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psnet.ahrq.gov/primer/long-term-care-and-patient-safety
February 24, 2022 - Long-term care settings include skilled nursing facilities (SNFs), inpatient rehabilitation facilities … Inpatient rehabilitation facilities (IRFs) care for patients recovering from surgery, trauma, or an … SOPS®) Nursing Home Survey is used to assess safety culture in nursing home settings The most recent data … Long-term acute care hospitals and inpatient rehabilitation facilities are accredited in the same fashion … nursing home patients and residents based on the level and intensity of care needed, are still gathering data
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psnet.ahrq.gov/web-mm/glucose-roller-coaster
February 02, 2022 - physicians other than those primarily responsible, and the limitations of "signout," the transfer of patient data … The attending could invest time teaching the interns involved about inpatient problem triage and proper … easily accessible medical record, and computerized physician order entry—can improve the quality of data … Residents can also transmit requests to schedule tests or discharge appointments to ward clerks. … Tools of continuity: the content of inpatient check-out lists [Abstract].
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hcup-us.ahrq.gov/db/nation/neds/stats/NEDS_2015_Core_MaskedStats_Weighted.PDF
January 01, 2015 - of Data Elements. … : NEDS 2015 Core File
Means of Continuous Data Elements
Data Summary
Number of Strata 94
Number of … of Data Elements. … DISP_ED Disposition of patient (uniform) from ED 30,542,691 0 1 99 9.91 0.91 8.12123 11.69565
DQTR Discharge … 1.20
6: Home health care 242,946 0.17
7: Against medical advice 1,724,814 1.20
9: Admitted as an inpatient
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www.ahrq.gov/research/findings/final-reports/ptflow/section1.html
July 01, 2018 - and 9 out of 10 hospitals report holding or "boarding" admitted patients in the ED while they await inpatient … ED Crowding Is Costly
In 2007, the most recent year for which data are available, 1.9 million people—representing … Medicaid Services (CMS) announced the inclusion of five ED crowding related measures under the Hospital Inpatient … Hospital Inpatient Quality Reporting Program. Overview available at www.qualitynet.org.
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hcup-us.ahrq.gov/db/vars/_prn/nisnote.jsp
September 01, 2008 - HCUP Supplemental Files
NIS-Trend Weights Files
NIS Hospital Ownership Files
NIS 1993-2002 Discharge-Level … Procedures are compared to a list of ICD-9-CM codes valid for the discharge date. … 25
25
25
25
Since NPR can be greater than the number of procedures available on the inpatient … Warning: If a CPT or HCPCS procedure code was reported on a discharge in which the procedure coding … Otherwise, the procedure code was validated against a list of ICD-9-CM procedure codes with respect to discharge
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hcup-us.ahrq.gov/datainnovations/Opioid_trends_ICD_Med_Care.pdf
May 15, 2017 - depend
on the availability of comparable data over time. … Subjects: Data are from Healthcare Cost and Utilization Project
State Inpatient Databases for 14 states … -CM data from the fourth quarter
(Q4) of 2015 and Q1–Q3 of 2016. … Overview of the State
Inpatient Databases (SID). … Data innovations: ICD-
10-CM/PCS resources.
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psnet.ahrq.gov/primer/digital-health-literacy
August 30, 2023 - respond to errors in their personal health records: mixed methods analysis of cross-sectional survey data … More
Related Resources
Patient Safety Primers
Inpatient … February 14, 2024
Parents' understanding of medication at discharge and potential harm … October 4, 2023
Caregiver and clinician perspectives on discharge medication counseling … WebM&M Cases
Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Loux.pdf
January 01, 2004 - database with data from nearly 1,000 U.S. … 20 percent stratified sample of non-Federal,
short-term, general and specialty hospitals.8 It has discharge … None of the 144
hospitals lacking identification data was located in the Northeast. … Large
hospitals, for example, performed 1,628 inpatient surgeries per year compared to
251 inpatient … Nationwide Inpatient Sample (NIS).
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psnet.ahrq.gov/web-mm/situational-unawareness
August 01, 2009 - In the inpatient setting, ordering errors are one of the most common types of medication errors. … frequently associated with prescribing errors.( 3 )
Multiple studies have shown that CPOE can improve inpatient … electronic health record (EHR) offers additional benefits, including giving providers access to all patient data … Does computerized provider order entry reduce prescribing errors for hospital inpatients? … 2010
WebM&M Cases
Treatment Challenges After Discharge
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meurer.pdf
January 01, 2004 - Individual hospitals already routinely gather and report administrative discharge
data. … Discharge Data electronic health records and
validated diagnosis code criteria.14 Screening criteria … Finally, quality
of discharge data is heavily dependent on coding quality, thereby preventing strict … This surveillance and reporting system using administrative patient discharge
data avoids any additional … Medical injury
identification using hospital discharge data.
