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healthcare411.ahrq.gov/patient-safety/resources/learning-lab/index.html
February 01, 2024 - Data Infographics
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All-Payer Claims Database … Safety News and Events
Education & Training
Resources
Home Health Care
Improving Discharge … Empowering patients during hospitalization: perspectives on inpatient portal use . … Redesign the inpatient consultation process to improve patient safety. … procedures for maternal-infant dyadic evaluation and management during the postnatal unit stay and discharge
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healthcare411.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/index.html
February 01, 2024 - Menu
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United States Health Information Knowledgebase (USHIK)
Data Sources … NICU Toolkit
Pressure Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge
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healthcare411.ahrq.gov/patient-safety/patients-families/engagingfamilies/index.html
March 01, 2023 - Menu
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Data Sources … Engage patients and families in discharge planning throughout the hospital stay.
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healthcare411.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/orthostatic-vital-sign.html
January 01, 2013 - Menu
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Data Sources … NICU Toolkit
Pressure Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2022-hospital-linkage-techdoc-021224.pdf
January 01, 2022 - Table II.1 briefly describes each data source, including the name of the
data holder, intended purpose … the two data
sources. … by using multiple data
sources. … Also, AHA data were from 2021, whereas the
OneKey data were from 2022. … Hospitals paid under the Inpatient Prospective Payment
System (IPPS) report the DSH patient percentage
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healthcare411.ahrq.gov/patient-safety/patients-families/engagingfamilies/strategy1/index.html
December 01, 2017 - Menu
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Data Sources … Strategy 3: Nurse Bedside Shift Report
Strategy 4: Care Transitions From Hospital to Home: IDEAL Discharge
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_to_Use_Guide_508.docx
April 05, 2013 - Review quality information and data related to core hospital processes. … those related to patient-provider communication, pain management, medications, and the provision of discharge … hospitals are required to explain to all patients their rights to choose who may visit them during an inpatient … 4: Working With Patients and Families at the Bedside: Care Transitions from Hospital to Home: IDEAL Discharge … Begin at the first point of entry into the hospital (e.g., the parking lot) and continue to the inpatient
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2015-materials/teamstepps-monthly-webinar-may2015.pptx
January 01, 2015 - Landrigan, MD, MPH
Research Director, Inpatient Pediatrics Service, Boston Children’s Hospital
Director … methodology
Study nurse reviews patient charts
Medication orders, MAR, progress notes, nursing notes, and discharge … 24 handoff documents per study period per site
Review all patients for presence or absence of 9 key data … #›
TeamSTEPPS®
I-PASS
Slide ‹#›
70
Results - Process Measures: % of Written Handoffs with Key Data … Incorporated Foundation (of Ontario)
Pfizer (unrestricted medical education grant)
Pediatric Research in Inpatient
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/Creating_an_Improvement_Culture_2011_10_01_Transcript.pdf
January 01, 2011 - And despite the efforts of the management team,
they were only at about the 39th percentile in the inpatient … Slide 9
So if we go to the next slide, you’ll see our inpatient satisfaction and I’m going to go through … So in the bottom half of hospitals in this country and today you
can see in the inpatient arena, we’ … The last one that I’ll share with you on this slide is discharge phone calls and we tried to call all … The data shows that
organizations that are this size and this complex are going to make mistakes.
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healthcare411.ahrq.gov/patient-safety/resources/learning-lab/building-ambulatory-long-desc.html
April 01, 2021 - Menu
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Improving Discharge … Evidence from national hospital data . Health Aff (Millwood) 2019;38(11):1850-7. … Efficiency and interpretability of text paging communication for medical inpatients: a mixed-methods
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_fall-prevention.docx
March 01, 2013 - They are the most frequently reported incident in adult inpatient units. … Falls are associated with increased length of stay, higher rates of discharge to nursing homes, and greater … Medicare no longer reimburses hospitals for increased costs due to injury from an inpatient fall. … Who will collect the data?
How will you share the data with the frontline staff and leadership? … Slide 28
SAY: As an example of how data can tell a story, this annotated run chart shows fall data
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2017-materials/teamstepps-webinar-030817.ppt
January 01, 2017 - L. 108-173)
Origin of Hospital Inpatient Quality Reporting Program
Reduced annual payment update by … The hospital must develop, implement, and maintain an effective, ongoing, hospital-wide, data-driven … the Team)
TEAMSTEPPS 05.2
Slide *
March TeamSTEPPS Monthly Webinar
Stages of Change:
The data … are wrong;
The data are correct but it’s not a problem;
The data are correct and it’s a problem, but … it’s not my problem;
The data are correct and I own the responsibility to fix the problem.
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science.pdf
April 02, 2020 - feedback, and improvement.42 Similarly, autopsy reports,43 diagnostic discrepancies at admission versus
discharge … incorrect
diagnosis during initial office visit
ED/PC visit within 72 hours after ED
or hospital discharge … Annals for hospitalists inpatient notes - diagnostic excellence starts
with an incessant watch. … Clinical criteria to screen for inpatient diagnostic errors: a scoping review. … Automated detection of adverse events using natural language processing of
discharge summaries.
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healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/impguide.html
August 01, 2022 - Menu
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Data Sources … NICU Toolkit
Pressure Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge … For example, more than 1.5 million preventable infections occur annually among inpatients.
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healthcare411.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-3/slides.html
September 01, 2017 - Menu
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Data Sources … NICU Toolkit
Pressure Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge … Inpatient rehab.
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/topics/bridging-feedback-gap.pdf
June 21, 2021 - account for the
numerous patient transitions between
primary and subspecialty care, outpatient
and inpatient … member
of the downstream multidisciplinary team who cares
for the patient (eg, specialist consultant, inpatient … Clinical content Who will determine the relevant clinical data to be included in feedback? … resources required to extract and integrate data into a
concise and coherent report. … GP perspectives on
hospital discharge letters: an interview and focus group study.
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4v_combo_pdi10-sepsis-bestpractices.pdf
May 17, 2016 - providers, respiratory therapists, dietitians, and
pharmacists from infection control, intensive care, and inpatient … • Use a systemwide mechanism to share data with administrators, providers, and staff, such as
a sepsis
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healthcare411.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-3/guide.html
September 01, 2017 - Data Infographics
Data Visualizations
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All-Payer Claims Database … NICU Toolkit
Pressure Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge … Tool 3A: Inpatient Falls Clinical Pathway.
Tool 3B: Scheduled Rounding Protocol. … These are the most common type of falls in hospitals, accounting for approximately 78 percent of all inpatient … sitters on a medical unit, if the patient has had a fall
A rehab aide to help patients ambulate on an inpatient
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4d_combo_psi07-crbsi-bestpractices.pdf
May 20, 2016 - bloodstream infections (BSIs) estimated to occur
annually, if entire hospitals are assessed.2
• Recent data … physicians and other providers, hospitalists, and pharmacists from
infection control, intensive care, and inpatient … Hospital Inpatient Quality Reporting (IQR) Program measures (calendar year 2014
discharges).
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healthcare411.ahrq.gov/research/findings/studies/index.html?page=1
January 01, 2024 - Menu
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(191)
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Inpatient … Keywords: Disparities, Children/Adolescents, Behavioral Health, Inpatient Care, Hospitals, Medication