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psnet.ahrq.gov/issue/medication-reconciliation-hospital-discharge-evaluating-discrepancies
July 08, 2008 - Study
Medication reconciliation at hospital discharge: evaluating discrepancies. … Medication reconciliation at hospital discharge: evaluating discrepancies. … Medication reconciliation at hospital discharge: evaluating discrepancies.
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psnet.ahrq.gov/issue/design-and-implementation-automated-email-notification-system-results-tests-pending-discharge
March 04, 2015 - Design and implementation of an automated email notification system for results of tests pending at discharge … Design and implementation of an automated email notification system for results of tests pending at discharge … Management of tests pending at discharge (TPAD) is a continued focus of safety efforts. … Although improved discharge summaries address certain gaps in communication, additional strategies … April 20, 2014
The efficacy of computer-enabled discharge communication interventions
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psnet.ahrq.gov/issue/scoping-review-communication-tools-applicable-patients-and-their-primary-care-providers-after
December 15, 2021 - scoping review of communication tools applicable to patients and their primary care providers after discharge … scoping review of communication tools applicable to patients and their primary care providers after discharge … transitions from hospital to home, the authors did not identify any existing tools to support the post-discharge … scoping review of communication tools applicable to patients and their primary care providers after discharge … 2021
Prevalence and nature of medication errors and medication-related harm following discharge
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psnet.ahrq.gov/issue/risk-adverse-drug-events-patient-destination-after-hospital-discharge
March 04, 2020 - Study
Risk of adverse drug events by patient destination after hospital discharge … Risk of adverse drug events by patient destination after hospital discharge. … This study evaluated the comparative types of adverse drug events associated with discharge to home … Risk of adverse drug events by patient destination after hospital discharge. … March 4, 2020
Defining minimum necessary anticoagulation-related communication at discharge
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psnet.ahrq.gov/issue/post-discharge-adverse-events-among-urban-and-rural-patients-urban-community-hospital
September 07, 2022 - Study
Post-discharge adverse events among urban and rural patients of an urban community … Post-Discharge Adverse Events Among Urban and Rural Patients of an Urban Community Hospital: A Prospective … Investigators found that more than one-quarter of participants experienced an adverse event after discharge … Post-Discharge Adverse Events Among Urban and Rural Patients of an Urban Community Hospital: A Prospective … November 16, 2022
Post-discharge adverse events among African American and Caucasian
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psnet.ahrq.gov/issue/systematic-review-interventions-follow-test-results-pending-discharge
November 16, 2022 - Review
A systematic review of interventions to follow-up test results pending at discharge … A Systematic Review of Interventions to Follow-Up Test Results Pending at Discharge. … where hospitalizations are brief, diagnostic tests ordered in the hospital are often still pending at discharge … strategies to improve follow-up of pending tests, including reliable documentation of tests pending at discharge … A Systematic Review of Interventions to Follow-Up Test Results Pending at Discharge.
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psnet.ahrq.gov/issue/community-discharge-among-post-acute-nursing-home-residents-association-patient-safety
November 04, 2020 - Study
Community discharge among post-acute nursing home residents: an association … Community discharge among post-acute nursing home residents: an association with patient safety culture … safety culture (PSC) measured by the Nursing Home Survey on Patient Safety Culture and community discharge … Focusing on these domains to improve patient safety culture may also increase community discharge rates … Community discharge among post-acute nursing home residents: an association with patient safety culture
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psnet.ahrq.gov/issue/interventions-improve-follow-laboratory-test-results-pending-discharge-systematic-review
May 19, 2021 - Review
Interventions to improve follow-up of laboratory test results pending at discharge … Interventions to Improve Follow-Up of Laboratory Test Results Pending at Discharge: A Systematic Review … Test results pending at the time of hospital discharge can lead to a delay in diagnosis and represent … Interventions to Improve Follow-Up of Laboratory Test Results Pending at Discharge: A Systematic Review … Effect of a pharmacist intervention on clinically important medication errors after hospital discharge
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psnet.ahrq.gov/issue/essential-elements-nurses-have-address-promote-safe-discharge-paediatrics-systematic-review
September 28, 2022 - Review
Essential elements nurses have to address to promote a safe discharge in paediatrics … Essential elements nurses have to address to promote a safe discharge in paediatrics: a systematic review … Nurses play a significant role during transitions of care , such as discharge from inpatient care … The review identified five essential elements that could be used in a checklist to ensure safe discharge … May 11, 2022
Interventions to improve communication at hospital discharge and rates of
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psnet.ahrq.gov/issue/functional-health-literacy-and-understanding-medications-discharge
April 24, 2018 - Study
Functional health literacy and understanding of medications at discharge. … Functional health literacy and understanding of medications at discharge. … This study surveyed patients following discharge from an inpatient medical service and discovered that … Functional health literacy and understanding of medications at discharge. … Related Resources
The effect of workload reduction on the quality of residents' discharge
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psnet.ahrq.gov/issue/effect-pharmacist-intervention-clinically-important-medication-errors-after-hospital
