-
psnet.ahrq.gov/web-mm/hemolysis-holdup
July 03, 2016 - Clinicians must rely on their assessment of the patient's condition and other data to care for the patient … Related Resources From the Same Author(s)
A trigger tool to detect harm in pediatric inpatient
-
psnet.ahrq.gov/perspective/conversation-georgia-galanou-luchen-pharm-d
October 24, 2021 - Residents usually train in a hospital or health-system environment, providing inpatient and outpatient … The team also participates in quality reviews, looking at where errors happened, and collecting data … 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 … Impact of community pharmacist-performed post-discharge medication reviews in transitions of care.
-
psnet.ahrq.gov/perspective/conversation-david-meltzer-md-phd
November 01, 2018 - When I came to Chicago as a new faculty member, I started collecting data on the inpatient services, … Are there empirical data to help answer those questions? … DM : We don't have a lot of data right now and we need a lot more. … Hospitals and physician groups faced new pressures to manage inpatients efficiently. … View
November 1, 2018
Promoting effective transitions of care at hospital discharge
-
psnet.ahrq.gov/perspective/comprehensivist-model-care-hospitalists-view
November 01, 2018 - Hospitals and physician groups faced new pressures to manage inpatients efficiently. … When I came to Chicago as a new faculty member, I started collecting data on the inpatient services, … Are there empirical data to help answer those questions? … DM : We don't have a lot of data right now and we need a lot more. … PhD
November 1, 2018
Promoting effective transitions of care at hospital discharge
-
psnet.ahrq.gov/web-mm/its-all-syringe
February 01, 2013 - Consider first the medication use process in the inpatient setting. … of treatment-related hypoglycemia is particularly high among frail elderly patients after hospital discharge … Advance Data from Vital and Health Statistics, No. 374. … Available at: http://www.cdc.gov/nchs/data/ad/ad374.pdf . Accessed July 5, 2006. 2. Table 2. … , 2011
Confidential clinician-reported surveillance of adverse events among medical inpatients
-
psnet.ahrq.gov/web-mm/inadequate-preanesthetic-evaluation-airway-trouble
November 01, 2023 - The morning gynecology surgery list was overbooked with five cases, a mixture of ambulatory cases and inpatient … Patient information and risk assessment may also be gathered via screening assessments, patient-entered data
-
psnet.ahrq.gov/node/49564/psn-pdf
July 01, 2008 - 68% increase in illicit use of oxycodone products.(6) Furthermore, according to the
DAWN Mortality Data … In both outpatient and
inpatient settings, both methadone and buprenorphine can be used to treat opioid … Emergency Department Data from the
Drug Abuse Warning Network: Final Estimates 1995-2002. … Year-end 2000 Emergency Department
Data from the Drug Abuse Warning Network. … Heroin detoxification with buprenorphine on
an inpatient psychiatric unit.
-
psnet.ahrq.gov/primer/maternal-safety
January 10, 2024 - nationwide maternal safety movement with their early application of high reliability theory to the inpatient … Conditions (AIM) Cardiac Conditions in Obstetrical Care (AIM) Obstetric Hemorrhage (AIM) Postpartum Discharge … to identify and review complementary data to MMRC data from other population-based sources that may … Strengthen maternal mortality data. … NCHS Data Brief . 2023;(477):1-8. [ Free full text ] Births – Method of Delivery.
-
psnet.ahrq.gov/node/49563/psn-pdf
May 01, 2008 - overcrowding, and hospitals operating at full capacity often
result in increased waiting time for inpatient … Finally,
factors such as inadequate systems for triaging and observing patients awaiting an inpatient … , RN assessment, IV placement, phlebotomy) even before a bed becomes available, and (iii) help the
inpatient … systematic review revealed the frequent failure of
information transfer that occurs during hospital discharge … For the hospitalist, lack
of access to outpatient clinic notes, labs, and other significant data impedes
-
psnet.ahrq.gov/node/33705/psn-pdf
January 01, 2011 - research team reported the incidence of medical errors in the state of New York,
based on the hospital discharge … analysis of 30,121 cases.(1) While this comprehensive study provided key
data about the problem of … Using medical malpractice claims data to reduce surgical risk and improve
patient safety. … A policy-based intervention for the reduction of
communication breakdowns in inpatient surgical care … The following will be discussed with and approved by the attending before they occur:
Discharge from
-
psnet.ahrq.gov/web-mm/impact-communication-medication-errors
August 01, 2009 - Data suggests that nurses and pharmacists identify 30% to 70% of medication-ordering errors. … supplements are often overlooked by providers and patients. 7 Medication errors may occur in both inpatient … Inpatient anticoagulation errors often result in an increased length of stay and greater healthcare costs … , ensuring access to care after discharge, and post-discharge follow-up. … NCHS Data Brief, no. 347 (August): 1–8.
