-
digital.ahrq.gov/ahrq-funded-projects/patient-centered-postoperative-wound-surveillance-using-current-technology
January 01, 2023 - Project Dates
07/01/2014 - 06/30/2017
Technology
Mobile Phone
Patient-Generated Health Data … Researchers developed the OWSP application and pilot tested its usability among postoperative vascular inpatients … Type: Report Research Method: Mixed Methods Technology: Mobile Device , Patient-Generated Health Data … Current use of telemedicine for post-discharge surgical care: a systematic review. … Predictors of surgical site infection after hospital discharge in patients undergoing major vascular
-
digital.ahrq.gov/sites/default/files/docs/improve-medication-management-qa-091318.pdf
September 13, 2018 - ANSWER:
We are just looking at the data right now. … Both the
inpatient team, and the hospital pharmacy team, because it does require a level of sophistication … QUESTION:
Any preliminary data to show efficacy of the intervention? … Did you experience delays in discharge due to
this? … ANSWER:
We probably did delay time of discharge (but not the date of discharge)
in
a few patients
-
digital.ahrq.gov/sites/default/files/docs/page/2006Reiling_052411comp.pdf
January 01, 2005 - Complications/Infections
– Events Relating to Medication Errors
– Deaths of Patients in Restraints
– Inpatient … of integration
across Synergy
partners
•Focus group
surveys with staff
from Med-Surg, ICU,
ER, Discharge … Wrong site surgeries
•Correct tube-connector-
hole events
•MRI hazards
•Retrospective
trending of data … Patient
satisfaction
•Staff safety
culture survey
•Length of stay
•Cost
•Trending of
hospital survey data … and financial data
since 2002
•No significant
trends noted yet
Document title: SynergyHealth
-
digital.ahrq.gov/2020-year-review/research-summary/improving-delivery-health-services-health-systems-level-emerging-research
January 01, 2020 - The research aims to elucidate whether telehealth data may be used as a public health surveillance tool … This work aims to advance the integration and meaningful use of patient-generated digital health data … investigating the integration of a service-oriented architecture (SOA) platform-based CDS system into inpatient … usability and safety hazards associated with electronic medication administration records (eMARs) in acute inpatient … The research team is comparing the traditional, paper-based Joint Commission discharge process to the
-
digital.ahrq.gov/sites/default/files/docs/citation/r18hs026196-Spyropoulos-final-report-2022.pdf
January 01, 2022 - in the back-end data exchange. … We implemented the IMPROVE-DD application at admission and discharge with thromboprophylaxis order … Medically-ill inpatients over age 60 were … IMPROVE-
DD trial, appropriate thromboprophylaxis rates were higher at intervention sites, both inpatient … External validation
of the IMPROVE-DD risk assessment model for venous thromboembolism among inpatients
-
digital.ahrq.gov/sites/default/files/docs/page/1_ScenariosGuide_1.pdf
June 16, 2021 - is a need to obtain information about Patient X’s prior
diagnosis and treatment during the previous inpatient … At the time of the patient’s transfer, the
discharge summary and other pertinent records and forms were … to the locked psychiatric unit, and accessing the patient’s electronic health
record to review the discharge … the insurance coverage, it is necessary for the
health plan case managers to approve/authorize all inpatient … Payer is requesting access to the EHR for their accredited case
management staff to approve/authorize inpatient
-
digital.ahrq.gov/sites/default/files/docs/page/1_ScenariosGuide_0.pdf
June 16, 2021 - is a need to obtain information about Patient X’s prior
diagnosis and treatment during the previous inpatient … At the time of the patient’s transfer, the
discharge summary and other pertinent records and forms were … to the locked psychiatric unit, and accessing the patient’s electronic health
record to review the discharge … the insurance coverage, it is necessary for the
health plan case managers to approve/authorize all inpatient … Payer is requesting access to the EHR for their accredited case
management staff to approve/authorize inpatient
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017786-ritchie-final-report-2012.pdf
January 01, 2012 - Settings
Inpatient … After
baseline data was collected, participants were randomized to the intervention or control using … In addition, the data collection team obtained secondary
outcome measures including 1) care transition … Data … Collection
Multi-phasic, longitudinal mixed method data collection using e-Coach IVR data collection
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs021544-zhou-final-report-2014.pdf
January 01, 2014 - Most prior studies have taken place in the inpatient setting. … EHR medication list with
hospital discharge medication orders. … Schnipper et al
[11] designed and developed a tool built into an ambulatory EHR to facilitate post-discharge … -
Data
Repository
Figure 2. … a tool within the electronic medical record to facilitate medication reconciliation
after hospital discharge
-
digital.ahrq.gov/ahrq-funded-projects/closing-feedback-loop-improve-diagnostic-quality
January 01, 2023 - Health Care Theme
Medication Adherence
Patient Safety
Distinct from the inpatient … There were three data collection phases in the primary study: 1) a telephone call to the patient 1 week … looked at the agreement between diagnoses made in the ED versus those given at the time of hospital discharge … portion of the study, the diagnoses made in the ED differed from those made at the time of hospital discharge
-
digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016151-mathews-final-report-2008.pdf
January 01, 2008 - subsequent phases, the patient view includes
additional clinical details regarding the patient such as discharge … providers to determine the best approach for capturing additional patient clinical details
such as discharge … name
Patient Date of Birth Situational If available in this record
Admission Date Situational For inpatients … Discharge Date Required Date of service for outpatient encounters
Primary Insurance Type Code Required … unscheduled outpatient visits
Diagnosis Related Group (DRG) Situational DRG Information is required when an inpatient
-
digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016128-deluca-final-report-2009.pdf
January 01, 2009 - , laboratory data, and a patient care plan. … patients include individuals who receive care through visits to practitioner offices,
emergency services, inpatients … Dictated
Reports: H&P’s
No Yes N/A 1 year
Discharge
Summary
No Yes N/A 1 year
Operative Reports … Dictated
Reports:
H&P’s
Yes No N/A N/A
Discharge
Summary
Yes No N/A N/A
Operative Reports … We hope
to capture this data in the future.
