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hcup-us.ahrq.gov/db/nation/nis/tools/stats/NIS_2004_SummaryStats_10PCT_SAMPLE_B.PDF
January 01, 2004 - 99.00 3.66 9.59
DISPUNIFORM : Disposition of patient (uniform) 800171 286 1.00 99.00 2.42 3.66
DQTR : Discharge … quarter 800457 0 1.00 4.00 2.49 1.12
DRG : DRG in effect on discharge date 800457 0 1.00 543.00 280.80 … 145.17
DRG18 : DRG, version 18 800457 0 1.00 511.00 265.14 140.46
DRGVER : DRG grouper version used on discharge … Length of stay (as received from source) 800457 0 -2.00 3531.00 4.68 10.27
MDC : MDC in effect on discharge … Skilled nursing facility 53744 6.71
4: Intermediate facility 5837 0.73
5: Another type of facility (for inpatient
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psnet.ahrq.gov/web-mm/pregnant-danger
January 12, 2011 - Little published data describe the clinical presentation of aortic dissection in pregnancy. … tomography (CT) scanning or ultrasound is most expeditiously performed through the ED, whereas in others, an inpatient … judicious use of diagnostic testing (e.g., CT scan) might have detected the aortic dissection before the discharge
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psnet.ahrq.gov/perspective/emergence-trigger-tool-premier-measurement-strategy-patient-safety
May 01, 2012 - reports are underutilized ( 12-14 ) and only identify between 2% and 8% of all adverse events in the inpatient … the early days of the patient safety field by highlighting the major patient safety risks present in inpatient … Medication errors and adverse drug events in pediatric inpatients. JAMA. 2001;285:2114-2120. … Rare adverse medical events in VA inpatient care: reliability limits to using Patient Safety Indicators … Certainly the work we did at LDS Hospital shows that if you experience an inpatient adverse drug event
-
digital.ahrq.gov/sites/default/files/docs/page/findings-and-lessons-from-the-improving-quality-through-clinician-use-of-health-it.pdf
January 28, 2014 - communication alerted the provider
to the fact that a patient had been hospitalized, listed
his or her discharge … Both groups had
access to the complete inpatient discharge summary
via direct linkage to the outpatient … of care from the hospital to home by pro-
actively notifying primary care providers following
the discharge … transition from hospital
to home, the system provided information about
new drugs added during the inpatient … Weill Medical College
of Cornell University
Electronic Prescribing and Electronic
Transmission of Discharge
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hcup-us.ahrq.gov/db/nation/nis/tools/stats/NIS_2000_SummaryStats.PDF
January 01, 2000 - 2.17 3.49
DISPUNIFORM : Disposition of patient (uniform) 7447289 3703 1.00 20.00 2.26 3.24
DQTR : Discharge … quarter 7450992 0 1.00 4.00 2.49 1.12
DRG : DRG in effect on discharge date 7450992 0 1.00 511.00 263.26 … DRG18 : DRG, version 18 7450992 0 1.00 511.00 263.26 141.47
DRGVER : DRG grouper version used on discharge … Nursing Facility 410413 5.51
4: Intermediate Facility 83454 1.12
5: Another Type of Facility (for inpatient … PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 28575 0.38
469: PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE
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digital.ahrq.gov/sites/default/files/docs/technologies-underserved-populations-slides-02282023.pdf
February 28, 2023 - emergency department can improve referrals for patients in need and
monitor population health post-discharge … of services
Rapidly Evolving Landscape
16
• Rapid adoption with new CMS regulation
► Impacting inpatient … )
► Privacy concerns
− Legislation to address patient consent: How is PHI different from
“social data … Electronic
Health
Record
Data
2-1-1
Referral
Tracking
Screening
Data
Understanding Intervention … Hyattsville, MD: NCHS
3- 2011 Deaths: Final Data for 2009.
