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psnet.ahrq.gov/issue/medication-errors-critical-care-risk-factors-prevention-and-disclosure
November 30, 2016 - April 8, 2011
Medical large language models are vulnerable to data-poisoning attacks. … More
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Medication reconciliation for patients after their discharge … October 16, 2012
Clinical pharmacists and inpatient medical care: a systematic review
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psnet.ahrq.gov/issue/limits-clinician-vigilance-ai-safety-bulwark
September 07, 2022 - September 7, 2022
Inpatient EHR user experience and hospital EHR safety performance. … Progress in interoperability: measuring US hospitals' engagement in sharing patient data … 31, 2014
Community pharmacy medication review, death and re-admission after hospital discharge
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psnet.ahrq.gov/issue/artificial-intelligence-systems-complex-decision-making-acute-care-medicine-review
March 16, 2011 - Artificial intelligence (AI) technologies can improve the use of data in care delivery. … designed to improve medication safety for patients with monitored dosage systems following hospital discharge … June 28, 2017
A conceptual framework to reduce inpatient preventable deaths.
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psnet.ahrq.gov/issue/pediatric-antidepressant-medication-errors-national-error-reporting-database
September 21, 2008 - This analysis of MEDMARX data found that harmful errors involving antidepressants most commonly occurred … April 16, 2018
Toward understanding errors in inpatient psychiatry: a qualitative inquiry … December 2, 2014
Adverse drug events after hospital discharge in older adults: types,
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psnet.ahrq.gov/issue/coupling-policymaking-evaluation-case-opioid-crisis
September 29, 2017 - September 29, 2017
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.
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psnet.ahrq.gov/issue/implementation-medication-reconciliation-process-ambulatory-internal-medicine-clinic
October 28, 2009 - diagnosis-timing indicators on measures of safety, comorbidity, and case mix groupings from administrative data … July 3, 2013
Multidisciplinary approach to inpatient medication reconciliation in an … a tool within the electronic medical record to facilitate medication reconciliation after hospital discharge
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psnet.ahrq.gov/issue/cascades-care-after-incidental-findings-us-national-survey-physicians
April 24, 2018 - Association of pediatric resident physician depression and burnout with harmful medical errors on inpatient … December 24, 2008
Medical large language models are vulnerable to data-poisoning attacks … Investigation into Electronic Prescribing and Medicines Administration Systems and Safe Discharge
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psnet.ahrq.gov/issue/adverse-drug-events-and-medication-problems-hospital-home-patients
December 16, 2020 - In "Hospital at Home" (HaH) programs, patients receive inpatient medical treatment such as intravenous … June 13, 2011
Learning from lawsuits: using malpractice claims data to develop care transitions … home visits for middle-aged and older adults receiving skilled home healthcare services after hospital discharge
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psnet.ahrq.gov/issue/contribution-nurses-incident-disclosure-narrative-review
March 15, 2016 - June 21, 2016
Patients' reports of adverse events: a data linkage study of Australian … November 17, 2014
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Hospital discharge … August 12, 2014
Feeling safe during an inpatient hospitalization: a concept analysis.
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psnet.ahrq.gov/issue/necessity-pathway-high-alert-patients
July 14, 2010 - August 31, 2016
Potential benefit of electronic pharmacy claims data to prevent medication … history errors and resultant inpatient order errors. … Economic value of pharmacist-led medication reconciliation for reducing medication errors after hospital discharge
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psnet.ahrq.gov/issue/reduction-warfarin-adverse-events-requiring-patient-hospitalization-after-implementation
October 23, 2024 - Resources
Prevented harm and cost avoidance with pharmacist intervention while utilizing a discharge … associated direct acting oral anticoagulants (DOACs) medication incidents: evaluation of real world data … December 23, 2016
Clinical and safety impact of an inpatient pharmacist-directed anticoagulation
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psnet.ahrq.gov/issue/actions-needed-improve-newly-enrolled-veterans-access-primary-care
September 07, 2016 - The report outlines weaknesses in the data collected to measure and evaluate veterans' access to primary … October 12, 2022
Deficiencies in Inpatient Mental Health Care Coordination and Processes … August 15, 2012
Managing Patients' Medicines after Discharge from Hospital.
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psnet.ahrq.gov/issue/improving-pediatric-electronic-health-record-usability-and-safety-through-certification-seize
November 28, 2018 - November 28, 2018
Evaluating the effect of data standardization and validation on patient … January 19, 2022
Using an inpatient portal to engage families in pediatric hospital care … , 2018
Improving communication with primary care physicians at the time of hospital discharge
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psnet.ahrq.gov/issue/communicating-gray-zone-perceptions-about-emergency-physician-hospitalist-handoffs-and
March 17, 2010 - November 16, 2022
Engaging patients in the use of real-time electronic clinical data … December 5, 2018
Promoting effective transitions of care at hospital discharge: a review … September 4, 2016
Interunit handoffs from emergency department to inpatient care: a cross-sectional
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psnet.ahrq.gov/issue/learning-without-borders-review-implementation-medical-error-reporting-medecins-sans
December 21, 2022 - September 29, 2017
Early death after discharge from emergency departments: analysis of … national US insurance claims data. … July 10, 2017
Adverse inpatient outcomes during the transition to a new electronic health
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psnet.ahrq.gov/issue/unintended-adverse-consequences-introducing-electronic-health-records-residential-aged-care
March 24, 2019 - extensive body of literature documents the unintended consequences of information technology in the inpatient … July 13, 2022
Data consistency in a voluntary medical incident reporting system. … September 28, 2016
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Danger in discharge
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psnet.ahrq.gov/issue/adoption-patient-centered-care-practices-physicians-results-national-survey
August 28, 2019 - View More
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Primary care physician communication at hospital discharge … September 15, 2011
Multidisciplinary approach to inpatient medication reconciliation … health care quality and patient safety in the United States using readily available administrative data
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psnet.ahrq.gov/issue/characteristics-quality-and-patient-safety-curricula-major-teaching-hospitals
February 16, 2011 - Effect of a pharmacist intervention on clinically important medication errors after hospital discharge … April 5, 2013
Incidence and trends of sepsis in US hospitals using clinical vs claims data … July 14, 2010
Impact of duty-hour restriction on resident inpatient teaching.
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psnet.ahrq.gov/issue/patient-risk-factors-medical-injury-case-control-study
April 12, 2011 - increased risk for medical injuries in patients with higher severity of illness, higher risk of inpatient … Project (NAP5) on accidental awareness during general anaesthesia: protocol, methods, and analysis of data … August 25, 2011
Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental
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psnet.ahrq.gov/issue/measuring-communication-surgical-icu-better-communication-equals-better-care
April 03, 2005 - Related Resources
Patient harm and institutional avoidability of out-of-hours discharge … July 19, 2019
Data omission by physician trainees on ICU rounds. … , 2019
A policy-based intervention for the reduction of communication breakdowns in inpatient