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61. Tool 1: Overview | Agency for Healthcare Research and Quality
    www.ahrq.gov/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.

62. 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 - Incorporate into regular discharge planning assessment and referrals. …  Have a documented discharge planning process, approved by the hospital’s governing board;  Provide … discharge planning for all inpatients, observation patients, and certain ED patients;  Analyze and … Time Required Incorporate into regular discharge planning assessment and referrals. … 2015 proposed CMS Discharge Planning Conditions of Participation (Medicare and Medicaid programs revision

63. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49820/psn-pdf
    February 01, 2018 - benefit for postacute care and rehabilitation.(1) During the course of routine care, SNF staff provide discharge … planning to support patients' care at home. … As illustrated in this case, SNF discharge planning frequently lacks key staff and caregiver input, … Managing time constraints and uncertainty about patient discharge in SNFs requires careful timing of … The case did not include any details of discharge planning or transitional care provided in the SNF.

64. Patient Family Engagement PowerPoint Content and Alternate Text | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cusp/modules/patient-family-engagement/alt-text-tab.html
    September 01, 2013 - Discharge Example   A patient surrounded by a health care team Slide 17 What is IDEAL Discharge … Planning? … family’s goals, preferences, observations, and concerns   Slide 18 Benefits of IDEAL Discharge … Planning for Clinicians 1 Improves accuracy of information about the patient’s condition and discharge … Planning 1 SBAR (Situation — Background — Assessment — Recommendation) 2   Slide 29

65. Returning Home Safely | PSNet
    psnet.ahrq.gov/web-mm/returning-home-safely
    December 22, 2018 - benefit for postacute care and rehabilitation.( 1 ) During the course of routine care, SNF staff provide discharge … planning to support patients' care at home. … As illustrated in this case, SNF discharge planning frequently lacks key staff and caregiver input, detailed … Managing time constraints and uncertainty about patient discharge in SNFs requires careful timing of … The case did not include any details of discharge planning or transitional care provided in the SNF.

66. Tool Overview | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/resource/guide/tools.html
    October 01, 2016 - Incorporate into regular discharge planning assessment and referrals. 4 Tool 10 Discharge

67. Seamless Care: Safe Patient Transitions from Hospital to Home (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Spehar.pdf
    April 18, 2004 - An expert panel focus group provided insights into discharge planning processes. … Discharge planning and case management at this hospital are organized by service. … Patient problems and nurse interventions during acute care and discharge planning. … Predictors of elder and family caregiver satisfaction with discharge planning. … Racial differences in discharge planning. Health Social Work 1996; 21:131–9. 54.

68. Readmissions and Adverse Events After Discharge | PSNet
    psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge
    April 27, 2022 - Primers Post-Acute Transitional Services: Safety in Home-Based Care Programs April 27, 2022 Discharge … Planning and Transitions of Care March 25, 2020 Medication Reconciliation December 15, 2024 … Burnout September 27, 2022 Patient Safety Primers Discharge … Planning and Transitions of Care March 25, 2020 View More See More

69. Transitioning Newborns from NICU to Home: A Resource Toolkit (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/nicutoolkit.pdf
    January 01, 2004 - During the discharge planning and transition process, a Health Coach can help prepare the family to … – New patients – while discharge planning should always “begin at admission,” any infant whose expected … ■ Discharge planning (insurance coverage, pediatrician contact information and appointment date,

70. Transitions in Care | Digital Healthcare Research
    digital.ahrq.gov/health-care-theme/transitions-care
    January 01, 2023 - Dykes, Patricia Use of Electronic Health Record Metadata to Assess Hospital Discharge … Planning for Post-Acute Transitions Description This research will develop and test novel … approaches for using electronic health record metadata to characterize and evaluate hospital discharge … planning practices, with the long-term goal of providing tools to monitor and strengthen specific behaviors

71. AHRQ National Web Conference on the Role of Health IT to Improve Care Transitions - Q&As (pdf file)
    digital.ahrq.gov/sites/default/files/docs/care-transitions-qas-092619.pdf
    September 26, 2019 - Dalal, MD, SFHM QUESTION: On the patient discharge preparation checklist you ask for an answer of … From my initial read of the new rule, it seems to move discharge planning forward by codifying the need … Dalal, MD, SFHM QUESTION: On the patient discharge preparation checklist you ask for an answer of Yes … QUESTION: How does the rule that CMS release today move discharge planning forward? … From my initial read of the new rule, it seems to move discharge planning forward by cod...

72. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/867381/psn-pdf
    December 18, 2024 - //psnet.ahrq.gov/perspective/patient-safety-during-hospital-discharge https://psnet.ahrq.gov/primer/discharge-planning-and-transitions-care

73. Introduction of discharge plan to reduce adverse events within 72 hours of discharge from the ICU. | PSNet
    psnet.ahrq.gov/issue/introduction-discharge-plan-reduce-adverse-events-within-72-hours-discharge-icu
    September 16, 2020 - Study Introduction of discharge plan to reduce adverse events within 72 hours of discharge from the ICU. Citation Text: Williams TA, Leslie GD, Elliott N, et al. Introduction of discharge plan to reduce adverse events within 72 hours of discharge from the ICU. J Nurs Care Qual. 2010;25…

74. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/848818/psn-pdf
    May 10, 2023 - potential-costs-and-consequences-associated-medication-error-hospital-discharge-expert https://psnet.ahrq.gov/primer/discharge-planning-and-transitions-care

75. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/862986/psn-pdf
    February 21, 2024 - essential-elements-nurses-have-address-promote-safe-discharge-paediatrics-systematic-review https://psnet.ahrq.gov/primer/discharge-planning-and-transitions-care

76. 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 … Finally, to address the measure related to improving patient discharges, the hospital used AHRQ's RED

77. Health Information Technology (IT) to Improve Health Care Quality and Outcomes (R21) | Digital Healthcare Research
    digital.ahrq.gov/funding-mechanism/health-information-technology-it-improve-health-care-quality-and-outcomes-r21
    January 01, 2023 - Use of Electronic Health Record Metadata to Assess Hospital Discharge Planning for Post-Acute Transitions … novel approaches for using electronic health record metadata to characterize and evaluate hospital discharge … planning practices, with the long-term goal of providing tools to monitor and strengthen specific behaviors

78. University of Minnesota | Digital Healthcare Research
    digital.ahrq.gov/organization/university-minnesota
    January 01, 2023 - Minnesota Use of Electronic Health Record Metadata to Assess Hospital Discharge … Planning for Post-Acute Transitions Description This research will develop and test novel … approaches for using electronic health record metadata to characterize and evaluate hospital discharge … planning practices, with the long-term goal of providing tools to monitor and strengthen specific behaviors

79. Tool 2: How to Begin the Re-engineered Discharge Implementation At Your Hospital (continued) | Agency for Healthcare Research and Quality
    www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool2ref.html
    March 01, 2025 - Comprehensive discharge planning and home followup of hospitalized elders: a randomized clinical trial

80. Tool 2: How to Begin the Re-engineered Discharge Implementation At Your Hospital (continued) | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool2ref.html
    March 01, 2025 - Comprehensive discharge planning and home followup of hospitalized elders: a randomized clinical trial