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  1. psnet.ahrq.gov/issue/what-happened-patient-safety
    August 23, 2007 - December 7, 2022 Interventions to improve communication at hospital discharge and rates of readmission
  2. psnet.ahrq.gov/issue/patient-safety-and-quality-pediatric-intensive-care-unit
    October 06, 2011 - 6, 2011 Association between unmet nonmedication needs after hospital discharge and readmission
  3. psnet.ahrq.gov/issue/themed-issue-opioid-epidemic
    January 14, 2019 - June 23, 2015 Hospital discharge and readmission.
  4. psnet.ahrq.gov/issue/medicare-trims-payments-800-hospitals-citing-patient-safety-incidents
    July 19, 2017 - October 26, 2011 New round of Medicare readmission penalties hits 2,583 hospitals.
  5. psnet.ahrq.gov/issue/prevention-adverse-drug-events-hospitals
    July 23, 2014 - June 16, 2010 Hospital discharge and readmission.
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43415/psn-pdf
    September 10, 2014 - Project BOOST implementation: lessons learned. September 10, 2014 Williams M, Li J, Hansen LO, et al. Project BOOST implementation: lessons learned. South Med J. 2014;107(7):455-65. doi:10.14423/SMJ.0000000000000140. https://psnet.ahrq.gov/issue/project-boost-implementation-lessons-learned This qualitative study o…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45779/psn-pdf
    January 10, 2018 - The link between clinically validated patient safety indicators and clinical outcomes. January 10, 2018 Gray DM, Hefner JL, Nguyen MC, et al. The Link Between Clinically Validated Patient Safety Indicators and Clinical Outcomes. Am J Med Qual. 2017;32(6):583-590. doi:10.1177/1062860616683014. https://psnet.ahrq.go…
  8. psnet.ahrq.gov/issue/role-communication-paediatric-drug-safety
    July 08, 2008 - Barriers and facilitators to implementing interventions for reducing avoidable hospital readmission
  9. psnet.ahrq.gov/issue/prescribing-safely-children
    September 03, 2014 - Relationship between in-hospital adverse events and hospital performance on 30-day all-cause mortality and readmission
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47394/psn-pdf
    January 27, 2019 - Evaluating the implementation of Project Re-Engineered Discharge (RED) in five Veterans Health Administration (VHA) hospitals. January 27, 2019 Sullivan JL, Shin MH, Engle RL, et al. Evaluating the Implementation of Project Re-Engineered Discharge (RED) in Five Veterans Health Administration (VHA) Hospitals. Jt Co…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45000/psn-pdf
    August 15, 2016 - Medicare and Medicaid Programs; Hospital and Critical Access Hospital (CAH) Changes to Promote Innovation, Flexibility, and Improvement in Patient Care; Proposed Rule. June 29, 2016 Centers for Medicare & Medicaid Services. Fed Regist. 2016;81:39447-39480. https://psnet.ahrq.gov/issue/medicare-and-medicaid-progra…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43496/psn-pdf
    November 01, 2016 - Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions. November 1, 2016 Boutwell A, Bourgoin A , Maxwell J, et al. Rockville, MD: Agency for Healthcare Research and Quality; September 2016. AHRQ Publication No. 16-0047-EF. https://psnet.ahrq.gov/issue/designing-…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42114/psn-pdf
    March 20, 2013 - Hospital-initiated transitional care interventions as a patient safety strategy: a systematic review. March 20, 2013 Rennke S, Nguyen OK, Shoeb MH, et al. Hospital-initiated transitional care interventions as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):433-40. doi:10.7326/0003-4…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40236/psn-pdf
    March 23, 2012 - The safety implications of missed test results for hospitalised patients: a systematic review. March 23, 2012 Callen J, Georgiou A, Li J, et al. The safety implications of missed test results for hospitalised patients: a systematic review. BMJ Qual Saf. 2011;20(2):194-199. doi:10.1136/bmjqs.2010.044339. https://ps…
  15. psnet.ahrq.gov/issue/toolkit-engage-high-risk-patients-safe-transitions-across-ambulatory-settings
    March 11, 2017 - Toolkit Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings. Citation Text: Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings. Davis K, Collier S, Situ J, et al. Rockville, MD: Agency for Healthcare Research and Quality; D…
  16. psnet.ahrq.gov/issue/improving-discharge-process-embedding-discharge-facilitator-resident-team
    January 23, 2019 - Study Improving the discharge process by embedding a discharge facilitator in a resident team. Citation Text: Finn KM, Heffner R, Chang Y, et al. Improving the discharge process by embedding a discharge facilitator in a resident team. J Hosp Med. 2011;6(9):494-500. doi:10.1002/jhm.924.…
  17. psnet.ahrq.gov/issue/using-prospective-clinical-surveillance-identify-adverse-events-hospital
    November 11, 2015 - Study Using prospective clinical surveillance to identify adverse events in hospital. Citation Text: Forster AJ, Worthington JR, Hawken S, et al. Using prospective clinical surveillance to identify adverse events in hospital. BMJ Qual Saf. 2011;20(9):756-63. doi:10.1136/bmjqs.2010.0486…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39652/psn-pdf
    June 30, 2010 - Aftercare tips for patients checking out of the hospital. June 30, 2010 Alderman L. New York Times. June 18, 2010;B6. https://psnet.ahrq.gov/issue/aftercare-tips-patients-checking-out-hospital This news piece highlights efforts to improve discharge planning, enhance the safety of care transitions, and reduce readm…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40773/psn-pdf
    January 04, 2012 - Complementary telephone strategies to improve postdischarge communication. January 4, 2012 Rennke S, Kesh S, Neeman N, et al. Complementary telephone strategies to improve postdischarge communication. Am J Med. 2012;125(1):28-30. doi:10.1016/j.amjmed.2011.05.011. https://psnet.ahrq.gov/issue/complementary-telephon…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41769/psn-pdf
    October 17, 2012 - The MacArthur Fellows Program: Eric Coleman. October 17, 2012 MacArthur Foundation. https://psnet.ahrq.gov/issue/macarthur-fellows-program-eric-coleman Dr. Eric Coleman has enhanced care transitions by developing tools and processes to improve communication and reduce readmissions. The MacArthur Foundation has sel…

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