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261. Final Progress Report: Development of a community-wide real-time health information exchange–based hospital readmission risk prediction and notification system (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/kharrazi-report.pdf
     January 01, 2024 - derive and validate a 30-day hospital readmission risk prediction model (RRPM) based on Admission Discharge … In Maryland hospitals, discharge support teams have received special training, and almost all Maryland … Similar to other HIEs, HL7 ADT messages 29 (admission, discharge, and transfer) are the most common … ADT: Admission Discharge and Transfer; CCDA: Consolidated Clinical Document Architecture; CRS: CRISP … Effect of discharge summary availability during post-discharge visits on hospital readmission.

262. Re-engineering Postnatal Unit Care and the Transition Home to Reduce Perinatal Morbidity and Mortality | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/learning-lab/re-engineering-postnatal-unit-care-long-desc.html
     April 01, 2025 - Project Period:  09/30/19-09/29/24 Description:  This PSLL sought to improve postnatal care and hospital discharge … procedures for maternal-infant dyadic evaluation and management during the postnatal unit stay and discharge … educational text messages were developed to support maternal self-monitoring and improve care access after discharge … findings were integrated into  the Alliance for Innovation on Maternal Health (AIM) Postpartum Hospital Discharge … Postpartum hospital discharge: birthing parent perspectives on supportive practices and areas for improvement

263. Final Progress Report: Promoting Safe Care Transitions: Simulation-Based Mastery Learning to Improve Communication in Times of Diagnostic Uncertainty (pdf file)
     www.ahrq.gov/sites/default/files/2025-04/rising-report.pdf
     January 01, 2025 - in effective communication around diagnostic uncertainty at the time of emergency department (ED) discharge … The cases were designed to set the scene for the physician to discharge a patient home with an inconclusive … The checklist items assess if uncertainty was addressed in each step of the discharge communication, … Overall, comfort having discharge conversations with patients with diagnostic uncertainty increased … Development of the Uncertainty Communication Checklist: A Patient-Centered Approach to Patient Discharge

264. Boarding-Response-To-Rep.-Dingell (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/topics/boarding-response-to-rep.-dingell.pdf
     December 31, 2024 - Reducing Emergency Department Crowding: A Guide for Hospitals2  Improving the Emergency Department Discharge … various aspects of these problems:  Effects of Telehealth Use for Rapid Screening, Treatment, and Discharge … findings/final-reports/ptflow/index.html. 3 https://www.ahrq.gov/patient-safety/settings/emergency-dept/discharge-process.html … findings/final-reports/ptflow/index.html https://www.ahrq.gov/patient-safety/settings/emergency-dept/discharge-process.html

265. Final Progress Report: Medications at Transitions and Clinical Handoffs (MATCH) (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/noskin-report.pdf
     January 01, 2024 - that there is an increased risk of error during handoffs at admission, transfer to another unit, or discharge … from the primary care physician to the hospitalist and then back to the primary care physician upon discharge … The potential longer-term risk was also assessed if the error continued for 2 weeks post-discharge, … a common timeframe before most patients visit their next provider of service after hospital discharge … The incidence and severity of adverse events affecting patients after discharge from the hospital.

266. Established Child Health Care Quality Measures: AHRQ Quality Indicators | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/measures/measure-3.html
     November 01, 2017 - AHRQ QIs are based on readily available hospital discharge administrative data. … Discharge status (routine, to another institution, to home health care, etc.). … Discharge weights are provided for calculating national estimates. … Discharge weights are provided for calculating national estimates. … Quality indicators using hospital discharge data: State and national applications.

267. Practice Improvement | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/index.html
     June 01, 2025 - Improving Value  Tools Toolkit Training   Re-Engineered Discharge Toolkit Activities and materials for … improving the discharge process.

268. NICU Toolkit: Family Information Packet Cover Sheet (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-cover.pdf
     June 02, 2025 - Planning must start before hospital discharge and continue through followup with the primary care provider … After discharge from the hospital, your infant’s care must be well coordinated and clearly communicated

269. Patient and Family Engagement in the Surgical Environment Module | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-slides.html
     May 01, 2017 - Patient situation upon discharge Patient sedation, rapid discharge (less than 24 hours). … Share discharge and summary reports with patient and family members at the patient’s discretion. … Slide 25: Opportunities for Patient and Family Engagement in Your Facility – Discharge IDEAL discharge … Care Transitions from Hospital to Home: IDEAL Discharge Planning Training . … Strategy 4: IDEAL Discharge Planning (Tool 4) Agency for Healthcare Research and Quality.

