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psnet.ahrq.gov/issue/opioid-prescribing-patterns-emergency-physicians-and-risk-long-term-use
August 15, 2018 - December 22, 2018
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. … March 13, 2018
Opioid abuse and poisoning: trends in inpatient and emergency department … national US insurance claims data.
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psnet.ahrq.gov/node/46464/psn-pdf
November 01, 2017 - Opioid abuse and poisoning: trends in inpatient and
emergency department discharges. … Opioid Abuse And Poisoning: Trends In Inpatient And Emergency
Department Discharges. … https://psnet.ahrq.gov/issue/opioid-abuse-and-poisoning-trends-inpatient-and-emergency-department-
discharges … Using data from the Healthcare Cost and Utilization Project, this retrospective secondary data analysis … https://psnet.ahrq.gov/issue/opioid-abuse-and-poisoning-trends-inpatient-and-emergency-department-discharges
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psnet.ahrq.gov/issue/why-universal-precautions-are-needed-medication-lists
August 31, 2016 - ensure accuracy of electronic medication lists and reduce unnecessary or duplicate prescriptions in discharge … August 31, 2016
Potential benefit of electronic pharmacy claims data to prevent medication … history errors and resultant inpatient order errors. … June 19, 2019
Prospective daily review of discharge medications by pharmacists: effects … February 17, 2011
Making inpatient medication reconciliation patient centered, clinically
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psnet.ahrq.gov/issue/medication-related-hospital-readmissions-within-30-days-discharge-prevalence-preventability
April 27, 2022 - Study
Medication-related hospital readmissions within 30 days of discharge: prevalence … Medication-related hospital readmissions within 30 days of discharge: prevalence, preventability, type … Medication-related hospital readmissions within 30 days of discharge: prevalence, preventability, type … July 20, 2022
Effect of patient- and medication-related factors on inpatient medication … elderly fallers: identifying associated risk factors for 30-day unplanned readmissions using a clinical data
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psnet.ahrq.gov/issue/learning-lawsuits-using-malpractice-claims-data-develop-care-transitions-planning-tools
January 21, 2019 - Study
Learning from lawsuits: using malpractice claims data to develop care transitions … Learning From Lawsuits: Using Malpractice Claims Data to Develop Care Transitions Planning Tools. … home visits for middle-aged and older adults receiving skilled home healthcare services after hospital discharge … December 30, 2014
Paid malpractice claims for adverse events in inpatient and outpatient … August 23, 2007
Risk of medication errors at hospital discharge and barriers to problem
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psnet.ahrq.gov/web-mm/treatment-challenges-after-discharge
January 03, 2017 - At discharge, however, there is an ambiguity over who owns the care of the patient between discharge … At our institution, we found that almost 82% of our TPADs were microbiology data (e.g., blood or sputum … Increasing access to health care professionals during the discharge period by providing a discharge " … Patients are particularly vulnerable to adverse events at discharge because the discharge care transition … August 23, 2023
Racial and ethnic disparities in common inpatient safety outcomes in
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psnet.ahrq.gov/issue/safety-elderly-fallers-identifying-associated-risk-factors-30-day-unplanned-readmissions
May 04, 2022 - elderly fallers: identifying associated risk factors for 30-day unplanned readmissions using a clinical data … elderly fallers: identifying associated risk factors for 30-day unplanned readmissions using a clinical data … Discharge programs targeting these patients could reduce 30-day unplanned readmissions. … January 12, 2022
Developing and aligning a safety event taxonomy for inpatient psychiatry … November 30, 2022
Assessment of requests for medication-related follow-up after hospital discharge
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psnet.ahrq.gov/node/867985/psn-pdf
January 01, 2025 - In the inpatient environment, the discharge and referral process is essential to maintaining patient … safety,
as suicide rates spike in the days after discharge.17 Effective discharge planning involves … Scheduling rapid follow-up visit
appointments before discharge helps bridge the gap between inpatient … at]
https://psnet.ahrq.gov//#20
https://www.cdc.gov/suicide/facts/index.html
https://www.samhsa.gov/data … Suicide Attempts and Suicide Deaths Subsequent to Discharge From an Emergency
Department or an Inpatient
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psnet.ahrq.gov/issue/medication-reconciliation-during-hospitalization-and-hospital-home-interface-observational
June 16, 2021 - This retrospective study examined regional prescription registry (RPR) data at a single Italian hospital … at 4 comparison points, pre-admission, admission, hospitalization, and post-discharge. … June 16, 2021
Medication errors at hospital admission and discharge: risk factors and … Influence of organizational climate and clinician morale on seclusion and physical restraint use in inpatient … and post-discharge.
