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digital.ahrq.gov/sites/default/files/docs/implementation/Porter.ppt
June 16, 2021 - medications
Previous reactions to medications
Current disease management practice
Unmet needs
Ideal … Lack of awareness of patients’ medications
Communication barriers
System constraints
Insufficient discharge … planning
Guidelines for Asthma
Establish patient-clinician partnership
Prescribe anti-inflammatory … Lack of awareness of patients’ medications
Communication barriers
System constraints
Insufficient discharge … planning
Guidelines for Asthma
Establish patient-clinician partnership.
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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
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Harney_89.pdf
May 01, 2007 - planning, and followup. … age-appropriate
dosing, with considerations related to renal status and ordering per actual body weight vs. ideal … Our actual practice in morbid obesity was to start with the mean of the ideal and
measured body weight … Planning, and Outpatient Followup
Based on our initial work on the service, adherence to recommended … Planning, and Outpatient Followup
Results
Discussion
Conclusion
Limitations
Author Affiliations
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psnet.ahrq.gov/node/867037/psn-pdf
January 01, 2025 - medicine-communication-hospital-residential-aged-care-facilities-cross-sectional-survey-aged
https://psnet.ahrq.gov/primer/discharge-planning-and-transitions-care
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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 … planning, social services, and physical therapy personnel. … discharges. … Interprofessional Communication Patterns During Patient Discharges: A Social Network Analysis. … Planning 9.2019.pdf.
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psnet.ahrq.gov/node/865655/psn-pdf
April 24, 2024 - high rates of false positives and false negatives, especially if measurements are not obtained
at an ideal … Several discharge instruction
tools are available to assist clinicians, such as the IDEAL Discharge … Planning Tool developed by AHRQ:
Include the patient and family as full partners in the discharge planning
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/engaging-caregivers-rapid-review.pdf
April 01, 2024 - CMS
discharge planning beginning at hospital
admission. … No targeted discharge planning (n=58)
• Readmissions A vs. … A
targeted discharge planning for high-risk
readmissions: Focus on patients and
caregivers. … Discharge planning of stroke patients: the
relatives' perceptions of participation. … Strategy 4: Care transitions from hospital to
home: IDEAL discharge planning [internet].
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psnet.ahrq.gov/node/60858/psn-pdf
August 26, 2020 - According to an analysis by Pinelli et al., communication during patient
discharges from a medical service … planning, social
services, and physical therapy personnel. … discharges. … Interprofessional Communication Patterns During Patient
Discharges: A Social Network Analysis. … CMS Revisions to Requirements for Discharge Planning 9.2019.pdf.
37.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-reportaddendum.pdf
March 01, 2021 - The Five Principles of Effective Primary Care-Based Care Coordination for Reducing Potentially Preventable Readmissions
Final Report: Potentially Preventable Readmissions: A Conceptual Framework To Rethink the Role of Primary Care: Addendum 1
The Five Principles of Effective Primary Care-Based Care
Coordination fo…
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psnet.ahrq.gov/web-mm/discharge-against-medical-advice
July 01, 2017 - Obviously, the prevention of AMA discharges would be ideal, although difficult to achieve in practice
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www.ahrq.gov/talkingquality/translate/labels/explain.html
January 01, 2019 - Explain Why a Health Care Quality Measure Matters
In some cases, report users will not know why a particular measure is important as an aspect of quality. When people don’t realize the importance of a measure, they are unlikely to look at or use the data. 1 In the case of clinical process measures, for example…
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www.ahrq.gov/research/shuttered/toolkitchecklist/surgetkit1.html
July 01, 2018 - review
X
X
X
Physical environment
X
X
Infection control
X
X
Discharge … planning
X
X
X
Organ, tissue, and eye procurement
X
X
Surgical services
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psnet.ahrq.gov/web-mm/under-pressure-delayed-diagnosis-compartment-syndrome-after-lower-leg-fracture
November 25, 2020 - high rates of false positives and false negatives, especially if measurements are not obtained at an ideal … Several discharge instruction tools are available to assist clinicians, such as the IDEAL Discharge … Planning Tool developed by AHRQ: I nclude the patient and family as full partners in the discharge planning
-
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.
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psnet.ahrq.gov/node/49750/psn-pdf
January 01, 2016 - In an ideal system, the electronic notification alert would
continue automatically at scheduled time … If nurses are changing shift during an admission, an ideal system would include standardized handoff
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www.ahrq.gov/sites/default/files/2024-01/sirio-report.pdf
January 01, 2024 - planning process. … Recommendations have also been made to individual hospitals to
evaluate their discharge planning protocols … A number of preliminary studies of patient discharge processes and related medication
education programs … Reorganization of discharge planning and transition care to include a patient workbook
and an education … An assessment of patient expectations of and satisfaction with the hospital
discharge planning process
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024587-schnipper-final-report-2019.pdf
January 01, 2019 - We also found that some patients may not be ideal
candidates for this intervention, such as patients … understood by clinicians, they
have been validated, and they are inexpensive to collect, making them ideal … Discharge planning can be a complicated process involving much logistical planning, and adding a
process … Otherwise ideal candidates for this intervention may resist
this electronic intervention for a variety … On the other hand, some patients may not be ideal
candidates, including those with frequent travel or
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psnet.ahrq.gov/web-mm/room-without-orders
September 01, 2011 - In an ideal system, the electronic notification alert would continue automatically at scheduled time … If nurses are changing shift during an admission, an ideal system would include standardized handoff
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www.ahrq.gov/hai/cusp/videos/index.html
September 01, 2019 - Family Engagement
Characteristics of an Engaged Advisor
Effective Patient and Family Communication
IDEAL
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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.