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psnet.ahrq.gov/issue/agency-healthcare-research-and-quality-pediatric-indicators-quality-metric-surgery-children
May 01, 2015 - Research and Quality's Patient Safety Indicators (PSIs) are widely used to screen administrative data … for evidence of adverse events in adult inpatients. … January 29, 2020
Safety of overlapping inpatient orthopaedic surgery: a multicenter study … August 8, 2013
Medical large language models are vulnerable to data-poisoning attacks
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psnet.ahrq.gov/web-mm/continuity-errors-resident-clinic
October 02, 2019 - chance that their patients received pap smears in the resident clinic approached zero (unpublished data … and outpatient time (e.g., 4 inpatient weeks followed by 1 outpatient week or 6 inpatient weeks followed … safety, the learning environment, and resident–patient relationships, but no actual patient outcomes data … Frequent measurement and sharing of data are first steps to achieving a culture of shared responsibility … WebM&M Cases
Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge
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psnet.ahrq.gov/issue/system-related-factors-contributing-diagnostic-errors
January 11, 2023 - July 7, 2010
Identification of common themes from never events data published by NHS … 14, 2021
Common general surgical never events: analysis of NHS England never event data … October 16, 2012
The efficacy of computer-enabled discharge communication interventions … April 22, 2011
The impact of computerized provider order entry systems on inpatient clinical
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psnet.ahrq.gov/web-mm/lost-black-hole
December 01, 2005 - three areas: clear delineation of roles and responsibilities, better methods for transmitting verbal data … PCP.( 12 ) Practically, though, saying that both the hospitalist and the PCP are responsible after discharge … quantitative HIV PCR may have facilitated this error by exposing another hole in the Swiss Cheese of our data … The incidence and severity of adverse events affecting patients after discharge from the hospital. … Using a computerized sign-out program to improve continuity of inpatient care and prevent adverse events
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psnet.ahrq.gov/node/49417/psn-pdf
October 01, 2003 - answered.(9) One is the impact of the
"purposeful discontinuity" that the model introduces between inpatient … three areas: clear delineation of roles and
responsibilities, better methods for transmitting verbal data … quantitative HIV PCR
may have facilitated this error by exposing another hole in the Swiss Cheese of our data … The incidence and severity of adverse
events affecting patients after discharge from the hospital. … Using a computerized sign-out program to
improve continuity of inpatient care and prevent adverse events
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psnet.ahrq.gov/sites/default/files/2020-03/final_spotlight_case_delays_in_the_ed_powerpoint_for_cme_review_03.09.2020.pdf
January 01, 2020 - https://www.cdc.gov/nchs/data/nhamcs/web_tables/2017_ed_web_tables-508.pdf. … https://www.cdc.gov/nchs/data/nhamcs/web_tables/2017_ed_web_tables-508.pdf. … hallway spaces even if inpatient
beds are not ready.
20
14. … smoothing
– Community paramedicine
– Around-the-clock hospital discharges
– Performance incentives
– Discharge … The Inpatient Discharge Lounge as a Potential Mechanism to Mitigate Emergency Department Boarding and
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psnet.ahrq.gov/node/865455/psn-pdf
March 27, 2024 - discharge as strategies to increase patient safety and satisfaction
associated with hospital discharge … Predischarge interventions, such as patient education, discharge planning, and patient-centered
discharge … effect-transitions-intervention-ensure-patient-safety-and-satisfaction-when-transferred
https://psnet.ahrq.gov/issue/assessment-patient-retention-inpatient-care-information-post-hospitalization … https://psnet.ahrq.gov/issue/assessment-patient-retention-inpatient-care-information-post-hospitalization … Sentinel Event Data 2022 Annual Review. The Joint Commission; 2023.
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psnet.ahrq.gov/issue/safe-opioid-prescribing-prognostic-machine-learning-approach-predicting-30-day-risk-after
July 22, 2020 - Using administrative data for over 390,000 adult patients in Alberta, Canada, who received an opioid … An analysis of the structure and content of dashboards used to monitor patient safety in the inpatient … September 20, 2011
Repurposing clinical decision support system data to measure dosing … March 29, 2023
Repurposing clinical decision support system data to measure dosing … May 4, 2011
The efficacy of computer-enabled discharge communication interventions: a
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psnet.ahrq.gov/issue/under-mined
October 27, 2010 - This article describes some of the challenges in collecting, storing, coding, and sharing data to help … Download Citation
Related Resources From the Same Author(s)
Making inpatient … quality and safety of care using "technovigilance": an ethnographic case study of secondary use of data … Engaging patients in medication reconciliation via a patient portal following hospital discharge
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psnet.ahrq.gov/issue/physician-satisfaction-transition-cpoe-paper-based-prescription
January 06, 2018 - March 23, 2011
Medication safety at the interface: evaluating risks associated with discharge … May 11, 2019
Reasons for computerised provider order entry (CPOE)-based inpatient medication … 2017
The frequency of inappropriate nonformulary medication alert overrides in the inpatient … June 14, 2017
A clinical data warehouse-based process for refining medication orders
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psnet.ahrq.gov/issue/effect-work-hours-adverse-events-and-errors-health-care
August 20, 2014 - September 4, 2013
The relationship between inpatient cardiac surgery mortality and nurse … numbers and educational level: analysis of administrative data. … May 21, 2009
Evaluation of an electronic health record structured discharge summary to … impact of evidence-based design strategies on patient safety, healing, and satisfaction in an adult inpatient
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psnet.ahrq.gov/issue/medication-administration-quality-and-health-information-technology-national-study-us
December 19, 2009 - Author(s)
Patient safety concerns arising from test results that return after hospital discharge … November 16, 2022
Medical large language models are vulnerable to data-poisoning attacks … February 10, 2015
Inpatient Computerized Provider Order Entry: Findings from the AHRQ … May 26, 2011
Early cost and safety benefits of an inpatient electronic health record.
