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psnet.ahrq.gov/web-mm/medication-reconciliation-twist-or-dare-we-say-patch
April 03, 2024 - a patient's previous medication regimen and the proposed drug orders at admission to the hospital, inpatient … nurse discharge advocate.( 15-17 ) Although most medication reconciliation efforts have centered on inpatient … and easily transferable personal health record was highlighted as being a key principle for making inpatient … Clinical pharmacists and inpatient medical care: a systematic review. … Making inpatient medication reconciliation patient centered, clinically relevant and implementable: a
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psnet.ahrq.gov/node/33800/psn-pdf
January 01, 2015 - On an
inpatient oncology unit, specialist pharmacist review of chemotherapy orders uncovered medication
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psnet.ahrq.gov/node/60609/psn-pdf
June 24, 2020 - Case Objectives
Discuss five patient safety targets associated with this case
State the eight rights … tracheostomy collar support and was
stable for 24 hours and was then transferred from the ICU to the inpatient … On the inpatient floor she was generally stable, but on the night shift she became anxious and could … indication.12
In most community hospitals there are few physicians or pharmacy staff available to the inpatient
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psnet.ahrq.gov/node/33596/psn-pdf
June 01, 2025 - Hospitals with low rates of FTR also reported
more inpatient support, higher rates of employing hospitalists … Medicare & Medicaid Services (CMS) and the Leapfrog Group embraced PSI 04
(Death Rate among Surgical Inpatients … This new measure, retitled as “Thirty-day Risk-Standardized Death Rate among Surgical
Inpatients with … ,” was endorsed by the Partnership for Quality
Measurement (PQM) and recently adopted for Hospital Inpatient … failure-rescue-comparing-definitions-measure-quality-care
https://p4qm.org/measures/4125
https://www.cms.gov/newsroom/fact-sheets/fy-2025-hospital-inpatient-prospective-payment-system-ipps-and-long-term-care-hospital-prospective
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psnet.ahrq.gov/web-mm/insulin-administration-pen-vs-vial-similar-not-interchangeable
December 20, 2023 - In this patient’s case, a patient safety event was avoided due to the inpatient discharge medication … supply chain problem by sending discharge prescriptions to an outside pharmacy for delivery to the inpatient
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psnet.ahrq.gov/web-mm/complicated-course-severe-alcohol-withdrawal-dexmedetomidine-infusion
June 14, 2023 - Criteria for Admission to Different Inpatient Units The patient in this case was admitted to a stepdown … inhibitory activity and increased glutamatergic action causing autonomic overactivity and the excitatory state … They can mask the elevated adrenergic state seen in AWS and cause a false perception that these symptoms … Inpatient management of acute alcohol withdrawal syndrome. … Interventions to reduce nurses’ medication administration errors in inpatient settings: a systematic
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psnet.ahrq.gov/topics-0
March 03, 2025 - Institutional Reporting Go to this topic
Never Events Go to this topic
Inpatient … Errors Go to this topic
Wrong Patient Go to this topic
Inpatient
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psnet.ahrq.gov/web-mm/lost-transitions-care-managing-opioid-dependent-patient-frequent-hospitalizations
October 27, 2022 - 4 Similarly, the American Society of Hematology’s 2020 guidelines for treating sickle cell disease state … PDMPs do not reflect opioid usage while hospitalized, for instance, so these databases may not be as … The data in PDMPs are state-specific and various settings/organizations in addition to hospitals, such … patients with long and frequent hospitalizations, patients who may receive prescriptions in a different state … Florence Tan, PharmD, BCPS, BCGP Department of Inpatient Pharmacy, General Medicine UC Davis Health ftan
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psnet.ahrq.gov/curated-library/medicationdrug-errors
March 12, 2021 - multifaceted, system-level approach that spans all areas of health care delivery, such as primary, specialty, inpatient … surgical safety, achieving health equity, and preventing hospital-acquired infections, medication errors, inpatient … Share
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53 State … Medication errors are prevalent in inpatient care.
