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psnet.ahrq.gov/web-mm/importance-following-safe-practices-infant-feeding-and-handling-expressed-breast-milk
January 31, 2024 - infectious diseases specialist recommended giving him hepatitis B Immunoglobulin and scheduling him for follow-up … included in a discussion to disclose the error, creating a safe space for questions that detailed the follow-up … The patient was offered but declined a lactation consultation visit to follow up on any breastfeeding … safe care. 17 Unfortunately, this infant had to be given hepatitis B Immunoglobulin and scheduled for follow-up … Rather, any follow up actions taken by supervisors should reinforce the need for all team members to
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psnet.ahrq.gov/issue/reduced-postdischarge-incidents-after-implementation-hospital-home-transition-intervention
September 06, 2023 - vulnerable time as patients may have changes in medications or care needs, or difficulties accessing follow … up with an outpatient provider. … WebM&M Cases
Critical Echocardiogram Result Lost to Follow-up
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psnet.ahrq.gov/node/50927/psn-pdf
February 21, 2020 - and disease prevention, care for
acute conditions, diagnosis and management of chronic conditions, follow-up … ineffective coordination following hospital discharge
can decrease likelihood of timely primary care follow-up … other institutions within the community, such as hospitals and nursing homes, to
reduce disconnects in follow-up … For example, careful manual clinician follow-up and monitoring of specialist
referrals to ensure they … Yet simply placing a referral order with no
follow-up may be efficient but is not very reliable in ensuring
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psnet.ahrq.gov/perspective/patient-safety-primary-care
January 31, 2020 - and disease prevention, care for acute conditions, diagnosis and management of chronic conditions, follow-up … ineffective coordination following hospital discharge can decrease likelihood of timely primary care follow-up … other institutions within the community, such as hospitals and nursing homes, to reduce disconnects in follow-up … For example, careful manual clinician follow-up and monitoring of specialist referrals to ensure they … Yet simply placing a referral order with no follow-up may be efficient but is not very reliable in ensuring
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psnet.ahrq.gov/web-mm/patient-safety-and-adherence-self-administered-medications
September 29, 2011 - methods for monitoring adherence include: (i) Watching for non-attendance: did this patient have a follow-up … patient that refills were needed and where they could be obtained, and failure to provide scheduled follow-up … clear communication with the patient about the goals and duration of therapy, and arrangements for follow-up … We don't know what he was told or what follow-up arrangements were made. … from clinicians, counseling, family therapy, psychological therapy, crisis intervention, telephone follow-up
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psnet.ahrq.gov/node/837791/psn-pdf
August 05, 2022 - positive results could occur with antigen tests, so healthcare
providers were encouraged to do routine follow-up … up on laboratory findings, can lead to missed or delayed diagnoses, subsequent delays in
treatment, … Follow-up failures (i.e.,
incomplete or delayed communication of test results) have been documented … women of ethnic minority and lower educational attainment were less likely to receive
appropriate follow-up … management modules in EHRs, anchored in team approaches, to support more reliable tracking of, and
follow-up
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psnet.ahrq.gov/issue/association-between-implementation-medical-team-training-program-and-surgical-morbidity
July 03, 2014 - 18, 2010
Incorrect surgical procedures within and outside of the operating room: a follow-up … A follow-up study from US Veterans Health Administration medical centers. … July 3, 2014
Incorrect surgical procedures within and outside of the operating room: a follow-up
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psnet.ahrq.gov/submit-innovations-landing
February 26, 2025 - Review
Our team will review your submission and follow up if any … electronic trigger tool that alerts the care team of unrelated abnormal findings and provides a companion follow-up
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psnet.ahrq.gov/node/40236/psn-pdf
March 23, 2012 - This systematic review analyzed 12 studies
and found wide variation in rates of test follow-up and related … AHRQ WebM&M
commentary discussed a case where a patient was incorrectly treated based on failure to follow … up a urine
culture after hospital discharge.
