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1. Healthcare 411: Making hospital discharges safer for seniors. | PSNet
   psnet.ahrq.gov/issue/healthcare-411-making-hospital-discharges-safer-seniors
   February 24, 2021 - Audiovisual Healthcare 411: Making hospital discharges safer for seniors.

2. Opioid abuse and poisoning: trends in inpatient and emergency department discharges. | PSNet
   psnet.ahrq.gov/issue/opioid-abuse-and-poisoning-trends-inpatient-and-emergency-department-discharges
   June 03, 2020 - Study Opioid abuse and poisoning: trends in inpatient and emergency department discharges … Opioid Abuse And Poisoning: Trends In Inpatient And Emergency Department Discharges. … Opioid Abuse And Poisoning: Trends In Inpatient And Emergency Department Discharges.

3. The Unhappy Patient Leaves Against Medical Advice. | PSNet
   psnet.ahrq.gov/web-mm/unhappy-patient-leaves-against-medical-advice
   January 31, 2024 - Can AMA Discharges be Avoided? … In the US, each year, 1-2% of all hospital discharges (involving approximately 500,000 patients) are … The role of patient-provider interactions: Using an accounts framework to explain hospital discharges … What is wrong with discharges against medical advice (and how to fix them). … Reconsidering against medical advice discharges: embracing patient-centeredness to promote high quality

4. Spotlight (ppt file)
   psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.464_slideshow.ppt
   January 01, 2019 - reported from 40 Veterans Affairs (VA) hospitals The rate of safety events is 27.9 per 100 patient discharges … The most common events reported included Medication errors (17.2/100 discharges) Adverse drug events … (4.1/100 discharge) Falls (2.8/100 discharges) * Marcus SC, Hermann RC, Frankel MR, Cullen SW. … ) Assault (1.0/100 discharges) Sexual contact (0.1/100 discharges) Elopement (0.2/100 discharges) … Contraband (0.7/100 discharges) * Marcus SC, Hermann RC, Frankel MR, Cullen SW.

5. Deaths Not Foretold: Are Unexpected Deaths Useful Patient Safety Signals? | PSNet
   psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals
   March 01, 2004 - with ICD-9-CM code of 707.0 in any secondary diagnosis field per 100 discharges for medical or … among patients who develop potentially life-threatening complications while in hospital All discharges … procedure Surgical instrument, sponge, or other device left inside patient after a procedure Discharges … with ICD-9-CM code of 512.1 in any secondary diagnosis field per 100 medical and surgical discharges … with ICD-9-CM code for [hip fracture] in any secondary diagnosis among all surgical discharges

6. Discharge Against Medical Advice | PSNet
   psnet.ahrq.gov/web-mm/discharge-against-medical-advice
   July 01, 2017 - Epidemiology of Discharges AMA Patients who leave AMA account for 0.8%-2.2% of discharges from medical … Patient Outcomes in Discharges AMA It seems likely that discharge AMA puts patients at increased … Take-Home Points Approximately 1%-2% of hospital discharges occur AMA. … Discharges against medical advice at regional acute care hospitals. … Discharges against medical advice: time to address the causes.

7. Periodic Issue | PSNet
   psnet.ahrq.gov/periodic-issue/periodic-issue-334
   March 31, 2022 - This mixed-method study explored the reasons why out-of-hours discharges from the ICU to the ward, and … family members, and staff involved in the ICU discharge process, this study found that out-of-hours discharges … Out-of-hours discharges often occurred prematurely, without adequate handovers, and involved patients … This mixed-method study explored the reasons why out-of-hours discharges from the ICU to the ward, and … Out-of-hours discharges often occurred prematurely, without adequate handovers, and involved patients

8. Is it time for the mental health field to consider unplanned discharge a key metric of patient safety? | PSNet
   psnet.ahrq.gov/issue/it-time-mental-health-field-consider-unplanned-discharge-key-metric-patient-safety
   June 01, 2022 - Unplanned discharges (also referred to as leaving against medical advice) can lead to adverse patient … This study compared unplanned discharges across Veterans Health Affairs (VHA) acute inpatient and residential … mental health treatment settings over a ten-year period and found that unplanned discharges are significantly … The authors recommend that unplanned discharges be measured to assess patient safety in mental health

9. Spotlight Case [MONTH] 2003 (ppt file)
   psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.209_slideshow.ppt
   December 01, 2009 - Available at http //dx.doi.org/10.1007/s11017-008-9072-2 Against Medical Advice (AMA) Discharges … not uncommon; 1.44% rate For patients with mental illness and/or substance abuse, the rate is 51% Discharges … themselves in safe manner if decision-making capacity present Even with comprehensive efforts, AMA discharges

10. When the Meds Don’t Reach the Bed | PSNet
    psnet.ahrq.gov/web-mm/when-meds-dont-reach-bed
    May 16, 2022 - According to an analysis by Pinelli et al., communication during patient discharges from a medical service … The factors that enable care coordination and teamwork among the various disciplines during discharges … Results from published studies suggest that effective, safe hospital discharges also require ongoing … Similarly, models developed to address medication barriers/safety during hospital discharges should be … Interprofessional Communication Patterns During Patient Discharges: A Social Network Analysis.

