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psnet.ahrq.gov/web-mm/discharging-our-responsibility
January 16, 2019 - Discharging Our Responsibility
Citation Text:
Fonarow GC. Discharging Our Responsibility. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
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psnet.ahrq.gov/web-mm/residual-anesthesia-tepid-burn
February 10, 2010 - In this particular case, a saddle block may not have been the ideal choice, given the patient's lack
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psnet.ahrq.gov/node/49762/psn-pdf
June 01, 2016 - In an ideal world, the advance directive or POLST would be in the EHR and available to all providers … However, there are multiple reasons why state registries are unlikely to be an ideal or
universal solution
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psnet.ahrq.gov/node/867359/psn-pdf
December 18, 2024 - newborn care and policies.10 In this survey, only about 28% of the participating hospitals had an ideal … response of few breastfeeding newborns receiving infant formula, 59% of hospitals had an ideal response … breastfeeding mothers who requested infant formula about possible consequences, 66% of
hospitals had an ideal
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psnet.ahrq.gov/web-mm/standard-deviations
January 01, 2006 - expectations, most health professionals (and patients) aspire to go beyond mere "competence" to an ideal
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psnet.ahrq.gov/node/49594/psn-pdf
December 01, 2009 - expectations, most health professionals (and patients) aspire to go beyond mere "competence" to an ideal
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psnet.ahrq.gov/issue/prevalence-nature-severity-and-risk-factors-prescribing-errors-hospital-inpatients
October 22, 2014 - Study
Prevalence, nature, severity and risk factors for prescribing errors in hospital inpatients: prospective study in 20 UK hospitals.
Citation Text:
Ashcroft DM, Lewis PJ, Tully MP, et al. Prevalence, Nature, Severity and Risk Factors for Prescribing Errors in Hospital Inpatients: Pro…
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psnet.ahrq.gov/web-mm/importance-following-safe-practices-infant-feeding-and-handling-expressed-breast-milk
January 31, 2024 - newborn care and policies. 10 In this survey, only about 28% of the participating hospitals had an ideal … response of few breastfeeding newborns receiving infant formula, 59% of hospitals had an ideal response … breastfeeding mothers who requested infant formula about possible consequences, 66% of hospitals had an ideal
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psnet.ahrq.gov/web-mm/case-mistaken-intubation
July 01, 2016 - In an ideal world, the advance directive or POLST would be in the EHR and available to all providers … However, there are multiple reasons why state registries are unlikely to be an ideal or universal solution
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psnet.ahrq.gov/web-mm/preventable-transfer-hospital
March 31, 2022 - Preventable Transfer to the Hospital
Citation Text:
Agrawal G, Kashkouli P, Bakerjian D. Preventable Transfer to the Hospital. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
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psnet.ahrq.gov/issue/assessing-impact-hospital-mergers-and-acquisitions-safety-culture-proactive-risk-assessments
June 12, 2024 - Study
Assessing the impact of hospital mergers and acquisitions on safety culture with proactive risk assessments
Citation Text:
Folcarelli P, Hoffman J, Janes M, et al. Assessing the impact of hospital mergers and acquisitions on safety culture with proactive risk assessments. J Healthc…
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psnet.ahrq.gov/node/837658/psn-pdf
July 08, 2022 - Preventable Transfer to the Hospital
July 8, 2022
Agrawal G, Kashkouli P, Bakerjian D. Preventable Transfer to the Hospital. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/preventable-transfer-hospital
The Case
A 78-year-old veteran with dementia-associated aggressive behavior and multiple comorbidities had…
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psnet.ahrq.gov/periodic-issue/periodic-issue-387
April 26, 2023 - related to patient care, including organizational issues, near-miss events, and expected deviations from ideal … The safety recommendations shared include improving discharge planning, assessment, and consideration
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psnet.ahrq.gov/node/49578/psn-pdf
January 01, 2009 - Hospital Admission Due to High-Dose Methotrexate Drug
Interaction
January 1, 2009
Siegel LC, Gandhi TK. Hospital Admission Due to High-Dose Methotrexate Drug Interaction. PSNet
[internet]. 2009.
https://psnet.ahrq.gov/web-mm/hospital-admission-due-high-dose-methotrexate-drug-interaction
The Case
A 40-year-old wo…
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psnet.ahrq.gov/node/49544/psn-pdf
September 01, 2007 - Discharging Our Responsibility
September 1, 2007
Fonarow GC. Discharging Our Responsibility. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/discharging-our-responsibility
The Case
A 75-year-old man with a history of hypertension, coronary artery disease, and congestive heart failure
(CHF) presented to the …
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psnet.ahrq.gov/node/846170/psn-pdf
March 15, 2023 - reports/engage/interventions/teachback.html
https://psnet.ahrq.gov//#6
https://psnet.ahrq.gov/primer/discharge-planning-and-transitions-care
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.290_slideshow.ppt
February 01, 2013 - Spotlight Case July 2008
Spotlight Case
Delay in Treatment:
Failure to Contact Patient Leads to Significant Complications
*
*
Source and Credits
This presentation is based on the February 2013
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: …
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psnet.ahrq.gov/node/860049/psn-pdf
January 04, 2024 - Myasthenia Crisis after a Delayed Diagnosis in a
Medically Complex Patient.
January 4, 2024
Chaffin Z. Myasthenia Crisis after a Delayed Diagnosis in a Medically Complex Patient. PSNet [internet].
2024.
https://psnet.ahrq.gov/web-mm/myasthenia-crisis-after-delayed-diagnosis-medically-complex-patient
The Case
A 9…
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psnet.ahrq.gov/web-mm/hospital-admission-due-high-dose-methotrexate-drug-interaction
October 01, 2003 - Hospital Admission Due to High-Dose Methotrexate Drug Interaction
Citation Text:
Siegel LC, Gandhi TK. Hospital Admission Due to High-Dose Methotrexate Drug Interaction. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
Copy Cit…
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psnet.ahrq.gov/perspective/suicide-prevention
March 24, 2025 - essential to maintaining patient safety, as suicide rates spike in the days after discharge. 17 Effective discharge … planning involves confirming that a robust safety plan is in place, 18 providing clear crisis resources … psychologist or a social worker or someone who is trained to see the person during their visit, that would be ideal