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psnet.ahrq.gov/issue/academic-half-day-improves-resident-perception-education-without-compromising-patient-safety
April 10, 2024 - Survey data indicate positive changes in resident attitudes and experiences after AHD implementation. … April 24, 2018
SAFER Care: improving caregiver comprehension of discharge instructions … June 20, 2018
The association between transfer of emergency department boarders to inpatient … July 22, 2020
Separating residents' inpatient and outpatient responsibilities: improving … October 21, 2015
The effect of workload reduction on the quality of residents' discharge
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psnet.ahrq.gov/web-mm/challenges-diabetes-management-and-medication-reconciliation
March 15, 2023 - across transitions of care (TOC) is an important source of potential harm to patients. 1 Up to 67% of inpatients … In a prospective observational study of 180 general medical inpatients from two academic medical centers … Interestingly, the MARQUIS data demonstrates that training staff to perform BPMHs was shown to be detrimental … 2.85 to 0.98 discrepancies per patient; interrupted time series analysis of the sites with sufficient data … Classifying and predicting errors of inpatient medication reconciliation.
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psnet.ahrq.gov/node/40726/psn-pdf
July 03, 2014 - cannot detect errors until well after the event has occurred, as
they rely on screening administrative data … or review of the entire chart after discharge. … automated-identification-postoperative-complications-within-electronic-medical-record-using
https://psnet.ahrq.gov/issue/integrating-incident-data-five-reporting-systems-assess-patient-safety-making-sense-elephant … psnet.ahrq.gov/primer/diagnostic-errors
https://psnet.ahrq.gov/issue/variation-hospital-mortality-associated-inpatient-surgery … https://psnet.ahrq.gov/issue/variation-hospital-mortality-associated-inpatient-surgery
https://psnet.ahrq.gov
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psnet.ahrq.gov/issue/addressing-postdischarge-adverse-events-neglected-area
November 13, 2024 - Author(s)
Adverse events in patients transitioning from the emergency department to the inpatient … November 13, 2024
Post-discharge adverse events among African American and Caucasian … Evaluating the Patient Safety Indicators: how well do they perform on Veterans Health Administration data … of selected AHRQ Patient Safety Indicators based on VA National Surgical Quality Improvement program data … June 16, 2021
Information transfer at hospital discharge: a systematic review.
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psnet.ahrq.gov/innovation/cleveland-clinic-pairs-advanced-practice-registered-nurses-and-paramedics-provide-home
October 30, 2024 - coordination between providers, standardized reporting procedures, measures of progress, and methods for data … readmission cost for any diagnosis in 2016 was $14,400. 5 Readmissions also exacerbate a widespread strain on inpatient … and to help keep inpatient beds available. 3
Results
In their study on the HRTIC program, the CCHS … Additional issues emerging from the data included gaps in patient knowledge after discharge, patient … Data collection—including data on outcomes beyond several months—will also help with efforts at improvement
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.464_slideshow.ppt
January 01, 2019 - common events reported included
Medication errors (17.2/100 discharges)
Adverse drug events (4.1/100 discharge … Safety of psychiatric inpatients at the Veterans Health Administration. … Safety of psychiatric inpatients at the Veterans Health Administration. … Safety of psychiatric inpatients at the Veterans Health Administration. … designed electronic health record could also help physicians update the diagnosis as more clinical data
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psnet.ahrq.gov/issue/preventing-medication-errors-transitions-care-patient-case-approach
October 17, 2012 - ensure that the correct medication information follows patients throughout their hospital stay and discharge … More
Related Resources
Patient Safety Primers
Inpatient … and post-discharge. … June 10, 2018
Promoting effective transitions of care at hospital discharge: a review … June 13, 2011
Hospitals put emphasis on collection of medication data.
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psnet.ahrq.gov/issue/association-hospitalist-years-experience-mortality-hospitalized-medicare-population
May 11, 2022 - This analysis of Medicare data found that patients cared for by hospitalist physicians in their first … March 17, 2021
Inpatient housestaff discontinuity of care and patient adverse events. … Association of changing hospital readmission rates with mortality rates after hospital discharge … May 3, 2017
Inpatient notes: reducing diagnostic error—a new horizon of opportunities … , 2010
Patient safety concerns arising from test results that return after hospital discharge
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psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care
February 26, 2025 - between intervention and control group outcomes to evaluate impact on patients' understanding of the inpatient … Establishing a quantitative and qualitative data collection and reporting plan : Work with administrative … and information technology (IT) support to collect and review hospital’s care transitions data. … with This Innovation
Obtain senior administrator support: To win administrator support, share data … Medical errors related to discontinuity of care from an inpatient to an outpatient setting.
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psnet.ahrq.gov/issue/development-leapfrog-groups-bar-code-medication-administration-standard-address-hospital
November 10, 2015 - Development of the Leapfrog Group's bar code medication administration standard to address hospital inpatient … Development of the Leapfrog Group's bar code medication administration standard to address hospital inpatient … February 1, 2023
Medication errors at hospital admission and discharge: risk factors … March 30, 2022
Engaging patients in the use of real-time electronic clinical data to … More
Related Resources
Leapfrog safety grades in California hospitals: a data
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psnet.ahrq.gov/issue/hospital-readmission-and-parent-perceptions-their-childs-hospital-discharge
July 03, 2016 - Study
Hospital readmission and parent perceptions of their child's hospital discharge … Hospital readmission and parent perceptions of their child's hospital discharge. … Hospital readmission and parent perceptions of their child's hospital discharge. … October 17, 2018
Integrating incident data from five reporting systems to assess patient … June 16, 2010
Do medical inpatients who report poor service quality experience more adverse