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digital.ahrq.gov/medication-reconciliation
January 01, 2023 - that performing medication reconciliation still presented challenges in the following areas: using data … Using Data Provided by Patients
Some of the grantee projects build upon the concept that the patient … Grantee methods to collect patient data, include personal health records (PHRs), interactive patient … Electronic Health Record System Readiness
Grantees noted that EHR systems, particularly in the inpatient … The second challenge arises when inpatient and outpatient facilities do not share an EHR system, limiting
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs025000-liss-final-report-2019.pdf
January 01, 2019 - , scheduling an in-person visit at an
Erie clinic within seven days of discharge. … Similar workflows
occurred following hospital discharge. … data or chart review—discharge summary data from
individual hospitals. … , or; 2) have the patient complete an in-person
visit within one week of inpatient discharge. … admission
12d ED visit
13 ED visit
14 Inpatient admission
15 Inpatient admission
Hospital
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digital.ahrq.gov/ahrq-funded-projects/electronic-prescribing-and-electronic-transmission-discharge-medication-lists
January 01, 2023 - Electronic Prescribing and Electronic Transmission of Discharge Medication Lists … Population
Adults
Health Care Theme
Medication Management
Protected Health Information Data … Evidence indicates that health information technology (IT) decreases medication errors in the inpatient … setting, but there is less evidence about outpatient settings and transitions from inpatient to outpatient … discharge from the hospital to the ambulatory setting.
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digital.ahrq.gov/2019-year-review/research-dissemination/reaching-research-community-through-web-conferences
January 01, 2019 - including how to: develop “base elements” that can be reused across logic statements; use synthetic test data … His presentation, which used synthetic data, included a detailed demonstration of the application’s navigation … discharge date, and a post-discharge text messaging service. … Sharon Hewner’s research on patients with chronic conditions aimed to reduce low-value utilization of inpatient … The study’s findings showed statistically significant changes in patients’ use of inpatient and ED services
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digital.ahrq.gov/ahrq-funded-projects/value-technology-transfer-discharge-information/annual-summary/2009
January 01, 2009 - Business Goal: Implementation and Use
Summary: Errors in discharge communication between inpatient … visits, and post-discharge adverse events due to medical management were compared with handwritten discharge … discharge. … Consequently, hospitalists had to re-enter patient demographic data and prescription data that already … However, the results should be interpreted with caution because large amounts of pharmacist data were
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024330-ye-final-report-2018.pdf
January 01, 2018 - Content analysis including data
reduction, data display, and conclusion drawing were performed for each … Table 3: Outcome Measurements, Data Source, and Timing of Assessment
Study Variable Measurement Data … discharge
Falls Medical record At discharge
Death Medical record At discharge
Length of hospital … The PI is working on the missing data on other outcomes including inpatient
pharmacological sleep aid … We have collected individual patient data on the use of the
SLEEPkit (data under review), but this data
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digital.ahrq.gov/sites/default/files/docs/citation/r03hs027689-orenstein-final-report-2023.pdf
January 01, 2023 - Providing opportunistic immunisations for at-risk inpatients
in a tertiary paediatric hospital. … Evaluating Interventions
to Increase Influenza Vaccination Rates among Pediatric Inpatients. … Evaluation of a multifaceted
intervention to increase influenza vaccination rates among pediatric inpatients … Discharge. … Discharge.
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digital.ahrq.gov/ahrq-funded-projects/electronic-prescribing-and-electronic-transmission-discharge-medication-lists/annual-summary/2010
January 01, 2010 - ; and 2) adverse drug events (ADEs) 30 days post-discharge as outcome measures. … information, including medication lists from the inpatient setting to the outpatient setting. … and ADEs at approximately 30 days post-discharge. … Data cleaning is concurrent with data collection. … Data cleaning and analysis is in progress for all three studies.
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digital.ahrq.gov/sites/default/files/docs/citation/r03hs028033-frey-final-report-2024.pdf
January 01, 2024 - All inpatient sessions were
completed, as were 77% of virtual visits (visit 1: 85%; visit 2: 69%). … Inpatient Components of TEACHH Intervention
All inpatient teaching activities were completed at the bedside … of inpatient teaching. … Preliminary outcome data from follow-up caregiver surveys and chart review data
Baseline 2 Month Follow-up … NCHS Data
Brief. 2012(94):1-8.
2. Most Recent Asthma Data. [Internet].
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017864-ciemins-final-report-2012.pdf
January 01, 2012 - Lack of communication between inpatient and rural providers may
contribute to rural patients’ lack … , accurate and timely communication between inpatient and rural primary care
providers, and timely … These
data were also collected for each medication in addition to the “expert review” medication data … These data are summarized in Table 2.
Table 2. … These data are summarized in Table 3.