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psnet.ahrq.gov/node/49568/psn-pdf
September 01, 2008 - Providing
support and close follow-up during this process is key to the health of the infant and successful … Follow AAP guidelines in scheduling and providing for early follow-up of newborns, during which time … • Early physician follow-up to monitor hyperbilirubinemia. … • IBCLC follow-up after discharge to resolve nipple pain and ensure adequate infant weight gain and … • Support of early newborn follow-up after discharge.
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psnet.ahrq.gov/issue/diagnostic-stewardship-model-improve-quality-and-safety-diagnosis
January 15, 2025 - Deficiencies in Quality Management Processes and Delays in the Communication of Test Results and Follow-Up … September 28, 2022
Multiple Failures in Test Results Follow-up for a Patient Diagnosed
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psnet.ahrq.gov/issue/initiative-improve-management-clinically-significant-test-results-large-health-care-network
November 26, 2014 - Appropriate follow-up of abnormal test results remains a difficult issue. … January 4, 2017
Closing the loop: follow-up and feedback in a patient safety program.
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psnet.ahrq.gov/issue/patient-safety-outcomes-after-two-years-enhanced-internal-medicine-residency-clinic-handoff
March 21, 2018 - intervention in an internal medicine resident continuity clinic resulted in fewer patients lost to follow-up … The authors conclude that identifying and prioritizing follow-up for high-risk patients improves year-end
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psnet.ahrq.gov/issue/clinician-perspectives-management-abnormal-subcritical-tests-urban-academic-safety-net-health
February 22, 2011 - result management found that lack of clear responsibility for test results, inability to track result follow-up … technology, and absence of standardized workflow and expectations impede timely test result notification and follow-up
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psnet.ahrq.gov/issue/advancing-diagnostic-equity-through-clinician-engagement-community-partnerships-and-connected
June 22, 2022 - March 29, 2023
Why test results are still getting "lost" to follow-up: a qualitative … April 13, 2022
Technology-based closed-loop tracking for improving communication and follow-up … Supraventricular Tachycardia Masquerading as Panic Attacks
June 30, 2021
A bottom-up
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psnet.ahrq.gov/issue/association-between-implementation-medical-team-training-program-and-surgical-mortality
December 21, 2014 - 18, 2010
Incorrect surgical procedures within and outside of the operating room: a follow-up … A follow-up study from US Veterans Health Administration medical centers. … 21, 2017
Incorrect surgical procedures within and outside of the operating room: a follow-up
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psnet.ahrq.gov/web-mm/myasthenia-crisis-after-delayed-diagnosis-medically-complex-patient
February 21, 2020 - association between whether an alert for abnormal result was acknowledged by a provider and subsequent timely follow-up … mentioned above, alerts for results that indicated a new diagnosis were more likely to lack timely follow-up … discharge summaries that prioritize to-do lists and clarify loose ends may help us coordinate optimal follow-up … , 2023
The delivery of safe and effective test result communication, management and follow-up … WebM&M Cases
Critical Echocardiogram Result Lost to Follow-up
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psnet.ahrq.gov/node/43388/psn-pdf
July 30, 2014 - For the baseline stage, patients received a live follow-up call 3 weeks after their visit. … an acute care visit, and more than 60% of these
patients had not contacted any clinician during the follow-up
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psnet.ahrq.gov/issue/safety-elderly-fallers-identifying-associated-risk-factors-30-day-unplanned-readmissions
May 04, 2022 - November 2, 2022
Encouraging patients to speak up about problems in cancer care. … and Engagement (SCORE) survey: a brief, diagnostic, and actionable metric for the ability to speak up … November 30, 2022
Assessment of requests for medication-related follow-up after hospital … Safety Innovations
Project BOOST Increases Patient Understanding of Treatment and Follow-up
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psnet.ahrq.gov/issue/prescription-errors-and-outcomes-related-inconsistent-information-transmitted-through
April 04, 2011 - Download Citation
Related Resources From the Same Author(s)
Timely follow-up … April 4, 2011
How context affects electronic health record–based test result follow-up … September 20, 2011
Improving follow-up of abnormal cancer screens using electronic health