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41. Inpatient-to-Outpatient Transitions | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions5.html
    June 01, 2023 - to improve the safety of the inpatient-to-outpatient transition and engage patients and families in discharge … planning through a novel IDEAL Discharge Planning strategy. 93 This systematic framework focuses on … : I ncluding patients and families as full partners in discharge planning, D iscussing with patients

42. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/847736/psn-pdf
    April 19, 2023 - The safety recommendations shared include improving discharge planning, assessment, and consideration … beyond-find-and-fix-improving-quality-and-safety-through-resilient-healthcare-systems https://psnet.ahrq.gov/primer/discharge-planning-and-transitions-care … https://psnet.ahrq.gov/primer/discharge-planning-and-transitions-care

43. Section 5, Tables 8 and 9 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-131-section-5-table-8-9.pdf
    January 01, 2013 - Discharge planning from hospital to home. … The intervention group received: (1) a comprehensive, user-friendly patient discharge form; (2) electronic … transfer of the patient discharge form to nurses at the primary care provider site; (3) telephone … Forty- Evaluating hospital discharge planning: a randomized clinical trial. … Public reporting of discharge planning and rates of readmissions.

44. Information to Help Hospitals Get Started
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_to_Use_Guide_Ldr_Slide_508.pptx
    July 23, 2010 - Involving patients and families in discharge planning and plans for safe care at home. … Nurs Adm Q 2006;30(2):112–22.  14 Why focus on discharge planning? … A review of discharge planning research of older adults 1990-2008. … Hospital discharge planning for frail older people and their family. … Discharge planning from hospital to home. Cochrane Database Syst Rev 2010;20(1):CD000313.

45. Patient and Family Engagement | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cusp/modules/patient-family-engagement/notes.html
    September 01, 2013 - IDEAL Discharge Planning Slide 17. What Is IDEAL Discharge Planning? 1 Slide 18. … IDEAL Discharge Planning The following section discusses the IDEAL Discharge Planning tool and how … to use it in discharge planning. … What Is IDEAL Discharge Planning? … Benefits of IDEAL Discharge Planning for Clinicians 1 Say: Using the IDEAL discharge planning process

46. Information to Help Hospitals Get Started (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_to_Use_Guide_Ldr_Slide_508.pdf
    June 02, 2025 - Working with Patients and Families at the Bedside: Care Transitions from Hospital to Home: IDEAL Discharge … Planning 11 Information to Help Hospitals Get Started Why work with patients and families as … planning? … planning – Changes in medicines before and after discharge – Inadequate preparation for patients and … Why focus on discharge planning? Moving forward What do we need from you?

47. Effective Health Care (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0519_02-27-2012.pdf
    January 01, 2012 - 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

48. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73391/psn-pdf
    June 16, 2021 - facilitators-and-barriers-care-transitions-comparing-perspectives-hospital-and- community This study analyzed incident reports, discharge … planning meetings, and focus groups with hospital and community healthcare staff to identify barriers … mixed-methods-study-examining-teamwork-shared-mental-models-interprofessional-teams-during https://psnet.ahrq.gov/primer/discharge-planning-and-transitions-care

49. Value of Technology to Transfer Discharge Information | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/value-technology-transfer-discharge-information
    January 01, 2023 - Quantitative Technology: Database , Electronic Health Record/Electronic Medical Record Population: Patient … Discharge planning scale: community physicians' perspective. … Discharge planning scale: community physicians' perspective. J Hosp Med 2008 Nov-Dec;3(6):455-64.

