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psnet.ahrq.gov/web-mm/admission-drug-dose-too-low
September 01, 2011 - A study of adult inpatients found 5.3 errors per 100 orders, with 6.6% being near misses and 0.9% resulting … Classifying and predicting errors of inpatient medication reconciliation. … User experiences with pharmacy benefit manager data at point of care. … Unit-based clinical pharmacists' prevention of serious medication errors in pediatric inpatients … December 30, 2014
WebM&M Cases
Treatment Challenges After Discharge
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psnet.ahrq.gov/node/49518/psn-pdf
August 01, 2006 - 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. … Available at:
http://www.cdc.gov/nchs/data/ad/ad374.pdf
http://www.census.gov/prod/2005pubs/06statab
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digital.ahrq.gov/sites/default/files/docs/improve-medication-management-qa-091318.pdf
September 13, 2018 - ANSWER:
We are just looking at the data right now. … Both the
inpatient team, and the hospital pharmacy team, because it does require a level of sophistication … QUESTION:
Any preliminary data to show efficacy of the intervention? … Did you experience delays in discharge due to
this? … ANSWER:
We probably did delay time of discharge (but not the date of discharge)
in
a few patients
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psnet.ahrq.gov/issue/medication-prescribing-errors-teaching-hospital-9-year-experience
February 10, 2011 - July 23, 2018
Impact of an inpatient electronic prescribing system on prescribing error … July 11, 2018
Errors in electronic health record–based data query of statin prescriptions … May 2, 2018
Assessment of emergency department antibiotic discharge prescription dosing
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psnet.ahrq.gov/issue/survey-hospital-quality-improvement-activities
January 27, 2019 - United States and provided an important stimulus for ongoing quality improvement (QI) efforts in the inpatient … Resources From the Same Author(s)
Evaluating the implementation of Project Re-Engineered Discharge … 16, 2022
Partnering with VA stakeholders to develop a comprehensive patient safety data
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psnet.ahrq.gov/issue/foundational-science-learning-health-systems
June 26, 2019 - Learning health systems (LHS) build functions, networks, and processes to use data, information, evidence … It describes research topics within each foundational method (implementation, data, engagement, systems … 2022
Developing a process to measure actual harm from medication errors in paediatric inpatients … between double-checking and medication administration errors: a direct observational study of paediatric inpatients
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psnet.ahrq.gov/issue/nurse-staffing-levels-and-quality-care-hospitals
June 25, 2010 - Investigators examined administrative data encompassing more than 6 million medical and surgical hospital … March 3, 2011
Nurse staffing and inpatient hospital mortality. … June 29, 2011
Systematic review: the evidence that publishing patient care performance data … February 3, 2016
Association of registered nurse and nursing support staffing with inpatient
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psnet.ahrq.gov/issue/variation-printed-handoff-documents-results-and-recommendations-multicenter-needs-assessment
June 25, 2014 - Based on these findings, the authors make recommendations for the core data elements for written signouts … July 18, 2016
Inpatient housestaff discontinuity of care and patient adverse events. … reliability of verbal communication between primary care physicians and pediatric hospitalists at hospital discharge
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psnet.ahrq.gov/issue/clinical-supervision-general-practice-training-interweaving-supervisor-trainee-and-patient
October 13, 2021 - of a computer-assisted tool with automated electronic integration of population-based community drug data … An analysis of the structure and content of dashboards used to monitor patient safety in the inpatient … December 8, 2021
View More
Related Resources
Danger in discharge
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psnet.ahrq.gov/issue/association-opioid-related-adverse-drug-events-clinical-and-cost-outcomes-among-surgical
March 12, 2014 - This secondary data analysis of more than 100,000 patients undergoing in-hospital surgical procedures … Patients who experienced an opioid-related adverse drug event had longer hospital stays, greater inpatient … Correlation between 24-hour predischarge opioid use and amount of opioids prescribed at hospital discharge
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psnet.ahrq.gov/issue/national-cross-sectional-cohort-study-relationship-between-quality-mental-healthcare-and
May 04, 2022 - Previous research has emphasized suicide prevention in inpatient mental health settings , but less is … Using longitudinal data from 2013 to 2017, this study found no relationship between overall quality of … From the Same Author(s)
Is it time for the mental health field to consider unplanned discharge
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psnet.ahrq.gov/issue/differences-donor-heart-acceptance-race-and-gender-patients-transplant-waiting-list
January 12, 2022 - This study used heart transplant data from United Network for Organ Sharing (UNOS) to determine how many … October 2, 2024
Ensuring safe and equitable discharge: a quality improvement initiative … May 1, 2024
Medication safety gaps in English pediatric inpatient units: an exploration
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psnet.ahrq.gov/issue/responding-safe-care-healthcare-staff-experiences-caring-child-intellectual-disability
June 15, 2022 - March 17, 2021
Inpatient telemedicine and new models of care during COVID-19: hospital … respond to errors in their personal health records: mixed methods analysis of cross-sectional survey data … September 26, 2018
Facilitating Patient Understanding of Discharge Instructions: Workshop
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psnet.ahrq.gov/issue/association-current-opioid-use-serious-adverse-events-among-older-adult-survivors-breast
February 15, 2023 - This study used ten years of national Medicare surveillance data to assess the risks of serious adverse … From the Same Author(s)
Association between unmet nonmedication needs after hospital discharge … October 12, 2018
Opioid-Related Inpatient Stays and Emergency Department Visits Among
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psnet.ahrq.gov/issue/identifying-potential-prescribing-safety-indicators-related-mental-health-disorders-and
July 22, 2020 - Author(s)
Prevalence and nature of medication errors and medication-related harm following discharge … September 15, 2021
The psychological experiences of nurses after inpatient suicide: a … October 8, 2013
A review of patient safety measures based on routinely collected hospital data
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psnet.ahrq.gov/issue/influencing-culture-quality-and-safety-through-huddles
April 05, 2023 - of a computer-assisted tool with automated electronic integration of population-based community drug data … October 5, 2022
Developing and aligning a safety event taxonomy for inpatient psychiatry … July 13, 2022
Is it time for the mental health field to consider unplanned discharge
-
psnet.ahrq.gov/issue/prevalence-copied-information-attendings-and-residents-critical-care-progress-notes
September 28, 2017 - Exploring the association between organizational safety climate, failure to rescue, and mortality in inpatient … May 31, 2023
Patient harm and institutional avoidability of out-of-hours discharge from … July 24, 2019
Data omission by physician trainees on ICU rounds.
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psnet.ahrq.gov/issue/quality-improvement-initiative-decrease-central-line-associated-bloodstream-infections-during
November 16, 2022 - education and training , standardized central line processes, optimized central line equipment, improving data … November 16, 2022
A quality improvement initiative to improve pediatric discharge medication … View More
Related Resources
Racial and ethnic disparities in common inpatient
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psnet.ahrq.gov/issue/what-safety-events-are-reported-ambulatory-care-analysis-incident-reports-patient-safety
November 24, 2021 - Using data from a multistate patient safety organization (PSO) database, the researchers sought to … September 2, 2020
Death by suicide within 1 week of hospital discharge: a retrospective … June 21, 2017
Inpatient suicide and suicide attempts in Veterans Affairs hospitals.
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psnet.ahrq.gov/issue/framework-evaluating-appropriateness-clinical-decision-support-alerts-and-responses
March 21, 2017 - August 4, 2021
Clinical data sharing improves quality measurement and patient safety. … February 14, 2017
The incidence and severity of adverse events affecting patients after discharge … Renal medication-related clinical decision support (CDS) alerts and overrides in the inpatient