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hcup-us.ahrq.gov/db/nation/neds/stats/NEDS_2010_MaskedStats_Core_Weighted.PDF
January 01, 2010 - please refer to the section on Description of Data Elements. … For more information about the coding of HCUP data elements,
HCUP Weighted Summary Statistics Report … refer to the section on Description of Data Elements. … 85,715 0 2 0.01 0.00
DISP_ED Disposition of patient (uniform) from ED 28,584,301 0 1 99 2.70 0.15
DQTR Discharge … 0.99
6: Home health care 93,874 0.07
7: Against medical advice 1,649,340 1.28
9: Admitted as an inpatient
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/suicide-prevention_research-protocol.pdf
December 23, 2015 - injuries,
AHRQ’s Healthcare Cost and Utilization Project - Nationwide Inpatient Sample (HCUP-NIS), … Mental health treatment, Substance abuse prevention, Substance
abuse treatment, Co-occurring disorders, Inpatient … group or individual
format, male and female clients, and a variety of settings (e.g., outpatient, inpatient … accompany
her to the emergency room, aims to increase attendance in outpatient treatment
following discharge … CDC
National Hospital Care
Survey
http://cdc.gov/nchs/nhcs.htm USDHHS, CDC
National Hospital
Discharge
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/person-centered-treatment
January 01, 2021 - Not all these categories are included in homelessness data. … housed people with OUD, unhoused people are: More likely to receive OUD care in emergency department and inpatient … management of the infant with opioid exposure, including clinical presentation, assessment, treatment, and discharge … abstinence syndrome, treatment of prenatal opioid exposure, and considerations to address before hospital discharge … Patient Progress Assessment
Tracking Patient Outcomes
Collecting and Using Data for
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Chan.pdf
July 01, 2004 - The source data reside at each HMO, and only de-
identified and processed data were combined for final … We used existing automated pharmacy
dispensing information and automated inpatient and outpatient diagnosis … Hospitalizations Dates of admission and
discharge, diagnosis
codes, procedure codes
Dates of admission … and discharge do
not leave the HMO. … ”; source data were retained at each HMO, and no
personal-level data left the HMOs unless absolutely
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/mental-illness-outcomes_disposition-comments.pdf
January 15, 2015 - Importantly, inpatient hospitalization for SMI has been
recognized as one of the major cost contributors … We recommend AHRQ to include literature
of costs of inpatient hospitalizations among SMI (p.1). … On page 13, patient involvement in treatment should
include both inpatient treatment AND outpatient … the approach of the Joint
Commission and other regulatory bodies is that any suicide
shortly after discharge … provider
could be the one penalized, even if they were more efficient
than the prior provider who didn’t discharge
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psnet.ahrq.gov/web-mm/procedure-complications-who-responsible-follow
July 31, 2023 - recommendations were communicated by the thoracic surgery team, in part because there was no active inpatient … (23% versus 45%), and a 35% decrease in mean length of hospital stay (13 versus 20 days). 5 These data … associated with improved clinical outcomes in benign esophageal perforation: an individual patient data … WebM&M Cases
Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge
-
psnet.ahrq.gov/sites/default/files/2024-10/spotlight_case_a_cognitive_and_communication_blind_spot_slides.pptx
January 01, 2024 - and decompression but had persistent virtually complete paralysis below the C7 level upon hospital discharge … permanent paralysis
THE COMMENTARY
Garth Utter, MD, MSc, FACS
9
9
Overview
10
Overview (1)
Modern inpatient … Tethered to the EHR: Primary Care Physician Workload Assessment Using EHR Event Log Data and Time-Motion … Thromboembolism after trauma: an analysis of 1602 episodes from the American College of Surgeons National Trauma Data
