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psnet.ahrq.gov/issue/statewide-identification-adverse-events-using-retrospective-nurse-review-methods-and-outcomes
November 21, 2021 - Study
Statewide identification of adverse events using retrospective nurse review: methods and outcomes.
Citation Text:
Silver MP, Hougland P, Elder S, et al. Statewide identification of adverse events using retrospective nurse review: methods and outcomes. J Nurs Meas. 2007;15(3):220-…
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psnet.ahrq.gov/issue/acute-care-patients-discuss-patient-role-patient-safety
October 12, 2011 - Study
Acute care patients discuss the patient role in patient safety.
Citation Text:
Rathert C, Huddleston N, Pak Y. Acute care patients discuss the patient role in patient safety. Health Care Manage Rev. 2011;36(2):134-144. doi:10.1097/HMR.0b013e318208cd31.
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psnet.ahrq.gov/issue/effects-implementation-preventive-interventions-program-reduction-medication-errors
March 09, 2022 - Study
Effects of the implementation of a preventive interventions program on the reduction of medication errors in critically ill adult patients.
Citation Text:
Romero CM, Salazar N, Rojas L, et al. Effects of the implementation of a preventive interventions program on the reduction o…
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psnet.ahrq.gov/issue/scandal-sentinel-event-recognizing-hidden-cost-quality-trade-offs
November 04, 2020 - Commentary
Scandal as a sentinel event—recognizing hidden cost–quality trade-offs.
Citation Text:
Bloche G. Scandal as a Sentinel Event--Recognizing Hidden Cost-Quality Trade-offs. N Engl J Med. 2016;374(11):1001-3. doi:10.1056/NEJMp1502629.
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psnet.ahrq.gov/node/45010/psn-pdf
March 30, 2016 - issue/most-dangerous-time-hospital-it-may-be-when-you-leave
Preventing readmissions after hospital discharge … between hospital-based and outpatient physicians, lack of involvement
of the frontline care team in the discharge … process, and production pressures can diminish the safety of
discharge. … psnet.ahrq.gov/issue/most-dangerous-time-hospital-it-may-be-when-you-leave
https://psnet.ahrq.gov/issue/hospital-discharge-and-readmission … https://psnet.ahrq.gov/issue/incidence-and-severity-adverse-events-affecting-patients-after-discharge-hospital
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psnet.ahrq.gov/node/49706/psn-pdf
January 01, 2015 - After being discharged, the patient took her discharge prescriptions to her usual
retail pharmacy. … However, after the second discharge the inpatient pharmacist
was contacted by the pharmacist at the … Where
possible, obtain prior authorization before discharge and engage discharge planners or the pharmacist … discharge planning and pharmacy to help identify resources to meet those needs. … Adverse events among medical patients after discharge from
hospital. CMAJ. 2004;170:345-349.
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psnet.ahrq.gov/node/46983/psn-pdf
April 25, 2018 - Assessment of emergency department antibiotic
discharge prescription dosing errors for pediatric patients … Assessment of Emergency Department Antibiotic Discharge
Prescription Dosing Errors for Pediatric Patients … https://psnet.ahrq.gov/issue/assessment-emergency-department-antibiotic-discharge-prescription-dosing … https://psnet.ahrq.gov/issue/assessment-emergency-department-antibiotic-discharge-prescription-dosing-errors-pediatric … https://psnet.ahrq.gov/issue/assessment-emergency-department-antibiotic-discharge-prescription-dosing-errors-pediatric
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psnet.ahrq.gov/node/42607/psn-pdf
January 09, 2014 - Critical care transition programs and the risk of
readmission or death after discharge from an ICU: … Critical care transition programs and the risk of readmission or death after
discharge from an ICU: … https://psnet.ahrq.gov/issue/critical-care-transition-programs-and-risk-readmission-or-death-after-
discharge-icu … https://psnet.ahrq.gov/issue/critical-care-transition-programs-and-risk-readmission-or-death-after-discharge-icu … https://psnet.ahrq.gov/issue/critical-care-transition-programs-and-risk-readmission-or-death-after-discharge-icu
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024587-schnipper-final-report-2019.pdf
January 01, 2019 - in
the 30 days after discharge) make up 70% of all post-discharge adverse events, at a rate of 0.30 … Patients continued to use the pillbox for up to 6 months after discharge. … , and post-discharge issues (Table
2). … occur prior to discharge, the unpredictable nature of the discharge decision, and the rushed nature of … Adverse drug events occurring following
hospital discharge.
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digital.ahrq.gov/ahrq-funded-projects/evaluation-effectiveness-health-information-technology-based-care-transition/annual-summary/2012
January 01, 2012 - The system provides patients and their primary care providers (PCPs) with discharge information, including … Patient clinical outcomes included patient adherence to medication instructions after discharge, patient … Patients were called within 30 days of discharge. … Expert reviews were done by comparing the discharge summary, the medication list, the patient-friendly … of information collected at admission, and completeness of patient discharge medication list.
