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psnet.ahrq.gov/issue/association-opioid-related-adverse-drug-events-clinical-and-cost-outcomes-among-surgical
March 12, 2014 - 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 … Correlation between 24-hour predischarge opioid use and amount of opioids prescribed at hospital discharge
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psnet.ahrq.gov/issue/delivering-high-quality-cancer-care-charting-new-course-system-crisis
August 15, 2012 - Cancer patients are particularly vulnerable to preventable errors in both inpatient and outpatient … leveraging information technology to augment care coordination and real-time analysis of treatment data … October 8, 2014
Facilitating Patient Understanding of Discharge Instructions: Workshop
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psnet.ahrq.gov/issue/what-else-could-it-be-scoping-review-questions-patients-ask-throughout-diagnostic-process
November 03, 2021 - November 3, 2021
Validity of AHRQ patient safety indicators derived from ICD-10 hospital discharge … abstract data (chart review study). … December 12, 2014
Separating residents' inpatient and outpatient responsibilities: improving
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psnet.ahrq.gov/issue/serious-adverse-events-pediatric-procedural-sedation-and-after-implementation-pre-sedation
February 12, 2020 - February 3, 2021
Inpatient telemedicine and new models of care during COVID-19: hospital … healthcare teams to inform the development of interventions: combining observational, survey and interview data … March 1, 2023
Improving discharge safety in a pediatric emergency department.
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psnet.ahrq.gov/issue/use-patient-pictures-and-verification-screens-reduce-computerized-provider-order-entry-errors
November 16, 2022 - 2022
Feasibility of patient-reported diagnostic errors following emergency department discharge … February 18, 2011
A trigger tool to detect harm in pediatric inpatient settings. … View More
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Assessment of the use of patient vital sign data
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psnet.ahrq.gov/issue/clinical-decision-support-early-recognition-sepsis
July 29, 2020 - Related Resources From the Same Author(s)
The tradeoffs between safety and alert fatigue: data … Renal medication-related clinical decision support (CDS) alerts and overrides in the inpatient … May 26, 2011
Impact of clinical decision support therapeutic interchanges on hospital discharge
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psnet.ahrq.gov/issue/applying-medications-transitions-and-clinical-handoffs-toolkit-rural-primary-care-clinic
August 04, 2021 - April 17, 2024
Patient Safety Primers
Inpatient Transitions … , 2023
Assessment of requests for medication-related follow-up after hospital discharge … September 27, 2016
Hospitals put emphasis on collection of medication data.
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psnet.ahrq.gov/issue/racial-disparities-preventable-adverse-events-attributed-poor-care-coordination-reported
January 18, 2023 - study evaluated racial disparities in self-reported adverse events based on cross-sectional survey data … impact of coronavirus disease 2019 (COVID-19) on healthcare-associated infections in 2020: a summary of data … by face-to-face feedback to prescribers on adverse drug events recognition and prevention in older inpatients … August 10, 2022
Implementation of a discharge education program to improve transitions
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psnet.ahrq.gov/issue/report-information-technology-and-health-deficiencies-us-nursing-homes
October 28, 2020 - This study used publicly available nursing home data and a survey on IT sophistication to identify … of a computer-assisted tool with automated electronic integration of population-based community drug data … April 29, 2018
A randomised controlled trial assessing the efficacy of an electronic discharge … December 6, 2017
Efficiency and interpretability of text paging communication for medical inpatients
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psnet.ahrq.gov/issue/monitoring-patient-safety-primary-care-exploratory-study-using-depth-semistructured
December 14, 2016 - barriers to patient safety in primary care and offered specific recommendations for improving the use of data … December 14, 2016
Investigating adverse event free admissions in Medicare inpatients … January 7, 2015
A review of patient safety measures based on routinely collected hospital data … March 12, 2014
Managing Patients' Medicines after Discharge from Hospital.
