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hcup-us.ahrq.gov/datainnovations/clinicaldata/poatoolkit.jsp
July 01, 2021 - Enhancing the Clinical Content of Administrative Data - Present on Admission (POA) Toolkit
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
C…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/heart-failure-transition-care_research-protocol.pdf
June 10, 2013 - planning, emphasizing
written discharge instructions or educational material targeted to the patient … planning assessment.28
In addition to guideline recommendations, several national performance measures … These interventions overlap with disease-
management, case-management, and discharge-planning interventions … Care
"case management”[MeSH] OR “rehabilitation”[MeSH] OR “continuity of patient care”[MeSH]
OR “patient … one
type of setting to another.”7 The concept can overlap disease management, case management,
and discharge-planning
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psnet.ahrq.gov/issue/creating-better-discharge-summary-improvement-quality-and-timeliness-using-electronic
December 21, 2014 - Study
Creating a better discharge summary: improvement in quality and timeliness using an electronic discharge summary.
Citation Text:
O'Leary KJ, Liebovitz DM, Feinglass J, et al. Creating a better discharge summary: improvement in quality and timeliness using an electronic discharge …
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www.ahrq.gov/es/tools/index.html?page=1
December 01, 2012 - communication, implement nurse bedside change-of-shift reports, and engage patients and families in discharge … planning throughout the hospital stay.
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psnet.ahrq.gov/issue/mandatory-reporting-impaired-medical-practitioners-protecting-patients-supporting
September 01, 2016 - 2022
What is an ethically informed approach to managing patient safety risk during discharge … planning?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/About_the_Guide_508.pdf
June 02, 2025 - by involving the patient and family in
the change of shift report for nurses
• Strategy 4: IDEAL Discharge … Planning helps
reduce preventable readmissions by engaging
patients and family members in the transition
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psnet.ahrq.gov/issue/influence-socioeconomic-bias-emergency-medicine-resident-decision-making-and-patient-care
March 02, 2022 - qualitative analyses identified three themes which may bias decision making – overt diagnostic focus, discharge … planning, and risk and exposure.
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www.ahrq.gov/patient-safety/patients-families/engagingfamilies/howtogetstarted/index.html
December 01, 2017 - Strategy 3: Nurse Bedside Shift Report
Strategy 4: Care Transitions From Hospital to Home: IDEAL Discharge … Planning
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www.ahrq.gov/patient-safety/patients-families/engagingfamilies/guide.html
December 01, 2017 - Strategy 4: IDEAL Discharge Planning helps reduce preventable readmissions by engaging patients and
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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: a multi-centre retrospective case record review study.
Citation Text:
Vollam S, Gustafson O, Young JD, et al. Problems in care and avoidability of death after discharge from intensive care: a multi-cent…
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psnet.ahrq.gov/issue/effectiveness-and-cost-transitional-care-program-heart-failure-prospective-study-concurrent
April 24, 2019 - March 2, 2022
Effects of an enhanced discharge planning intervention for hospitalized
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digital.ahrq.gov/sites/default/files/docs/care-transitions-slides-092619.pdf
September 26, 2019 - regions with HIE
44
ED Inpatient
arrival admission Discharge
Outreach to
patient/ED
Begin
discharge … planning
Followup
► Readmissions
► Initial admission from ED
Potential
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www.ahrq.gov/patient-safety/settings/hospital/resource/guide/web2.html
December 01, 2017 - Webinar 2: Analyze Data and Patient/Caregiver Perspectives (Section 1 of the Guide): Slide Presentation
Designing & Delivering Whole-Person Transitional Care: The Hospital Guide to Reducing Medicaid Readmissions
Text version of Webinar slide presentation.
Slide 1: Designing & Delivering Whole-Person Transit…
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psnet.ahrq.gov/issue/assessment-patient-retention-inpatient-care-information-post-hospitalization
June 01, 2022 - Study
Assessment of patient retention of inpatient care information post-hospitalization.
Citation Text:
Townshend R, Grondin C, Gupta A, et al. Assessment of patient retention of inpatient care information post-hospitalization. Jt Comm J Qual Patient Saf. 2023;49(2):70-78. doi:10.1016/j…
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/care-coordination-implementation-guide.pdf
March 01, 2023 - Implementation Guide for Enhancing Care Coordination for Cardiac Rehabilitation
Guide for Care Coordination
March 2023
1
Implementation Guide
for Enhancing Care Coordination for CR
Acronym List
Term Abbreviation
AACVPR American Association of Cardiovascular and Pulmonary Rehabilitation
AR Automatic Refe…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/About_the_Guide_508.docx
June 02, 2025 - nurses by involving the patient and family in the change of shift report for nurses
Strategy 4: IDEAL Discharge … Planning helps reduce preventable readmissions by engaging patients and family members in the transition
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psnet.ahrq.gov/web-mm/postdischarge-follow-phone-call
May 19, 2021 - preventable adverse events after discharge and prevent rehospitalizations, including patient engagement in discharge … planning, a transitions coach (a provider, often a nurse, who is responsible for coordinating the transition … Comprehensive discharge planning and home follow-up of hospitalized elders: a randomized clinical trial
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/diagnostic-safety-transitions-care.pdf
June 01, 2023 - planning through a novel IDEAL Discharge
Planning strategy.93 This systematic framework focuses on: … ■ Including patients and families as full partners in discharge planning,
■ Discussing with patients … A scoping
review of patient discharge from intensive care: opportunities and tools to improve care. … Patient discharge from intensive care: an updated scoping
review to identify tools and practices to … Strategy 4: Care Transitions From Hospital to Home: IDEAL Discharge Planning.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/healthit-ed-3.html
February 01, 2021 - Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments
Mobile Text Messaging
Previous Page Next Page
Table of Contents
Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments
Introduction
Elect…
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digital.ahrq.gov/ahrq-funded-projects/creating-online-nicu-networks-educate-consult-team
January 01, 2023 - Creating Online NICU Networks to Educate, Consult & Team
Project Description
Project Details -
Completed
Grant Number
P20 HS014996
Funding Mechanism(s)
Transforming Healthcare Quality Through Information Technology (THQIT) - Planning Gr…