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psnet.ahrq.gov/primer/post-acute-transitional-services-safety-home-based-care-programs
April 24, 2024 - , or the Community Health Accreditation Program 22 ) and surveyed by the accrediting agency and the state … electrocardiogram, an ultrasound console, 40 a portal to medical references (such as textbooks and drug databases … patient experience, and reduce health care costs, which can be 19% to 30% less than for traditional inpatient … B to CMS, State Operations Manual, Pub. No. 100-07 (SOM, Advance App. … April 24, 2024
Patient Safety Primers
Inpatient Transitions
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psnet.ahrq.gov/web-mm/emergency-error
January 18, 2013 - Case Objectives State that emergency surgery is high risk and has high mortality. … Variation in hospital mortality associated with inpatient surgery. … Communication training, adverse events, and quality measures: 2 retrospective database analyses in Washington State
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psnet.ahrq.gov/web-mm/falling-through-crack-bedrails
February 19, 2020 - taken to prevent a similar incident in the future, as well as what were best practices for preventing inpatient … Fall-related injuries are categorized as: none, minor, moderate, major, and death ( Table 1 ).( 3 ) Inpatient … Unit-level time trends in inpatient fall rates of US hospitals. Med Care. 2012;50:801-807. … A new approach to fall prevention in inpatient care: implementing remote audiovisual monitoring of at-risk … September 1, 2016
Medication-related clinical decision support alert overrides in inpatients
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psnet.ahrq.gov/node/49759/psn-pdf
May 01, 2016 - taken to prevent a similar incident in the future, as well as what were best practices for
preventing inpatient … ) Fall-related injuries are categorized as: none, minor, moderate, major,
and death (Table 1).(3)
Inpatient … Unit-level time trends in inpatient fall rates of US hospitals. Med Care.
2012;50:801-807. … A new approach to fall prevention in inpatient care: implementing remote
audiovisual monitoring of at-risk … www.ncbi.nlm.nih.gov/pubmed/12930040
http://psqh.com/november-december-2014/a-new-approach-to-fall-prevention-in-inpatient-care
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psnet.ahrq.gov/node/73899/psn-pdf
September 29, 2021 - .4
Similarly, the American Society of Hematology’s 2020 guidelines for treating sickle cell disease state … PDMPs do not reflect opioid usage while
hospitalized, for instance, so these databases may not be as … The data in PDMPs are state-specific and various settings/organizations in
addition to hospitals, such … patients with long and frequent hospitalizations,
patients who may receive prescriptions in a different state … Florence Tan, PharmD, BCPS, BCGP
Department of Inpatient Pharmacy, General Medicine
UC Davis Health
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psnet.ahrq.gov/perspective/preparing-health-reform-federal-government-and-nursing-workforce
September 01, 2012 - Projection results (including state-by-state demand) and description of projection models should be released … One could at least muse about a future state where organizational incentives on value are so intense … RW : Speaking as a researcher, is there evidence that a regulatory approach, such as a state-mandated … in hospitals, so research about nursing care is fundamentally research about hospital care, and the databases … September 30, 2011
Nurse staffing and inpatient hospital mortality.
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psnet.ahrq.gov/perspective/conversation-elizabeth-salisbury-afshar-about-harm-reduction-strategies-improve-safety
October 30, 2024 - Can you talk about harm reduction in the inpatient care setting? … Harm reduction in the inpatient setting includes ensuring that clinical teams are not using stigmatizing … I would start with the state public health department and ask whether the state is donating naloxone … Although many harm reduction services are delivered in the community, outpatient and inpatient settings … [Free full text] Syringe Services Programs: Summary of State Laws.
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psnet.ahrq.gov/perspective/harm-reduction-strategies-improve-safety-people-who-use-substances
October 30, 2024 - Although many harm reduction services are delivered in the community, outpatient and inpatient settings … [Free full text] Syringe Services Programs: Summary of State Laws. … Can you talk about harm reduction in the inpatient care setting? … Harm reduction in the inpatient setting includes ensuring that clinical teams are not using stigmatizing … I would start with the state public health department and ask whether the state is donating naloxone
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psnet.ahrq.gov/node/33723/psn-pdf
December 01, 2011 - only describe reported falls; under-
reporting also has to be factored in.(4)
Between 30%–50% of inpatient … ://psnet.ahrq.gov//#ref11
https://psnet.ahrq.gov//#ref12
https://psnet.ahrq.gov//#ref1
Preventing Inpatient … Evidence from community and care home settings cannot be assumed to automatically apply to hospitals,
as inpatients … Can volunteer companions prevent falls among inpatients? … Does vitamin D stop inpatients falling? A randomised controlled trial.
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psnet.ahrq.gov/web-mm/when-indications-drug-administration-blur
May 26, 2021 - Case Objectives
Discuss five patient safety targets associated with this case
State the eight … tracheostomy collar support and was stable for 24 hours and was then transferred from the ICU to the inpatient … On the inpatient floor she was generally stable, but on the night shift she became anxious and could … indication. 12
In most community hospitals there are few physicians or pharmacy staff available to the inpatient
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psnet.ahrq.gov/web-mm/paroxysmal-supraventricular-tachycardia-masquerading-panic-attacks
September 01, 2017 - convened by the Brigham and Women’s Hospital Center for Patient Safety Research and Practice and the State … With Sex Disparities in Total Joint Arthroplasty Patients and Financial Outcomes from the National Inpatient … September 2, 2020
Medication-related clinical decision support alert overrides in inpatients