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psnet.ahrq.gov/web-mm/picking-cause-stroke
August 07, 2024 - associated with a 2.5-fold higher risk of deep vein thrombosis than central venous catheters.( 8 ) These data … already had functioning peripheral intravenous access.( 9 ) Similarly, a study spanning a decade worth of data … enough that clinicians are now desensitized, as illustrated by a recent study that found one in five inpatient … Central line–associated bloodstream infections in non-ICU inpatient wards: a 2-year analysis. … Pregnant With Danger
May 1, 2005
WebM&M Cases
Discharge
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/machine-learning-quality_research.pdf
September 01, 2012 - Reason:
Outcome (provider
interview data only)
Do hospitalists or physicians with greater inpatient … Administrative data, inpatient
interviews, 30-day follow-up interviews, and the National Death Index … CONCLUSION: Provider type and attending
physician experience with HIV-infected inpatients had minimal … effect on the quality of care of
HIV-infected inpatients. … that inclusion and discharge criteria used in the study are valid.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/scientific-rationale.pdf
March 01, 2022 - repeated twice a month for
6 months versus education alone for
MRSA carriers
In the year following discharge … Data were available to trial investigators for
only these three devices. … have been reported with daily
use in either long-term ICU patients or with repeated use in the post-discharge … Decolonization to reduce post-discharge infection
risk among MRSA carriers. … National prevalence of methicillin-resistant
Staphylococcus aureus in inpatients at US health care facilities
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psnet.ahrq.gov/node/50698/psn-pdf
November 27, 2019 - initiative may be implemented by a health
system to reduce suicide deaths after ED and medical hospital discharge … thorough
suicide risk assessment should be carried out, including collecting a wide variety of patient data … counselors often provide counseling and resources,
they are often not formally incorporated into the inpatient … Deaths: Final data for 2017. National Vital Statistics Reports;
vol 68 no 9. … [Available at]
https://www.cdc.gov/nchs/data/nvsr/nvsr68/nvsr68_09-508.pdf
https://link.springer.com
-
www.ahrq.gov/patient-safety/resources/learning-lab/index.html
August 01, 2025 - Empowering patients during hospitalization: perspectives on inpatient portal use . … Redesign the inpatient consultation process to improve patient safety. … The passport consists of three interventions: The ED discharge intervention targets the journey from … procedures for maternal-infant dyadic evaluation and management during the postnatal unit stay and discharge … Postpartum hospital discharge: birthing parent perspectives on supportive practices and areas for improvement
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psnet.ahrq.gov/web-mm/triaging-interhospital-transfers
April 12, 2023 - The details of the patient's current clinical condition and clinical data were not formally transmitted … As we know from other hospital-based care transitions, including patient discharge and intrahospital … Recent data suggest that deficiencies in communication are common with interhospital transfer. … In order to improve the quality and safety of interhospital transfers, more data are needed to further … January 23, 2019
A toolkit to disseminate best practices in inpatient medication reconciliation
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-appa4.pdf
January 01, 2018 - 21-65 who received a Pap smear in the last 3 years 2.13 0.005 0.018 NHIS 16 (2000-2015)
Hospital inpatient … Source
Number of
Years
Hospital inpatient stays involving opioid-related diagnoses per
100,000 … 10.2 18.00 HCUP_NE
DS
2005-2016
Hospital inpatient stays involving opioid-related diagnoses per … population
10.2 13.59 HCUP_NE
DS
2005-2016
Hospital inpatient stays involving opioid-related diagnoses … Source
Data
Years
Hospital inpatient stays involving opioid-related diagnoses per 100,000
population
-
psnet.ahrq.gov/node/33803/psn-pdf
January 01, 2015 - report shows that there has been very little progress in reducing disparities,
although the disparities data … Fourth, engaging patients and
families in discharge planning throughout the hospital stay. … This
particular resource is focused on inpatient hospital care. … A third tool is the Re-Engineered Discharge toolkit, or RED, which
was designed to help hospitals reengineer … and improve their discharge process.
-
psnet.ahrq.gov/node/866992/psn-pdf
May 29, 2024 - experiencing significant problems related to its use.1,2 This prevalence rate is a 17% increase
since the data … Although many harm reduction services are delivered in the community, outpatient and inpatient settings … providing referrals to harm reduction services and
evidence-based treatment services, if desired.22
The inpatient … Developing a
tailored discharge plan that connects patients to community-based harm reduction services … NCHS
Data Brief, No. 491. March 2024. [Free full text]
5.
-
www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide4.html
October 01, 2022 - and active surveillance and has been associated with a significant decrease in HA-VTE (unpublished data … Ambulation is not judged to be so protective as to eliminate the need for inpatient prophylaxis in patients … risk stratification tool is developed by applying multiple logistic regression modeling to a large inpatient … proposed that patients with scores ≥2 (just 11 percent of the cohort) could benefit from prophylaxis with data … Methods to identify cases and the duration of followup after discharge varies.
