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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/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/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/impact-inpatient-electronic-prescribing-system-prescribing-error-causation-qualitative
February 16, 2022 - Study
Impact of an inpatient electronic prescribing system on prescribing error causation … Impact of an inpatient electronic prescribing system on prescribing error causation: a qualitative evaluation … guidelines in contributing to medication errors: a descriptive analysis of national patient safety incident data … March 21, 2018
A clinical data warehouse-based process for refining medication orders … July 6, 2012
Pharmacists' interventions in prescribing errors at hospital discharge:
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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/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/perspective/conversation-harlan-krumholz-md-sm
April 01, 2018 - that we could produce a measure with claims that was a good proxy for a measure with higher quality data … The question then is the degree to which the data can help us understand how people are recovering. … are commonly cared for by physicians who specialize in treating inpatients. … The discharge summary is a cornerstone of inpatient-to-outpatient provider communication. … Do hospitalist physicians improve the quality of inpatient care delivery?
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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/node/49544/psn-pdf
September 01, 2007 - multidisciplinary disease management programs have been shown to be particularly
effective in providing inpatient … For HF patients discharged in 2002 from US hospitals, Joint
Commission and national HF registry data … Participating hospitals received
comparative feedback data on a quarterly basis; otherwise, no specific … The GWTG program employed a web-based patient
registry that facilitated feedback of performance data … Joint Commission/CMS Heart Failure Inpatient Performance Measure Descriptions.
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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/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/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/surgical-data-recording-technology-solution-address-medical-errors
June 22, 2022 - Commentary
Surgical data recording technology: a solution to address medical errors … Surgical Data Recording Technology. … Surgical Data Recording Technology. … Effect of pharmacist counseling intervention on health care utilization following hospital discharge … May 8, 2017
Racial and ethnic disparities in common inpatient safety outcomes in a children's
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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/private-patient-rooms-and-hospital-acquired-methicillin-resistant-staphylococcus-aureus
March 11, 2020 - hospital-acquired methicillin-resistant Staphylococcus aureus: hospital-level analysis of administrative data … hospital-acquired methicillin-resistant Staphylococcus aureus: a hospital-level analysis of administrative data … This study merged inpatient discharge data with annual survey data from the American Hospital Association … hospital-acquired methicillin-resistant Staphylococcus aureus: a hospital-level analysis of administrative data
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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/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/hospital-prescribing-opioids-medicare-beneficiaries
December 04, 2016 - In this study, investigators examined opioid prescribing to Medicare beneficiaries upon hospital discharge … They found that new opioid use was common after discharge and that prescribing rates varied widely across … September 29, 2017
Early death after discharge from emergency departments: analysis of … national US insurance claims data. … June 28, 2017
Adverse inpatient outcomes during the transition to a new electronic health