-
psnet.ahrq.gov/innovation/echo-care-transitions-successfully-reduces-patient-readmissions-skilled-nursing
October 30, 2024 - Date First Implemented
2013
Problem Addressed
Transitions from inpatient … address communication gaps between the hospital and the SNF providers when patients transition from the inpatient … Results
Data analysis for the implementation of ECHO-CT was conducted at the level of the SNF as well … effective and not overly time- or work-intensive. 2 Finally, the ECHO-CT research team was able to use data … Once program implementation has begun and weekly videoconferences are underway, data collection should
-
psnet.ahrq.gov/web-mm/treatment-challenges-after-discharge
January 03, 2017 - At discharge, however, there is an ambiguity over who owns the care of the patient between discharge … At our institution, we found that almost 82% of our TPADs were microbiology data (e.g., blood or sputum … Increasing access to health care professionals during the discharge period by providing a discharge " … Patients are particularly vulnerable to adverse events at discharge because the discharge care transition … August 23, 2023
Racial and ethnic disparities in common inpatient safety outcomes in
-
psnet.ahrq.gov/issue/extent-nature-and-consequences-adverse-events-results-retrospective-casenote-review-large-nhs
March 03, 2011 - August 3, 2011
Association between unmet nonmedication needs after hospital discharge … August 1, 2016
Harms from discharge to primary care: mixed methods analysis of incident … April 22, 2015
What is known about adverse events in older medical hospital inpatients … December 29, 2014
Weekend hospitalization and additional risk of death: an analysis of inpatient … data.
-
psnet.ahrq.gov/issue/patient-reported-incident-hospital-instrument-prih-i-assessments-data-quality-test-retest
March 20, 2015 - Study
The Patient-Reported Incident in Hospital Instrument (PRIH-I): assessments of data … December 23, 2020
Shared understanding of resilient practices in the context of inpatient … January 4, 2015
Hospital readmission and parent perceptions of their child's hospital discharge … medical error in hospitals using incident-reporting systems, patient complaints and chart review of inpatient … March 23, 2011
Do medical inpatients who report poor service quality experience more
-
psnet.ahrq.gov/issue/patient-safety-improving-national-trends-patient-safety-indicators-1998-2007
March 21, 2012 - The TRANSFORM patient safety project: a microsystem approach to improving outcomes on inpatient … September 9, 2020
Opioid abuse and poisoning: trends in inpatient and emergency department … December 18, 2013
Validity of AHRQ patient safety indicators derived from ICD-10 hospital discharge … abstract data (chart review study). … : case-control analysis and comparison with US data.
-
psnet.ahrq.gov/issue/effect-postdischarge-virtual-ward-readmission-or-death-high-risk-patients-randomized-clinical
October 31, 2011 - Although recent data indicates that readmissions in adult patients are decreasing slightly, the approaches … Patients were admitted to the virtual ward for a mean of 35 days after discharge and received 3 home … February 11, 2009
Development of a checklist of safe discharge practices for hospital … The intended and unintended consequences of communication systems on general internal medicine inpatient … of a computer-assisted tool with automated electronic integration of population-based community drug data
-
psnet.ahrq.gov/periodic-issue/periodic-issue-428
February 28, 2024 - Nurses play a significant role during transitions of care, such as discharge from inpatient care to the … Using data from the Netherlands’ Food and Drug Administration’s Adverse Event Reporting System (FAERS … guidelines in contributing to medication errors: a descriptive analysis of national patient safety incident data … This analysis of Army Nurse Corps survey data identified favorable perceptions of nursing practice environment … Nurses play a significant role during transitions of care, such as discharge from inpatient care to the
-
psnet.ahrq.gov/issue/differences-rates-patient-safety-events-payer-implications-providers-and-policymakers
November 16, 2022 - This study used discharge data from hospitals in 11 states to see whether the rate of adverse patient … methodological limitations to the study such as the ability to accurately risk-adjust patients based on discharge … data and whether PSIs provide a valid measurement of safety . … February 2, 2022
The Safety Attitudes Questionnaire: psychometric properties, benchmarking data … Thirty-day, all-cause readmissions for elderly patients who have an injury-related inpatient
-
psnet.ahrq.gov/issue/implementation-strategies-context-medication-reconciliation-qualitative-study
August 05, 2020 - Using qualitative data, the authors explored how different hospitals implemented one evidence-based medication … commonly used implementation strategies included restructuring (e.g., altered staffing, equipment, data … November 3, 2021
Effect of patient- and medication-related factors on inpatient medication … Effect of pharmacist counseling intervention on health care utilization following hospital discharge … Reducing readmission at an academic medical center: results of a pharmacy-facilitated discharge
-
psnet.ahrq.gov/issue/effect-electronic-health-records-ambulatory-care-retrospective-serial-cross-sectional-study
March 24, 2019 - Using two regions of Kaiser Permanente’s patient population, investigators collected data on utilization … office visits, lab, and radiology services, as well as quality measures from the Health Plan Employer Data … June 10, 2020
Classifying and predicting errors of inpatient medication reconciliation … a tool within the electronic medical record to facilitate medication reconciliation after hospital discharge … May 4, 2011
Risk of medication errors at hospital discharge and barriers to problem resolution
-
psnet.ahrq.gov/node/49630/psn-pdf
July 01, 2011 - continued the patient's warfarin on admission; patients in whom warfarin is held
(often a temptation of inpatient … recommended period of follow-up; these steps are particularly important to coordinating care if the inpatient … Improving communication between the inpatient and outpatient settings regarding changes in other
medications … Standardizing systems of care through lab integration and improved communication between
inpatient and … Warfarin versus new agents: interpreting the data.
