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psnet.ahrq.gov/issue/pharmacist-led-program-improve-transitions-acute-care-skilled-nursing-facility-care
December 09, 2020 - hospital-to-SNF transfers and found that 60% of first doses of high-risk medications were given after the scheduled
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psnet.ahrq.gov/issue/anesthesia-outside-or-cause-patient-safety-concerns
May 25, 2022 - April 14, 2021
The incidence and cost of unexpected hospital use after scheduled outpatient
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psnet.ahrq.gov/issue/evaluation-causes-and-frequency-medication-errors-during-information-technology-downtime
October 03, 2011 - automated dispensing systems , this study found that patients remain vulnerable to medication errors during scheduled
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psnet.ahrq.gov/issue/clinical-relevance-and-risk-factors-associated-medication-administration-time-errors
May 08, 2017 - Administration of medications at the wrong time—most often more than one hour after the scheduled administration—was
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psnet.ahrq.gov/issue/entire-upmc-transplant-team-missed-hepatitis-alert
March 06, 2005 - Lost
March 1, 2015
The incidence and cost of unexpected hospital use after scheduled
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psnet.ahrq.gov/issue/information-transfer-multidisciplinary-operating-room-teams-simulation-based-observational
November 17, 2014 - simulation study found that much communication about important clinical information took place outside of scheduled
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psnet.ahrq.gov/issue/opioid-guidelines-common-dental-surgical-procedures-multidisciplinary-panel-consensus
April 28, 2021 - (4) Teach patients to maximize non-narcotic (over the counter) pain medication with scheduled dosing
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psnet.ahrq.gov/node/866908/psn-pdf
October 09, 2024 - Risk factors for wrong-site surgery: a study of 1,166
reports of informed consent and schedule errors.
October 9, 2024
Taylor MA, Yonash RA. Risk factors for wrong-site surgery: a study of 1,166 reports of informed consent
and schedule errors. Patient Safety. 2024;6(1):1-11. doi:10.33940/001c.117084.
https://psnet…
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psnet.ahrq.gov/node/846127/psn-pdf
March 15, 2023 - Four days before the scheduled surgical appointment, the patient presented to the Emergency Department … In this case, it is unclear if the inpatient team scheduled the patient for his follow up appointment … Even with a
relatively late surgical follow up appointment, a care coordinator could have scheduled
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psnet.ahrq.gov/node/836978/psn-pdf
May 16, 2022 - She was
scheduled for urgent laparoscopic left salpingectomy in the main operating room (OR). … presented to the ED
the same evening with abdominal pain and bleeding from her stoma site and was scheduled … to Improving Patient Safety with Intrahospital Transport
Regardless of the type of transport (i.e., scheduled
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psnet.ahrq.gov/issue/prevalence-undiagnosed-diabetes-identified-novel-electronic-medical-record-diabetes-screening
January 04, 2021 - Clinicians could then add hemoglobin A 1c (HbA 1c ) to scheduled blood draws.
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psnet.ahrq.gov/issue/reducing-risk-delayed-colorectal-cancer-diagnoses-through-ambulatory-safety-net-collaborative
February 28, 2011 - Among patients identified between October 2022 - February 2024, 40% were scheduled for a colonoscopy
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psnet.ahrq.gov/issue/meta-analysis-effect-interactive-communication-between-collaborating-primary-care-physicians
September 20, 2011 - The interactive communication methods included joint consultations, scheduled phone discussions, and
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psnet.ahrq.gov/web-mm/peripheral-iv-too-long
September 15, 2011 - 1000 catheter-day).( 1,5 ) In an effort to decrease the risk of catheter-related infections, scheduled … Sadly, the unexplained clinical deterioration of this patient—who was scheduled to be discharged—was … culture-negative, suggesting the local inflammation was not caused by infection, and that extending the scheduled … adverse event to nonadherence to standard operating procedure, and in response, strictly enforced a scheduled
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psnet.ahrq.gov/node/60679/psn-pdf
July 15, 2020 - Effect on patient safety of a resident physician schedule
without 24-hour shifts.
July 15, 2020
Landrigan CP, Rahman SA, Sullivan JP, et al. Effect on patient safety of a resident physician schedule
without 24-hour shifts. N Engl J Med. 2020;382(26):2514-2523. doi:10.1056/nejmoa1900669.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/issue/appeal-evidence-based-resident-duty-hours-reform
August 09, 2023 - 9, 2022
Association of differences in treatment intensification, missed visits, and scheduled
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psnet.ahrq.gov/node/73059/psn-pdf
March 25, 2021 - Relationships between comprehensive characteristics of
nurse work schedules and adverse patient outcomes: a
systematic literature review.
March 25, 2021
Bae S?H. Relationships between comprehensive characteristics of nurse work schedules and adverse
patient outcomes: a systematic literature review. J Clin Nurs. 20…
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psnet.ahrq.gov/issue/sleep-science-schedules-and-safety-hospitals-challenges-and-solutions-pediatric-providers
November 16, 2022 - Review
Sleep science, schedules, and safety in hospitals: challenges and solutions for pediatric providers.
Citation Text:
Rosenbluth G, Landrigan CP. Sleep science, schedules, and safety in hospitals: challenges and solutions for pediatric providers. Pediatr Clin North Am. 2012;59(6):13…
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psnet.ahrq.gov/issue/racial-and-ethnic-disparities-treatment-chronic-pain
December 16, 2020 - 30, 2019
Association of differences in treatment intensification, missed visits, and scheduled
-
psnet.ahrq.gov/issue/experimental-evidence-structured-information-sharing-networks-reducing-medical-errors
December 15, 2021 - 9, 2022
Association of differences in treatment intensification, missed visits, and scheduled