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psnet.ahrq.gov/node/43599/psn-pdf
August 04, 2015 - Support from hospital to home for elders: a randomized
trial. … Support from hospital to home for elders: a randomized trial. … more than 2500 hospitals have been penalized by the Centers for Medicare and Medicaid
Services due to … care for a group of elderly, ethnically, and linguistically diverse
patients with low health literacy … highlight barriers to generalizing interventions to improve safety across
sites of care and patient
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psnet.ahrq.gov/node/50769/psn-pdf
February 15, 2017 - diverse
values, beliefs and behaviors, including the tailoring of healthcare delivery to meet patients … improve their discharge process. … diverse patient populations.[22] Links
to publically available tools and resources that may assist … To Deliver the Re-Engineered Discharge to
Diverse Populations. ahrq.gov. https://www.ahrq.gov/hai/red … A reengineered hospital discharge program to decrease
rehospitalization: A randomized trial.
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psnet.ahrq.gov/perspective/cultural-competence-and-patient-safety
December 27, 2019 - improve their discharge process. … To Deliver the Re-Engineered Discharge to Diverse Populations. ahrq.gov. … However, PFACs struggle to be economically and demographically diverse. … how you should discharge diverse patients from different cultural and language backgrounds. … discharge to diverse populations ” that focuses on nuances of delivering the RED to diverse patients
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psnet.ahrq.gov/perspective/conversation-cindy-brach
December 27, 2019 - However, PFACs struggle to be economically and demographically diverse. … how you should discharge diverse patients from different cultural and language backgrounds. … discharge to diverse populations ” that focuses on nuances of delivering the RED to diverse patients … improve their discharge process. … To Deliver the Re-Engineered Discharge to Diverse Populations. ahrq.gov.
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psnet.ahrq.gov/issue/reengineered-hospital-discharge-program-decrease-rehospitalization-randomized-trial
August 04, 2021 - Study
A reengineered hospital discharge program to decrease rehospitalization: a … A reengineered hospital discharge program to decrease rehospitalization: a randomized trial. … In this study, a discharge advocate (a trained nurse) met with patients prior to discharge and created … a patient-centered discharge plan, which was given to the patient and primary physician. … April 24, 2018
Implementation of the I-PASS handoff program in diverse clinical environments
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psnet.ahrq.gov/issue/factors-associated-disclosure-medical-errors-housestaff
January 27, 2019 - EndNote 7 XML Endnote tagged PubMedId RIS
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Save to … Resources From the Same Author(s)
Evaluating the implementation of Project Re-Engineered Discharge … January 27, 2019
A reengineered hospital discharge program to decrease rehospitalization … September 13, 2023
Implementation of the I-PASS handoff program in diverse clinical environments … February 18, 2011
Intern to attending: assessing stress among physicians.
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psnet.ahrq.gov/issue/lost-translation-impact-language-barriers-childrens-healthcare
January 06, 2018 - Language barriers can contribute to miscommunications that diminish patient safety. … language assistance and to provide prompt access to qualified interpreters . … February 15, 2023
Implementation of the I-PASS handoff program in diverse clinical environments … November 16, 2022
Evaluating the implementation of Project Re-Engineered Discharge (RED … August 11, 2010
A reengineered hospital discharge program to decrease rehospitalization
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psnet.ahrq.gov/issue/one-hospitals-initiatives-encourage-safe-opioid-use
October 19, 2022 - One Hospital's Initiatives to Encourage Safe Opioid Use. … to reduce opioid-related harm . … One Hospital's Initiatives to Encourage Safe Opioid Use. … December 20, 2023
Implementation of the I-PASS handoff program in diverse clinical environments … December 19, 2014
Evaluating the implementation of Project Re-Engineered Discharge (RED
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psnet.ahrq.gov/issue/examining-validity-ahrqs-patient-safety-indicators-psis-variation-psi-composite-score-related
November 10, 2010 - the validity of AHRQ's Patient Safety Indicators (PSIs): is variation in PSI composite score related to … the validity of AHRQ's patient safety indicators (PSIs): is variation in PSI composite score related to … June 15, 2011
Evaluating the implementation of Project Re-Engineered Discharge (RED) … September 9, 2013
Implementation of the I-PASS handoff program in diverse clinical environments … January 19, 2014
Validity of AHRQ patient safety indicators derived from ICD-10 hospital discharge
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psnet.ahrq.gov/node/50768/psn-pdf
December 27, 2019 - Cultural competence is
very often defined as being able to work effectively across diverse populations … However, PFACs
struggle to be economically and demographically diverse. … I think that people are recognizing—to varying
degrees– that having a diverse PFAC is important. … how you should discharge
diverse patients from different cultural and language backgrounds. … discharge to diverse populations” that
focuses on nuances of delivering the RED to diverse patients
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psnet.ahrq.gov/issue/mixed-methods-study-exploring-patient-safety-culture-4-vha-hospitals
September 25, 2019 - EndNote 7 XML Endnote tagged PubMedId RIS
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Save to … Veterans Health Administration (VHA) implemented a high reliability organization (HRO) strategy to … June 26, 2024
Evaluating the implementation of Project Re-Engineered Discharge (RED) … March 14, 2022
Implementation of the I-PASS handoff program in diverse clinical environments … April 19, 2023
Listening, Learning, Responding to Concerns.