-
psnet.ahrq.gov/issue/differences-medication-reconciliation-interventions-between-six-hospitals-mixed-method-study
September 08, 2021 - In this study, researchers compared data for patients from six hospitals and different clinical departments … by face-to-face feedback to prescribers on adverse drug events recognition and prevention in older inpatients … August 12, 2020
Medication-related hospital readmissions within 30 days of discharge: … November 16, 2022
Longitudinal medication reconciliation at hospital admission, discharge … and post-discharge.
-
psnet.ahrq.gov/issue/improvement-patient-safety-may-precede-policy-changes-trends-patient-safety-indicators-united
November 01, 2017 - Using nationally representative, all-payer discharge data, these authors examined temporal changes in … Related Resources From the Same Author(s)
Opioid abuse and poisoning: trends in inpatient … The TRANSFORM patient safety project: a microsystem approach to improving outcomes on inpatient
-
psnet.ahrq.gov/node/73300/psn-pdf
July 01, 2022 - between intervention and control group outcomes to
evaluate impact on patients' understanding of the inpatient … Establishing a quantitative and qualitative data collection and reporting plan: Work with
administrative … and information technology (IT) support to collect and review hospital’s care
transitions data. … Started with This Innovation
Obtain senior administrator support: To win administrator support, share data … Medical errors related to discontinuity of care from an
inpatient to an outpatient setting.
-
psnet.ahrq.gov/issue/inter-and-intra-rater-reliability-classification-medication-related-events-paediatric
August 20, 2018 - Inter- and intra-rater reliability for classification of medication related events in paediatric inpatients … Inter- and intra-rater reliability for classification of medication related events in paediatric inpatients … Inter- and intra-rater reliability for classification of medication related events in paediatric inpatients … August 20, 2018
Medication safety at the interface: evaluating risks associated with discharge … March 28, 2011
Harmful medication errors in children: a 5-year analysis of data from
-
psnet.ahrq.gov/issue/factors-impacting-physician-use-information-charted-others
September 18, 2019 - Nurse worry predicts inpatient deterioration within 24 hours. … June 14, 2019
Improving inpatient mental health medication safety through the process … 28, 2019
Discrepancy between emergency department admission diagnosis and hospital discharge … An analysis of the structure and content of dashboards used to monitor patient safety in the inpatient … July 2, 2019
Data omission by physician trainees on ICU rounds.
-
psnet.ahrq.gov/issue/30-day-potentially-avoidable-readmissions-due-adverse-drug-events
June 14, 2017 - Adverse drug events after hospital discharge can lead to preventable readmissions. … A cross-sectional observational study of high override rates of drug allergy alerts in inpatient … 2019
The frequency of inappropriate nonformulary medication alert overrides in the inpatient … July 10, 2017
Medication-related clinical decision support alert overrides in inpatients … January 24, 2018
Medication errors resulting in harm: using chargemaster data to determine
-
psnet.ahrq.gov/issue/integrating-patient-safety-omfs-curriculum-survey-4-year-residency-programs
April 08, 2020 - August 16, 2006
Delivery of optimized inpatient anticoagulation therapy: consensus statement … 2023
Potential biases in machine learning algorithms using electronic health record data … June 1, 2016
Redesigning rounds: towards a more purposeful approach to inpatient teaching … highlights of a reengineered discharge process. … April 6, 2011
Nurse staffing and inpatient hospital mortality.
-
psnet.ahrq.gov/node/836841/psn-pdf
June 01, 2020 - readmission cost for any diagnosis in 2016 was $14,400.5 Readmissions also
exacerbate a widespread strain on inpatient … and to help keep inpatient beds
available.3
Results
https://psnet.ahrq.gov//#3
https://psnet.ahrq.gov … Additional issues emerging from the data
included gaps in patient knowledge after discharge, patient … secure appropriate
staffing; obtain leadership and staff buy-in; compile training tools, protocols, and data … Data
https://psnet.ahrq.gov//#3
collection—including data on outcomes beyond several months—will also
-
psnet.ahrq.gov/node/49648/psn-pdf
March 01, 2012 - outpatient visits.(5) Hospital-based transitional care interventions aim to smooth the transition from the
inpatient … Unfortunately, most of the data evaluating postdischarge calls as an independent intervention
are of … Little data exist to guide provider selection. … Track call outcomes to help inpatient providers learn from issues addressed in the call. … Phone calls
should feedback the most common preventable postdischarge issues back to the inpatient