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psnet.ahrq.gov/node/43893/psn-pdf
March 04, 2015 - Impact of incorporating pharmacy claims data into
electronic medication reconciliation. … Impact of incorporating pharmacy claims data into electronic
medication reconciliation. … quite labor intensive to collect), the medications in the electronic
health record, and medication data … This
finding suggests that it may be possible to use available data, such as that found in electronic … https://psnet.ahrq.gov/primer/medication-reconciliation
https://psnet.ahrq.gov/issue/pharmacist-managed-inpatient-discharge-medication-reconciliation-combined-onsite-and
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psnet.ahrq.gov/issue/validation-discharge-summary-term-search-method-detect-adverse-events
December 06, 2017 - Validation of a Discharge Summary Term Search Method to Detect Adverse Events. … ICD-10 codes for patient safety indicators for large-scale surveillance using administrative hospital data … October 28, 2009
Early cost and safety benefits of an inpatient electronic health record … April 6, 2022
Physician liability in the age of data reliance and errors. … January 27, 2021
Inpatient patient safety events in vulnerable populations: a retrospective
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psnet.ahrq.gov/node/47834/psn-pdf
February 27, 2019 - prevalence-underlying-causes-and-preventability-sepsis-associated-mortality-
us-acute-care
The degree to which sepsis contributes to inpatient … mortality and the extent to which sepsis-associated
inpatient mortality is preventable remains unknown … The authors conclude that it may be
challenging to further reduce sepsis-associated inpatient mortality … independent-cohorts
https://psnet.ahrq.gov/issue/incidence-and-trends-sepsis-us-hospitals-using-clinical-vs-claims-data
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psnet.ahrq.gov/issue/using-medical-malpractice-closed-claims-data-reduce-surgical-risk-and-improve-patient-safety
December 01, 2010 - Commentary
Using medical malpractice closed claims data to reduce surgical risk and … Using medical malpractice closed claims data to reduce surgical risk and improve patient safety. … January 12, 2022
A reengineered hospital discharge program to decrease rehospitalization … Impact of computerized prescriber order entry on the incidence of adverse drug events in pediatric inpatients … October 29, 2017
Paid malpractice claims for adverse events in inpatient and outpatient
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psnet.ahrq.gov/innovations-exchange
May 01, 2021 - international in scope and those included on the AHRQ PSNet Innovation Exchange have implementation data … New
The Patient Safe-D(ischarge) program used standardized tools to educate patients about their discharge … needs, test understanding of those needs, and improve medication reconciliation at admission and discharge … results in lower length of stay, costs, readmission rates, and complications than does traditional inpatient … System (TR&R®), this program generates prompts based on more than 40 algorithms and real-time clinical data
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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/support-hospital-home-elders-randomized-trial
November 30, 2016 - Readmissions and adverse events after discharge are a continued patient safety problem, as evidenced … The study findings reinforce the importance of customized, patient-centered discharge approaches and … November 16, 2022
Medical large language models are vulnerable to data-poisoning attacks … March 12, 2025
A trigger tool to detect harm in pediatric inpatient settings. … August 2, 2015
A reengineered hospital discharge program to decrease rehospitalization
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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/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/structured-interdisciplinary-rounds-medical-teaching-unit-improving-patient-safety
November 26, 2014 - Creating high-functioning teams is challenging in inpatient medicine wards, due to numerous barriers … September 30, 2015
Creating a better discharge summary: improvement in quality and timeliness … using an electronic discharge summary. … December 12, 2012
Comparison of traditional trigger tool to data warehouse based screening … October 26, 2011
An inpatient fall prevention initiative in a tertiary care hospital.
