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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/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/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/performance-fail-safe-system-follow-abnormal-mammograms-primary-care
September 11, 2013 - Tests pending after hospital discharge or following a clinic visit continue to challenge most health … June 29, 2011
Use of administrative data to find substandard care: validation of the … February 24, 2011
Do medical inpatients who report poor service quality experience more … March 3, 2010
Creating a better discharge summary: improvement in quality and timeliness … using an electronic discharge summary.
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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.
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psnet.ahrq.gov/node/47189/psn-pdf
August 17, 2018 - This secondary data analysis of more than 100,000 patients
undergoing in-hospital surgical procedures … Patients who experienced an opioid-related
adverse drug event had longer hospital stays, greater inpatient … medication-errors-and-adverse-drug-events
https://psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge
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psnet.ahrq.gov/weekly-resource/rss.xml
January 01, 2024 - a medication discharge plan. … The 2024 report includes data from 445 hospitals. … Mental health inpatients are a vulnerable population and have reported negative experiences while receiving … inpatient psychiatric care. … This systematic review highlights adverse or negative experiences reported by current or former inpatients
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psnet.ahrq.gov/issue/usage-and-accuracy-medication-data-nationwide-health-information-exchange-quebec-canada
June 17, 2020 - Study
Usage and accuracy of medication data from nationwide health information exchange … Usage and accuracy of medication data from nationwide health information exchange in Quebec, Canada. … Usage and accuracy of medication data from nationwide health information exchange in Quebec, Canada. … Resources From the Same Author(s)
Failure to follow medication changes made at hospital discharge … February 7, 2024
Effect of alerts for drug dosage adjustment in inpatients with renal
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psnet.ahrq.gov/issue/salutary-tale-mistaken-identity-testicular-cancer
June 01, 2022 - March 31, 2021
Impact of COVID-19 on inpatient clinical emergencies: a single-center … November 4, 2015
Inpatient housestaff discontinuity of care and patient adverse events … July 18, 2012
The effects of a 'discharge time-out' on the quality of hospital discharge … between double-checking and medication administration errors: a direct observational study of paediatric inpatients … November 21, 2012
Measuring adverse events and levels of harm in pediatric inpatients
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psnet.ahrq.gov/issue/safety-culture-and-mortality-after-acute-myocardial-infarction-study-medicare-beneficiaries
September 13, 2023 - In this observational cohort study, researchers analyzed data from 19,357 discharges for acute myocardial … infarction (AMI) across 171 hospitals and associated data from AHRQ Hospital Survey on Patient Safety … May 15, 2024
The safety of inpatient health care. … Association of changing hospital readmission rates with mortality rates after hospital discharge
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psnet.ahrq.gov/issue/how-do-hospital-inpatients-conceptualise-patient-safety-qualitative-interview-study-using
July 08, 2020 - Study
How do hospital inpatients conceptualise patient safety? … How do hospital inpatients conceptualise patient safety? … How do hospital inpatients conceptualise patient safety? … respond to errors in their personal health records: mixed methods analysis of cross-sectional survey data
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psnet.ahrq.gov/issue/foundational-science-learning-health-systems
June 26, 2019 - Learning health systems (LHS) build functions, networks, and processes to use data, information, evidence … It describes research topics within each foundational method (implementation, data, engagement, systems … 2022
Developing a process to measure actual harm from medication errors in paediatric inpatients … between double-checking and medication administration errors: a direct observational study of paediatric inpatients
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psnet.ahrq.gov/issue/roles-and-role-ambiguity-patient-and-caregiver-performed-outpatient-parenteral-antimicrobial
November 20, 2024 - home visits for middle-aged and older adults receiving skilled home healthcare services after hospital discharge … July 20, 2022
Work system barriers and facilitators in inpatient care transitions of … May 30, 2018
Learning from lawsuits: using malpractice claims data to develop care transitions … June 9, 2021
Effects of pharmacist-conducted medication reconciliation at discharge on
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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/web-application-involve-patients-medication-reconciliation-process-user-centered-usability
August 18, 2021 - Patients can be effectively engaged to improve medication safety in the ambulatory and inpatient … December 29, 2014
Appropriateness of use of medicines in elderly inpatients: qualitative … contribution of staffing to medication administration errors: a text mining analysis of incident report data … March 28, 2011
Making inpatient medication reconciliation patient centered, clinically
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psnet.ahrq.gov/issue/body-mass-index-category-and-adverse-events-hospitalized-children
August 03, 2022 - After analyzing data for pediatric patients discharged from a single children’s hospital, researchers … by face-to-face feedback to prescribers on adverse drug events recognition and prevention in older inpatients … January 31, 2024
Incidence and characteristics of adverse events in paediatric inpatient … January 25, 2023
Drug-related deaths among inpatients: a meta-analysis.
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psnet.ahrq.gov/node/61078/psn-pdf
October 28, 2020 - have revolutionized T1D management
and are increasingly utilized by patients of all ages.3,4 Recent data … Newer insulin pumps can receive data from CGMs and employ automated algorithms
(called “hybrid closed-loop … Technology limitations also
contributed to this patient’s CGM; device data did not interface with the … with regard to early recognition of hypoglycemia. 10 However, there are currently insufficient data … favor continuing these technologies in the
hospital, but the potential for errors will increase if data
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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/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/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