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  1. Managing Complexity in Diagnosis: Life-threatening Complications after Gastric Bypass Surgery. | PSNet

    psnet.ahrq.gov/web-mm/managing-complexity-diagnosis-life-threatening-complications-after-gastric-bypass-surgery
    September 25, 2019 - Upon readmission, her neurological status, including profound weakness and encephalopathy, had continued … Upon readmission to the hospital, with the patient even more severely ill, the problem representation

  2. Tool 5: How To Conduct a Postdischarge Followup Phone Call | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool5.html
    March 01, 2025 - families for discharge from the hospital, improve patient and family satisfaction, and decrease hospital readmission … We got her a commode and averted a readmission.”

  3. Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/pfp/interimhacrate2013.html
    November 01, 2015 - Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms Next Page Table of Contents Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms Appendix References Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Co…

  4. Meeting Minutes, July 24, 2015 | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/events/nac/2015-03-nac/nacmtg0715-minutes.html
    December 01, 2015 - Meeting Minutes, July 24, 2015 National Advisory Council Minutes from the July 24, 2015, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of March 27, 2015, Summary Report Director's Update 2014 National Healthcare Q…

  5. Chapter 6. Measure Maps and Profiles (continued, 21) | Agency for Healthcare Research and Quality

    www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6t.html
    June 01, 2014 - 2 Link to Outcomes or Health System Characteristics: One study demonstrated a decreased risk of readmission

  6. Executive Summary | Digital Healthcare Research

    digital.ahrq.gov/2020-year-review/executive-summary
    January 01, 2020 - voice-controlled technology can broaden its use, leading to improved overall health and reduced hospital readmission

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73106/psn-pdf
    April 01, 2021 - issue because it significantly increases risk of post-hospitalization adverse events and hospital readmission

  8. Triggers and Trigger Tools | PSNet

    psnet.ahrq.gov/primer/triggers-and-trigger-tools
    September 15, 2024 - studies used fairly blunt triggers, general indications that harm may have occurred such as death, readmission

  9. Impact of pharmacist-provided medication therapy management on healthcare quality and utilization in recently discharged elderly patients. | PSNet

    psnet.ahrq.gov/issue/impact-pharmacist-provided-medication-therapy-management-healthcare-quality-and-utilization
    November 16, 2022 - Study Impact of pharmacist-provided medication therapy management on healthcare quality and utilization in recently discharged elderly patients. Citation Text: Haag JD, Davis AZ, Hoel RW, et al. Impact of Pharmacist-Provided Medication Therapy Management on Healthcare Quality and Utiliza…

  10. The causes of errors in clinical reasoning: cognitive biases, knowledge deficits, and dual process thinking. | PSNet

    psnet.ahrq.gov/issue/causes-errors-clinical-reasoning-cognitive-biases-knowledge-deficits-and-dual-process
    April 12, 2019 - Commentary The causes of errors in clinical reasoning: cognitive biases, knowledge deficits, and dual process thinking. Citation Text: Norman GR, Monteiro SD, Sherbino J, et al. The Causes of Errors in Clinical Reasoning: Cognitive Biases, Knowledge Deficits, and Dual Process Thinking. A…

  11. Preventing medication errors in transitions of care: a patient case approach. | PSNet

    psnet.ahrq.gov/issue/preventing-medication-errors-transitions-care-patient-case-approach
    October 17, 2012 - Review Preventing medication errors in transitions of care: a patient case approach. Citation Text: Johnson A, Guirguis E, Grace Y. Preventing medication errors in transitions of care: A patient case approach. J Am Pharm Assoc (2003). 2015;55(2):e264-276. doi:10.1331/JAPhA.2015.15509. …

  12. Relationship between psychological safety and reporting nonadherence to a safety checklist. | PSNet

    psnet.ahrq.gov/issue/relationship-between-psychological-safety-and-reporting-nonadherence-safety-checklist
    April 06, 2022 - Study Relationship between psychological safety and reporting nonadherence to a safety checklist. Citation Text: Gilmartin HM, Langner P, Gokhale M, et al. Relationship Between Psychological Safety and Reporting Nonadherence to a Safety Checklist. J Nurs Care Qual. 2018;33(1):53-60. doi:…

