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psnet.ahrq.gov/issue/surgical-data-recording-technology-solution-address-medical-errors
June 22, 2022 - Commentary
Surgical data recording technology: a solution to address medical errors … Surgical Data Recording Technology. … Surgical Data Recording Technology. … Effect of pharmacist counseling intervention on health care utilization following hospital discharge … May 8, 2017
Racial and ethnic disparities in common inpatient safety outcomes in a children's
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psnet.ahrq.gov/issue/engaging-patients-use-real-time-electronic-clinical-data-improve-safety-and-reliability-their
March 16, 2022 - Study
Engaging patients in the use of real-time electronic clinical data to improve … Engaging patients in the use of real-time electronic clinical data to improve the safety and reliability … Patient safety dashboards are used to communicate real-time patient data to appropriately augment … An analysis of the structure and content of dashboards used to monitor patient safety in the inpatient … August 26, 2020
Failure to follow medication changes made at hospital discharge is associated
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psnet.ahrq.gov/issue/hospital-prescribing-opioids-medicare-beneficiaries
December 04, 2016 - In this study, investigators examined opioid prescribing to Medicare beneficiaries upon hospital discharge … They found that new opioid use was common after discharge and that prescribing rates varied widely across … September 29, 2017
Early death after discharge from emergency departments: analysis of … national US insurance claims data. … June 28, 2017
Adverse inpatient outcomes during the transition to a new electronic health
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psnet.ahrq.gov/web-mm/spotlight-mistaken-attribution-diagnostic-misstep
July 01, 2011 - Such data should inform safety initiatives aimed at eliminating potentially lethal means in the unit … For example, studies show that the chart diagnosis of psychiatric inpatients frequently differs from … except for those that that can be safely (and nonurgently) administered on the psychiatric unit or after discharge … Safety of psychiatric inpatients at the Veterans Health Administration. … Identification of trauma exposure and PTSD in adolescent psychiatric inpatients: an exploratory study
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psnet.ahrq.gov/perspective/conversation-harlan-krumholz-md-sm
April 01, 2018 - that we could produce a measure with claims that was a good proxy for a measure with higher quality data … The question then is the degree to which the data can help us understand how people are recovering. … are commonly cared for by physicians who specialize in treating inpatients. … The discharge summary is a cornerstone of inpatient-to-outpatient provider communication. … Do hospitalist physicians improve the quality of inpatient care delivery?
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psnet.ahrq.gov/node/49544/psn-pdf
September 01, 2007 - multidisciplinary disease management programs have been shown to be particularly
effective in providing inpatient … For HF patients discharged in 2002 from US hospitals, Joint
Commission and national HF registry data … Participating hospitals received
comparative feedback data on a quarterly basis; otherwise, no specific … The GWTG program employed a web-based patient
registry that facilitated feedback of performance data … Joint Commission/CMS Heart Failure Inpatient Performance Measure Descriptions.
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psnet.ahrq.gov/primers
April 01, 2021 - (2)
Alert fatigue
(1)
Failure to rescue
(1)
Fatigue and Sleep Deprivation
(1)
Inpatient … multifaceted, system-level approach that spans all areas of health care delivery, such as primary, specialty, inpatient … Patient Safety Primers
Discharge Planning and Transitions of Care
March 2020
Discharge planning … The digitization of health care data has had some positive effects on patient safety, but it has also … September 2019
A large and growing number of Americans require care in skilled nursing facilities, inpatient
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psnet.ahrq.gov/node/843412/psn-pdf
February 01, 2023 - In this population-based retrospective
longitudinal study using inpatient and emergency department discharge … data from four states, researchers
found that non-Hispanic Black patients were at higher risk for delayed
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psnet.ahrq.gov/issue/hcup-statistical-brief-313-trends-severe-maternal-morbidity-complications-patient
December 16, 2009 - This data analysis from the AHRQ Healthcare Cost and Utilization Project found severe maternal morbidity … The results detail socioeconomic data on segments of the maternal inpatient population. … designed to improve medication safety for patients with monitored dosage systems following hospital discharge … April 24, 2019
A conceptual framework to reduce inpatient preventable deaths. … 2023
Maternal and Infant Health Inequality: New Evidence from Linked Administrative Data
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psnet.ahrq.gov/issue/medical-reconciliation-patients-discharged-emergency-department
March 04, 2015 - Related Resources From the Same Author(s)
Impact of incorporating pharmacy claims data … March 21, 2012
User-centered collaborative design and development of an inpatient safety … March 3, 2011
A reengineered hospital discharge program to decrease rehospitalization … February 19, 2020
Usage and accuracy of medication data from nationwide health information
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psnet.ahrq.gov/issue/effectiveness-written-hospitalist-sign-outs-answering-overnight-inquiries
