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psnet.ahrq.gov/web-mm/carpe-diem-seize-day
September 01, 2012 - Relationship between in-hospital adverse events and hospital performance on 30-day all-cause mortality and readmission … August 2, 2023
Association of changing hospital readmission rates with mortality rates … August 15, 2018
Association between hospital penalty status under the Hospital Readmission … Reduction Program and readmission rates for target and nontarget conditions. … Association between hospital performance on patient safety and 30-day mortality and unplanned readmission
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psnet.ahrq.gov/node/49481/psn-pdf
May 01, 2005 - concern is supported by several studies that found that patients who leave AMA have significantly higher
readmission … rates than other patients.(3,5,6) In a study of general medical patients, the readmission rate
within … after discharge was 21% in patients leaving AMA, compared with 3% in matched
controls; the rate of readmission … day period was similar in the two groups.(5) No
specific factors have been found to strongly predict readmission … Patients who leave AMA have significantly
higher readmission rates and may be at increased risk of serious
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psnet.ahrq.gov/print/pdf/node/865864
January 01, 2024 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Diagnostic Error
Curated Library
Incidence of Diagnostic Errors
25-Year summary of US malpractice claims for diagnostic errors 1986–2010: an analysis from the
National Practitioner Data Bank.
Tehrani ASS, Lee HW, Mathews SC, et al. BMJ Qua…
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psnet.ahrq.gov/issue/childrens-hospitals-solutions-patient-safety
January 09, 2024 - Multi-use Website
Childrens' Hospitals' Solutions for Patient Safety.
Save
Save to your library
Print
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July 30, 2015
This Web site provides resources related to a …
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psnet.ahrq.gov/node/867443/psn-pdf
January 08, 2025 - Investigating the impact of a pharmacist intervention on
inappropriate prescribing practices at hospital admission
and discharge in older patients: a secondary outcome
analysis from a randomized controlled trial.
January 8, 2025
Garcia BH, Omma KK, Småbrekke L, et al. Investigating the impact of a pharmacist inter…
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psnet.ahrq.gov/node/866954/psn-pdf
October 16, 2024 - Patient and public involvement in healthcare: a
systematic mapping review of systematic reviews -
identification of current research and possible directions
for future research.
October 16, 2024
Bergholtz J, Wolf A, Crine V, et al. Patient and public involvement in healthcare: a systematic mapping
review of syste…
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psnet.ahrq.gov/node/43436/psn-pdf
August 13, 2014 - Decreasing handoff-related care failures in children's
hospitals.
August 13, 2014
Bigham MT, Logsdon TR, Manicone PE, et al. Decreasing handoff-related care failures in children's
hospitals. Pediatrics. 2014;134(2):e572-e579. doi:10.1542/peds.2013-1844.
https://psnet.ahrq.gov/issue/decreasing-handoff-related-care-…
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psnet.ahrq.gov/node/60812/psn-pdf
January 01, 2021 - A clinical pharmacist-led integrated approach for
evaluation of medication errors among medical intensive
care unit patients.
August 19, 2020
Aghili M, Neelathahalli Kasturirangan M. A clinical pharmacist-led integrated approach for evaluation of
medication errors among medical intensive care unit patients. JBI Ev…
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psnet.ahrq.gov/node/844040/psn-pdf
February 08, 2023 - A customized triggers program: a children's hospital's
experience in improving trigger usability.
February 8, 2023
Reinhart RM, Safari-Ferra P, Badh R, et al. A customized triggers program: a children's hospital's
experience in improving trigger usability. Pediatrics. 2023;151(2):e2022056452. doi:10.1542/peds.2022-…
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psnet.ahrq.gov/node/37974/psn-pdf
March 04, 2011 - The impact of medical errors on ninety-day costs and
outcomes: an examination of surgical patients.
March 4, 2011
Encinosa W, Hellinger FJ. The impact of medical errors on ninety-day costs and outcomes: an examination
of surgical patients. Health Serv Res. 2008;43(6):2067-85. doi:10.1111/j.1475-6773.2008.00882.x.
…
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psnet.ahrq.gov/node/48056/psn-pdf
June 15, 2019 - Patients' conceptualizations of responsibility for
healthcare: a typology for understanding differing
attributions in the context of patient safety.
June 15, 2019
Heavey E, Waring J, De Brún A, et al. Patients' Conceptualizations of Responsibility for Healthcare: A
Typology for Understanding Differing Attributions…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/malnutrition-hospitalized-adults-protocol.pdf
October 19, 2020 - Quality (AHRQ) Healthcare Cost and Utilization Project (HCUP) Statistical Brief, 30-day all
cause readmission … Clinical Outcomes (All Key Questions)
• Mortality (inpatient and 30-day)
• Length of stay
• 30-day readmission … include mortality, length of stay,
functional status, activities of daily living, quality of life, readmission
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digital.ahrq.gov/ahrq-funded-projects/care-transitions-app-patients-multiple-chronic-conditions
January 01, 2023 - Care Transitions App for Patients with Multiple Chronic Conditions
Project Description
Research Story
A patient-facing mobile health application simplifying the information patients and caregivers receive has the potential to better engage patients and families in their h…
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www.ahrq.gov/patient-safety/patients-families/patient-family-engagement/index.html
April 01, 2018 - Engaging Patients and Families in Their Health Care
Whether you see patients at a hospital, primary care office, or other setting, time is often limited and patients and family members who have prioritized their questions or concerns will experience the most meaningful, efficient visits. To help you and your pa…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/lessons/lessons-using-pqms.pdf
January 01, 2016 - their readmissions measure to ensure that a
patient was in the ACO for the index hospitalization and
readmission … Key Findings
• The CEPQM team was able to adapt their all-condition
readmission measure to be used
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hcup-us.ahrq.gov/news/exhibit_booth/HCUPOverviewDeck_121422.pdf
February 09, 2022 - Readmission
analyses possible
in some States.
-
www.ahrq.gov/sites/default/files/2025-03/chaudhry-report.pdf
January 01, 2025 - systems: Participants described QI efforts aimed at improving hospital-SNF transfers and reducing
readmission … discharge 38 (1.9%) 30 (2.4%) 0.27
Within 30 days of discharge 154 (7.6%) 94 (7.7%) 0.95
Inpatient Readmission … Hospital Readmission from Skilled Nursing Facilities: Perspectives of Hospital and SNF
Providers. … facilities to identify
potentially modifiable characteristics that may be addressed to reduce unnecessary readmission
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psnet.ahrq.gov/node/40982/psn-pdf
March 23, 2012 - Emergency hospitalizations for adverse drug events in
older Americans.
March 23, 2012
Budnitz DS, Lovegrove MC, Shehab N, et al. Emergency hospitalizations for adverse drug events in older
Americans. New Engl J Med. 2011;365(21):2002-2012. doi:10.1056/NEJMsa1103053.
https://psnet.ahrq.gov/issue/emergency-hospitali…
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psnet.ahrq.gov/node/47092/psn-pdf
October 13, 2018 - Organizational response to known medical errors: does
peer review protection impede improvement?
October 13, 2018
Wenner WJ, Choi SW. Organizational Response to Known Medical Errors: Does Peer Review Protection
Impede Improvement? Am J Med Qual. 2018;33(5):552-553. doi:10.1177/1062860618769429.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/867009/psn-pdf
October 23, 2024 - Specialized nurses' role in ensuring patient safety within
the context of telehealth in home care: a scoping review.
October 23, 2024
Vaismoradi M, Rae J, Turunen H, et al. Specialized nurses’ role in ensuring patient safety within the
context of telehealth in home care: a scoping review. Digit Health. 2024;10:2055…