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psnet.ahrq.gov/node/847934/psn-pdf
April 26, 2023 - the underlying disease) and that prolonged the
hospitalization, produced a disability at the time of discharge … adopted PSI 90 (Patient Safety and Adverse Events
Composite) and PSI 04 (Death Rate Among Surgical Inpatients … programs that include:
Hospital-Acquired Condition (HAC) Reduction Program (PSI 90 only)
Hospital Inpatient … /monahrq/sites/index.html
https://www.ahrq.gov/data/monahrq/sites/index.html
https://hcai.ca.gov/data-and-reports … /hac
https://qualitynet.cms.gov/inpatient/iqr
https://psnet.ahrq.gov/issue/hospital-safety-grade
https
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psnet.ahrq.gov/issue/survey-hospital-quality-improvement-activities
January 27, 2019 - United States and provided an important stimulus for ongoing quality improvement (QI) efforts in the inpatient … Resources From the Same Author(s)
Evaluating the implementation of Project Re-Engineered Discharge … 16, 2022
Partnering with VA stakeholders to develop a comprehensive patient safety data
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psnet.ahrq.gov/issue/cross-sectional-study-relationship-between-utilization-root-cause-analysis-and-patient-safety
January 11, 2017 - However, there is little objective data supporting its effectiveness. … September 19, 2016
A checklist to identify inpatient suicide hazards in Veterans Affairs … October 11, 2023
Is it time for the mental health field to consider unplanned discharge
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psnet.ahrq.gov/issue/variation-printed-handoff-documents-results-and-recommendations-multicenter-needs-assessment
June 25, 2014 - Based on these findings, the authors make recommendations for the core data elements for written signouts … July 18, 2016
Inpatient housestaff discontinuity of care and patient adverse events. … reliability of verbal communication between primary care physicians and pediatric hospitalists at hospital discharge
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psnet.ahrq.gov/issue/patient-safety-plastic-surgery-identifying-areas-quality-improvement-efforts
November 01, 2017 - Related Resources From the Same Author(s)
Opioid abuse and poisoning: trends in inpatient … The TRANSFORM patient safety project: a microsystem approach to improving outcomes on inpatient … and 6 years of Alabama data reveal. … February 10, 2012
Office surgery incidents: what seven years of Florida data show us. … July 10, 2008
Promoting a culture of patient safety: a review of the Florida moratoria data
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psnet.ahrq.gov/issue/rates-and-types-events-reported-established-incident-reporting-systems-two-us-hospitals
January 02, 2017 - for US hospitals to maintain incident reporting systems, little is known about the utility of the data … This study linked incident report and discharge databases at two hospitals to examine how frequently … A prior commentary proposed a theoretical framework for using incident reporting data to improve safety … April 22, 2012
Evaluation of an anonymous system to report medical errors in pediatric inpatients
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psnet.ahrq.gov/issue/patient-reported-service-quality-medicine-unit
February 24, 2011 - The investigators interviewed patients during hospitalization and after discharge to identify service … February 24, 2011
Do medical inpatients who report poor service quality experience more … September 23, 2020
Use of administrative data to find substandard care: validation of
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psnet.ahrq.gov/issue/association-between-hospital-performance-patient-safety-and-30-day-mortality-and-unplanned
June 22, 2022 - Utilizing data from the AHRQ Medicare Patient Safety Monitoring System and the Centers for Medicare and … Association of changing hospital readmission rates with mortality rates after hospital discharge … September 1, 2018
Impact of inpatient harms on hospital finances and patient clinical
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psnet.ahrq.gov/web-mm/misleading-complaint
December 01, 2009 - The ED physician diagnosed the patient with a musculoskeletal injury and prepared to discharge him. … After receiving his discharge instructions, the patient tried to get up and walk but was noted to be … from referring hospitals or clinics with initial impressions, opinions from the patient, and triage data … January 11, 2023
Monitoring the diagnostic process on an inpatient neurology service. … December 22, 2018
Inpatient notes: diagnostic excellence starts with an incessant watch
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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