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psnet.ahrq.gov/perspective/handoffs-and-transitions
February 01, 2007 - The SBAR (Situation-Background-Assessment-Recommendation) and ANTICipate (Administrative data, New clinical … light of the substantial financial penalties facing hospitals with high readmission rates, important data … July 2, 2014
I-CaRe: a case review tool focused on improving inpatient care. … February 18, 2011
Identification of inpatient DNR status: a safety hazard begging for … 2011
Perspective
What Have We Learned About Safe Inpatient
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psnet.ahrq.gov/issue/assessing-legislative-potential-institute-error-transparency-state-comparison-malpractice
March 12, 2014 - June 9, 2021
Parent experiences with the process of sharing inpatient safety concerns … August 9, 2023
Longitudinal medication reconciliation at hospital admission, discharge … and post-discharge. … 26, 2020
Medication-related interventions delivered both in hospital and following discharge … : Evidence from survey data.
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psnet.ahrq.gov/issue/enabling-enacting-and-elaborating-factors-safety-culture-associated-patient-safety-multilevel
September 21, 2022 - This descriptive study used data from the AHRQ Survey on Patient Safety Culture to explore the effects … impact of evidence-based design strategies on patient safety, healing, and satisfaction in an adult inpatient … The effect of a transitional pharmaceutical care program on the occurrence of ADEs after discharge … April 27, 2022
View More
Related Resources
Nurse staffing and inpatient
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.245_slideshow.ppt
July 01, 2011 - Of note, his international normalized ratio (INR) was 2.4 at the time of discharge so he was appropriately … tempting, holding the warfarin on admission can lead to dangerously low INRs
The INR was checked at discharge … Warfarin versus new agents: interpreting the data. … between inpatient and outpatient settings regarding changes in medications, clinical status, and warfarin … Points (2)
Standardizing systems of care through lab integration and improved communication between inpatient
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psnet.ahrq.gov/issue/potentially-inappropriate-medications-large-cohort-patients-geriatric-units-association
April 21, 2021 - November 3, 2021
Medical large language models are vulnerable to data-poisoning attacks … January 17, 2024
The complexities of communication at hospital discharge of older patients … November 20, 2013
Rural inpatient telepharmacy consultation demonstration for after-hours … medication reconciliation at hospital admission on medication discrepancies during hospitalization and at discharge
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psnet.ahrq.gov/issue/impact-stewardship-interventions-antiretroviral-medication-errors-urban-medical-center-three
February 10, 2016 - for HIV at a university hospital had at least one medication error and 38% had uncorrected errors at discharge … stewardship program with prospective audits and feedback in the third year of the study reduced errors at discharge … Resources From the Same Author(s)
Medication errors with antituberculosis therapy in an inpatient … May 22, 2019
Safety culture in cardiac surgical teams: data from five programs and national
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psnet.ahrq.gov/issue/barriers-and-success-factors-implementation-multi-site-prospective-adverse-event-surveillance
November 15, 2017 - clinical observer assessed triggers designed to indicate a possible adverse event in general medicine inpatient … ICD-10 codes for patient safety indicators for large-scale surveillance using administrative hospital data … September 9, 2009
A randomised controlled trial assessing the efficacy of an electronic discharge … of Cancer
July 31, 2023
Evaluation of an electronic health record structured discharge
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psnet.ahrq.gov/issue/opioid-prescribing-opioid-naive-patients-emergency-departments-and-other-settings
August 29, 2018 - Prior research has shown that prescribing opioids to opioid-naïve patients at the time of hospital discharge … Using claims data, researchers compared opioid prescribing patterns for opioid-naïve patients in the … January 23, 2019
Incidence and predictors of opioid prescription at discharge after traumatic … March 7, 2018
Opioid abuse and poisoning: trends in inpatient and emergency department
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psnet.ahrq.gov/issue/interdisciplinary-collaboration-across-secondary-and-primary-care-improve-medication-safety
December 21, 2022 - medication administration errors: a descriptive study using text-mining and content analysis of incident data … June 23, 2021
Shared understanding of resilient practices in the context of inpatient … Related Resources
Uptake of pharmacist recommendations by patients after discharge … by face-to-face feedback to prescribers on adverse drug events recognition and prevention in older inpatients … March 9, 2022
Effects of pharmacist-conducted medication reconciliation at discharge
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psnet.ahrq.gov/issue/using-medicolegal-data-support-safe-medical-care-contributing-factor-coding-framework
April 03, 2024 - Commentary
Using medicolegal data to support safe medical care: a contributing factor … Using medicolegal data to support safe medical care: A contributing factor coding framework. … Using medicolegal data to support safe medical care: A contributing factor coding framework. … July 19, 2023
Improving discharge safety in a pediatric emergency department. … November 1, 2017
Efficiency and interpretability of text paging communication for medical inpatients
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psnet.ahrq.gov/issue/duty-hour-reform-shifting-medical-landscape
June 08, 2022 - September 29, 2017
Early death after discharge from emergency departments: analysis of … national US insurance claims data. … July 10, 2017
Adverse inpatient outcomes during the transition to a new electronic health … July 3, 2014
Inpatient safety outcomes following the 2011 residency work-hour reform.