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psnet.ahrq.gov/issue/mixed-methods-evaluation-real-time-safety-reporting-hospitalized-patients-and-their-care
August 03, 2022 - recommendations for extension of AHRQ Common Formats to capture patient- and carepartner-generated safety data … Effect of digital tools to promote hospital quality and safety on adverse events after discharge … 2024
The impact of automated notification on follow-up of actionable tests pending at discharge … July 2, 2019
User-centered collaborative design and development of an inpatient safety
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psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger
November 08, 2013 - Emergency departments are designed to rapidly triage, evaluate, stabilize, treat, and admit or discharge … for surgical ICU patients delayed in the postanesthesia care unit prior to admission ( 4 ), and for inpatients … so-called command center that colocates key operational disciplines and provides real-time operational data … implementation of our Capacity Coordination Center has led to improvement in ED throughput metrics, earlier discharge … areas, centralized transfer and bed management centers, and access to a wide spectrum of patient flow data
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psnet.ahrq.gov/issue/defining-and-enhancing-collaboration-between-community-pharmacists-and-primary-care-providers
July 07, 2021 - 2021
Prevalence and nature of medication errors and medication-related harm following discharge … by face-to-face feedback to prescribers on adverse drug events recognition and prevention in older inpatients … of a computer-assisted tool with automated electronic integration of population-based community drug data … designed to improve medication safety for patients with monitored dosage systems following hospital discharge … 30, 2019
Community pharmacy medication review, death and re-admission after hospital discharge
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psnet.ahrq.gov/issue/recognition-and-management-potential-drug-drug-interactions-patients-internal-medicine-wards
October 21, 2015 - recommendations to treating physicians and noted sustained changes in treatment 1 year after hospital discharge … January 24, 2018
Patient education to prevent falls among older hospital inpatients: … 7, 2024
View More
Related Resources
Impact of pharmacist-led discharge … Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead to data
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psnet.ahrq.gov/issue/determinants-adverse-events-vascular-surgery
March 21, 2012 - The PSIs are best used to screen administrative data for potential adverse events, as in this study. … February 10, 2012
Opioid abuse and poisoning: trends in inpatient and emergency department … The TRANSFORM patient safety project: a microsystem approach to improving outcomes on inpatient … of selected AHRQ Patient Safety Indicators based on VA National Surgical Quality Improvement program data
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psnet.ahrq.gov/issue/what-do-parents-think-about-quality-and-safety-care-provided-hospitals-children-and-young
September 06, 2023 - May 25, 2022
Patients' reports of adverse events: a data linkage study of Australian … June 5, 2024
Parents' understanding of medication at discharge and potential harm in … September 6, 2023
Parent experiences with the process of sharing inpatient safety concerns … December 19, 2018
Using an inpatient portal to engage families in pediatric hospital
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psnet.ahrq.gov/web-mm/steroids-and-safety-preventing-medication-adverse-events-during-transitions-care
September 09, 2013 - There is limited data regarding the frequency of such events with corticosteroids, with literature suggesting … obtaining the most accurate medication history possible on admission, often using two sources of medication data … ( 27 ) Although less well supported by robust data, an additional area to consider might also be strategies … Related Resources From the Same Author(s)
A toolkit to disseminate best practices in inpatient … January 14, 2009
Making inpatient medication reconciliation patient centered, clinically
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psnet.ahrq.gov/periodic-issue/periodic-issue-339
April 27, 2022 - This qualitative study explored how physicians in pediatric emergency and inpatient settings mitigate … reduce duration and variability in delays to identification of serious injury after falls in hospital inpatients … Hospitals employ a variety of strategies to prevent inpatient falls. … timely diagnosis of serious injury resulting from inpatient falls. … He was seen in clinic one month after that discharge, without family present, and scheduled for outpatient