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psnet.ahrq.gov/issue/performance-measures-neurosurgical-patient-care-differing-applications-patient-safety
June 03, 2020 - The AHRQ Patient Safety Indicators (PSIs) can identify adverse events in hospital data. … May 4, 2012
Opioid abuse and poisoning: trends in inpatient and emergency department … The TRANSFORM patient safety project: a microsystem approach to improving outcomes on inpatient
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www.ahrq.gov/patient-safety/reports/issue-briefs/state-of-science-2b.html
June 01, 2020 - Valuable information can be gleaned from even limited data sources so long as those who use the data … , and improvement. 42 Similarly, autopsy reports, 43 diagnostic discrepancies at admission versus discharge … Improvement’s Global Trigger Tools, 79 which include both manual and electronic trigger tools to detect inpatient … incorrect diagnosis during initial office visit
ED/PC visit within 72 hours after ED or hospital discharge … of data in EHRs is unstructured and therefore inaccessible to e-triggers.
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psnet.ahrq.gov/issue/ahrq-national-scorecard-hospital-acquired-conditions-updated-baseline-rates-and-preliminary-0
October 23, 2019 - December 10, 2024
Inpatient Computerized Provider Order Entry: Findings from the AHRQ … May 1, 2015
Eliminating CAUTI: Interim Data Report: A National Patient Safety Imperative
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digital.ahrq.gov/ahrq-funded-projects/longitudinal-telephone-and-multiple-disease-management-system-improve/annual-summary/2010
January 01, 2010 - virtual visits and clinical information about the patients that reside in their providers’ clinical data … study. ( Ongoing )
Recruit patients. ( Ongoing )
Evaluate project. ( Upcoming )
Analyze study data … chronic diseases who transition to ambulatory care from acute care settings (e.g., an acute care hospital inpatient … members of the Boston Medical Center Information Technology group in a process of specifying exactly what data … cancelled, attended), dates of unplanned utilization (e.g., urgent care, ED, hospitalization), dates of discharge
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/7-implementation-guide.docx
June 01, 2023 - locations include:
Outpatient or physician offices
Operating rooms
Preoperative and recovery units
Inpatient … locations include:
Outpatient or physician offices
Operating rooms
Preoperative and recovery units
Inpatient … locations include:
Outpatient or physician offices
Operating rooms
Preoperative and recovery units
Inpatient … locations include:
Outpatient or physician offices
Operating rooms
Preoperative and recovery units
Inpatient … Leaders could be a physician, nurse, case manager, discharge planner, or other staff person committed
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psnet.ahrq.gov/node/850361/psn-pdf
June 14, 2023 - The results of the echocardiogram were pending on discharge, with anticipation that the
patient’s primary … the unexpected findings, of which potential neoplasms were
discovered in 11%.22 Although no baseline data … extra layer of reinforcement to ensure that primary care
providers close the loop regarding pending inpatient … The safety of inpatient health care. N Engl J Med.
2023;388(2):142-153. [Available at]
5. … Patient safety concerns arising from test results that return after
hospital discharge.
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psnet.ahrq.gov/issue/whole-patient-measure-safety-using-administrative-data-assess-probability-highly-undesirable
March 19, 2014 - Study
Whole-patient measure of safety: using administrative data to assess the probability … Whole-patient measure of safety: using administrative data to assess the probability of highly undesirable … This study used screening of administrative data to determine the overall probability of an individual … Association of hospital participation in a surgical outcomes monitoring program with inpatient … August 2, 2015
Data as a catalyst for change: stories from the frontlines.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b3b_combo_resultspresentation.pptx
January 01, 2012 - Replace the charts with charts that you create with your data (use the Excel workbook from Tool B3a for … Tool B.3b Slide ‹#›
The Toolkit for Using the AHRQ Quality Indicators
Results and Discussion of Data … Inpatient Quality Indicators 13 14 15 16 17 18 19 20 21 22 23 24 32 34 0 0 0 0 0 0 0 0 0 0 -100 -100 … 5.1366764873362802 -100 0 -100 131.12170481778401 Benchmark 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Inpatient … s) you would like to focus on, and fill in these slides based on that indicator and your hospital’s data
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.137_slideshow.ppt
November 01, 2006 - She reported missing her scheduled hemodialysis session and her symptoms resolved with prompt inpatient … The public release of performance data: what do we expect to gain? A review of the evidence. … Current Measure Set
Heart Attack (Acute Myocardial Infarction or AMI)
• Aspirin at arrival
• Aspirin at discharge … Inhibitor or ARB for left ventricular systolic dysfunction
• Beta Blocker at arrival
• Beta Blocker at discharge … measures validated for one purpose used for another: patient safety indicators derived from administrative data
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psnet.ahrq.gov/sites/default/files/2021-09/spotlight_lost_in_transitions_of_care_09.22.2021_final.pdf
January 01, 2021 - – However, her actual discharge prescription, which was not mentioned on
the discharge summary, was … , the patient was readmitted to the hospital for
increasing pain and was restarted on her previous inpatient … – The data in PDMPs are state-specific and various settings/organizations in
addition to hospitals … Providers
and Settings
34
Clear Communication (1)
• Lack of communication in transitions of care from inpatient … used to create them came from studies of opioid-naïve patients with
acute pain, while other data came
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psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals
March 01, 2004 - death in low-risk DRGs as a patient safety indicator is that it can be measured using administrative data … fairly substantial differences in safety between hospitals would require many years of mortality data … Measures of Patient Safety Based on Hospital Administrative Data—The Patient Safety Indicators. … from the National Inpatient Sample Excludes patients with any code for cancer, trauma, or … complications while in hospital All discharges with disposition of "deceased" per 100 patients with discharge
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www.ahrq.gov/research/shuttered/acfselection/appendixa.html
July 01, 2018 - BACKGROUND: Federal planners have suggested that one strategy to accommodate disaster surges of 500 inpatients … "Inpatient disposition classification for the creation of hospital surge capacity: a multiphase study … Identification of inpatients for safe early discharge (ie, reverse triage) could create additional hospital … We sought to develop a disposition classification system that categorises inpatients according to suitability … RESULTS: Data were obtained from 133 centers.