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs023641-levin-final-report-2018.pdf
January 01, 2018 - critical care (in-hospital mortality or intensive care unit admission), an emergency procedure, and inpatient … operating room within 12 hours of ED disposition, (3) hospitalization comprised of any admission to an
inpatient … status or care areas were not considered admitted unless their observation ultimately resulted in
inpatient … The rate of 72-hour returns, defined 72-hours from the index ED discharge, exclusively for
discharged … core ED care events including arrival to - triage, first provider, disposition
decision (admit and discharge
-
digital.ahrq.gov/sites/default/files/docs/citation/r18hs026877-vandenberg-final-report-2022.pdf
January 01, 2022 - Our data analysts and data
visualizers determined how to extract data from the clinical data warehouse … Warehouse: Data were extracted from the clinical data warehouse at each
implementation site to calculate … We defined four outcomes of interest (ED
visit within 72 hours, ED visit within 30 days, inpatient admission … within 72 hours, and inpatient admissions
within 30 days) but created a combined variable due to the … order
sets prior to EQUIPPED
Discharge antibiotics for
common infections
0 discharge order sets
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017075-sequist-final-report-2010.pdf
January 01, 2010 - Data Sources
We collected data via a combination of clinician survey and electronic medical record … We
reviewed emergency department and hospital discharge summaries for all patients referred to the … To
measure inpatient costs, we collected costs from all patients cared for at Brigham and Women’s … Chest pain evaluations are
associated with significant costs, both in the outpatient and inpatient setting … However, many
patients receive inpatient evaluations of limited benefit, yet incur substantial health
-
digital.ahrq.gov/ahrq-funded-projects/longitudinal-telephone-and-multiple-disease-management-system-improve/annual-summary/2010
January 01, 2010 - virtual visits and clinical information about the patients that reside in their providers’ clinical data … study. ( Ongoing )
Recruit patients. ( Ongoing )
Evaluate project. ( Upcoming )
Analyze study data … chronic diseases who transition to ambulatory care from acute care settings (e.g., an acute care hospital inpatient … members of the Boston Medical Center Information Technology group in a process of specifying exactly what data … cancelled, attended), dates of unplanned utilization (e.g., urgent care, ED, hospitalization), dates of discharge
-
digital.ahrq.gov/program-overview/research-reports/2021-year-review/research-dissemination
January 01, 2021 - Decision Support Strategy to Increase Seasonal Influenza Vaccination Among Hospitalized Children Before Inpatient … Discharge
In the article , Dr. … clinical decision support (CDS) strategy is associated with improved influenza vaccination rates before discharge … , data-driven approach to shared decision making for the surgical management of knee osteoarthritis. … He described the challenges and opportunities to improve the evidence to guidance to action to data to
-
digital.ahrq.gov/ahrq-funded-projects/improving-patient-safetyquality-health-information-technology-implementation
January 01, 2023 - Order Entry System
Electronic Health Record/Electronic Medical Record
Care Setting
Inpatient … with Health Information Technology Implementation Document Type: Report Technology: Bar Coding , Data … Implementation Document Type: Journal Publication Research Method: Case Report Technology: Bar Coding , Data … patients will be able to access portions of their medical records from home or from their bedsides as inpatients … design principles on a range of outcomes, such as patient satisfaction, length of stay and cost per discharge
-
digital.ahrq.gov/sites/default/files/docs/citation/r01hs021261-shapiro-final-report-2018.pdf
January 01, 2018 - , AHRQ has
identified ED crowding and boarding (i.e., holding admitted patients in the ED until an inpatient … denotes a unique encounter), medical record number (MRN – denotes a
unique patient), admission and discharge … in either the EHR or HIE, and recorded as the same or “unknown” in the other system.
3) Admit and discharge … admit and discharge times were
entered. … Though only ED visits were counted as index visits, either ED or inpatient
revisits within 72-hours
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs028563-final-report-galarraga-2023.pdf
January 01, 2023 - needed to prevent adverse outcomes among COVID-19 patients and identify patients who are
safe for discharge … A pretrained BERT tokenizer and model trained on clinical discharge summaries from the MIMIC database … from the
ED index visit, and 2) mortality within 9 days of discharge from the ED index visit. … and 0.2% of index encounters resulted in patient
mortality within 9 days of discharge. … The phrase “medications inpatient” had the strongest contribution to model prediction, with
the presence