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  1. psnet.ahrq.gov/primer/discharge-planning-and-transitions-care
    September 07, 2019 - Re-Engineered Discharged (RED) Toolkit.
  2. psnet.ahrq.gov/web-mm/confusion-acetaminophen
    December 01, 2009 - The patient was discharged with a diagnosis of viral syndrome after receiving one dose of acetaminophen … His acetaminophen levels declined, and he was safely discharged home without further events. … Dangerous Combination April 24, 2024 WebM&M Cases Discharged
  3. psnet.ahrq.gov/issue/cluster-randomized-trial-two-implementation-strategies-deliver-audit-and-feedback-equipped
    November 16, 2022 - intended to reduce potentially inappropriate medication (PIM) prescribing among older adults who are discharged … Safety Strategy October 27, 2021 Incidence of prescription errors in patients discharged
  4. psnet.ahrq.gov/web-mm/fecal-contamination-peritoneum-laparoscopic-trocar-injury-routine-operation-goes-wrong
    August 30, 2023 - After the left ovary was removed and the procedure concluded, the patient was discharged home the same … The patient sought care at another hospital 9 hours after being discharged, due to increasing pain, nausea … The patient was discharged home on postoperative day 15. … Patients in the postoperative recovery unit exhibiting any of these symptoms should not be discharged
  5. psnet.ahrq.gov/issue/hospitals-put-pharmacists-er-cut-medication-errors
    December 17, 2014 - March 30, 2022 Antibiotic prescribing errors in patients discharged from the pediatric … November 10, 2021 Incidence of prescription errors in patients discharged from the emergency
  6. psnet.ahrq.gov/web-mm/discontinued-medications-are-they-really-discontinued
    February 27, 2019 - The warfarin was discontinued, the patient stabilized clinically, and he was later discharged home. … associated with medications.( 2 ) A comparison of medication records for patients older than 65 years discharged
  7. psnet.ahrq.gov/web-mm/home-medications-contribute-unique-opportunity-error-discharge-hospital
    May 16, 2022 - Patient A was discharged after he received appropriate clinical care and his acute symptoms resolved, … It was discovered that Patient A was inadvertently discharged home with Patient B’s medication (ponatinib
  8. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2021-09/spotlight_lost_in_transitions_of_care_09.22.2021_final.pdf
    January 01, 2021 - Encounter 1) • After a several-months-long hospitalization approximately one year ago, the patient was discharged … to a skilled nursing facility (SNF) for post-acute care. – Discharged on long-acting oral morphine … – She received oxycodone at 180-240 OME during this hospital stay and was discharged with instructions … • After routine postoperative recovery, she was discharged on oxycodone ER 80 mg three times daily … twice daily (240 OME). – The Pain pharmacy consultant recommended conversion to methadone, so she was discharged
  9. psnet.ahrq.gov/issue/patients-identification-and-reporting-unsafe-events-six-hospitals-japan
    October 30, 2019 - Same Author(s) Missed serious neurologic conditions in emergency department patients discharged
  10. psnet.ahrq.gov/web-mm/weight-and-height-juxtaposition-electronic-medical-record-causing-accidental-medication
    March 15, 2023 - Her symptoms markedly improved, and she was discharged home with a diagnosis of allergic urticaria. … The resulting hospitalization was uneventful, and the patient was discharged after two days with a typical … After receiving treatment and being discharged with a diagnosis of allergic urticaria, she returned the
  11. psnet.ahrq.gov/issue/hospital-discharge-and-readmission
    March 27, 2005 - Review Hospital discharge and readmission. Citation Text: Alper E, O'Malley TA, Greenwald J. UpToDate. February 3, 2023. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL March …
  12. psnet.ahrq.gov/issue/incidence-and-variables-associated-inconsistencies-opioid-prescribing-hospital-discharge-and
    June 02, 2021 - hospital between 2014 and 2016, this cohort study found that nearly 50% of hospitalized patients were discharged … with an opioid prescription, and 80% of those prescriptions were among patients discharged from a
  13. psnet.ahrq.gov/web-mm/clostridium-difficile-relapse-secondary-medication-access-issue
    October 01, 2015 - She improved quickly and was discharged with a plan to complete a 14-day course of oral vancomycin. … After being discharged, the patient took her discharge prescriptions to her usual retail pharmacy. … prevented or ameliorated through better communication and coordination of care.( 7 ) When patients are discharged
  14. psnet.ahrq.gov/issue/abdominal-pain-emergency-department-missed-diagnoses
    September 16, 2020 - August 26, 2020 Incidence of prescription errors in patients discharged from the emergency … December 9, 2020 Antibiotic prescribing errors in patients discharged from the pediatric
  15. psnet.ahrq.gov/issue/quantifying-discharge-medication-reconciliation-errors-2-pediatric-hospitals
    October 20, 2021 - January 15, 2020 Antibiotic prescribing errors in patients discharged from the pediatric … March 30, 2022 Antibiotic prescribing errors in patients discharged from the pediatric
  16. psnet.ahrq.gov/issue/measuring-safety-climate-elderly-homes
    March 29, 2023 - April 13, 2016 Potentially inappropriate prescribing in older patients discharged from … January 20, 2010 Communication and information deficits in patients discharged to rehabilitation
  17. psnet.ahrq.gov/issue/emergency-department-checklist-innovation-improve-safety-emergency-care
    December 20, 2023 - April 17, 2019 Communication and information deficits in patients discharged to rehabilitation … November 10, 2021 Incidence of prescription errors in patients discharged from the emergency
  18. psnet.ahrq.gov/issue/impact-restraint-management-bundle-restraint-use-intensive-care-unit
    October 18, 2023 - March 8, 2017 Incidence of prescription errors in patients discharged from the emergency … February 24, 2021 Antibiotic prescribing errors in patients discharged from the pediatric
  19. psnet.ahrq.gov/issue/effects-bar-coding-technology-medication-errors-systematic-literature-review
    March 20, 2024 - July 6, 2005 Incidence of prescription errors in patients discharged from the emergency … April 20, 2022 Antibiotic prescribing errors in patients discharged from the pediatric
  20. psnet.ahrq.gov/issue/impact-computerized-prescriber-order-entry-cpoe-clinical-pharmacy-practice-hypothesis
    November 16, 2022 - March 30, 2022 Antibiotic prescribing errors in patients discharged from the pediatric … pharmacist-provided medication therapy management on healthcare quality and utilization in recently discharged

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