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psnet.ahrq.gov/node/49799/psn-pdf
July 01, 2017 - On the day
of discharge, the blood culture that was positive for gram-positive rods had now speciated … However, this result
was not communicated to the primary medical team prior to the patient's discharge … An estimated 11% of inpatient microbiology tests result after discharge and approximately 2% of those … The hazard of using additional data.
JAMA. 1976;236:1259-1263. [go to PubMed]
3. … Patient safety concerns arising from test results that return after
hospital discharge.
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www.ahrq.gov/sites/default/files/2025-02/shapiro-report.pdf
January 01, 2025 - , AHRQ has
identified ED crowding and boarding (i.e., holding admitted patients in the ED until an inpatient … denotes a unique encounter), medical record number (MRN – denotes a unique
patient), admission and discharge … specified in either the EHR or HIE and recorded as the same or “unknown” in the other system.
3) Admit and discharge … systems in
which admit and discharge times were entered. … Though only ED visits were counted as index visits, either ED or inpatient
revisits within 72 hours of
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6k.html
June 01, 2014 - about a child's health and education needs as part of care coordination, (5) meeting with the hospital discharge … Patient Age: Children
Patient Condition: General Population/Not Condition Specific
Setting: Inpatient … Validated Applications*:
Patient Age: Not Applicable
Patient Condition: Not Applicable
Setting: Inpatient … Patient Age: Children
Patient Condition: General Population/Not Condition Specific
Setting: Inpatient … Using family satisfaction data to improve the processes of care in ICU.
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs021261-shapiro-final-report-2018.pdf
January 01, 2018 - , AHRQ has
identified ED crowding and boarding (i.e., holding admitted patients in the ED until an inpatient … denotes a unique encounter), medical record number (MRN – denotes a
unique patient), admission and discharge … in either the EHR or HIE, and recorded as the same or “unknown” in the other system.
3) Admit and discharge … admit and discharge times were
entered. … Though only ED visits were counted as index visits, either ED or inpatient
revisits within 72-hours
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/ehc-protocol-acute-pain-treatments.pdf
August 08, 2019 - for emergency department visits and is
commonly encountered in primary care, other outpatient, and inpatient … Postoperative pain after discharge
6. Dental pain
7. Kidney stones
8. … ),
physician’s office, outpatient or inpatient surgical center, dental clinic or oral
surgery center … Data Abstraction and Data Management
After studies are selected for inclusion, data will be abstracted … The incidence and severity of postoperative pain following
inpatient surgery.
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hcup-us.ahrq.gov/db/vars/asourceub92/nisnote.jsp
September 01, 2008 - Reports & Publications
Data Visualizations
Data Query Tools
Home
About … HCUP Supplemental Files
NIS-Trend Weights Files
NIS Hospital Ownership Files
NIS 1993-2002 Discharge-Level … Reports Archive
DATA VISUALIZATIONS
DATA QUERY TOOLS … If the data source does not provide the admission source, then beginning in the 1998 data, ASOURCE is … ASOURCE_X (available beginning in 1998 data) retains the source of admission as provided by the data
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hcup-us.ahrq.gov/db/vars/asourceub92/kidnote.jsp
September 01, 2008 - Reports & Publications
Data Visualizations
Data Query Tools
Home
About … HCUP Supplemental Files
NIS-Trend Weights Files
NIS Hospital Ownership Files
NIS 1993-2002 Discharge-Level … Reports Archive
DATA VISUALIZATIONS
DATA QUERY TOOLS … If the data source does not provide the admission source, then beginning in the 1998 data, ASOURCE is … ASOURCE_X (available beginning in 1998 data) retains the source of admission as provided by the data
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hcup-us.ahrq.gov/reports/natstats/93drgb.htm
September 01, 1997 - Statistics from the HCUP-3 Nationwide Inpatient Sample for 1993: Diagnosis-Related Groups … Statistics from the Nationwide Inpatient Sample
for 1993 Hospital Inpatient Stays (continued) … diagnosis
469 Principal diagnosis 341 0.00 3.36 4,512
invalid as discharge … ahrq.gov Current as of September 1997
Return to Statistics and Research Notes Based on HCUP Data