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psnet.ahrq.gov/issue/impact-incorporating-pharmacy-claims-data-electronic-medication-reconciliation
September 01, 2016 - 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 … April 17, 2024
The complexities of communication at hospital discharge of older patients … medical resident–pharmacist collaboration improves the rate of medication reconciliation verification at discharge
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psnet.ahrq.gov/issue/design-and-implementation-application-and-associated-services-support-interdisciplinary
February 15, 2011 - medication errors frequently occur at times of transitions in care such as hospital admission and discharge … At the time of hospital admission, the system integrates data from the outpatient and inpatient EMR to … February 15, 2011
Evaluation of an inpatient computerized medication reconciliation system … March 10, 2011
Classifying and predicting errors of inpatient medication reconciliation … and post-discharge.
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psnet.ahrq.gov/node/49742/psn-pdf
September 01, 2015 - A Fumbled Handoff to Inpatient Rehab
September 1, 2015
Ashcraft LE, Kahn JM. … A Fumbled Handoff to Inpatient Rehab. PSNet [internet]. 2015. … or no effect due to difficulty in defining the acute care episode and other regulatory
hurdles.(7) Data … As we wait for more data, it is incumbent on clinicians who work in both acute and postacute care to … Supplemental Items include
condition-specific data collection with the goal to increase standardization
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psnet.ahrq.gov/issue/unanticipated-death-after-discharge-home-emergency-department
November 16, 2022 - Study
Unanticipated death after discharge home from the emergency department. … Unanticipated Death After Discharge Home From the Emergency Department. … Unanticipated Death After Discharge Home From the Emergency Department. … December 31, 2014
A trigger tool to detect harm in pediatric inpatient settings. … February 24, 2011
Medical large language models are vulnerable to data-poisoning attacks
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psnet.ahrq.gov/issue/developing-and-aligning-safety-event-taxonomy-inpatient-psychiatry
September 14, 2022 - Developing and aligning a safety event taxonomy for inpatient psychiatry. … Patient safety event taxonomies provide a standardized framework for data classification and analysis … Developing and aligning a safety event taxonomy for inpatient psychiatry. … June 22, 2022
Engaging patients in the use of real-time electronic clinical data to improve … Related Resources
Is it time for the mental health field to consider unplanned discharge
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psnet.ahrq.gov/issue/improving-medication-safety-during-hospital-based-transitions-care
May 08, 2017 - Effect of pharmacist counseling intervention on health care utilization following hospital discharge … May 8, 2017
Effect of patient- and medication-related factors on inpatient medication … April 12, 2023
A toolkit to disseminate best practices in inpatient medication reconciliation … The alarming reality of medication error: a patient case and review of Pennsylvania and national data … December 13, 2013
A toolkit to disseminate best practices in inpatient medication reconciliation
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psnet.ahrq.gov/issue/validity-ahrq-patient-safety-indicators-derived-icd-10-hospital-discharge-abstract-data-chart
October 30, 2024 - Study
Validity of AHRQ patient safety indicators derived from ICD-10 hospital discharge … abstract data (chart review study). … Validity of AHRQ patient safety indicators derived from ICD-10 hospital discharge abstract data (chart … Validity of AHRQ patient safety indicators derived from ICD-10 hospital discharge abstract data (chart … Workaround Error
February 1, 2006
Separating residents' inpatient
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psnet.ahrq.gov/web-mm/discharging-our-responsibility
January 16, 2019 - 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/issue/failure-follow-medication-changes-made-hospital-discharge-associated-adverse-events-30-days
October 16, 2019 - Study
Failure to follow medication changes made at hospital discharge is associated … Failure to follow medication changes made at hospital discharge is associated with adverse events in … Events: A Cluster Randomized Trial
October 16, 2019
Usage and accuracy of medication data … of a computer-assisted tool with automated electronic integration of population-based community drug data … November 7, 2018
Making inpatient medication reconciliation patient centered, clinically
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psnet.ahrq.gov/issue/incidence-and-method-suicide-hospitals-united-states
October 04, 2023 - The Joint Commission identifies inpatient suicide as a sentinel event . … Researchers examined two national databases to develop the first data-driven appraisal of hospital suicide … editorial raises concerns about the much larger epidemic of suicide immediately after psychiatric hospital discharge … Evaluating the prevalence of four recommended practices for suicide prevention following hospital discharge … September 27, 2017
Toward understanding errors in inpatient psychiatry: a qualitative
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psnet.ahrq.gov/node/837794/psn-pdf
August 10, 2022 - This study used 2007 to 2016 inpatient discharge data from 14 states to
compare rates of inpatient quality
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psnet.ahrq.gov/innovation/clinical-pharmacy-specialists-provide-transitional-care-and-improve-medication-safety
October 30, 2024 - Additionally, the Memphis VAMC hired four CPSs to expand transitional care services to the inpatient … Additionally, these inpatient pharmacists focused on disease state counseling for high-risk patients … Implement data collection processes.
