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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
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psnet.ahrq.gov/web-mm/resuscitation-errors-shocking-problem
October 19, 2022 - 2010
WebM&M Cases
When the Lytes Go Out: A Case of Inpatient
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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/web-mm/procedure-complications-who-responsible-follow
July 31, 2023 - recommendations were communicated by the thoracic surgery team, in part because there was no active inpatient
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psnet.ahrq.gov/web-mm/harm-alarm-fatigue
February 14, 2018 - Error
February 1, 2006
WebM&M Cases
Impatient 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
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psnet.ahrq.gov/node/49573/psn-pdf
January 01, 2009 - Medical errors related to discontinuity of care from an
inpatient to an outpatient setting.
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psnet.ahrq.gov/web-mm/wrong-shot-error-disclosure
May 01, 2011 - Adverse drug-related events are common in both the inpatient and the outpatient setting.
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psnet.ahrq.gov/web-mm/buprenorphine-and-medically-ill-patient
August 20, 2018 - The complicated medical picture could justify an inpatient hospitalization for the withdrawal procedure
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psnet.ahrq.gov/web-mm/transfusion-thresholds-gastrointestinal-bleeding
November 26, 2014 - and mortality in the United States, accounting for more than 500,000 hospital admissions and 10,000 inpatient
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psnet.ahrq.gov/web-mm/inadequate-preanesthetic-evaluation-airway-trouble
November 01, 2023 - The morning gynecology surgery list was overbooked with five cases, a mixture of ambulatory cases and inpatient
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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/july-syndrome
July 01, 2011 - The July effect: an analysis of never events in the nationwide inpatient sample.
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psnet.ahrq.gov/sites/default/files/2024-03/delayed_diagnosis_and_treatment_of_sle.pdf
January 01, 2024 - • This profile would have obligated an urgent rheumatology referral and inpatient
admission for CSF
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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
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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
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psnet.ahrq.gov/node/49600/psn-pdf
April 01, 2010 - These costs were attributed to inpatient
stays (62%), emergency department visits (6%), outpatient care
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psnet.ahrq.gov/web-mm/missed-patient-assignment-anyone-there
September 01, 2017 - a result, a rapid cycle improvement was conducted, and its recommendations were implemented on all inpatient
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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/primer/burnout
November 20, 2024 - March 28, 2023
Shared understanding of resilient practices in the context of inpatient