  13. The untold toll — the pandemic’s effects on patients without Covid-19. | PSNet

    psnet.ahrq.gov/issue/untold-toll-pandemics-effects-patients-without-covid-19
    August 02, 2015 - Commentary Classic The untold toll — the pandemic’s effects on patients without Covid-19. Citation Text: Rosenbaum L. The untold toll — the pandemic’s effects on patients without Covid-19. New Engl J Med. 2020;382(24):2368-2371. doi:10.1056/nejmms2009984. Copy…

  14. Reducing emergency department charting and ordering errors with a room number watermark on the electronic medical record display. | PSNet

    psnet.ahrq.gov/issue/reducing-emergency-department-charting-and-ordering-errors-room-number-watermark-electronic
    November 22, 2017 - Study Reducing emergency department charting and ordering errors with a room number watermark on the electronic medical record display. Citation Text: Yamamoto LG. Reducing emergency department charting and ordering errors with a room number watermark on the electronic medical record dis…

  15. Frequency of and risk factors for preventable medication-related hospital admissions in the Netherlands. | PSNet

    psnet.ahrq.gov/issue/frequency-and-risk-factors-preventable-medication-related-hospital-admissions-netherlands
    March 01, 2011 - Study Frequency of and risk factors for preventable medication-related hospital admissions in the Netherlands. Citation Text: Leendertse AJ, Egberts ACG, Stoker LJ, et al. Frequency of and risk factors for preventable medication-related hospital admissions in the Netherlands. Arch Inte…

  16. Medication reconciliation at admission and discharge: an analysis of prevalence and associated risk factors. | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-admission-and-discharge-analysis-prevalence-and-associated-risk
    December 02, 2020 - Study Medication reconciliation at admission and discharge: an analysis of prevalence and associated risk factors. Citation Text: Belda-Rustarazo S, Cantero-Hinojosa J, Salmeron-García A, et al. Medication reconciliation at admission and discharge: an analysis of prevalence and associate…

  17. Rates of safety incident reporting in MRI in a large academic medical center. | PSNet

    psnet.ahrq.gov/issue/rates-safety-incident-reporting-mri-large-academic-medical-center
    May 03, 2017 - Study Rates of safety incident reporting in MRI in a large academic medical center. Citation Text: Mansouri M, Aran S, Harvey HB, et al. Rates of safety incident reporting in MRI in a large academic medical center. J Magn Reson Imaging. 2016;43(4):998-1007. doi:10.1002/jmri.25055. Copy…

  18. Managing discontinuity in academic medical centers: strategies for a safe and effective resident sign-out. | PSNet

    psnet.ahrq.gov/issue/managing-discontinuity-academic-medical-centers-strategies-safe-and-effective-resident-sign
    November 26, 2014 - Review Managing discontinuity in academic medical centers: strategies for a safe and effective resident sign-out. Citation Text: Vidyarthi AR, Arora V, Schnipper JL, et al. Managing discontinuity in academic medical centers: Strategies for a safe and effective resident sign-out. J Hosp…

  19. Hospital finances and patient safety outcomes. | PSNet

    psnet.ahrq.gov/issue/hospital-finances-and-patient-safety-outcomes
    April 27, 2010 - Study Hospital finances and patient safety outcomes. Citation Text: Encinosa W, Bernard DM. Hospital finances and patient safety outcomes. Inquiry. 2005;42(1):60-72. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  20. Results of a medication reconciliation survey from the 2006 Society of Hospital Medicine national meeting. | PSNet

    psnet.ahrq.gov/issue/results-medication-reconciliation-survey-2006-society-hospital-medicine-national-meeting
    October 27, 2010 - Study Results of a medication reconciliation survey from the 2006 Society of Hospital Medicine national meeting. Citation Text: Clay BJ, Halasyamani L, Stucky ER, et al. Results of a medication reconciliation survey from the 2006 Society of Hospital Medicine national meeting. J Hos…
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