50. Cusp Patient Family Engagement Facilitator Notes (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/patfamilyengagement/CUSP_Patient_Family_Engagement_Facilitator_Notes.docx
    June 02, 2025 - Slide 15 SAY: The following section discusses the IDEAL Discharge Planning tool and how to use it … in discharge planning. … Slide 17 SAY: Using the IDEAL discharge planning process helps ensure that clinicians, patients … ASK: · What components of the IDEAL discharge planning process were captured in this video? … Care Transitions from Hospital to Home: IDEAL Discharge Planning Explores the components of a discharge

51. 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 … members of the health care team impacts health outcomes and patient and family satisfaction IDEAL Discharge … Planning is an effective tool for ensuring patient and family member engagement and education Organizations

52. Graumlich, James | Digital Healthcare Research
    digital.ahrq.gov/principal-investigator/graumlich-james
    January 01, 2023 - Project Name Value of Technology to Transfer Discharge Information Discharge … planning scale: community physicians' perspective. … Discharge planning scale: community physicians' perspective.

53. Project BOOST Increases Patient Understanding of Treatment and Follow-up Care | PSNet
    psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care
    February 26, 2025 - The project can be implemented with existing discharge planning or nursing staff who can incorporate … the Discharge Patient Education Tool and other discharge planning tools into their daily activities. … The project can be implemented with existing discharge planning or nursing staff who can incorporate … the Discharge Patient Education Tool and other discharge planning tools into their daily activities.

54. Transitions of Care | Agency for Healthcare Research and Quality
    www.ahrq.gov/topics/transitions-care.html
    in Safe Transitions Across Ambulatory Settings Care Transitions from Hospital to Home: The IDEAL Discharge … Planning MATCH Toolkit (Medications at Transitions and Clinical Handoffs) Taking Care of Myself:

55. Coaching in the Hospital | Agency for Healthcare Research and Quality
    www.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/coaching.html
    December 01, 2013 - Prioritize patient visits for the day: New patients—while discharge planning should always "begin … Discharge planning (insurance coverage, pediatrician contact information and appointment date, CPR education

56. Coaching in the Hospital | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/resource/nicu/coaching.html
    December 01, 2013 - Prioritize patient visits for the day: New patients—while discharge planning should always "begin … Discharge planning (insurance coverage, pediatrician contact information and appointment date, CPR education

57. Engaging-Caregivers-Appendix-B (xls file)
    effectivehealthcare.ahrq.gov/sites/default/files/related_files/engaging-caregivers-appendix-b.xlsx
    May 29, 2025 - Parent sessions typically included one discharge planning session in the short-term setting and periodic … Targeted discharge planning (16 week period) B. … No targeted discharge planning (previous 16 week period) A. … CMS discharge planning beginning at hospital admission. … No targeted discharge planning (n=58) NR Yes Patient engagement process and use of discharge planning

58. Making Healthcare Safer Practices: 15. Care Transitions (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/care-transitions-1.pdf
    March 01, 2020 - AB “Discharge Planning” OR "Patient Discharge" OR "Patient Transfer" OR "Patient Handoff"))) (( … AB “Discharge Planning” OR "Patient Discharge" OR ((AB “Care Transitions Intervention” OR “CTI”) … AB “Discharge Planning” OR "Patient Discharge" OR "Patient Transfer" OR "Patient Handoff"))) (( … Discharge” OR “Patient Transfer” OR "Patient Handoff”) OR (AB “Discharge Planning” OR "Patient Discharge … AB “Discharge Planning” OR "Patient Discharge" OR "Patient Transfer" OR "Patient Handoff"))) ((

59. Digital supervision in the clinical learning environment: Characterizing teamwork in the electronic health record. | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/use-ehr-metadata-assess-hospital-discharge-planning-post-acute-transitions/citation/digital
    January 01, 2024 - Cross, Dori Project Name Use of Electronic Health Record Metadata to Assess Hospital Discharge … Planning for Post-Acute Transitions Technology Electronic Health Record/Electronic Medical

60. Tool 1: Overview | Agency for Healthcare Research and Quality
    www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool1.html
    March 01, 2013 - that national quality organizations have begun to set standards to address some of the deficiencies of discharge … planning. … A Cochrane review of discharge planning interventions indicated that a number of interventions did not … of integrating the discharge education functions into the duties of the staff nurse responsible for patient … discharge versus a strategy of hiring dedicated discharge educators to perform these functions.