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221. Chapter-7 - Harm Due to Anticoagulants (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/anticoagulants-1.pdf
     March 01, 2020 - Anticoagulants Post Discharge Reviewer: Scott Winiecki, M.D. … Patient safety concerns arising from test results that return after hospital discharge. … The incidence and severity of adverse events affecting patients after discharge from the hospital. … " OR "Patient Handoff") OR (AB “Discharge Planning” OR "Patient Discharge" OR "Patient Transfer" … " OR "Patient Handoff") OR (AB “Discharge Planning” OR "Patient Discharge" OR "Patient Transfer"

222. Caregivers of children discharged from the hospital should report that, prior to their child’s most recent discharge, they had an opportunity to ask questions | Agency for Healthcare Research and Quality
     www.ahrq.gov/pqmp/measures/opportunity-ask-questions.html
     August 01, 2021 - Caregivers of children discharged from the hospital should report that, prior to their child’s most recent discharge

223. Sutter Center for Integrated Care Using AHRQ Guide in Patient Materials | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/201515.html
     January 01, 2018 - clinical settings to achieve patient-centered care, SCIC adapted the guide from AHRQ's Re-Engineered Discharge … (RED) Toolkit , a discharge planning resource to help patients prepare for life at home after a hospitalization … Impact Case Study Identifier: 2015-15 AHRQ Product(s): Re-Engineered Discharge … (RED) Topic(s): Education: Patient and Caregiver, Hospital Discharge, Patient

224. Characteristics of Frequent Users of Three Hospital Emergency Departments | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/emergency-dept/frequent-use.html
     July 01, 2017 - The sixth risk factor, difficulty understanding discharge instructions, was assessed during a followup … phone call after discharge. … More than half (56%) of ED users did not understand the discharge instructions they were given. … More than half (56%) did not understand their discharge instructions. … Attention to lack of patient comprehension of discharge instructions could have real value .

225. Acute Sinusitis (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/sinusitis-one-pager.pdf
     September 01, 2022 - Diagnosis • The diagnosis of acute sinusitis is based on the clinical presentation: nasal discharge … require antibiotics.1-3 • The presence of low-grade fever, facial or dental pain, or colored nasal discharge … symptoms after 5–6 days ‒ Severe symptoms: at least 3-4 days of temperatures ≥ 102°F and purulent nasal discharge … care if they have no improvement after 10 days, develop fever of at least 102°F with purulent nasal discharge

226. Hospital-Level Gap Analysis for MRSA and SSI Prevention (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/132-gap-analysis-hospital-level.pdf
     April 01, 2025 -  Communication with surgeons to identify cases  Communication with patients via letters after discharge …  Communication with surgeons to identify cases  Communication with patients via letters after discharge …  Communication with surgeons to identify cases  Communication with patients via letters after discharge … Communication with surgeons to identify cases: Off Communication with patients via letters after discharge … Communication with surgeons to identify cases_2: Off Communication with patients via letters after discharge

227. Sampleransferandintakenotes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/sampleransferandintakenotes.pdf
     June 02, 2025 - length of stay or hospital admission date • Treatment received in the ED, if returning from ED • Discharge … form:  Long-Term Care Facility  Assisted Living  Home Treatments Received in the ED/HOSP ED Discharge … /Hospital Discharge Diagnoses: Primary & Secondary (Indicate principal or secondary if more than one … hospital discharge diagnosis.)

228. Tool 2: Readmission Review Tool (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool2_readm_review.docx
     June 02, 2025 - Readmission reviews are designed to elicit the “story behind the story”: going well beyond chief complaint, discharge … communication, coordination, or other logistical barriers experienced in the days after a patient’s discharge … using the information about the person’s actual challenges, barriers, or root causes to create a better discharge … interviews is to elicit the “story behind the chief complaint”—the events that occurred between the time of discharge

229. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and ED Visits - Transfer Note and Intake Note (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-trans-intakenotes.pdf
     June 02, 2025 - length of stay or hospital admission date • Treatment received in the ED, if returning from ED • Discharge … form:  Long-Term Care Facility  Assisted Living  Home Treatments Received in the ED/HOSP ED Discharge … /Hospital Discharge Diagnoses: Primary & Secondary (Indicate principal or secondary if more than one … hospital discharge diagnosis.)