-
www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide4.html
October 01, 2022 - and active surveillance and has been associated with a significant decrease in HA-VTE (unpublished data … Ambulation is not judged to be so protective as to eliminate the need for inpatient prophylaxis in patients … risk stratification tool is developed by applying multiple logistic regression modeling to a large inpatient … proposed that patients with scores ≥2 (just 11 percent of the cohort) could benefit from prophylaxis with data … Methods to identify cases and the duration of followup after discharge varies.
-
psnet.ahrq.gov/web-mm/despite-clues-failed-rescue
August 02, 2015 - Every year in the United States, more than 45 million patients undergo inpatient surgical procedures. … National Hospital Discharge Survey: 2007 summary. Natl Health Stat Report. 2010;29:1-20, 24. … Variation in hospital mortality associated with inpatient surgery. … The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and emerging research … July 7, 2021
Variation in hospital mortality associated with inpatient surgery.
-
psnet.ahrq.gov/perspective/what-do-we-know-about-emergency-department-safety
June 01, 2010 - increasing numbers of ED patient visits, fewer hospital EDs, and a lack of commensurate increase in inpatient … because of the resources needed for newly admitted patients and lack of familiarity of ED nurses with inpatient … nursing procedures. 18 Filling ED beds with inpatient boarders crowds other patients into hallways, … (v) Information systems can provide valuable patient-specific data as well as reference materials, and … Unanticipated death after discharge home from the emergency department.
-
digital.ahrq.gov/sites/default/files/docs/citation/HealthITHazardManagerFinalReport.pdf
May 01, 2012 - However, preimplementation analysis would
4
reveal that orders for post-discharge medications are … frequently cancelled immediately prior to
the patient’s final discharge and few retail pharmacies use … Nor would the “un-cancelled” medications appear on the
electronic discharge summaries that patients … For example, if the design of an inpatient EHR does not allow the
entry of orders for critically ill … Entry
eMAR (inpatient)
Inpatient Documentation
ADT (inpatient)
Lab
Radiology
-
digital.ahrq.gov/sites/default/files/docs/citation/r01hs015274-carayon-final-report-2009.pdf
January 01, 2009 - Background
Medication errors are common (Institute of Medicine, 2006), occurring in nearly 20% of
inpatient … Patients are
admitted when
less than 2
weeks old or
within 7 days of
NICU discharge. … orders should be “released”, and thus be acted upon; 3)
determining how to design the software so “discharge … Physician inpatient order writing
on microcomputer workstations: Effects on resource
utilization. … Determinants of success of inpatient clinical
information systems: A literature review.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Behara.pdf
January 01, 2004 - Petersen reported that medication problems were more likely to occur when
inpatients were being managed … elements of the framework could be
unambiguously attributed to the data. … transforming patients with undifferentiated emergent
conditions into those who are sufficiently stable for discharge … or transfer to an
inpatient service for more specific care. … Process–product matrix with archetypical examples
for cross-coverage on inpatient medical wards,
-
www.ahrq.gov/diagnostic-safety/research/grants-2022.html
August 01, 2025 - Diagnostic Accuracy Through Advancing EHR displaY, Education, and Surveillance (DATA-EYES) Principal … Diagnostic Center of Excellence is to establish an infrastructure to systematically collect data on … accurately identify diagnostic errors and characterize diagnostic processes among patients who experience inpatient … protocol: a multicenter, prospective quality and safety program to improve diagnostic processes in medical inpatients … Evaluate the effectiveness of PFC I-PASS (discharge and outpatient) to improve patient/family and clinician
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs027248-kowalkowski-final-report-2023.pdf
January 01, 2023 - and a nurse with experience referring patients to
the program via the emergency department (ED) and inpatient … entry Automated data upload for clinical risk data, other elements
Fourteen stakeholders (two patients … Twelve
(75%; 95% CI, 52%-100%; p=0.04) patients who used 4PACS were transferred from an inpatient unit … and evaluation of 4PACS on patients with
pneumonia as one of the most prevalent conditions in the inpatient … Early discharge hospital at home. Cochrane
Database Syst Rev. 2017;6(6):CD000356.
23.
-
digital.ahrq.gov/sites/default/files/docs/citation/evaluation-stage-3-meaningful-use-pa-ut-final-report.pdf
February 01, 2015 - Discharge processes, for
example, should not vary by discharge destination; an EHR system should know … For example, if a patient is admitted to
an inpatient unit from an outpatient unit in the same hospital … Sending alerts for both admission and
discharge was seen as potentially redundant for some providers … Other providers however, such as a
primary care physician, will be most interested in the discharge … While a hospital will know about
inpatient deaths, other deaths may require certification by State officials
-
psnet.ahrq.gov/node/73902/psn-pdf
September 29, 2021 - He was unable to resume employment and required full-time home care after discharge. … present multiple times to an ED or primary care setting for their complaint prior
to diagnosis.12 Inpatient … clinician’s
decision-making, including inadequate knowledge or memory, bias, inattention, inadequate data … If
these markers are normal, other diagnoses should be considered and discharge with follow-up may be … US malpractice claims for diagnostic
errors 1986–2010: an analysis from the National Practitioner Data