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psnet.ahrq.gov/web-mm/dressed-failure
September 01, 2011 - On the one hand, transmission of poor quality data perpetuates poor quality data into the new EHR. … , laboratory data, imaging files, clinical documentation, discharge summaries, and transcriptions of … Unlike narrative or free text data, structured data is captured in discrete fields, is readable by the … Unit-based clinical pharmacists' prevention of serious medication errors in pediatric inpatients … October 1, 2008
WebM&M Cases
Discharge Fumbles
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www.ahrq.gov/sites/default/files/publications/files/lepguide.pdf
September 01, 2012 - Patient Discharge
Understanding discharge instructions, such as information on how to manage the condition … This delayed
discharge at least 24 hours.
3. … Changes to the hospital inpatient prospective payment systems and fiscal year 2009. … FY2007 inpatient hospital discharge database documentation manual. … Professional language interpretation and inpatient length of stay and readmission rates.
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psnet.ahrq.gov/innovation/transition-coachesr-reduce-readmissions-medicare-patients-complex-postdischarge-needs
March 27, 2024 - adoption both nationally and internationally, additional results that include utilization and cost data … estimates of cost savings. 1 It also includes a quasi-experimental study comparing utilization and cost data … Patients receive care from hospital-based physicians (i.e., hospitalists) during their inpatient stays … initial hospitalization (statistically significant finding). 1
Cost savings: Initial hospital cost data … A quasi-experimental cohort study reviewing data from Medicare fee-for-service beneficiaries hospitalized
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psnet.ahrq.gov/node/60363/psn-pdf
March 01, 2021 - adoption both nationally and
internationally, additional results that include utilization and cost data … Patients receive care from
hospital-based physicians (i.e., hospitalists) during their inpatient stays … initial hospitalization (statistically significant finding).1
Cost savings: Initial hospital cost data … A
quasi-experimental cohort study reviewing data from Medicare fee-for-service beneficiaries
hospitalized … estimates of cost savings.1 It also includes a quasi-
experimental study comparing utilization and cost data
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psnet.ahrq.gov/web-mm/dangerous-dapsone
January 10, 2011 - Of note, on admission, the inpatient pharmacy had called the admitting team about the inappropriately … Third, despite an intervention attempt by the inpatient pharmacist, the house staff incorrectly ordered … Pharmacists should not dispense any drug based on a prescription without data that support its use in … When possible, pharmacists should be provided patient data related to the medications they are asked … Same Author(s)
Transition of care for hospitalized elderly patients—development of a discharge
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hcup-us.ahrq.gov/db/nation/nass/NASS_Introduction_2017.jsp
January 01, 2017 - HCUP Supplemental Files
NIS-Trend Weights Files
NIS Hospital Ownership Files
NIS 1993-2002 Discharge-Level … Will not report any statistics where the number of observations (i.e., individual discharge records) … As such, the NASS does not contain any encounters admitted from the ambulatory setting to the inpatient … In contrast, hospitals generally report total inpatient admissions, births, and emergency department … a given year is only a snapshot in time of the possible interrelationships among hospital, market, discharge
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www.ahrq.gov/research/findings/final-reports/ptflow/appendix-c.html
July 01, 2018 - represented the most significant subgroup in the LWBS data. … Once the project was started, feedback would be requested constantly and data reviewed. … Conceptually, we realized that adding more space would not necessarily address the core problem: inpatients … allow us to address the issue with expediency, while simultaneously developing programs to address the inpatient … Leonte
Inpatient Units
Hospitalist
Barriers to Successful Implementation (actual
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4l_combo_psi15-accidentalpuncturelaceration-bestpractices.pdf
May 31, 2016 - the risk-adjusted rate of this
indicator was 2.83 per 1,000 eligible patients in 2008.1
• Based on data … from the Nationwide Inpatient Sample, cases flagged by this PSI had 2.2%
excess mortality, 1.3 days … Data from the VA hospital
system showed similar findings, where cases that were flagged by this PSI had … payment.3
• This indicator is also reported on Medicare’s Hospital COMPARE as part of the Hospital
Inpatient … Hospital Inpatient Quality Reporting (IQR) Program measures (calendar year 2014
discharges).
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hcup-us.ahrq.gov/reports/statbriefs/sb179-Emergency-Department-Trends.jsp
September 01, 2014 - HCUP Supplemental Files
NIS-Trend Weights Files
NIS Hospital Ownership Files
NIS 1993-2002 Discharge-Level … When more than one payer is listed for a hospital discharge, the first-listed payer is used. … Briefs
HCUP Statistical Briefs are descriptive summary reports presenting statistics on hospital inpatient … HCUPnet generates statistics using data from HCUP's Nationwide Inpatient Sample (NIS), the Kids' Inpatient … Database (KID), the Nationwide Emergency Department Sample (NEDS), the State Inpatient Databases (SID
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm3a.html
October 01, 2014 - , physician referral, self-identification, hospital discharge planners, predictive modeling, and referral … √ Test the data periodically to assess tool's accuracy. … managers who decided, based on their experience, to target individuals with a high number of ER visits or inpatient … Illinois, and Rhode Island, place nurse care managers in hospitals to reach out to potential members on discharge … By targeting eligible members on discharge, the State hopes members will be more inclined to participate