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241. Care Transitions App for Patients with Multiple Chronic Conditions | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/care-transitions-app-patients-multiple-chronic-conditions
     January 01, 2023 - caregivers receive has the potential to better engage patients and families in their healthcare post-discharge … clinic visit; and 4) an editable digital post-discharge report to be made accessible to the primary … post-discharge care plan instructions, the opportunity to ask questions, and a followup appointment … "We want patients to use the app to start to have a conversation about discharge before it happens. … It also asks them to rate their symptoms, whether they're new or worse since their discharge.

242. An All-Payer View of Hospital Discharge to Postacute Care, 2013 (pdf file)
     hcup-us.ahrq.gov/reports/statbriefs/sb205-Hospital-Discharge-Postacute-Care.pdf
     November 01, 2015 - stays by discharge disposition. … Patient and hospital characteristics by discharge disposition, 2013 Characteristics Discharge disposition … ■ Rates of discharge to PAC differed across regions. … New England had the highest rate of discharge to PAC. …  Routine discharge: discharged to home or self care  Discharge to skilled nursing facility: discharged

243. Engaging-Caregivers-Appendix-B (xls file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/engaging-caregivers-appendix-b.xlsx
     May 29, 2025 - Discharge process included: 1) Discharge summary of the hospital course faxed to primary care provider … Targeted discharge planning (16 week period) B. … Targeted discharge planning: 25-item checklist (modified Re-Engineered Discharge toolkit and adapted … CMS discharge planning beginning at hospital admission. … No targeted discharge planning (n=58) NR Yes Patient engagement process and use of discharge planning

244. An All-Payer View of Hospital Discharge to Postacute Care, 2013 #205
     hcup-us.ahrq.gov/reports/statbriefs/sb205-Hospital-Discharge-Postacute-Care.jsp
     May 01, 2016 - inpatient stays by discharge disposition. … Figure 3 shows the percentages of discharge to each PAC setting, routine discharge, and others by payer … Rates of discharge to PAC differed across regions. … New England had the highest rate of discharge to PAC. … Routine discharge: discharged to home or self care Discharge to skilled nursing facility: discharged

245. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46985/psn-pdf
     July 02, 2019 - The impact of automated notification on follow-up of actionable tests pending at discharge: a cluster … The Impact of Automated Notification on Follow-up of Actionable Tests Pending at Discharge: a Cluster-Randomized … https://psnet.ahrq.gov/issue/impact-automated-notification-follow-actionable-tests-pending-discharge- … cluster-randomized Incomplete follow-up of tests pending at hospital discharge is a persistent patient … https://psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge https://psnet.ahrq.gov

246. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72654/psn-pdf
     January 20, 2020 - What is an ethically informed approach to managing patient safety risk during discharge planning? … What Is an Ethically Informed Approach to Managing Patient Safety Risk During Discharge Planning? … Patient safety is a concern throughout the entire process of care from admission to discharge. … assure that patients return to a home environment that can enable their safe recovery whether the discharge … https://psnet.ahrq.gov/web-mm/discharge-against-medical-advice

247. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73092/psn-pdf
     March 31, 2021 - SAFER Care: improving caregiver comprehension of discharge instructions. … SAFER care: improving caregiver comprehension of discharge instructions. … This article describes the development of the SAFER Care framework for written and verbal discharge … The SAFER mnemonic reminds clinicians delivering discharge counseling to discuss safe return to school … /daycare, activity restrictions, follow-up plans e xpected symptoms after discharge, when to return

248. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47912/psn-pdf
     April 24, 2019 - A systematic literature review and narrative synthesis on the risks of medical discharge letters for … A systematic literature review and narrative synthesis on the risks of medical discharge letters for … https://psnet.ahrq.gov/issue/systematic-literature-review-and-narrative-synthesis-risks-medical-discharge … In this systematic review, researchers identified several factors related to discharge summaries that … may adversely impact the safety of discharged patients, including delays in sending discharge summaries

249. Tool 3 Continued | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/ahcp-components.html
     March 01, 2013 - Re-Engineered Discharge (RED) Toolkit Tool 3 Continued Previous Page Next Page Table … of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered … Discharge Implementation at Your Hospital How CMS Measures the "30-Day All Cause Rehospitalization … Rate" on the Hospital Compare Web Site Tool 3: How To Deliver the Re-Engineered Discharge at Your … Hospital Tool 4: How To Deliver the Re-Engineered Discharge to Diverse Populations Tool 5: How To

250. Tool 3 Continued | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/ahcp-components.html
     March 01, 2013 - Re-Engineered Discharge (RED) Toolkit Tool 3 Continued Previous Page Next Page Table … of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered … Discharge Implementation at Your Hospital How CMS Measures the "30-Day All Cause Rehospitalization … Rate" on the Hospital Compare Web Site Tool 3: How To Deliver the Re-Engineered Discharge at Your … Hospital Tool 4: How To Deliver the Re-Engineered Discharge to Diverse Populations Tool 5: How To

251. St. Joseph’s Hospital Improves Patient Safety Using AHRQ Tools | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/201511.html
     May 01, 2015 - The Re-Engineered Discharge (RED) Toolkit , a discharge planning resource to help patients prepare for … discrepancies between a patient's current medications and a physician's admission, transfer, and/or discharge … in 2010 to improve three key measures: response of hospital staff, communication with doctors, and discharge … Trained "discharge advocates" make three or more post-discharge phone calls to patients. … Follow-up physician appointments are scheduled prior to discharge.

252. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50906/psn-pdf
     February 19, 2020 - Implementation of a discharge education program to improve transitions of care for patients at high … Implementation of a discharge education program to improve transitions of care for patients at high … This study assessed the impact of a discharge medication education program for high-risk patients, including … scheduling a post-hospital discharge telephone follow-up within 2 days of discharge. … This intervention increased the number of patients who were successfully contacted post-discharge (from

253. Designing and Delivering Whole-Person Transitional Care: The Hospital Guide to Reducing Medicaid Readmissions - Toolbox (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/medread-tools.pdf
     July 28, 2016 - care (discharge) plan. 4 Tool 10 Discharge Process Checklist This tool, adapted from the CMS … within 10 days of discharge # of readmissions between days 0‐30 of discharge % of readmissions in … Top Discharge Diagnoses Leading to Highest Number of Readmissions Top 10 Discharge Dx Resulting in … Days between Discharge and Readmission (adult, non‐OB) 100% of discharge. 90% Consider: Does your … Transmittal of discharge summary within 48 hours of discharge Transmit or make available the discharge

254. Transitional Care Medication Safety: Stakeholders' Perspectives | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/corbett.html
     August 01, 2017 - The Lantus ® dose noted on the discharge instructions was half the dose Mrs. … when comparing his home medicines to his discharge list. … and/or with a follow-up phone call or home visit after discharge. … discharge medications. … The hospital discharge: A review of high risk care transition with highlights of a reengineered discharge

255. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33559/psn-pdf
     December 15, 2024 - transitions in care—upon hospital admission, transfer from one unit to another during hospitalization, or discharge … As a result, the new medication regimen prescribed at the time of discharge may inadvertently omit needed …  (ADEs), which have been shown to be one of the most common types of adverse events after hospital discharge … care by reviewing the patient's complete medication regimen at the time of admission, transfer, and discharge … However, both the actual clinical effect of medication discrepancies after discharge appears to be small

256. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/856586/psn-pdf
     November 29, 2023 - The complexities of communication at hospital discharge of older patients: a qualitative study of healthcare … The complexities of communication at hospital discharge of older patients: a qualitative study of healthcare … https://psnet.ahrq.gov/issue/complexities-communication-hospital-discharge-older-patients-qualitative … https://psnet.ahrq.gov/issue/medicines-related-harm-elderly-post-hospital-discharge https://psnet.ahrq.gov … /issue/problems-after-discharge-and-understanding-communication-their-primary-care-physicians-pcps

257. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50731/psn-pdf
     December 11, 2019 - Awareness of diagnosis and follow up care after discharge from the emergency department December 11 … Awareness of diagnosis and follow up care after discharge from the Emergency Department. … https://psnet.ahrq.gov/issue/awareness-diagnosis-and-follow-care-after-discharge-emergency-department … summaries) upon discharge from Australian emergency departments would improve patient awareness of … https://psnet.ahrq.gov/issue/awareness-diagnosis-and-follow-care-after-discharge-emergency-department

258. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/852455/psn-pdf
     August 16, 2023 - A quality improvement initiative to improve pediatric discharge medication safety and efficiency. … A quality improvement initiative to improve pediatric discharge medication safety and efficiency. … https://psnet.ahrq.gov/issue/quality-improvement-initiative-improve-pediatric-discharge-medication-safety … This quality improvement found that increased utilization of a patient-friendly discharge medication … platform integrated into the electronic health record (EHR) system was associated with improved inpatient discharge

259. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73300/psn-pdf
     July 01, 2022 - needs, test understanding of those needs, and improve medication reconciliation at admission and discharge … the Discharge Patient Education Tool and other discharge planning tools into their daily activities … Patient safety concerns arising from test results that return after hospital discharge. … Reengineering hospital discharge process could improve care, say AHRQ researchers. … Patient satisfaction and the discharge process: evidence-based best practices.

260. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60701/psn-pdf
     July 22, 2020 - Prevalence and nature of medication errors and medication-related harm following discharge from hospital … Prevalence and nature of medication errors and medication-related harm following discharge from hospital … psnet.ahrq.gov/issue/prevalence-and-nature-medication-errors-and-medication-related-harm- following-discharge … 54 studies found that over half of adult and pediatric patients experienced a medication error post-discharge … https://psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge https://psnet.ahrq.gov