-
psnet.ahrq.gov/perspective/conversation-withgeri-amori-phd
December 01, 2010 - research team reported the incidence of medical errors in the state of New York, based on the hospital discharge … The immediate response was to convene clinical leaders and to review the claims and data with them. … Using medical malpractice claims data to reduce surgical risk and improve patient safety. … A policy-based intervention for the reduction of communication breakdowns in inpatient surgical care: … The following will be discussed with and approved by the attending before they occur:
Discharge from
-
digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016152-wheeler-final-report-2009.pdf
January 01, 2009 - Improving inpatient transfers between the critical access hospitals and Marquette General;
3. … Develop a Regional HIE clinical data repository to store and report on patient data from
all of the … Critical documents such as admission, discharge
and transfer (ADT) were currently sent to other hospitals … applications and data using XACML / SAML protocols. … Medical documents, such as Discharge Summaries, are very useful
and widely used by medical personnel
-
psnet.ahrq.gov/web-mm/misdiagnosis-small-bowel-obstruction-setting-previous-abdominal-operations
September 27, 2023 - operations, severe abdominal pain not responsive to opioid analgesia (and unresolved at the time of discharge … diagnostic testing results are contradictory, as in this case, the clinician should reassess all relevant data … the last decade, observation units have been increasingly utilized to determine a patient’s need for inpatient
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hcup-us.ahrq.gov/db/nation/neds/stats/NEDS_2006v2_MaskedStats_Core.PDF
April 08, 2010 - 4.67 1.35
DISP_ED : Disposition of patient (uniform) from ED 2.57E7 0 1.00 99.00 6.29 18.96
DQTR : Discharge … 364315 1.42
6: Home health care 11707 0.05
7: Against medical advice 347310 1.35
9: Admitted as an inpatient … Data Set WORK.CHRON1_FREQS
Print
Data Set WORK.DIED_VISIT_FREQS
Print
Data Set WORK.DISCWT_FREQS … Print
Data Set WORK.HOSP_REGION_FREQS
Print
Data Set WORK.INTENT_SELF_HARM_FREQS
Print
Data … Set WORK.NDX_FREQS
Print
Data Set WORK.NECODE_FREQS
Print
Data Set WORK.PAY1_FREQS
Print
Data
-
hcup-us.ahrq.gov/db/nation/neds/stats/NEDS_2006_MaskedStats_Core.PDF
January 01, 2006 - 4.62 1.34
DISP_ED : Disposition of patient (uniform) from ED 2.595E7 0 1.00 99.00 5.97 18.20
DQTR : Discharge … 326564 1.26
6: Home health care 11557 0.04
7: Against medical advice 375286 1.45
9: Admitted as an inpatient … Data Set WORK.CHRON1_FREQS
Print
Data Set WORK.DIED_VISIT_FREQS
Print
Data Set WORK.DISCWT_FREQS … Print
Data Set WORK.HOSP_REGION_FREQS
Print
Data Set WORK.INTENT_SELF_HARM_FREQS
Print
Data … Set WORK.NDX_FREQS
Print
Data Set WORK.NECODE_FREQS
Print
Data Set WORK.PAY1_FREQS
Print
Data
-
psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism
December 31, 2024 - delay in diagnosis, the radiologist did not convey critical findings from the chest CT angiogram to the inpatient … an elevated lactic acid along with other signs of cardiogenic shock, which should have alerted the inpatient … with critical findings, the reporting radiologist did not call the clinician for 24 (35%). 39 While inpatient … Clinicians are responsible for appropriate communication and review of all available data to maximize … May 1, 2011
WebM&M Cases
Discharge Fumbles
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-harms.pdf
August 01, 2025 - Diego,
California
R18 HS020594
[Grant]
Innovations Reducing
Hyper- and Hypo-
Glycemic Events in
Inpatients … patients had lower in-hospital mortality than other groups, many still experienced
severe disability at discharge … Post-discharge care accounted for a large proportion of variation in payments
for all four procedures … 75Q80124F32009
[Contract]
MHS IV: Interventions to
Prevent Non-Ventilator-
Associated Pneumonia for
Inpatients … synthesis evaluated interventions to
prevent non-ventilator hospital-acquired pneumonia (NV-HAP) in adult inpatients