-
psnet.ahrq.gov/node/60362/psn-pdf
April 13, 2018 - Case management/follow-up care: Hospital discharge data are used to generate lists of patients to
receive … RNs call postpartum patients within 24 hours of discharge and antepartum patients who
have been referred … conjunction with the UAMS
Women and Infants Service Line for nurses who have specialty experience with inpatient … Costs: Data on program costs are unavailable. … [PubMed] Data
updated January 2010 by ANGELS program developers.
2 Harvard University Government Innovators
-
psnet.ahrq.gov/web-mm/chest-tube-complications
September 27, 2023 - The UpToDate article on this subject acknowledges the lack of data and recommends a clamp trial if … Effect of a pharmacist intervention on clinically important medication errors after hospital discharge … May 19, 2021
Prevalence and predictability of low-yield inpatient laboratory diagnostic
-
psnet.ahrq.gov/node/846564/psn-pdf
March 29, 2023 - Services (CMS) started requiring hospitals to use the SAFER guides as part of the
FY 2022 Hospital Inpatient … that it was cost-effective and detailed implementation lessons learned drawn from the
qualitative data … For example, if users
are required to enter data in multiple places or prompted to enter data that are … AI and machine learning use algorithms to absorb large amounts of
historical and real-time data and … then predict outcomes and recommend treatment options as new data are
entered by clinicians.
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.332_slideshow.ppt
September 01, 2014 - Co-morbidity and utilization of medical services by pain patients receiving opioid medications: data … Clinical application of opioid equianalgesic data. … overdose (the most serious adverse events) may occur in 0.2%–4% of those exposed to opioids in the inpatient … Cost and quality implications of opioid-based postsurgical pain control using administrative claims data … Cost and quality implications of opioid-based postsurgical pain control using administrative claims data
-
psnet.ahrq.gov/innovation/transition-coachesr-reduce-readmissions-medicare-patients-complex-postdischarge-needs
March 27, 2024 - adoption both nationally and internationally, additional results that include utilization and cost data … estimates of cost savings. 1 It also includes a quasi-experimental study comparing utilization and cost data … Patients receive care from hospital-based physicians (i.e., hospitalists) during their inpatient stays … initial hospitalization (statistically significant finding). 1
Cost savings: Initial hospital cost data … A quasi-experimental cohort study reviewing data from Medicare fee-for-service beneficiaries hospitalized
-
psnet.ahrq.gov/perspective/weekend-effect-cardiology-it-real-if-so-can-it-be-fixed
June 01, 2017 - One study, using data from Nationwide Inpatient Sample (a 20% representative sample of all nonfederal … PA : Well, it's blurring this distinction between clinical data and administrative data. … We're beginning to use some of that data linked to hospital data to learn more about the patient journey … November 16, 2022
Patient Safety Primers
Inpatient … December 2, 2020
Patient Safety Primers
Discharge Planning
-
psnet.ahrq.gov/web-mm/dressed-failure
September 01, 2011 - On the one hand, transmission of poor quality data perpetuates poor quality data into the new EHR. … , laboratory data, imaging files, clinical documentation, discharge summaries, and transcriptions of … Unlike narrative or free text data, structured data is captured in discrete fields, is readable by the … Unit-based clinical pharmacists' prevention of serious medication errors in pediatric inpatients … October 1, 2008
WebM&M Cases
Discharge Fumbles
-
psnet.ahrq.gov/node/49508/psn-pdf
January 01, 2007 - At the time of discharge from the hospital, the
nurse counseled the parents on proper dosing through … of medical errors, so we do not know how common such errors
are, nor what kinds of errors occur in inpatient … A recent study revealed that
Spanish-speaking pediatric inpatients requesting an interpreter had more … and procedures revealed no statutes that expressly
prohibit collection of patients' primary language data … Racial, Ethnic and Primary Language Data Collection: An Assessment of
Federal Policies, Practices and
-
psnet.ahrq.gov/web-mm/dangerous-dapsone
January 10, 2011 - Of note, on admission, the inpatient pharmacy had called the admitting team about the inappropriately … Third, despite an intervention attempt by the inpatient pharmacist, the house staff incorrectly ordered … Pharmacists should not dispense any drug based on a prescription without data that support its use in … When possible, pharmacists should be provided patient data related to the medications they are asked … Same Author(s)
Transition of care for hospitalized elderly patients—development of a discharge