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psnet.ahrq.gov/classics
August 01, 2023 - Deprivation
(35)
Identification Errors
(5)
Wrong Patient
(4)
Inpatient … The PSIs reflect the quality of inpatient care but also focus on preventable complications and iatrogenic … administrative data has clear limitations, select PSIs have been shown to accurately identify certain accidental inpatient
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psnet.ahrq.gov/web-mm/central-not-epidural
August 28, 2024 - Extravasation
January 1, 2008
WebM&M Cases
Impatient Inpatient
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psnet.ahrq.gov/web-mm/hiding-plain-sight
April 24, 2019 - • Prior VZV exposure (chickenpox, vaccine) • Age >50 years • Immunocompromised state … April 24, 2019
An inpatient fall prevention initiative in a tertiary care hospital.
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psnet.ahrq.gov/node/49816/psn-pdf
January 01, 2018 - Guideline for discharge opioid prescriptions
after inpatient general surgical procedures.
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psnet.ahrq.gov/node/865309/psn-pdf
May 29, 2024 - https://psnet.ahrq.gov/web-mm/fumbled-handoff-inpatient-rehab
The patient in this case died after a … Pulmonary and Critical Care Medicine
UC Davis Health
kmcraddock@ucdavis.edu
Tyler LeTellier, RRT
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 … Characteristics
associated with more frequent counseling were younger pharmacists, increased intensity of state … Patient counseling provided in community pharmacies: effects of
state regulation, pharmacist age, and
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psnet.ahrq.gov/web-mm/isolated-clot-real-error
December 01, 2013 - State key principles in the treatment of venous thromboembolism. … senior resident reviewed all of the radiology records and read the original ultrasound report, which did state … Venous thromboembolism is a condition commonly faced by both inpatient and outpatient clinicians. … Safety
August 22, 2014
Patient Safety Primers
Inpatient
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psnet.ahrq.gov/node/854849/psn-pdf
October 31, 2023 - for hypertension and diabetes requested a copy of his medical
records before moving to a different state … continued to document normal exams despite being aware of deterioration of the patient’s neurological
state … Association of Medical Directors of Information Systems
consensus on inpatient electronic health record
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psnet.ahrq.gov/perspective/conversation-withmark-chassin-md-mpp-mph
April 01, 2009 - Chassin, an emergency medicine physician, has held a variety of key positions, including New York State … That is another component to the current state of the environment that I think is problematic. … But if last year's proposals from CMS, particularly outpatient and new inpatient measures, are harbingers … Medicare is considering adding a large number of measures that are derived from their claims databases—measures … Accreditation has been observed to be more effective in promoting good safety practices than state-required
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psnet.ahrq.gov/perspective/computerized-provider-order-entry-and-patient-safety
January 01, 2014 - On an inpatient oncology unit, specialist pharmacist review of chemotherapy orders uncovered medication
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psnet.ahrq.gov/node/49763/psn-pdf
June 01, 2016 - The July effect: an analysis of never events in the
nationwide inpatient sample.
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psnet.ahrq.gov/node/866579/psn-pdf
August 28, 2024 - clinical outcomes, with most patients being satisfied after surgery.3 Once
performed predominantly as an inpatient … While the legal scope of an MA’s practice varies by state,
they are generally not allowed to provide … State of the art review. complications after carpal
tunnel release.
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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/resuscitation-errors-shocking-problem
October 19, 2022 - defibrillation time delays.( 10 ) Common user errors included holding the defibrillator in a charged state … Maintenance of defibrillators in a state of readiness. Ann Emerg Med. 1993;22:302-306. … Maintenance of defibrillators in a state of readiness. Ann Emerg Med. 1993;22:302-306.) … 2010
WebM&M Cases
When the Lytes Go Out: A Case of Inpatient
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psnet.ahrq.gov/perspective/conversation-brian-jarman-phd
March 01, 2015 - to 30 days after admission, on the premise that, as a result of today's short hospital stays, unsafe inpatient … hospital quality measurement: experience with the Agency for Healthcare Research and Quality (AHRQ) Inpatient … Hospital inpatient mortality. Is it a predictor of quality? N Engl J Med. 1987;317:1674-1680.
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psnet.ahrq.gov/web-mm/dependence-vs-pain
October 30, 2019 - In both outpatient and inpatient settings, both methadone and buprenorphine can be used to treat opioid … Heroin detoxification with buprenorphine on an inpatient psychiatric unit. … regarding prescription drug monitoring program use within the Department of Veterans Affairs: a multi-state
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psnet.ahrq.gov/perspective/conversation-georgia-galanou-luchen-pharm-d
October 24, 2021 - Residents usually train in a hospital or health-system environment, providing inpatient and outpatient … pharmacies in the community setting offer a variety of other services like medication counseling or disease state … caught and corrected before the medication is dispensed. 8 For example, in the discharge process, the inpatient … In addition, medications that may have been appropriate during the inpatient stay, but inappropriate … Research and Quality Community Pharmacy Survey on Patient Safety can help pharmacies assess the current state
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psnet.ahrq.gov/node/49564/psn-pdf
July 01, 2008 - In both outpatient and
inpatient settings, both methadone and buprenorphine can be used to treat opioid … Heroin detoxification with buprenorphine on
an inpatient psychiatric unit.
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psnet.ahrq.gov/web-mm/mark-my-tooth
June 01, 2014 - to pay damages in excess of $3000 because of negligence or error in practice must be reported to the State … Business
April 1, 2010
WebM&M Cases
Impatient Inpatient
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psnet.ahrq.gov/node/49678/psn-pdf
March 01, 2013 - Medication errors and adverse drug events in pediatric
inpatients. JAMA. 2001;285:2114-2120.