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psnet.ahrq.gov/node/73389/psn-pdf
June 16, 2021 - This retrospective study, based on
patient discharge data from three Irish hospitals, characterized … indicate that 16% of patients experienced at least one nurse-sensitive adverse
event during their inpatient
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psnet.ahrq.gov/issue/medical-adverse-events-us-2018-mortality-data
December 21, 2022 - Study
Medical adverse events in the US 2018 mortality data. … Medical adverse events in the US 2018 mortality data. … Medical adverse events in the US 2018 mortality data. … the Same Author(s)
A recent two-fold increase in medical adverse event deaths among US inpatients … Incidence and variables associated with inconsistencies in opioid prescribing at hospital discharge
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psnet.ahrq.gov/issue/sign-out-snapshot-cross-sectional-evaluation-written-sign-outs-among-specialties
November 20, 2013 - Despite use of a standardized template, the inclusion of key data elements in inpatient signouts varied … Implementation of medication error reporting through Med Safe Tool: the clinical pharmacists and the inpatient … Organizational culture: an important context for addressing and improving hospital to community patient discharge
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psnet.ahrq.gov/issue/validation-hospital-administrative-dataset-adverse-event-screening
May 21, 2009 - Belgium, confirmed that an administrative dataset alone had only moderate accuracy for identifying inpatient … Citation
Related Resources From the Same Author(s)
The relationship between inpatient … cardiac surgery mortality and nurse numbers and educational level: analysis of administrative data. … The effect of a transitional pharmaceutical care program on the occurrence of ADEs after discharge … February 29, 2012
Costs and benefits of an early-alert surveillance system for hospital inpatients
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psnet.ahrq.gov/issue/systematic-review-evaluate-accuracy-electronic-adverse-drug-event-detection
October 05, 2011 - The difficulty of accurately identifying and classifying inpatient adverse drug events (ADEs) was first … Triggers have been used in this fashion to identify ADEs from inpatient laboratory systems and outpatient … Using an interactive voice response system to improve patient safety following hospital discharge … September 1, 2016
Validating administrative data for the detection of adverse events
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psnet.ahrq.gov/issue/costs-adverse-events-intensive-care-units
July 23, 2008 - This case-control study used data from the Critical Care Safety Study to determine the costs associated … Unit-based clinical pharmacists' prevention of serious medication errors in pediatric inpatients … February 10, 2015
Cost of inpatient falls and cost-benefit analysis of implementation … View More
Related Resources
Problems in care and avoidability of death after discharge
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psnet.ahrq.gov/issue/health-information-technology-and-its-effects-hospital-costs-outcomes-and-patient-safety
January 29, 2018 - June 27, 2018
Re-Engineered Discharge (RED) Toolkit. … October 7, 2015
Inpatient Computerized Provider Order Entry: Findings from the AHRQ Health … May 7, 2014
Eliminating CAUTI: Interim Data Report: A National Patient Safety Imperative … October 18, 2011
Association between hospital-reported Leapfrog Safe Practices scores and inpatient
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psnet.ahrq.gov/issue/what-extent-are-patients-involved-researching-safety-acute-mental-healthcare
August 18, 2021 - respond to errors in their personal health records: mixed methods analysis of cross-sectional survey data … July 27, 2022
View More
Related Resources
Adverse mental health inpatient … December 7, 2022
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 … April 8, 2020
Patient safety in inpatient mental health settings: a systematic review
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psnet.ahrq.gov/issue/patient-harm-resulting-medication-reconciliation-process-failures-study-serious-events
October 07, 2020 - Patient Safety. 2021;3(1):10-22. doi:10.33940/data/2021.3.1. … Patient Safety. 2021;3(1):10-22. doi:10.33940/data/2021.3.1. … Development of the Leapfrog Group's bar code medication administration standard to address hospital inpatient … October 6, 2021
Longitudinal medication reconciliation at hospital admission, discharge … and post-discharge.