatment … expected recovery trajectory, and the milestones that must be achieved before the patient can be safely discharged … response from the radiologist was too late to ensure patient safety, as it occurred after the patient was discharged … interpretation and communication of the CXR results did not happen until after the patient had been discharged

96. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60311/psn-pdf
    May 06, 2020 - survivors-will-be-left-traumatized-their-icu-experience Patient safety can be challenged even after patients are discharged

97. Critical Echocardiogram Result Lost to Follow-up | PSNet
    psnet.ahrq.gov/web-mm/critical-echocardiogram-result-lost-follow
    July 31, 2023 - patient at the time also did not follow up the patient’s echocardiogram given that he had already been discharged … this case revealed several figurative Swiss cheese holes that aligned: the patient had already been discharged … of care. 7 Adverse events span a multitude of patient care domains and almost 40% of patients are discharged … If the patient has already been discharged, the interpreting physician could contact the patient’s primary … If the patient had already been discharged, they would contact the patient’s primary care provider and

98. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33562/psn-pdf
    September 15, 2024 - Care Outreach Critical care physicians and nurses   Respond to emergencies Follow up on patients discharged … physician (critical care or hospitalist) backup   Respond to emergencies Follow up on patients discharged

99. Prevalence of potentially harmful multidrug interactions on medication lists of elderly ambulatory patients. | PSNet
    psnet.ahrq.gov/issue/prevalence-potentially-harmful-multidrug-interactions-medication-lists-elderly-ambulatory
    May 27, 2011 - 2011 Clinical outcomes from the use of Medication Report when elderly patients are discharged … 2009 Medication report reduces number of medication errors when elderly patients are discharged

100. Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber order entry. | PSNet
     psnet.ahrq.gov/issue/medication-error-reporting-and-pharmacy-resident-experience-during-implementation
     November 17, 2010 - May 4, 2012 Antibiotic prescribing errors in patients discharged from the pediatric emergency … March 30, 2022 Incidence of prescription errors in patients discharged from the emergency