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21. AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2017. | PSNet
    psnet.ahrq.gov/issue/ahrq-national-scorecard-hospital-acquired-conditions-updated-baseline-rates-and-preliminary-0
    March 04, 2009 - This AHRQ report found a reduction in HACs from 99 per 1000 acute care discharges to 86 per 1000 discharges

22. Adverse events in long-term care residents transitioning from hospital back to nursing home. | PSNet
    psnet.ahrq.gov/issue/adverse-events-long-term-care-residents-transitioning-hospital-back-nursing-home
    April 28, 2021 - in the 45 days following acute hospitalization among 555 nursing home residents, which included 762 discharges … Investigators found that adverse events occurred after approximately half of discharges.

23. PowerPoint Presentation (ppt file)
    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.326_slideshow.ppt
    June 01, 2014 - Frequency & Motivation There are few data on the prevalence of patient wandering in health care facilities Discharges … against medical advice comprise up to 6% of discharges of general medicine patients in acute care—it

24. The effects of a 'discharge time-out' on the quality of hospital discharge summaries. | PSNet
    psnet.ahrq.gov/issue/effects-discharge-time-out-quality-hospital-discharge-summaries
    February 29, 2012 - Study The effects of a 'discharge time-out' on the quality of hospital discharge summaries. Citation Text: Mohta N, Vaishnava P, Liang C, et al. The effects of a 'discharge time-out' on the quality of hospital discharge summaries. BMJ Qual Saf. 2012;21(10):885-90. Copy Citation F…

25. In Conversation With… Paul McGann, MD | PSNet
    psnet.ahrq.gov/perspective/conversation-paul-mcgann-md
    September 26, 2023 - realized that the best way to encapsulate this was to try to express it as a single harm rate per thousand discharges … CMS—into a deliberate and systematic attempt to calculate the number of all-cause harms per thousand discharges … developing the AHRQ National Scorecard and the ability to express harm as number of harms per thousand discharges … The results showed a decline in the harm rate per thousand discharges from the baseline of 145 harms

26. Unanticipated death after discharge home from the emergency department. | PSNet
    psnet.ahrq.gov/issue/unanticipated-death-after-discharge-home-emergency-department
    November 11, 2009 - Approximately 30 unexpected deaths occurred per 100,000 ED discharges, and a potential error or misdiagnosis … November 22, 2017 Opioid abuse and poisoning: trends in inpatient and emergency department discharges

27. Hospital discharge and readmission. | PSNet
    psnet.ahrq.gov/issue/hospital-discharge-and-readmission
    March 27, 2005 - Review Hospital discharge and readmission. Citation Text: Alper E, O'Malley TA, Greenwald J. UpToDate. February 3, 2023. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL March …

28. Discharging Our Responsibility | PSNet
    psnet.ahrq.gov/web-mm/discharging-our-responsibility
    October 26, 2011 - Discharging Our Responsibility Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Gregg C. Fonarow, MD | September 1, 2007 View more articles from the same authors. The Case A 75-year-old man with a history of hypertensi…

29. Vital signs are still vital: instability on discharge and the risk of post-discharge adverse outcomes. | PSNet
    psnet.ahrq.gov/issue/vital-signs-are-still-vital-instability-discharge-and-risk-post-discharge-adverse-outcomes
    September 23, 2020 - Study Vital signs are still vital: instability on discharge and the risk of post-discharge adverse outcomes. Citation Text: Nguyen OK, Makam AN, Clark C, et al. Vital Signs Are Still Vital: Instability on Discharge and the Risk of Post-Discharge Adverse Outcomes. J Gen Intern Med. 2017;3…

30. Creating a better discharge summary: improvement in quality and timeliness using an electronic discharge summary. | PSNet
    psnet.ahrq.gov/issue/creating-better-discharge-summary-improvement-quality-and-timeliness-using-electronic
    April 20, 2011 - 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 …

31. The hospital discharge: a review of a high risk care transition with highlights of a reengineered discharge process.  | PSNet
    psnet.ahrq.gov/issue/hospital-discharge-review-high-risk-care-transition-highlights-reengineered-discharge-process
    February 11, 2009 - Study The hospital discharge: a review of a high risk care transition with highlights of a reengineered discharge process.  Citation Text: Greenwald JL, Denham CR, Jack BW. The Hospital Discharge. J Patient Saf. 2008;3(2). doi:10.1097/01.jps.0000236916.94696.12. Copy Citation For…

32. 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…

33. Spotlight: Mistaken Attribution, Diagnostic Misstep | PSNet
    psnet.ahrq.gov/web-mm/spotlight-mistaken-attribution-diagnostic-misstep
    June 01, 2016 - analysis of electronic health records, the rate of any safety event was calculated as 27.9 per 100 patient discharges … rate is comparable to nonpsychiatric hospital units, where safety events have been found at 30%–35% of discharges … .( 3 ) The most common events reported in VA psychiatric units were medication errors (17.2 per 100 discharges … adverse drug events (4.1), and falls (2.8).( 2 ) Regarding psychiatry-specific events, rates per 100 discharges

34. Impact of intensive care unit discharge time on patient outcome. | PSNet
    psnet.ahrq.gov/issue/impact-intensive-care-unit-discharge-time-patient-outcome
    October 21, 2020 - The investigators analyzed intensive care unit (ICU) discharges in 31 Canadian hospitals and found that

35. Treatment Challenges After Discharge | PSNet
    psnet.ahrq.gov/web-mm/treatment-challenges-after-discharge
    August 31, 2005 - SPOTLIGHT CASE Treatment Challenges After Discharge PPT Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Chase Coffey, MD, MS | November 1, 2010 View more articles from the same authors. Case Objectives …

36. Assessment of the safety of discharging select patients directly home from the intensive care unit: a multicenter population-based cohort study. | PSNet
    psnet.ahrq.gov/issue/assessment-safety-discharging-select-patients-directly-home-intensive-care-unit-multicenter
    May 20, 2020 - A related commentary explores why discharges from ICU to home occur and calls for implementing care

37. Effective discharge communication in the emergency department. | PSNet
    psnet.ahrq.gov/issue/effective-discharge-communication-emergency-department
    January 24, 2024 - Review Effective discharge communication in the emergency department. Citation Text: Samuels-Kalow ME, Stack AM, Porter SC. Effective discharge communication in the emergency department. Ann Emerg Med. 2012;60(2):152-9. doi:10.1016/j.annemergmed.2011.10.023. Copy Citation Format:…

38. Periodic Issue | PSNet
    psnet.ahrq.gov/periodic-issue/periodic-issue-393
    June 28, 2023 - Based on a sample of over 121 million adult hospital discharges from 2016 to 2019, researchers examined … Based on a sample of over 121 million adult hospital discharges from 2016 to 2019, researchers examined

39. Periodic Issue | PSNet
    psnet.ahrq.gov/periodic-issue/periodic-issue-401
    July 31, 2023 - Based on a sample of 21.5 million US hospital discharges, the authors estimated that 795,000 adults in … Based on a sample of 21.5 million US hospital discharges, the authors estimated that 795,000 adults in

40. Patient Safety During Hospital Discharge | PSNet
    psnet.ahrq.gov/perspective/patient-safety-during-hospital-discharge
    April 01, 2018 - are never obtained by after care providers.( 6 ) Patient education is also crucial to safe patient discharges