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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/web-mm/when-taking-sglt2-inhibitor-remember-sstop-stop-sglt2-inhibitor-three-days-bef-o-re
February 01, 2023 - Lab Value (normal range) Pre-Procedure Day of Procedure Day After Procedure Readmission (day after discharge … He was told only to hold it on the day of the procedure, and to resume all medications after discharge … Tan, MSN, ACNP-BC, CDCES, BC-ADM Inpatient Glycemic Team Nurse Practitioner Patient Care Services UC … Ketoacidosis associated with SGLT2 inhibitor treatment: Analysis of FAERS data. … February 1, 2023
WebM&M Cases
Inpatient Stroke
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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/issue/antidepressant-and-antipsychotic-medication-errors-reported-united-states-poison-control
March 24, 2021 - Using data from the National Poison Data System from 2000 to 2012, researchers found that medication … 2020
Prevalence and nature of medication errors and medication-related harm following discharge … 2017
An observational study of medication administration errors in old-age psychiatric inpatients
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psnet.ahrq.gov/web-mm/risks-malpositioned-gastrostomy-tube-and-poor-communication
August 01, 2012 - management of the dual antiplatelet therapy across transitions from the acute care hospital through inpatient … Another recognized vulnerability is through transitions in environments of care, such as from inpatient … to subacute rehabilitation care , where interfacility data transmission remains highly susceptible … This information can be propagated through progress notes and included on discharge summaries, discharge … Creating a better discharge summary: improvement in quality and timeliness using an electronic discharge
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psnet.ahrq.gov/issue/same-hospital-readmission-rates-measure-pediatric-quality-care
September 18, 2024 - Preventing readmissions after hospital discharge is a national policy priority. … This secondary data analysis found that a significant proportion of readmissions were to a different … November 30, 2016
Medical errors in US pediatric inpatients with chronic conditions.
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psnet.ahrq.gov/issue/medication-errors-critical-care-risk-factors-prevention-and-disclosure
November 30, 2016 - April 8, 2011
Medical large language models are vulnerable to data-poisoning attacks. … More
Related Resources
Medication reconciliation for patients after their discharge … October 16, 2012
Clinical pharmacists and inpatient medical care: a systematic review
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psnet.ahrq.gov/issue/coupling-policymaking-evaluation-case-opioid-crisis
September 29, 2017 - September 29, 2017
Adverse inpatient outcomes during the transition to a new electronic … September 1, 2021
Early death after discharge from emergency departments: analysis of … national US insurance claims data.
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psnet.ahrq.gov/issue/implementation-medication-reconciliation-process-ambulatory-internal-medicine-clinic
October 28, 2009 - diagnosis-timing indicators on measures of safety, comorbidity, and case mix groupings from administrative data … July 3, 2013
Multidisciplinary approach to inpatient medication reconciliation in an … a tool within the electronic medical record to facilitate medication reconciliation after hospital discharge
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psnet.ahrq.gov/issue/cascades-care-after-incidental-findings-us-national-survey-physicians
April 24, 2018 - Association of pediatric resident physician depression and burnout with harmful medical errors on inpatient … December 24, 2008
Medical large language models are vulnerable to data-poisoning attacks … Investigation into Electronic Prescribing and Medicines Administration Systems and Safe Discharge
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psnet.ahrq.gov/issue/contribution-nurses-incident-disclosure-narrative-review
March 15, 2016 - June 21, 2016
Patients' reports of adverse events: a data linkage study of Australian … November 17, 2014
View More
Related Resources
Hospital discharge … August 12, 2014
Feeling safe during an inpatient hospitalization: a concept analysis.
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psnet.ahrq.gov/issue/necessity-pathway-high-alert-patients
July 14, 2010 - August 31, 2016
Potential benefit of electronic pharmacy claims data to prevent medication … history errors and resultant inpatient order errors. … Economic value of pharmacist-led medication reconciliation for reducing medication errors after hospital discharge
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psnet.ahrq.gov/issue/improving-pediatric-electronic-health-record-usability-and-safety-through-certification-seize
November 28, 2018 - November 28, 2018
Evaluating the effect of data standardization and validation on patient … January 19, 2022
Using an inpatient portal to engage families in pediatric hospital care … , 2018
Improving communication with primary care physicians at the time of hospital discharge
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psnet.ahrq.gov/issue/communicating-gray-zone-perceptions-about-emergency-physician-hospitalist-handoffs-and
March 17, 2010 - November 16, 2022
Engaging patients in the use of real-time electronic clinical data … December 5, 2018
Promoting effective transitions of care at hospital discharge: a review … September 4, 2016
Interunit handoffs from emergency department to inpatient care: a cross-sectional
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psnet.ahrq.gov/issue/characteristics-quality-and-patient-safety-curricula-major-teaching-hospitals
February 16, 2011 - Effect of a pharmacist intervention on clinically important medication errors after hospital discharge … April 5, 2013
Incidence and trends of sepsis in US hospitals using clinical vs claims data … July 14, 2010
Impact of duty-hour restriction on resident inpatient teaching.
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psnet.ahrq.gov/issue/measuring-communication-surgical-icu-better-communication-equals-better-care
April 03, 2005 - Related Resources
Patient harm and institutional avoidability of out-of-hours discharge … July 19, 2019
Data omission by physician trainees on ICU rounds. … , 2019
A policy-based intervention for the reduction of communication breakdowns in inpatient
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psnet.ahrq.gov/issue/comparing-two-safety-culture-surveys-safety-attitudes-questionnaire-and-hospital-survey
September 01, 2018 - Engaging patients in medication reconciliation via a patient portal following hospital discharge … December 18, 2013
PCA safety data review after clinical decision support and smart pump … March 11, 2013
An inpatient fall prevention initiative in a tertiary care hospital.
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psnet.ahrq.gov/issue/beyond-medication-reconciliation-correct-medication-list
February 15, 2017 - The alarming reality of medication error: a patient case and review of Pennsylvania and national data … May 11, 2014
A toolkit to disseminate best practices in inpatient medication reconciliation … September 9, 2013
Quality improvement through implementation of discharge order reconciliation
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psnet.ahrq.gov/issue/reliability-ahrq-common-format-harm-scales-rating-patient-safety-events
January 23, 2017 - June 16, 2011
Teamwork on inpatient medical units: assessing attitudes and barriers. … September 20, 2011
A reengineered hospital discharge program to decrease rehospitalization … January 28, 2015
ICD-10 codes used to identify adverse drug events in administrative data