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psnet.ahrq.gov/perspective/accreditation-and-regulation-can-they-help-improve-patient-safety
April 01, 2009 - Accreditation has been observed to be more effective in promoting good safety practices than state-required … 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
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psnet.ahrq.gov/node/33767/psn-pdf
May 01, 2014 - the publication of Ignaz Semmelwiess's seminal study demonstrating the
impact of hand hygiene in the inpatient … Hand hygiene: state-of-the-art review with emphasis on new technologies and
mechanisms of surveillance
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psnet.ahrq.gov/web-mm/infection-after-carpal-tunnel-surgery
May 28, 2014 - 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/node/72911/psn-pdf
March 15, 2021 - supplements are often overlooked by
providers and patients.7
Medication errors may occur in both inpatient … Inpatient anticoagulation errors
often result in an increased length of stay and greater healthcare
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psnet.ahrq.gov/sites/default/files/2023-09/a_missed_bowel_perforation_-_the_importance_of_diagnostic_reasoning.pdf
January 01, 2023 - However, a lactate level >2mmol/L in the setting of sepsis is associated with
increased risk of inpatient … in every 3 hospital deaths are associated with sepsis,
which continues to be the leading cause of inpatient … – In 2019, Kahn and colleagues reported that New York’s state-mandated protocolized sepsis
care was … Association Between State-Mandated Protocolized Sepsis Care and In-hospital Mortality Among Adults With
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psnet.ahrq.gov/web-mm/copy-and-paste-notes-and-autopopulated-text-electronic-health-record
May 26, 2021 - 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/where-does-risk-adjusted-mortality-fit-safety-measurement-program
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/perspective/role-community-pharmacists-patient-safety
October 24, 2021 - 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 … 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
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psnet.ahrq.gov/node/49813/psn-pdf
January 01, 2018 - Professional societies may provide such education, which may be required for state licensure or
by the … This could include support and further development of state registries for cataloguing POLST forms, public … documentation of
advance care planning information in EHRs (23) and sharing this information through state … also help.(24) If the EMTs in the case above had unfettered access to
the patient's POLST form in a state … hours after hospital discharge.(28) This
document includes the hospital course and, as such, allows 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/web-mm/overdose-gabapentin-and-oxycodone-patient-end-stage-renal-disease-case-appropriate
October 31, 2023 - Alert fatigue is a cognitive state that occurs when clinicians have experienced high volumes of alerts … But now most EHRs are from commercial vendors and rely on medication and alert databases from separate … Renal medication-related clinical decision support (CDS) alerts and overrides in the inpatient
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psnet.ahrq.gov/node/49804/psn-pdf
September 01, 2017 - 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/no-news-may-not-be-good-news
December 07, 2009 - State how automated results management systems can help with ambulatory test results. … March 1, 2023
Medical errors related to discontinuity of care from an inpatient to an
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psnet.ahrq.gov/node/49822/psn-pdf
March 01, 2018 - 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.
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psnet.ahrq.gov/node/49534/psn-pdf
May 01, 2007 - antiseizure-medication-disorder
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
drug–disease state … associated with adverse drug reactions
(ADRs)—an important finding given that only 3% of the 8 million inpatients
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psnet.ahrq.gov/web-mm/dying-hospital-advanced-dementia
November 01, 2016 - Professional societies may provide such education, which may be required for state licensure or by the … This could include support and further development of state registries for cataloguing POLST forms, public … documentation of advance care planning information in EHRs ( 23 ) and sharing this information through state … also help.( 24 ) If the EMTs in the case above had unfettered access to the patient's POLST form in a state … hours after hospital discharge.( 28 ) This document includes the hospital course and, as such, allows inpatient
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psnet.ahrq.gov/web-mm/impact-communication-medication-errors
August 01, 2009 - supplements are often overlooked by providers and patients. 7 Medication errors may occur in both inpatient … Inpatient anticoagulation errors often result in an increased length of stay and greater healthcare costs
-
psnet.ahrq.gov/node/843234/psn-pdf
January 01, 2013 - Alert fatigue is a cognitive state that occurs when clinicians have experienced high
volumes of alerts … But now most EHRs are from commercial vendors and rely on
medication and alert databases from separate … ://psnet.ahrq.gov/issue/renal-medication-related-clinical-decision-support-cds-alerts-and-overrides-inpatient-setting
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psnet.ahrq.gov/web-mm/too-hot-comfort
May 19, 2015 - June 14, 2023
Closing the loop: a process evaluation of inpatient care team communication … An analysis of prehospital pediatric medication dosing errors after implementation of a state-wide
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psnet.ahrq.gov/node/853902/psn-pdf
September 27, 2023 - However, a lactate level >2mmol/L in the setting of sepsis is
associated with increased risk of inpatient … in every 3 hospital deaths are associated with sepsis, which continues to be the leading
cause of inpatient … In 2019, Kahn
and colleagues reported that New York’s state-mandated protocolized sepsis care was associated … Association between state-mandated protocolized sepsis care
and in-hospital mortality among adults with