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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
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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.
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psnet.ahrq.gov/issue/patterns-nurse-physician-communication-and-agreement-plan-care
December 21, 2014 - Nurses and physicians on an inpatient unit did not communicate with each other regularly, resulting in … September 30, 2015
Creating a better discharge summary: improvement in quality and timeliness … using an electronic discharge summary. … May 6, 2009
Comparison of traditional trigger tool to data warehouse based screening
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psnet.ahrq.gov/issue/ensuring-medication-reconciliation
December 19, 2012 - describe the team-based process they used to improve medication management at the admission, transfer, and discharge … January 10, 2018
Alarm management: first things first: using reliable data to eliminate … November 21, 2016
Assessment of patient retention of inpatient care information post-hospitalization … April 29, 2018
Five hospitals release data on inspections.
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psnet.ahrq.gov/issue/tipping-point-relationship-between-volume-and-patient-harm
September 10, 2014 - A retrospective study of electronic health record data. … processing approach to identify diagnostic errors and analysis of safety learning system case review data … November 8, 2013
Improving the discharge process by embedding a discharge facilitator … January 26, 2011
The association between transfer of emergency department boarders to inpatient
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psnet.ahrq.gov/perspective/conversation-edwin-boudreaux-about-suicide-prevention
March 25, 2025 - The health system I work in, as well as other organizations, have published data showing that when you … In the inpatient environment, the discharge and referral process is essential to maintaining patient … safety, as suicide rates spike in the days after discharge. 17 Effective discharge planning involves … Scheduling rapid follow-up visit appointments before discharge helps bridge the gap between inpatient … Suicide Attempts and Suicide Deaths Subsequent to Discharge From an Emergency Department or an Inpatient
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psnet.ahrq.gov/perspective/suicide-prevention
March 24, 2025 - In the inpatient environment, the discharge and referral process is essential to maintaining patient … safety, as suicide rates spike in the days after discharge. 17 Effective discharge planning involves … Scheduling rapid follow-up visit appointments before discharge helps bridge the gap between inpatient … Suicide Attempts and Suicide Deaths Subsequent to Discharge From an Emergency Department or an Inpatient … The health system I work in, as well as other organizations, have published data showing that when you
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psnet.ahrq.gov/issue/direct-oral-anticoagulant-related-medication-incidents-and-pharmacists-interventions-hospital
January 12, 2022 - January 12, 2022
Assessment of requests for medication-related follow-up after hospital discharge … October 14, 2020
The tradeoffs between safety and alert fatigue: data from a national … 24, 2021
Medication-related interventions delivered both in hospital and following discharge … Resources
Prevented harm and cost avoidance with pharmacist intervention while utilizing a discharge … December 30, 2014
Clinical and safety impact of an inpatient pharmacist-directed anticoagulation
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psnet.ahrq.gov/node/73643/psn-pdf
August 01, 2022 - llipsitz@bidmc.harvard.edu
Date First Implemented
2013-08-28
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
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psnet.ahrq.gov/issue/electronic-health-records-communication-and-data-sharing-challenges-and-opportunities
October 13, 2018 - Study
Electronic health records, communication, and data sharing: challenges and … Electronic health records, communication, and data sharing: challenges and opportunities for improving … team of social scientists and clinicians conducted an ethnographic study of physicians on academic inpatient … Additionally, the electronic health record led to data overload and data fragmentation. … Nets to Reduce Missed and Delayed Diagnoses of Cancer
July 31, 2023
Danger in discharge
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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.
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psnet.ahrq.gov/issue/tradeoffs-between-safety-and-alert-fatigue-data-national-evaluation-hospital-medication
March 17, 2021 - Study
The tradeoffs between safety and alert fatigue: data from a national evaluation … The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital medication-related … Using data from the Computerized Physician Order Entry (CPOE) Evaluation Tool, this study compared … Renal medication-related clinical decision support (CDS) alerts and overrides in the inpatient … March 15, 2023
Impact of clinical decision support therapeutic interchanges on hospital discharge
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psnet.ahrq.gov/issue/emergency-department-contribution-prescription-opioid-epidemic
June 21, 2016 - This retrospective study used data from the Medical Expenditure Panel Survey from 1996 to 2012 and found … June 30, 2021
Incidence and predictors of opioid prescription at discharge after traumatic … March 13, 2018
Opioid abuse and poisoning: trends in inpatient and emergency department … August 30, 2017
Early death after discharge from emergency departments: analysis of national … US insurance claims data.
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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
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psnet.ahrq.gov/issue/medication-errors-community-pharmacies-need-commitment-transparency-and-research
June 17, 2020 - Medication errors are common in inpatient and ambulatory environments. … The authors call for community pharmacy corporations to encourage the discussion and data sharing needed … December 22, 2021
Longitudinal medication reconciliation at hospital admission, discharge … and post-discharge.
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psnet.ahrq.gov/issue/educating-medical-trainees-medication-reconciliation-systematic-review
October 16, 2019 - of a computer-assisted tool with automated electronic integration of population-based community drug data … Incidence and variables associated with inconsistencies in opioid prescribing at hospital discharge … May 5, 2021
Failure to follow medication changes made at hospital discharge is associated … December 3, 2018
Usage and accuracy of medication data from nationwide health information … View More
Related Resources
Evaluation of interventions to improve inpatient
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psnet.ahrq.gov/issue/national-trends-safety-performance-electronic-health-record-systems-childrens-hospitals
July 29, 2020 - Related Resources From the Same Author(s)
The tradeoffs between safety and alert fatigue: data … June 17, 2020
Inpatient EHR user experience and hospital EHR safety performance. … August 14, 2018
A trigger tool to detect harm in pediatric inpatient settings. … December 21, 2018
Using an inpatient portal to engage families in pediatric hospital … , 2018
Improving communication with primary care physicians at the time of hospital discharge
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psnet.ahrq.gov/issue/hospital-quality-review-spending-and-patient-safety-longitudinal-analysis-using-instrumental
December 21, 2022 - Based on hospital discharge and expenditure data from 2004 – 2015 in Florida, the authors found a significant … Citation
Related Resources From the Same Author(s)
Sources of nurse-sensitive inpatient … Diagnostic Safety and Quality
April 26, 2023
Sources of nurse-sensitive inpatient
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psnet.ahrq.gov/issue/transitions-care-consensus-policy-statement-american-college-physicians-society-general
July 27, 2022 - statement describes ten principles developed to address quality gaps in transitions of care between inpatient … May 19, 2021
Effect of patient- and medication-related factors on inpatient medication … October 16, 2012
Managing Patients' Medicines after Discharge from Hospital. … health care quality and patient safety in the United States using readily available administrative data
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psnet.ahrq.gov/issue/classification-antecedents-towards-safety-use-health-information-technology-systematic-review
October 12, 2022 - January 19, 2022
Raising the awareness of inpatient nursing staff about medication errors … 24, 2018
Automatable algorithms to identify nonmedical opioid use using electronic data … August 24, 2015
The efficacy of computer-enabled discharge communication interventions … Implementation of medication error reporting through Med Safe Tool: the clinical pharmacists and the inpatient