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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
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psnet.ahrq.gov/issue/developing-and-evaluating-automated-all-cause-harm-trigger-system
July 31, 2013 - Trigger tools seek to identify adverse events by flagging cases for review based on a particular data … July 31, 2013
Impact of inpatient harms on hospital finances and patient clinical outcomes … September 25, 2024
Engaging patients in the use of real-time electronic clinical data … May 4, 2022
A trigger tool to detect harm in pediatric inpatient settings. … April 7, 2019
Evaluation of an electronic health record structured discharge summary
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psnet.ahrq.gov/issue/missing-clinical-and-behavioral-health-data-large-electronic-health-record-ehr-system
July 19, 2023 - Study
Missing clinical and behavioral health data in a large electronic health record … Missing clinical and behavioral health data in a large electronic health record (EHR) system. … capture mental health care, including inpatient and outpatient visits, medications, and specialty care … Missing clinical and behavioral health data in a large electronic health record (EHR) system. … Nets to Reduce Missed and Delayed Diagnoses of Cancer
July 31, 2023
Danger in discharge
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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
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psnet.ahrq.gov/issue/do-ahrq-patient-safety-indicators-flag-conditions-are-present-time-hospital-admission
September 12, 2016 - Research and Quality's Patient Safety Indicators (PSIs) were designed to reflect the quality of inpatient … care by triggering cases for review using administrative data and examining potentially preventable … January 23, 2019
Medication discrepancies at pediatric hospital discharge. … April 15, 2020
Safety culture in cardiac surgical teams: data from five programs and … January 22, 2016
Inpatient suicide in a general hospital.
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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/node/49849/psn-pdf
January 01, 2019 - 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 … 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/issue/examining-impact-ahrq-patient-safety-indicators-psis-veterans-health-administration-case
December 15, 2011 - Examining data from the Veterans Affairs system, researchers found that the risk of readmission within … 30 days after discharge increased by 22% if an adverse event (measured by the AHRQ Patient Safety Indicators … 15, 2014
Partnering with VA stakeholders to develop a comprehensive patient safety data … July 17, 2013
Using inpatient hospital discharge data to monitor patient safety events … diagnosis-timing indicators on measures of safety, comorbidity, and case mix groupings from administrative data
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psnet.ahrq.gov/issue/conceptual-and-practical-challenges-associated-understanding-patient-safety-within-community
December 15, 2021 - Patient safety research on inpatient psychiatric care is expanding, but less is known about outpatient … of a computer-assisted tool with automated electronic integration of population-based community drug data … February 22, 2023
Developing and aligning a safety event taxonomy for inpatient psychiatry … July 13, 2022
Is it time for the mental health field to consider unplanned discharge … August 5, 2020
Patient safety in inpatient mental health settings: a systematic review
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psnet.ahrq.gov/web-mm/watch-warfarin
December 01, 2013 - 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.
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psnet.ahrq.gov/issue/methods-studying-medication-safety-following-electronic-health-record-implementation-acute
February 03, 2011 - technical and sociotechnical dependencies, developing EHR-specific definitions, and using multiple data … Analysis of the nature and contributory factors of medication safety incidents following hospital discharge … Failure Mode and Effect Analysis in prospective medication safety risk management in secondary care inpatient … April 17, 2024
The secondary use of data to support medication safety in the hospital … 2020
Prevalence and nature of medication errors and medication-related harm following discharge
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psnet.ahrq.gov/issue/psych-mnemonic-help-psychiatric-residents-decrease-patient-handoff-communication-errors
November 16, 2022 - information, Situation leading to hospitalization, Your assessment, Critical information, and Hindrance to discharge … March 22, 2017
Repurposing clinical decision support system data to measure dosing errors … February 1, 2023
SAFER Care: improving caregiver comprehension of discharge instructions … December 5, 2018
Interunit handoffs from emergency department to inpatient care: a cross-sectional
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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/relationship-between-hospital-systems-load-and-patient-harm
November 12, 2008 - load metric included measures of census, length of stay, and turnover for the emergency department, inpatient … processing approach to identify diagnostic errors and analysis of safety learning system case review data … A retrospective study of electronic health record data. … October 24, 2012
Improving the discharge process by embedding a discharge facilitator
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psnet.ahrq.gov/issue/us-adoption-computerized-physician-order-entry-systems
April 24, 2018 - Using Leapfrog survey data derived from their efforts to reward CPOE adoption, investigators present … Association of changing hospital readmission rates with mortality rates after hospital discharge … August 15, 2018
Early death after discharge from emergency departments: analysis of national … US insurance claims data. … April 19, 2011
Early cost and safety benefits of an inpatient electronic health record
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psnet.ahrq.gov/web-mm/postdischarge-follow-phone-call
May 19, 2021 - 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 physicians
-
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.
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psnet.ahrq.gov/web-mm/discontinued-medications-are-they-really-discontinued
January 05, 2017 - A medication reconciliation process in which the discharge summary and discharge medication list are … Such an approach would include an inpatient pharmacist connecting with the patient and the community … Decreasing medication discrepancies between outpatient and inpatient care through the use of computerized … pharmacy data. … June 14, 2011
Multidisciplinary approach to inpatient medication reconciliation in an
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psnet.ahrq.gov/issue/intensive-care-unit-critical-incident-analysis-objective-tool-select-content-simulation
June 28, 2023 - This process of integrating critical incident data with trainee self-assessment can be generalized to … June 28, 2023
Safety of surgical telehealth in the outpatient and inpatient setting. … June 22, 2009
Medical large language models are vulnerable to data-poisoning attacks. … January 17, 2024
Hospital Differences in Adult Inpatient Stays with Healthcare-Associated … April 20, 2022
Patient harm and institutional avoidability of out-of-hours discharge
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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.