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psnet.ahrq.gov/node/47834/psn-pdf
February 27, 2019 - hospitalized at 6 United States hospitals who either died
during the hospitalization or were discharged to hospice
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psnet.ahrq.gov/node/45895/psn-pdf
February 22, 2017 - high-risk-medications-hospitalized-elderly-adults-are-we-making-it-easy-do-wrong-thing
https://psnet.ahrq.gov/issue/hospice-diagnosis-polypharmacy-teachable-moment
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psnet.ahrq.gov/issue/centers-medicare-and-medicaid-services-cms-nursing-home-compare
May 26, 2021 - In 2020, the website was renamed Care Compare , with links to compare hospitals, hospice, and other
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psnet.ahrq.gov/issue/medication-safety-look-alikesound-alike-drugs-home-care
February 03, 2021 - 2005 on look-alike/sound-alike medications and makes suggestions for implementation in home care and hospice
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psnet.ahrq.gov/node/72586/psn-pdf
December 23, 2020 - the hospital teams involved in his care, the decision was made to transition the
patient home with hospice … improve his respiratory status and that he would likely be able to go home the
following week with hospice … It seemed these new providers noted the patient’s DNR code status and the plan to go
home with hospice … If
your mental model was that home with hospice meant “discontinue everything, except comfort focused … Krisman, MD, MPH
Hospice and Palliative Medicine Fellow
UC Davis Health
rkkrisman@ucdavis.edu
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psnet.ahrq.gov/issue/performing-inadvertent-procedure
October 16, 2019 - in which an unnecessary procedure was incorrectly performed on a patient who had opted to pursue hospice
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psnet.ahrq.gov/issue/sent-home-die
April 22, 2020 - and the spread of the virus in families due to unnecessary referrals of patients to home care and hospice
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psnet.ahrq.gov/web-mm/palliative-care-comfort-vs-harm
December 04, 2016 - with the patient and his son, the patient expressed that he would like to focus on comfort and pursue hospice … Palliative care in end-stage renal disease: illness trajectories, communication, and hospice use. … Adverse effects in hospice patients with chronic kidney disease receiving hydromorphone. … November 23, 2016
Patient safety incidents in hospice care: observations from interdisciplinary … December 13, 2013
Improving medication error reporting in hospice care.
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psnet.ahrq.gov/web-mm/code-status-vs-care-status
September 30, 2020 - the hospital teams involved in his care, the decision was made to transition the patient home with hospice … improve his respiratory status and that he would likely be able to go home the following week with hospice … It seemed these new providers noted the patient’s DNR code status and the plan to go home with hospice … If your mental model was that home with hospice meant “discontinue everything, except comfort focused … Krisman, MD, MPH
Hospice and Palliative Medicine Fellow
UC Davis Health
rkkrisman@ucdavis.edu
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psnet.ahrq.gov/issue/look-alike-sound-alike-drugs-trigger-dangers
June 29, 2016 - June 29, 2016
'No one is coming': hospice patients abandoned at death's door.
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psnet.ahrq.gov/issue/nurturing-creativity-2006-macarthur-fellows
April 03, 2012 - October 20, 2021
Safety in pediatric hospice and palliative care: a qualitative study
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psnet.ahrq.gov/issue/4-skin-conditions-doctors-often-misdiagnose
September 30, 2020 - September 30, 2020
Safety in pediatric hospice and palliative care: a qualitative study
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psnet.ahrq.gov/issue/hazards-diagnosis
April 06, 2022 - October 6, 2010
Keeping safety a priority in home care and hospice: one agency's journey
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psnet.ahrq.gov/issue/macarthur-fellows-program-michael-cohen
June 11, 2013 - October 20, 2021
Safety in pediatric hospice and palliative care: a qualitative study
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psnet.ahrq.gov/issue/paralyzed-errors-xbox-designer-taking-hospital-safety
June 09, 2010 - June 9, 2010
'No one is coming': hospice patients abandoned at death's door.
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psnet.ahrq.gov/issue/safety-quality-and-informatics-leadership-program
May 01, 2015 - October 4, 2017
Towards safer transitions: a curriculum to teach and assess hospital-to-hospice
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psnet.ahrq.gov/issue/developing-adverse-event-reporting-system-using-administrative-data
September 23, 2009 - December 18, 2013
Defining patient safety in hospice: principles to guide measurement
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psnet.ahrq.gov/issue/special-report-covid-deepens-other-opioid-crisis-shortage-hospital-painkillers
March 31, 2021 - February 2, 2022
Safety in pediatric hospice and palliative care: a qualitative study
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psnet.ahrq.gov/issue/nursing-peer-review-developing-framework-patient-safety
January 15, 2020 - September 9, 2011
Keeping safety a priority in home care and hospice: one agency's journey
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psnet.ahrq.gov/issue/patient-safety-emerging-applications-safety-science
February 09, 2022 - April 24, 2018
Hospice diagnosis: polypharmacy—a teachable moment.