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psnet.ahrq.gov/issue/dangers-diagnostic-overshadowing
October 26, 2022 - January 2, 2017
Use of administrative data to find substandard care: validation of the … January 3, 2017
Identification of in-hospital complications from claims data. … April 24, 2019
Monitoring the diagnostic process on an inpatient neurology service.
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psnet.ahrq.gov/issue/patient-risk-factors-medical-injury-case-control-study
April 12, 2011 - increased risk for medical injuries in patients with higher severity of illness, higher risk of inpatient … Project (NAP5) on accidental awareness during general anaesthesia: protocol, methods, and analysis of data … August 25, 2011
Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental
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psnet.ahrq.gov/web-mm/recurrent-hypoglycemia-care-transition-failure
December 23, 2020 - Even in 2008, most practices in the United States continue to use paper-based discharge communication … Data clearly show that they want this access, whether they are insured or uninsured ( 13 ), and this … best—including the patient, their family, and their community—is much greater than what can be achieved by an inpatient … the care process and should be implemented as a part of any health information technology project, inpatient … December 1, 2021
Interunit handoffs from emergency department to inpatient care: a cross-sectional
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psnet.ahrq.gov/issue/rates-surgical-consultations-after-emergency-department-admission-black-and-white-medicare
February 10, 2021 - This large, retrospective cohort study using Medicare data identified disparities between Black and … 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 … misdiagnosis in adult emergency department patients: a look-forward analysis with administrative claims data
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psnet.ahrq.gov/issue/adapting-rapid-assessment-procedures-implementation-research-using-team-based-approach
November 09, 2022 - a multidisciplinary evaluation team, building trust with the sites, engaging sites in participatory data … collection, rapid team analysis of data sources, and validating findings with the sites. … April 26, 2023
Engaging patients in the use of real-time electronic clinical data … An analysis of the structure and content of dashboards used to monitor patient safety in the inpatient … May 5, 2021
Clinical predictors for unsafe direct discharge home patients from intensive
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psnet.ahrq.gov/issue/surgical-patient-safety-outcomes-critical-access-hospitals-how-do-they-compare
June 05, 2019 - Using data from the Healthcare Cost and Utilization Project and American Hospital Association, this … Related Resources
Common general surgical never events: analysis of NHS England never event data … the nation's largest military hospital: an analysis of National Surgical Quality Improvement Program data … Association of hospital participation in a surgical outcomes monitoring program with inpatient … April 27, 2015
Surgeon-specific mortality data disguise wider failings in delivery of
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psnet.ahrq.gov/issue/enhancing-patient-safety-improving-patient-handoff-process-through-appreciative-inquiry
April 10, 2024 - March 11, 2020
Functional health literacy and understanding of medications at discharge … impact of evidence-based design strategies on patient safety, healing, and satisfaction in an adult inpatient … July 14, 2018
Diagnostic performance dashboards: tracking diagnostic errors using big data
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psnet.ahrq.gov/issue/stoppstart-criteria-potentially-inappropriate-prescribing-older-people-version-2
March 23, 2012 - August 18, 2021
Perceived causes of prescribing errors by junior doctors in hospital inpatients … Project (NAP5) on accidental awareness during general anaesthesia: protocol, methods, and analysis of data … October 9, 2013
Perceived causes of prescribing errors by junior doctors in hospital inpatients … June 22, 2009
Risk of medication errors at hospital discharge and barriers to problem
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psnet.ahrq.gov/issue/improving-feedback-junior-doctors-prescribing-errors-mixed-methods-evaluation-quality
July 11, 2018 - Download Citation
Related Resources From the Same Author(s)
Impact of an inpatient … July 28, 2014
The secondary use of data to support medication safety in the hospital … Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge … The incidence and nature of prescribing and medication administration errors in paediatric inpatients
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psnet.ahrq.gov/issue/hospital-reputation-and-perceptions-patient-safety
October 11, 2017 - January 4, 2015
Hospital readmission and parent perceptions of their child's hospital discharge … 2013
The Patient-Reported Incident in Hospital Instrument (PRIH-I): assessments of data … medical error in hospitals using incident-reporting systems, patient complaints and chart review of inpatient … March 23, 2011
Do medical inpatients who report poor service quality experience more
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psnet.ahrq.gov/issue/actions-needed-improve-newly-enrolled-veterans-access-primary-care
September 07, 2016 - The report outlines weaknesses in the data collected to measure and evaluate veterans' access to primary … October 12, 2022
Deficiencies in Inpatient Mental Health Care Coordination and Processes … August 15, 2012
Managing Patients' Medicines after Discharge from Hospital.