270. Clinical Management of COVID-19 | Agency for Healthcare Research and Quality
     www.ahrq.gov/nursing-home/resources/clinical-management.html
     July 01, 2022 - guidance to clinicians caring for COVID-19 patients during all phases of their disease (i.e. screening to discharge

271. On-Time Preventable Hospital and Emergency Department Visits (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/2-preventablehospitalandedvisits-samplerpts_3.pdf
     November 30, 2013 - Diagnosis # Hospital Admits Within: Hospital Discharge Diagnosis High-Risk Diagnoses Associated … • 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.

272. Neonatal Intensive Care All-Condition Readmissions with Gestational Age Reported (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-207-fullreport.pdf
     June 01, 2019 - Readmissions can be used to define or measure the effectiveness of infant discharge criteria (Kotagal … Rehospitalization in the first two weeks after discharge from the neonatal intensive care unit. … Antibiotic use in premature infants after discharge from the neonatal intensive care unit. … Neonatal intensive care unit census influences discharge of moderately premature infants. … Early discharge from a neonatal intensive care unit and rates of readmission.

273. Table 2: Reporting Audit Results | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/match/table-2.html
     July 01, 2022 - Medication List at Discharge Numerator: # of patients provided an updated home medication list at discharge

274. Table 4: Reporting Audit Results | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/match/table-4.html
     July 01, 2022 - Medication List at Discharge Numerator: # of patients provided an updated home medication list at discharge

275. Table 4: Reporting Audit Results | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/match/table-4.html
     July 01, 2022 - Medication List at Discharge Numerator: # of patients provided an updated home medication list at discharge

276. Table 2: Reporting Audit Results | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/match/table-2.html
     July 01, 2022 - Medication List at Discharge Numerator: # of patients provided an updated home medication list at discharge

277. 8. Appendix D: Grant Summaries | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/reports/2024-annual-report/appendix-d.html
     May 01, 2024 - Summaries P1: Does A New Care Model Improve Care for Patients with Acute Kidney Injury After Hospital Discharge … P1: Does A New Care Model Improve Care for Patients with Acute Kidney Injury After Hospital Discharge

278. Approaches to Address the Health of Specific Patient Populations in Primary Care: Slide Presentation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/specific-pt-populations-slides.pdf
     May 01, 2025 - Jaqueline Nikpour, PhD, RN Emory University 21 Medicaid-Insured Individuals Experience Worse Post- Discharge … • Adds another risk factor for poor post-discharge outcomes • While THRIVE participants are hospitalized … Initial Thrive Findings Rates of readmissions and emergency department visits within 30 days of discharge … Patients on average receive 3.1 home care services (e.g., RN, MSW, PT) and see a nurse within 5 days of discharge … Findings Findings Value and Impact Presentation 2 Medicaid-Insured Individuals Experience Worse Post-Discharge

279. Final Progress Report: Measuring and Mitigating Patient Safety Threats Due to Strains on ICU Capacity (pdf file)
     www.ahrq.gov/sites/default/files/2024-09/halpern-report.pdf
     January 01, 2024 - Strain on the day of ICU discharge was associated with shorter preceding ICU length of stay, slightly … discharged patients’ ICU LOS, 72-hour ICU readmissions, subsequent in-hospital mortality, post-ICU discharge … LOS, and hospital discharge disposition using hierarchical logistic and linear regression as appropriate … underwent an ICU readmission within 72 hours, 4.0% died in the hospital following their initial ICU discharge … Hospital LOS after ICU discharge was longer among patients discharged on days with higher census (p=

280. AHRQ Tools Help Wisconsin Hospitals Post Big Quality, Safety Gains | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/201527.html
     September 01, 2015 - WHA officials reported that AHRQ tools like Re-engineered Discharge (RED) and Comprehensive Unit-based … RED provides evidence-based tools to help hospitals re-engineer their patient discharge processes, including … pending lab results, explaining new medications, and making follow-up calls to patients to reinforce discharge … Hospital Survey on Patient Safety Culture, Preventing Falls in Hospitals Toolkit, Re-Engineered Discharge