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psnet.ahrq.gov/web-mm/its-sarah-not-stephen
January 01, 2015 - February 9, 2022
WebM&M Cases
Inpatient Stroke Management
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psnet.ahrq.gov/web-mm/emergency-error
January 18, 2013 - Variation in hospital mortality associated with inpatient surgery.
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psnet.ahrq.gov/web-mm/low-totem-pole
October 01, 2003 - Hydrogen Ions
April 28, 2021
WebM&M Cases
Inpatient
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psnet.ahrq.gov/web-mm/spinal-epidural-abscess
November 13, 2019 - Same Author(s)
Reflections on implementing a hospital-wide provider-based electronic inpatient
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psnet.ahrq.gov/web-mm/delayed-recognition-positive-blood-culture
January 29, 2020 - An estimated 11% of inpatient microbiology tests result after discharge and approximately 2% of those
-
psnet.ahrq.gov/web-mm/aspergillus-mediastinitis-endocarditis-pediatric-patient-complicating-cardiac-surgery-and
November 16, 2022 - May 15, 2024
The safety of inpatient health care.
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psnet.ahrq.gov/web-mm/one-dose-two-errors
September 29, 2017 - core component of a stewardship program.( 4 ) In a typical prospective audit and feedback program, inpatient
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psnet.ahrq.gov/web-mm/death-pca
January 06, 2017 - January 12, 2011
WebM&M Cases
Impatient Inpatient Dosing
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psnet.ahrq.gov/web-mm/treatment-challenges-after-discharge
January 03, 2017 - August 23, 2023
Racial and ethnic disparities in common inpatient safety outcomes in
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psnet.ahrq.gov/curated-library/diagnostic-error
September 14, 2025 - investigators utilized the National Practitioner Data Bank to examine the incidence and severity of inpatient
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psnet.ahrq.gov/primer/burnout
November 20, 2024 - March 28, 2023
Shared understanding of resilient practices in the context of inpatient
-
psnet.ahrq.gov/web-mm/weight-and-height-juxtaposition-electronic-medical-record-causing-accidental-medication
March 15, 2023 - methylprednisolone overdose, the patient’s family was informed, and the patient was admitted to the inpatient
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psnet.ahrq.gov/web-mm/transfer-or-not-transfer
November 23, 2016 - elective admissions.( 4 ) Subsequently, during daily surges of ED patients requiring admission, demand for inpatient
-
psnet.ahrq.gov/sites/default/files/2024-10/spotlight_case_a_cognitive_and_communication_blind_spot_slides.pptx
January 01, 2024 - permanent paralysis
THE COMMENTARY
Garth Utter, MD, MSc, FACS
9
9
Overview
10
Overview (1)
Modern inpatient
-
psnet.ahrq.gov/web-mm/endotracheal-tube-fallout-patient-severe-obesity-during-eye-surgery
January 29, 2021 - Safe
November 1, 2006
WebM&M Cases
Impatient Inpatient
-
psnet.ahrq.gov/web-mm/mitigating-risk-intrahospital-transport-pediatric-patients-risk-physiologic-instability
May 27, 2020 - 1, 2012
Community-acquired and hospital-acquired medication harm among older inpatients
-
psnet.ahrq.gov/node/49498/psn-pdf
January 01, 2006 - consecutive patients with ultrasound-confirmed DVT from 183 United States institutions, only 42% of
inpatients
-
psnet.ahrq.gov/node/49678/psn-pdf
March 01, 2013 - Medication errors and adverse drug events in pediatric
inpatients. JAMA. 2001;285:2114-2120.
-
psnet.ahrq.gov/web-mm/ounce-prevention
February 17, 2011 - consecutive patients with ultrasound-confirmed DVT from 183 United States institutions, only 42% of inpatients
-
psnet.ahrq.gov/node/33841/psn-pdf
September 01, 2017 - psnet.ahrq.gov/issue/safety-assurance-factors-ehr-resilience-safer-guides
https://psnet.ahrq.gov/issue/adverse-inpatient-outcomes-during-transition-new-electronic-health-record-system