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psnet.ahrq.gov/issue/artificial-intelligence-systems-complex-decision-making-acute-care-medicine-review
March 16, 2011 - Artificial intelligence (AI) technologies can improve the use of data in care delivery. … designed to improve medication safety for patients with monitored dosage systems following hospital discharge … June 28, 2017
A conceptual framework to reduce inpatient preventable deaths.
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psnet.ahrq.gov/issue/pediatric-antidepressant-medication-errors-national-error-reporting-database
September 21, 2008 - This analysis of MEDMARX data found that harmful errors involving antidepressants most commonly occurred … April 16, 2018
Toward understanding errors in inpatient psychiatry: a qualitative inquiry … December 2, 2014
Adverse drug events after hospital discharge in older adults: types,
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psnet.ahrq.gov/issue/experiential-learning-through-local-implementation-national-chief-resident-quality-and
November 16, 2022 - Influence of organizational climate and clinician morale on seclusion and physical restraint use in inpatient … April 1, 2020
Impact of automated alerts on discharge opioid overprescribing after general … February 3, 2021
Comparison of traditional trigger tool to data warehouse based screening … Data consistency influences the relationship between diagnostic accuracy and certainty.
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psnet.ahrq.gov/issue/nurse-judgements-hospitalized-patients-safety-concerns-are-affected-patient-nurse-and-event
May 13, 2020 - mixed methods study examining teamwork shared mental models of interprofessional teams during hospital discharge … July 28, 2021
Integrating incident data from five reporting systems to assess patient … medical error in hospitals using incident-reporting systems, patient complaints and chart review of inpatient … April 14, 2011
Patient expectations of fair complaint handling in hospitals: empirical data
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psnet.ahrq.gov/node/74022/psn-pdf
March 01, 2021 - transition process are caught and corrected before the medication is dispensed.8 For example, in
the discharge … process, the inpatient providers may have an incomplete history of the patient’s existing
prescriptions … In addition, medications that may have been appropriate
during the inpatient stay, but inappropriate … prescribers can
support community pharmacists in the prevention of errors.10,11 Interoperability between data … Impact of community pharmacist-
performed post-discharge medication reviews in transitions of care.
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psnet.ahrq.gov/issue/reduce-readmissions-pharmacy-programs-focus-transitions-hospital-community
September 26, 2016 - Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead to data … Economic value of pharmacist-led medication reconciliation for reducing medication errors after hospital discharge … January 22, 2014
Acceptance of recommendations by inpatient pharmacy case managers: unintended
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psnet.ahrq.gov/issue/minnesota-hospital-association-statewide-project-safe-falls
May 05, 2014 - A cross-sectional observational study of high override rates of drug allergy alerts in inpatient … September 24, 2017
Engaging patients in the use of real-time electronic clinical data … May 4, 2022
SAFER Care: improving caregiver comprehension of discharge instructions.
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psnet.ahrq.gov/issue/designing-safer-radiology-department
March 04, 2015 - April 21, 2011
Medical large language models are vulnerable to data-poisoning attacks … October 19, 2022
Effect of patient- and medication-related factors on inpatient medication … September 23, 2020
Medication safety at the interface: evaluating risks associated with discharge
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psnet.ahrq.gov/issue/reducing-prognostic-errors-new-imperative-quality-healthcare
June 21, 2016 - 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