Implement systems that allow flexibility. … In this case, CPSs worked with inpatient providers and scheduling staff to relay the importance of TCC … Risk Mitigation Using the Anesthesia Risk Alert Program: Applying a Proactive Approach With Data
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psnet.ahrq.gov/node/836959/psn-pdf
April 20, 2022 - elderly fallers: identifying associated risk
factors for 30-day unplanned readmissions using a
clinical data … elderly fallers: identifying associated risk factors for 30-
day unplanned readmissions using a clinical data … Discharge
programs targeting these patients could reduce 30-day unplanned readmissions. … https://psnet.ahrq.gov/issue/thirty-day-all-cause-readmissions-elderly-patients-who-have-injury-related-inpatient-stay … https://psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/36867/psn-pdf
August 31, 2011 - Multidisciplinary approach to inpatient medication
reconciliation in an academic setting. … Multidisciplinary approach to inpatient medication reconciliation
in an academic setting. … https://psnet.ahrq.gov/issue/multidisciplinary-approach-inpatient-medication-reconciliation-academic-setting … Data from more
than 100 patients also demonstrated a reduction in the severity of discrepancies, although … actual adverse
events were not measured following discharge.
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psnet.ahrq.gov/issue/improved-medication-management-introduction-perioperative-and-prescribing-pharmacist-service
August 05, 2020 - pharmacist, who is responsible for obtaining the best possible medication history and preparing discharge … pharmacist on the multidisciplinary surgical team improved the accuracy of medication histories, inpatient … prescribing, and discharge prescriptions for high-risk patients. … April 5, 2013
Clinical and safety impact of an inpatient pharmacist-directed anticoagulation … May 21, 2009
Medmarx Data Report: A Chartbook of Medication-Error Findings from the Perioperative
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psnet.ahrq.gov/issue/we-need-talk-primary-care-provider-communication-discharge-era-shared-electronic-medical
October 13, 2018 - Study
We need to talk: primary care provider communication at discharge in the era … We need to talk: Primary care provider communication at discharge in the era of a shared electronic medical … center continued to speak up about concerns regarding the quality of communication they received from inpatient … They also expressed a desire for increased direct communication at discharge for complex patients and … Progress in interoperability: measuring US hospitals' engagement in sharing patient data
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psnet.ahrq.gov/issue/implementation-discharge-education-program-improve-transitions-care-patients-high-risk
January 12, 2022 - Study
Implementation of a discharge education program to improve transitions of care … Implementation of a discharge education program to improve transitions of care for patients at high risk … Pharmacists play an important role in patient safety, particularly bridging transitions of care between inpatient … scheduling a post-hospital discharge telephone follow-up within 2 days of discharge. … impact of coronavirus disease 2019 (COVID-19) on healthcare-associated infections in 2020: a summary of data
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psnet.ahrq.gov/issue/economic-value-pharmacist-led-medication-reconciliation-reducing-medication-errors-after
March 04, 2009 - Economic value of pharmacist-led medication reconciliation for reducing medication errors after hospital discharge … Economic value of pharmacist-led medication reconciliation for reducing medication errors after hospital discharge … 25, 2008
Automatable algorithms to identify nonmedical opioid use using electronic data … August 19, 2015
Communicating medication changes to community pharmacy post-discharge … June 13, 2011
Clinical pharmacists and inpatient medical care: a systematic review.
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psnet.ahrq.gov/web-mm/sepsis-resulting-delays-treatment-and-miscommunication-among-specialists
February 26, 2025 - which depends on the ability to gather accurate information and to integrate and interpret clinical data … In this case, it is unclear if the inpatient team scheduled the patient for his follow up appointment … prior to discharge. … If the initial inpatient team had discovered that the next available appointment was four weeks later … Successful post-discharge follow-up programs require bundled care changes that span the inpatient and
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psnet.ahrq.gov/issue/effect-admission-medication-reconciliation-adverse-drug-events-admission-medication-changes
April 12, 2019 - Effect of health information exchange on recognition of medication discrepancies is interrupted when data … February 25, 2009
Developing indicators of inpatient adverse drug events through nonlinear … analysis using administrative data. … Potential risk of medication discrepancies and reconciliation errors at admission and discharge … from an inpatient medical service.