January 15, 2014 - effective signout techniques has focused on handoffs between residents, with comparatively little data … on the signout to respond to overnight questions and consulted electronic medical records or other data … AHRQ WebM&M perspective discussed the current knowledge base regarding safe transitions of care for inpatients … Implementation of medication error reporting through Med Safe Tool: the clinical pharmacists and the inpatient … February 15, 2011
View More
Related Resources
Re-Engineered Discharge
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psnet.ahrq.gov/issue/surgical-adverse-outcomes-and-patients-evaluation-quality-care-inherent-risk-or-reduced
March 22, 2011 - This study found that patients who experienced adverse events after discharge rated their overall hospital … adverse events during hospitalization were not associated with negative impressions of the quality of inpatient … perspectives on quality and safety: patient-level linkage of incident, adverse event and complaint data … incidents, and patient experience: retrospective linkage of routine patient experience surveys and safety data … Engaging patients in medication reconciliation via a patient portal following hospital discharge
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psnet.ahrq.gov/issue/problem-medication-reconciliation
May 08, 2017 - Medication reconciliation has demonstrated safety improvement in both inpatient and ambulatory settings … Related Resources From the Same Author(s)
Potential benefit of electronic pharmacy claims data … to prevent medication history errors and resultant inpatient order errors. … March 10, 2021
Classifying and predicting errors of inpatient medication reconciliation … Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge
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psnet.ahrq.gov/issue/against-silence-development-and-first-results-patient-survey-assess-experiences-safety
March 24, 2021 - transactional "second-victim" model—experiences of affected healthcare professionals in acute-somatic inpatient … May 10, 2017
User-centered collaborative design and development of an inpatient safety … using an electronic discharge summary. … August 21, 2019
Do medical inpatients who report poor service quality experience more … January 15, 2014
Patient engagement in the inpatient setting: a systematic review.
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psnet.ahrq.gov/issue/effect-health-information-exchange-recognition-medication-discrepancies-interrupted-when-data
November 16, 2022 - Effect of health information exchange on recognition of medication discrepancies is interrupted when data … Effect of health information exchange on recognition of medication discrepancies is interrupted when data … history errors and resultant inpatient order errors. … Automated communication tools and computer-based medication reconciliation to decrease hospital discharge … Implementation of medication error reporting through Med Safe Tool: the clinical pharmacists and the inpatient
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psnet.ahrq.gov/node/45737/psn-pdf
December 22, 2017 - nursing-skill-mix-european-hospitals-cross-sectional-study-association-
mortality-patient
Researchers analyzed patient discharge … data and hospital characteristics, as well as patient and nurse
survey data, across adult acute care … nursing-skill-mix-european-hospitals-cross-sectional-study-association-mortality-patient
https://psnet.ahrq.gov/issue/nurse-staffing-and-inpatient-hospital-mortality
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psnet.ahrq.gov/issue/prevalence-nature-and-predictors-omitted-medication-doses-mental-health-hospitals-multi
August 11, 2021 - This study described medication omission errors occurring in inpatient mental health hospitals in the … January 23, 2019
Medication safety at the interface: evaluating risks associated with discharge … 2019
Prevalence and nature of medication errors and medication-related harm following discharge … hospital-acquired methicillin-resistant Staphylococcus aureus: hospital-level analysis of administrative data … February 19, 2020
Patient safety in inpatient mental health settings: a systematic review
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psnet.ahrq.gov/node/43001/psn-pdf
March 19, 2014 - In this classic study, investigators provided standard hospital discharge
data to four vendors who independently … variability-measurement-hospital-wide-mortality-rates
https://psnet.ahrq.gov/issue/do-hsmrs-really-measure-patient-safety
https://psnet.ahrq.gov/issue/inpatient-quality-indicators
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psnet.ahrq.gov/issue/private-patient-rooms-and-hospital-acquired-methicillin-resistant-staphylococcus-aureus
March 11, 2020 - hospital-acquired methicillin-resistant Staphylococcus aureus: hospital-level analysis of administrative data … hospital-acquired methicillin-resistant Staphylococcus aureus: a hospital-level analysis of administrative data … This study merged inpatient discharge data with annual survey data from the American Hospital Association … hospital-acquired methicillin-resistant Staphylococcus aureus: a hospital-level analysis of administrative data
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psnet.ahrq.gov/issue/use-computers-clinical-care-case-series-advanced-us-sites
August 04, 2021 - recommendations for extension of AHRQ Common Formats to capture patient- and carepartner-generated safety data … January 16, 2019
Guided prescription of psychotropic medications for geriatric inpatients … August 10, 2011
Medication errors and adverse drug events in pediatric inpatients. … May 15, 2024
The safety of inpatient health care. … October 4, 2023
Engaging patients in the use of real-time electronic clinical data to