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psnet.ahrq.gov/issue/review-medication-errors-and-second-victim-pediatric-pharmacy
January 27, 2019 - EndNote 7 XML Endnote tagged PubMedId RIS
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Save to … Even with technology designed to prevent them, medication errors continue to occur, often causing staff … involved to experience " second victim " syndrome. … Resources From the Same Author(s)
Evaluating the implementation of Project Re-Engineered Discharge … March 13, 2024
Implementation of the I-PASS handoff program in diverse clinical environments
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psnet.ahrq.gov/issue/survey-hospital-quality-improvement-activities
January 27, 2019 - EndNote 7 XML Endnote tagged PubMedId RIS
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Save to … pose barriers to effective quality improvement. … PubMed citation
Available at
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Save to your library
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Download PDF … Resources From the Same Author(s)
Evaluating the implementation of Project Re-Engineered Discharge … October 19, 2022
Implementation of the I-PASS handoff program in diverse clinical environments
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psnet.ahrq.gov/issue/systematic-review-patient-safety-measures-adult-primary-care
March 15, 2016 - EndNote 7 XML Endnote tagged PubMedId RIS
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Save to … This problem is compounded in ambulatory care , as most existing metrics have sought to measure safety … The majority of metrics sought to measure safety in medication management, with laboratory testing and … April 10, 2024
Evaluating the implementation of Project Re-Engineered Discharge (RED) … December 15, 2011
Implementation of the I-PASS handoff program in diverse clinical environments
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psnet.ahrq.gov/node/33779/psn-pdf
March 01, 2015 - have
tried diverse approaches tailored to the culture, workforce, and patient population of particular … reduce readmissions for ethnically and linguistically diverse older
patients. … customize certain interventions to a diverse set of patient
populations and settings. … Similar to the Armor study, this one found discrepancies
between hospital discharge and home medication … Both studies indicate that
creating a new approach to reconciling patients' discharge medication lists
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psnet.ahrq.gov/web-mm/treatment-challenges-after-discharge
January 03, 2017 - Appreciate the problems related to tests pending at hospital discharge and best practices to address … Increasing access to health care professionals during the discharge period by providing a discharge " … Patients are particularly vulnerable to adverse events at discharge because the discharge care transition … A reengineered hospital discharge program to decrease rehospitalization: a randomized trial. … December 22, 2021
Implementation of the I-PASS handoff program in diverse clinical environments
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psnet.ahrq.gov/web-mm/caution-interrupted
October 01, 2016 - Experts often monitor normal operations by listening to the background "chatter," not attending to any … Here, two task factors contributed to the nurse's failure to recognize that the wrong drug had been sent … September 19, 2013
Our current approach to root cause analysis: is it contributing to … our failure to improve patient safety? … Workaround Error
February 1, 2006
WebM&M Cases
Discharge
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psnet.ahrq.gov/sites/default/files/2024-12/spotlight_case_csf_leak_after_elective_spine_surgery_slides_-_final.pptx
January 01, 2024 - List conservative and non-conservative measures to manage a CSF leak to prevent serious complications … He was advised to continue to lie flat on his back until the drainage stopped. … Peroxide-soaked sterile cotton was applied to the drainage site after manual expression of discharge. … If all measures continue to fail, a reoperation to achieve primary closure is needed to avoid severe … Diverse clinical applications of percutaneous lumboperitoneal shunts.
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psnet.ahrq.gov/node/867429/psn-pdf
December 18, 2024 - Authors, reviewers and others in a position to control the
content of this activity are required to … He was
advised to continue to lie flat on his back until the drainage stopped. … Peroxide-soaked sterile cotton was applied to the drainage site after manual expression of
discharge … If all measures continue to fail, a reoperation to achieve primary closure is needed to avoid severe … Diverse clinical applications of percutaneous lumboperitoneal shunts.
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psnet.ahrq.gov/web-mm/management-csf-leaks-after-elective-spine-surgery-routine-laminectomy-leads-fatal-discitis
March 09, 2022 - List conservative and non-conservative measures to manage a CSF leak to prevent serious complications … He was advised to continue to lie flat on his back until the drainage stopped. … Peroxide-soaked sterile cotton was applied to the drainage site after manual expression of discharge. … If all measures continue to fail, a reoperation to achieve primary closure is needed to avoid severe … Diverse clinical applications of percutaneous lumboperitoneal shunts.