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psnet.ahrq.gov/issue/improving-admission-medication-reconciliation-pharmacists-or-pharmacy-technicians-emergency
May 08, 2017 - Previous WebM&M commentaries highlight the dangers of inadequate medication reconciliation in inpatient … Related Resources From the Same Author(s)
Potential benefit of electronic pharmacy claims data … to prevent medication history errors and resultant inpatient order errors. … June 16, 2019
Prospective daily review of discharge medications by pharmacists: effects … Implementation of a specialized pharmacy team to monitor high-risk medications during discharge
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psnet.ahrq.gov/issue/effects-multifaceted-medication-reconciliation-quality-improvement-intervention-patient
April 12, 2023 - AHRQ-funded quality improvement study, five hospitals implemented a standardized approach to admission and discharge … May 19, 2021
A toolkit to disseminate best practices in inpatient medication reconciliation … Effect of pharmacist counseling intervention on health care utilization following hospital discharge … May 8, 2017
Effect of patient- and medication-related factors on inpatient medication … June 13, 2011
Hospitals put emphasis on collection of medication data.
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psnet.ahrq.gov/issue/impact-pharmacist-medication-reconciliation-patient-admission-veterans-affairs-medical-center
July 22, 2020 - designed to improve medication safety for patients with monitored dosage systems following hospital discharge … Analysis of the nature and contributory factors of medication safety incidents following hospital discharge … using National Reporting and Learning System (NRLS) data from England and Wales: a multi-method study … Effect of a pharmacist intervention on clinically important medication errors after hospital discharge … August 22, 2012
Clinical and safety impact of an inpatient pharmacist-directed anticoagulation
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psnet.ahrq.gov/issue/incidence-never-events-among-weekend-admissions-versus-weekday-admissions-us-hospitals
November 03, 2015 - This study used nationwide hospital discharge data to identify never events and examined whether the … This data adds to prior work on the weekend effect to demonstrate that current weekend hospital conditions … From the Same Author(s)
The July effect: an analysis of never events in the nationwide inpatient … April 18, 2018
Monitoring the diagnostic process on an inpatient neurology service. … October 8, 2016
The July effect: an analysis of never events in the nationwide inpatient
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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
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psnet.ahrq.gov/issue/hospitals-put-emphasis-collection-medication-data
September 14, 2011 - Newspaper/Magazine Article
Hospitals put emphasis on collection of medication data … Citation Text:
Hospitals put emphasis on collection of medication data. Krizner K. … Cite
Citation
Citation Text:
Hospitals put emphasis on collection of medication data … More
Related Resources
Patient Safety Primers
Inpatient … June 10, 2018
Promoting effective transitions of care at hospital discharge: a review
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psnet.ahrq.gov/issue/patient-access-electronic-health-records-during-hospitalization
October 19, 2022 - patient worry, but patients did not identify errors on their medication list or better understand discharge … 14, 2024
Partnering with VA stakeholders to develop a comprehensive patient safety data … October 14, 2020
Using an inpatient portal to engage families in pediatric hospital care … September 30, 2015
A reengineered hospital discharge program to decrease rehospitalization … April 9, 2014
Hospital discharge documentation and risk of rehospitalisation.
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psnet.ahrq.gov/issue/adverse-inpatient-outcomes-during-transition-new-electronic-health-record-system
September 29, 2017 - Study
Adverse inpatient outcomes during the transition to a new electronic health … Adverse inpatient outcomes during the transition to a new electronic health record system: observational … September 1, 2021
Early death after discharge from emergency departments: analysis of … national US insurance claims data. … June 18, 2019
Using an inpatient portal to engage families in pediatric hospital care
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psnet.ahrq.gov/issue/high-prevalence-medication-discrepancies-between-home-health-referrals-and-centers-medicare
December 23, 2011 - Medication reconciliation at the time of hospital discharge is a key patient safety practice. … Citation
Related Resources From the Same Author(s)
Developing indicators of inpatient … adverse drug events through nonlinear analysis using administrative data. … and post-discharge. … of a computer-assisted tool with automated electronic integration of population-based community drug data
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psnet.ahrq.gov/node/49849/psn-pdf
January 01, 2019 - Such data should inform safety initiatives aimed at eliminating potentially lethal means in the unit … For example, studies show that the chart
diagnosis of psychiatric inpatients frequently differs from … for those that that can be safely (and nonurgently) administered on the psychiatric unit or after
discharge … Safety of psychiatric inpatients at the Veterans
Health Administration. … Identification of trauma exposure
and PTSD in adolescent psychiatric inpatients: an exploratory study