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hcup-us.ahrq.gov/reports/factsandfigures/2008/definitions.jsp
January 01, 2008 - Discharge
Discharge refers to the hospital stay. … The unit of analysis for HCUP data is the hospital discharge, not a person or patient. … Discharge status
Discharge status indicates the disposition of the patient at the time of discharge … Discharge status – Emergency department (ED)
Discharge status indicates the disposition of the patient … When more than one payer is listed for a hospital discharge, the first-listed payer is used.
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psnet.ahrq.gov/node/35159/psn-pdf
January 02, 2017 - Medication reconciliation in acute care: ensuring an
accurate drug regimen on admission and discharge … Medication reconciliation in acute care: ensuring an accurate drug regimen on
admission and discharge … psnet.ahrq.gov/issue/medication-reconciliation-acute-care-ensuring-accurate-drug-regimen-
admission-and-discharge … psnet.ahrq.gov/issue/medication-reconciliation-acute-care-ensuring-accurate-drug-regimen-admission-and-discharge … psnet.ahrq.gov/issue/medication-reconciliation-acute-care-ensuring-accurate-drug-regimen-admission-and-discharge
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psnet.ahrq.gov/node/46891/psn-pdf
December 21, 2018 - Day of discharge does not impact hospital readmission
after major cardiac surgery. … Day of Discharge Does Not Impact Hospital Readmission After Major
Cardiac Surgery. … https://psnet.ahrq.gov/issue/day-discharge-does-not-impact-hospital-readmission-after-major-cardiac- … https://psnet.ahrq.gov/issue/day-discharge-does-not-impact-hospital-readmission-after-major-cardiac-surgery … https://psnet.ahrq.gov/issue/day-discharge-does-not-impact-hospital-readmission-after-major-cardiac-surgery
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psnet.ahrq.gov/node/37000/psn-pdf
September 15, 2011 - Unanticipated death after discharge home from the
emergency department. … Unanticipated Death After Discharge Home From the Emergency
Department. … https://psnet.ahrq.gov/issue/unanticipated-death-after-discharge-home-emergency-department
This retrospective … knowledge and system factors contributed to missed diagnoses in the ED, in this study,
unexpected post-discharge … https://psnet.ahrq.gov/issue/unanticipated-death-after-discharge-home-emergency-department
https://psnet.ahrq.gov
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digital.ahrq.gov/principal-investigator/mendonca-eneida
July 17, 2017 - Mendonca, Eneida
Virtualized Homes: Tools for Better Discharge Planning … Virtualized Homes: Tools for Better Discharge Planning - Final Report. … Principal Investigator
Mendonca, Eneida
Project Name
Virtualized Homes: Tools for Better Discharge … Virtualized Homes: Tools for Better Discharge Planning
Description
This research linked a web … record so that the models could be viewable and annotated from within a patient’s record for better discharge
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psnet.ahrq.gov/node/45887/psn-pdf
August 15, 2018 - Association of changing hospital readmission rates with
mortality rates after hospital discharge. … Association of Changing Hospital Readmission Rates With Mortality
Rates After Hospital Discharge. … psnet.ahrq.gov/issue/association-changing-hospital-readmission-rates-mortality-rates-after-hospital-
discharge … the association between hospitals' monthly trends in 30-day readmissions and 30-day
mortality after discharge … psnet.ahrq.gov/issue/association-changing-hospital-readmission-rates-mortality-rates-after-hospital-discharge
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017817-field-final-report-2012.pdf
January 01, 2012 - readmission and emergency department (ED) visits within 30 days of discharge. … Adverse
events among medical patients after discharge from
hospital. … Compliance with
medication orders among the elderly after hospital
discharge. … Patient-
physician communication at hospital discharge and
patients' understanding of the post-discharge … Dissemination
of discharge summaries. Not reaching follow-up
physicians.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0519_02-27-2012.pdf
January 01, 2012 - In HF patients 50 years and older, what is the effectiveness of interventions to support post-
discharge … o Length of followup
o Concurrent discharge planning in disease management programs
o Place of delivery … of discharge planning (home, inpatient, outpatient)
o Components of discharge planning and whether … components were individually tailored or
generalized
o Intensity of discharge planning, number and … Transitional and post-discharge care of heart failure patients is an area of research
that continues
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017203-gurwitz-final-report-2011.pdf
January 01, 2011 - Randomization of the HIT-discharge communication occurred at the time of hospital discharge. … Randomization of the HIT-
discharge communication occurred at the time of hospital discharge. … Randomization of the HIT-
discharge communication occurred at the time of hospital discharge. … and the need for a follow-up visit within 14 days of
discharge. … Randomization of
the HIT-discharge communication occurred at the time of hospital discharge.
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digital.ahrq.gov/sites/default/files/docs/survey/document-workflow-assessment-guide-hospital.pdf
January 26, 2009 - Discharge Summaries and Surgical Reports
Approximately how many discharge summaries and surgical reports … Discharge Summaries:
Quantity Timeframe
Surgical Reports:
Quantity Timeframe … Describe your process for delivering discharge summaries and surgical reports to the ordering provider … From x to y Turn around time
Date of surgery to report delivered
Date of discharge … Document title: Document Workflow Assessment Guide - Hospital
Lab results
Radiology results
Discharge