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101. Identifying high-risk medication: a systematic literature review. | PSNet
     psnet.ahrq.gov/issue/identifying-high-risk-medication-systematic-literature-review
     June 27, 2011 - 2012 Clinical outcomes from the use of Medication Report when elderly patients are discharged … November 19, 2014 Potentially inappropriate prescribing in older patients discharged

102. Healthcare system intervention for safer use of medicines in elderly patients in primary care—a qualitative study of the participants' perceptions of self-assessment, peer review, feedback and agreement for change. | PSNet
     psnet.ahrq.gov/issue/healthcare-system-intervention-safer-use-medicines-elderly-patients-primary-care-qualitative
     June 20, 2012 - 2012 Clinical outcomes from the use of Medication Report when elderly patients are discharged … 2009 Medication report reduces number of medication errors when elderly patients are discharged

103. Physician patient communication failure facilitates medication errors in older polymedicated patients with multiple comorbidities. | PSNet
     psnet.ahrq.gov/issue/physician-patient-communication-failure-facilitates-medication-errors-older-polymedicated
     November 02, 2010 - 2010 Clinical outcomes from the use of Medication Report when elderly patients are discharged … 2009 Medication report reduces number of medication errors when elderly patients are discharged

104. Preventable Transfer to the Hospital | PSNet
     psnet.ahrq.gov/web-mm/preventable-transfer-hospital
     March 31, 2022 - He was eventually discharged to a skilled nursing facility (SNF); however, he was readmitted approximately … progressively shorter despite the increasing complexity of patients, and as a result, patients are often discharged … for High-Risk Patients When compared to their counterparts who go home from the hospital, patients discharged … contribute to adverse events within the first few weeks after hospital discharge. 9 Indeed, 23% of patients discharged

105. Under Pressure: Delayed Diagnosis of Compartment Syndrome after Lower Leg Fracture. | PSNet
     psnet.ahrq.gov/web-mm/under-pressure-delayed-diagnosis-compartment-syndrome-after-lower-leg-fracture
     November 25, 2020 - The patient was discharged that afternoon despite continuing to report extreme pain. … second case, the treating team failed to appreciate symptoms suggesting postoperative CS and instead discharged … Simple and inexpensive processes exist that may identify patients who were discharged prematurely and … In a study of 30,727 members of a commercial health plan, patients discharged after hospitalization who … surgical patients, and has expanded the program to contact patients who are treated and discharged from

106. Spotlight Case [MONTH] 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.227_slideshow.ppt
     November 01, 2010 - He was switched to trimethoprim-sulfamethoxazole, an antibiotic he could take by mouth, and discharged … Treatment after Discharge (2) * * Transitions in Care 2.3 million ED visits each year by patients discharged … Emergency department visits by persons recently discharged from U.S. hospitals.

107. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837658/psn-pdf
     July 08, 2022 - He was eventually discharged to a skilled nursing facility (SNF); however, he was readmitted approximately … progressively shorter despite the increasing complexity of patients, and as a result, patients are often discharged … for High-Risk Patients When compared to their counterparts who go home from the hospital, patients discharged … contribute to adverse events within the first few weeks after hospital discharge.9 Indeed, 23% of patients discharged

108. 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 - Date First Implemented 2005 Problem Addressed Recently discharged … of readmissions are potentially preventable. 1 One study found that 20 percent of Medicare patients discharged … percent of patients experience at least one medical error after discharge 3 and one in five patients discharged … patients present at follow-up appointments with their primary care providers. 6 Many patients are discharged … physicians have prescribed or when their followup appointments should take place. 10  One study of recently discharged

109. Postdischarge Follow-Up Phone Call | PSNet
     psnet.ahrq.gov/web-mm/postdischarge-follow-phone-call
     May 19, 2021 - The patient improved rapidly over 48 hours and was discharged home (she lived with her daughter and grandson … That afternoon, she received a phone call from the hospital where she had been discharged. … At this hospital, all patients discharged from the medicine service are called by a nurse within 3 days … target only high-risk patients, for example, elderly patients, those with certain diagnoses, or those discharged … follow-up, initiated by a hospital-based health professional, for postdischarge problems in patients discharged

110. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866198/psn-pdf
     June 26, 2024 - In this survey of 825 patients discharged home after an inpatient care stay, participants reported that

111. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72816/psn-pdf
     March 10, 2021 - This cohort study analyzed adverse events occurring among patients discharged from the ED with cardiovascular

112. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73300/psn-pdf
     July 01, 2022 - Kentucky E-mail: mark.will@uky.edu Date First Implemented 2005-01-01 Problem Addressed Recently discharged … of readmissions are potentially preventable.1 One study found that 20 percent of Medicare patients discharged … percent of patients experience at least one medical error after discharge3 and one in five patients discharged … when patients present at follow-up appointments with their primary care providers.6 Many patients are discharged … physicians have prescribed or when their followup appointments should take place.10 One study of recently discharged

113. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838855/psn-pdf
     October 27, 2022 - The patient was discharged home with family members, with instructions to follow up “as needed,” as … The patient was admitted overnight for observation and discharged the next day after treatment with … expected recovery trajectory, and the milestones that must be achieved before the patient can be safely discharged … response from the radiologist was too late to ensure patient safety as it occurred after the patient was discharged … interpretation and communication of the CXR results did not happen until after the patient had been discharged

114. Computerized order entry with limited decision support to prevent prescription errors in a PICU. | PSNet
     psnet.ahrq.gov/issue/computerized-order-entry-limited-decision-support-prevent-prescription-errors-picu
     January 31, 2018 - 2012 Clinical outcomes from the use of Medication Report when elderly patients are discharged … 2009 Medication report reduces number of medication errors when elderly patients are discharged

115. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35399/psn-pdf
     February 24, 2011 - issue/patient-reports-undesirable-events-during-hospitalization The authors surveyed adults recently discharged

116. Delayed Recognition of a Positive Blood Culture | PSNet
     psnet.ahrq.gov/web-mm/delayed-recognition-positive-blood-culture
     January 29, 2020 - After improvement in her symptoms, the patient was discharged 2 days after admission with instructions … Unaware that the patient required treatment for listeriosis, the team discharged her. … attending's inbox in the electronic health record, he did not see the result until well after the patient was discharged … She was eventually discharged and did well.

117. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46123/psn-pdf
     January 01, 2020 - The authors recommend further study to identify best handoff practices for patients discharged from

118. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837736/psn-pdf
     July 27, 2022 - After analyzing data for pediatric patients discharged from a single children’s hospital, researchers

119. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838913/psn-pdf
     October 26, 2022 - communication-during-interhospital-transfers-emergency-general-surgery-patients-qualitative https://psnet.ahrq.gov/issue/interhospital-transfer-patients-discharged-academic-hospitalists-and-general-internists

120. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50453/psn-pdf
     October 09, 2019 - This study found that a post-PICU sedation weaning guideline can reduce the number of children discharged