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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
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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
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psnet.ahrq.gov/issue/themed-issue-opioid-epidemic
January 14, 2019 - June 23, 2015
Hospital discharge and readmission.
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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.
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psnet.ahrq.gov/issue/prevention-adverse-drug-events-hospitals
July 23, 2014 - June 16, 2010
Hospital discharge and readmission.
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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…
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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…
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psnet.ahrq.gov/issue/role-communication-paediatric-drug-safety
July 08, 2008 - Barriers and facilitators to implementing interventions for reducing avoidable hospital readmission
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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
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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…
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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…
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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-…
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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…
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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…
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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…
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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.…
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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…
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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…
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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…
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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…