May 08, 2017 - Effect of a pharmacist intervention on clinically important medication errors after hospital discharge … Effect of a pharmacist intervention on clinically important medication errors after hospital discharge … Hospital discharge remains a particularly vulnerable time for adverse drug events, despite the use … of medication reconciliation and other strategies to prevent medication errors at discharge. … Effect of a pharmacist intervention on clinically important medication errors after hospital discharge
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psnet.ahrq.gov/issue/problems-care-and-avoidability-death-after-discharge-intensive-care-multi-centre
March 23, 2022 - Study
Problems in care and avoidability of death after discharge from intensive care … Problems in care and avoidability of death after discharge from intensive care: a multi-centre retrospective … Common problems identified include out-of-hours discharge from the ICU, suboptimal rehabilitation, absent … Problems in care and avoidability of death after discharge from intensive care: a multi-centre retrospective … March 23, 2022
Association between unmet nonmedication needs after hospital discharge
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psnet.ahrq.gov/issue/patient-harm-and-institutional-avoidability-out-hours-discharge-intensive-care-analysis-using
February 10, 2021 - Study
Patient harm and institutional avoidability of out-of-hours discharge from … Patient harm and institutional avoidability of out-of-hours discharge from intensive care: an analysis … Based on qualitative interviews with patients, family members, and staff involved in the ICU discharge … Patient harm and institutional avoidability of out-of-hours discharge from intensive care: an analysis … August 25, 2021
Association between unmet nonmedication needs after hospital discharge
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psnet.ahrq.gov/issue/drug-drug-interactions-and-prescription-appropriateness-hospital-discharge-experience-covid
August 11, 2021 - Study
Drug-drug interactions and prescription appropriateness at hospital discharge … Drug-drug interactions and prescription appropriateness at hospital discharge: experience with COVID- … interactions (DDI) among hospitalized older adults taking two or more medications at admission and discharge … was a significant increase in prescription of proton pump inhibitors and heparins from admission to discharge … Drug-drug interactions and prescription appropriateness at hospital discharge: experience with COVID-
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psnet.ahrq.gov/issue/prevalence-and-nature-medication-errors-and-medication-related-harm-following-discharge
August 11, 2021 - Classic
Prevalence and nature of medication errors and medication-related harm following discharge … Prevalence and nature of medication errors and medication-related harm following discharge from hospital … 54 studies found that over half of adult and pediatric patients experienced a medication error post-discharge … The authors suggest that future research examine the burden of post-discharge medication errors, particularly … Prevalence and nature of medication errors and medication-related harm following discharge from hospital
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psnet.ahrq.gov/issue/failure-follow-medication-changes-made-hospital-discharge-associated-adverse-events-30-days
October 16, 2019 - Study
Failure to follow medication changes made at hospital discharge is associated … Failure to follow medication changes made at hospital discharge is associated with adverse events in … This study examined the effect of medication regimen changes at hospital discharge on adherence and … At 30-days post-discharge, nearly half of patients were nonadherent to at least one medication change … Failure to follow medication changes made at hospital discharge is associated with adverse events in
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psnet.ahrq.gov/issue/medication-details-documented-hospital-discharge-cross-sectional-observational-study-factors
April 24, 2018 - Study
Medication details documented on hospital discharge: cross-sectional observational … Medication details documented on hospital discharge: cross-sectional observational study of factors associated … Medication errors at hospital discharge remain a persistent problem, as no consensus exists on the best … patient- and medication-specific factors associated with medication reconciliation discrepancies upon discharge … April 24, 2018
Survey of medication documentation at hospital discharge: implications
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psnet.ahrq.gov/web-mm/when-meds-dont-reach-bed
May 16, 2022 - The medical team planned to discharge the patient to his residential care home on a weekend day with … Given the patient’s inability to pay for the discharge medications, the social worker on the discharge … Impact of a transition-of-care pharmacist during hospital discharge. … Evaluation of Bedside Delivery of Medications Before Discharge: Effect on 30-Day Readmission. … : guiding principles for a medication discharge plan.
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psnet.ahrq.gov/issue/out-sight-out-mind-housestaff-perceptions-quality-limiting-factors-discharge-care-teaching
November 26, 2014 - "Out of sight, out of mind": housestaff perceptions of quality-limiting factors in discharge … "Out of sight, out of mind": housestaff perceptions of quality-limiting factors in discharge care at … Although adverse events after discharge remain a common source of preventable readmissions, this study … "Out of sight, out of mind": housestaff perceptions of quality-limiting factors in discharge care at … August 20, 2018
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Related Resources
Hospital discharge
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psnet.ahrq.gov/issue/using-interactive-voice-response-system-improve-patient-safety-following-hospital-discharge
February 01, 2017 - Using an interactive voice response system to improve patient safety following hospital discharge … Using an interactive voice response system to improve patient safety following hospital discharge. … Patients in this study received an automated phone call 48 hours after hospital discharge to assess for … Using an interactive voice response system to improve patient safety following hospital discharge. … December 15, 2011
The efficacy of computer-enabled discharge communication interventions