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digital.ahrq.gov/ahrq-funded-projects/virtual-continuity-and-its-impact-complex-hospitalized-patients-care/annual-summary/2012
January 01, 2012 - patients were cared for by their primary care physicians (PCPs), facilitating continuity of care between inpatient … These emails were embedded with links to electronic medical record (EMR) data and communication portals … , medication lists delivered at the time of admission and discharge, and immediate notification of discharge … At the start of the hospital stay, experts wanted emergency department visit data, including physician … reconciliation data, key hospitalization findings, a list of pending tests and their eventual results
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digital.ahrq.gov/ahrq-funded-projects/coordinating-transitions-health-information-technology-role-improving-multiple-chronic-disease-outcomes
January 01, 2023 - Electronic Medical Record
Health Information Exchange
Care Setting
Ambulatory Setting
Inpatient … Interoperability
Quality Improvement
Transitions in Care
The transition of care from inpatient … Readmission within 30 days of discharge due to inadequate care coordination is costly, potentially unsafe … Participate in interoperable HIE that integrates discharge information, risk stratification, and social … COMPLEXedex™ to define the target population as adult Medicaid recipients with chronic disease, and counted inpatient
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digital.ahrq.gov/ahrq-funded-projects/data-flow-clinical-outcomes-perinatal-continuum-care-system/annual-summary/2012
January 01, 2012 - Medical errors are often caused by poor communication, especially during transitions of care between the inpatient … , test results and clinical notes completed in one setting are often not available in the other, or discharge … One solution to this problem is to interface the ambulatory electronic medical record (EMR) to the inpatient … single solution with a unified database of clinical information for the outpatient OB/GYNs and the inpatient … s effect on organizational and process change in the outpatient and inpatient settings and the system
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digital.ahrq.gov/sites/default/files/docs/lesson/10-0051-ef-medication-reconciliation.pdf
February 01, 2010 - that performing medication
reconciliation still presented challenges in the following areas: using data … Grantee methods to collect patient data, include personal health records (PHRs),
interactive patient … CA R E TR A N S I T I O N S
A major challenge for both inpatient and outpatient organizations is … the same technology is used within a
2
health care system the visual presentation of the data … BACKGROUND
AREAS OF CURRENT INVESTIGATION
Table 1: Grantee Goals and Objectives Summary
USING DATA
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digital.ahrq.gov/funding-mechanism/health-information-technology-it-improve-health-care-quality-and-outcomes-r21
January 01, 2023 - Use of Electronic Health Record Metadata to Assess Hospital Discharge Planning for Post-Acute Transitions … novel approaches for using electronic health record metadata to characterize and evaluate hospital discharge … Getting on the Same Page: Leveraging an Inpatient Portal to Engage Families of Hospitalized Children … Description
This study explored the use of and experiences with sharing inpatient notes during … providers all integrated with electronic health records by Fast Healthcare Interoperability Resources data
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digital.ahrq.gov/ahrq-funded-projects/evaluation-effectiveness-health-information-technology-based-care-transition/annual-summary/2012
January 01, 2012 - September 2012
AHRQ Funding Amount
$1,155,371
Summary: Improving communication between inpatient … The CTIT system was designed to pull patient data from the Billings Clinic integrated electronic health … This final data collection phase involved selecting a total of 25 patient interviews per month, for a … Patients were called within 30 days of discharge. … Ciemins’ team also focused on data analysis and manuscript preparation.
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digital.ahrq.gov/ahrq-funded-projects/virtual-continuity-and-its-impact-complex-hospitalized-patients-care/annual-summary/2011
January 01, 2011 - patients were cared for by their primary care physician (PCP), facilitating continuity of care between inpatient … and communication portals, medication lists electronically delivered at admission and discharge, and … immediate notification of discharge with pertinent clinical details. … this data to be collected and linked to clinical data, cannot be obtained. … data.
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digital.ahrq.gov/ahrq-funded-projects/medication-reconciliation-improve-quality-transitional-care/annual-summary/2012
January 01, 2012 - Participants included patients and their inpatient and ambulatory care providers. … omissions in a patient’s medication list between the time of discharge and return to ambulatory care … The study will inform the question of whether electronic facilitation of inpatient MR improves completion … listings when drug orders are automatically imported from the EHR into the database on admission or discharge … data.
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digital.ahrq.gov/ahrq-funded-projects/surveillance-adverse-drug-events-ambulatory-pediatrics/annual%20summary/2010
January 01, 2010 - cancer, either in the emergency department (ED) or during the transitions between hospital admission and discharge … Certification Commission for Health Information Technology-certified Horizon Expert Documentation for inpatient … , and inpatient environments. … surveillance system to measure the incidence of ADEs in the target pediatric populations within four weeks of discharge … Preliminary analysis shows the system is discovering harmful ADEs in 1.3 percent of inpatient admissions
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digital.ahrq.gov/sites/default/files/docs/citation/r03hs024623-mendonca-final-report-2018.pdf
January 01, 2018 - The data from the Epic system is
also stored in an enterprise data warehouse, which supports the use … of electronic health records data
for clinical operations and research. … Figure 5 shows the data flow in this project. … therapies, focus group participants pointed out that
use of HOME3D could promote collaboration between inpatient … and outpatient therapists saying ‘This could help
the inpatient therapist...to tailor the treatment