11. Periodic Issue | PSNet
    psnet.ahrq.gov/periodic-issue/periodic-issue-340
    May 16, 2022 - Unplanned discharges (also referred to as leaving against medical advice) can lead to adverse patient … This study compared unplanned discharges across Veterans Health Affairs (VHA) acute inpatient and residential … mental health treatment settings over a ten-year period and found that unplanned discharges are significantly … The authors recommend that unplanned discharges be measured to assess patient safety in mental health

12. Discharged Blindly | PSNet
    psnet.ahrq.gov/web-mm/discharged-blindly
    September 06, 2023 - Discharged Blindly Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Lisa I. Iezzoni, MD, MSc | December 1, 2005 View more articles from the same authors. The Case An elderly blind man developed a deep vein thrombosis d…

13. Patient harm and institutional avoidability of out-of-hours discharge from intensive care: an analysis using mixed methods. | PSNet
    psnet.ahrq.gov/issue/patient-harm-and-institutional-avoidability-out-hours-discharge-intensive-care-analysis-using
    February 10, 2021 - This mixed-method study explored the reasons why out-of-hours discharges from the ICU to the ward, and … family members, and staff involved in the ICU discharge process, this study found that out-of-hours discharges … Out-of-hours discharges often occurred prematurely, without adequate handovers , and involved patients

14. Safely Home: What Happens When People Leave Hospital Care Settings? | PSNet
    psnet.ahrq.gov/issue/safely-home-what-happens-when-people-leave-hospital-care-settings
    September 09, 2015 - Discharges are vulnerable periods for patients, often due to miscommunication, delays, and lack of patient-centeredness … consequences in these populations), highlights several practices that can improve the safety of hospital discharges

15. Content analysis of patient safety incident reports for older adult patient transfers, handovers, and discharges: do they serve organizations, staff, or patients? | PSNet
    psnet.ahrq.gov/issue/content-analysis-patient-safety-incident-reports-older-adult-patient-transfers-handovers-and
    October 09, 2019 - Content analysis of patient safety incident reports for older adult patient transfers, handovers, and discharges … Content Analysis of Patient Safety Incident Reports for Older Adult Patient Transfers, Handovers, and Discharges … Content Analysis of Patient Safety Incident Reports for Older Adult Patient Transfers, Handovers, and Discharges

16. Discharge Planning and Transitions of Care | PSNet
    psnet.ahrq.gov/primer/discharge-planning-and-transitions-care
    September 07, 2019 - Hospital discharges are complicated and often lack standardization. … checklists to document required components for a safe discharge. 16,17   One study found that 1 in 10 discharges

17. Longitudinal medication reconciliation at hospital admission, discharge and post-discharge. | PSNet
    psnet.ahrq.gov/issue/longitudinal-medication-reconciliation-hospital-admission-discharge-and-post-discharge
    August 19, 2020 - Study Longitudinal medication reconciliation at hospital admission, discharge and post-discharge. Citation Text: Daliri S, Bouhnouf M, van de Meerendonk H, et al. Longitudinal medication reconciliation at hospital admission, discharge and post-discharge. Res Social Adm Pharm. Epub 2020 J…

18. Improving the discharge process by embedding a discharge facilitator in a resident team. | PSNet
    psnet.ahrq.gov/issue/improving-discharge-process-embedding-discharge-facilitator-resident-team
    June 06, 2018 - Study Improving the discharge process by embedding a discharge facilitator in a resident team. Citation Text: Finn KM, Heffner R, Chang Y, et al. Improving the discharge process by embedding a discharge facilitator in a resident team. J Hosp Med. 2011;6(9):494-500. doi:10.1002/jhm.924.…

19. Discharge Fumbles | PSNet
    psnet.ahrq.gov/web-mm/discharge-fumbles
    December 01, 2009 - SPOTLIGHT CASE Discharge Fumbles PPT Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Alan Forster, MD, MSc | December 1, 2004 View more articles from the same authors. Case Objectives List the types of …

20. Improving the Emergency Department Discharge Process. | PSNet
    psnet.ahrq.gov/issue/improving-emergency-department-discharge-process
    December 10, 2014 - literature discussing emergency department discharge processes and highlights elements of high-quality discharges … and risk factors for suboptimal discharges.