230. CHIPRA 212 Technical Specifications (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-212-tech-specs.pdf
     June 02, 2025 - (ED) for an asthma exacerbation and were prescribed an inhaled corticosteroid (ICS) at the time of discharge … year, presented to a hospital ED for an asthma exacerbation and were prescribed an ICS at the time of discharge … Asthma Measure 9: Inhaled Corticosteroid for Children with Persistent Asthma Prescribed at Time of Discharge … year, presented to a hospital ED for an asthma exacerbation and were prescribed an ICS at the time of discharge

231. Final Progress Report: HIV/HCV Support Team to Improve Medication Safety and Engagement in Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/berry-report.pdf
     January 01, 2024 - In one academic hospital, a median of 3.5 days (IQR 3-5) passed before discharge (which could include … propagation of the error in discharge instructions) or correction of the error by the hospital team … days after discharge (AIDS 2013). … Secondary analyses examined virologic suppression at 180 days following discharge. … mentoring by volunteer peers with both inpatient visits and post-discharge follow-up phone calls.

232. Info FAQs | Agency for Healthcare Research and Quality
     www.ahrq.gov/faqs/index.html?page=22
     Users may review discharge-level results to determine if evidence in the administrative record indicates … AHRQ provides the software to any interested organization for use with their own hospital discharge data … The Quality Indicators software is designed to read hospital administrative discharge data that generally … The software expects that the DRG or ICD-9 code on any given discharge record is valid for the fiscal … year of the discharge date.

233. Cover slide
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/patfamilyengagement/CUSP-Patient-Family-Engagement.pptx
     May 01, 2013 - family for calling attention to any issue raised Invite them to continue asking questions IDEAL Discharge … Planning What is IDEAL Discharge Planning? … Planning for Clinicians1 Improves accuracy of information about the patient’s condition and discharge … less anxious once discharged Prevents postdischarge complications and avoidable readmissions IDEAL Discharge … members of the health care team impacts health outcomes and patient and family satisfaction IDEAL Discharge

234. Breakout Session: Use of Data and Measurement in Improving Diagnostic Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/brady-summit2016-breakout.pdf
     September 28, 2016 - progress in reducing diagnostic errors Measurement Study Example Hospital Admission After ED discharge … Admissions After Discharge from an Emergency Department for Chest Symptoms 97.0% 0.2% 1.7% 0.5% … the following are associated with a potential diagnostic issue based on hospital admission after ED discharge … Interventions that target specific patients and EDs may reduce the number of people admitted after discharge … Admissions After Discharge from an Emergency Department for Chest Symptoms Study Conclusions & Implications

235. Chapter 5. Education and Training | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/match/chapter-5.html
     July 01, 2022 - current medication list upon admission and referencing this list throughout the patient's stay and at discharge … Upon discharge, medications administered during the episode of care are then compared to the patient's … It was not ordered on admission or it was not listed on the patient's discharge instructions. … Medication is listed on the patient's discharge instructions, but it was not ordered during the hospital … , route, or frequency: Different doses, routes, or frequency of medication listed on the patient's discharge

236. Chapter 5. Education and Training | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/match/chapter-5.html
     July 01, 2022 - current medication list upon admission and referencing this list throughout the patient's stay and at discharge … Upon discharge, medications administered during the episode of care are then compared to the patient's … It was not ordered on admission or it was not listed on the patient's discharge instructions. … Medication is listed on the patient's discharge instructions, but it was not ordered during the hospital … , route, or frequency: Different doses, routes, or frequency of medication listed on the patient's discharge

237. CHIPRA 212 Table 4 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-212-table-4.pdf
     May 24, 2016 - CHIPRA 212 Table 4 Table 4: Evidence Supporting ICS at Discharge from an Emergency Department TYPE … Starting the ICS therapy before discharge gives the patient additional time to learn and demonstrate … Clinical guidelines On discharge home, the majority of patients should be prescribed regular ongoing

238. Research Findings and Evidence Gaps in Youth Mental Health | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/964.html
     July 01, 2025 - Care Coordination Investments Improve Handoff Communications, Discharge Process . … Care Coordination Investments Improve Handoff Communications, Discharge Process The updated Patient Safety … Focus areas include improving handoff communication among providers, improving the discharge process,

239. Hospitals and Health Systems | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/index.html
     February 01, 2025 - Assessment Toolkit Hospital Guide to Reducing Medicaid Readmissions Improving the Emergency Department Discharge … Proficiency NICU Toolkit Preventing Pressure Ulcers in Hospitals QI Toolkit for Hospitals RED (Re-Engineered Discharge

240. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereports.html
     September 01, 2017 - Hospital admissions: number within 7, 30, and 90 days of report date, discharge diagnosis, and length … What is the most frequent discharge diagnosis from the ED? From the hospital? … How many discharge diagnoses were “potentially preventable”? … For example, if discharge diagnoses pneumonia and urinary tract infection are both noted as ED discharge … Experts do not agree on which discharge diagnoses should be considered potentially preventable.