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21. Preventing Medication-Related Problems in Care Transitions to Skilled Nursing Facilities | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/preventing-medication-related-problems-care-transitions-skilled-nursing
    July 31, 2025 - to the transition coordination process is crucial to reduce medication mishaps and avoid unnecessary readmissions … The PIT program shows promise to greatly reduce hospital readmissions and lessen patient emotional distress … expose the most vulnerable patients to a high risk of complications, emotional distress, and hospital readmissions … The PIT program shows promise to reduce hospital readmissions, lessen patient emotional distress by proactively

22. Tobacco Use | Digital Healthcare Research
    digital.ahrq.gov/medical-condition/tobacco-use
    January 01, 2023 - voice recognition technology and found that the intervention successfully reduced unplanned hospital readmissions

23. Value of Technology to Transfer Discharge Information | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/value-technology-transfer-discharge-information
    January 01, 2023 - Database abstraction and blinded interviews assessed patient readmissions, emergency department visits … (RCT) Technology: Clinical Documentation , Computerized Provider Order Entry System Patient readmissions … Patient readmissions, emergency visits, and adverse events after software-assisted discharge from hospital

24. Disseminating and Implementing Evidence from Patient-centered Outcomes Research Using Mobile Health Technology (R21) | Digital Healthcare Research
    digital.ahrq.gov/funding-mechanism/disseminating-and-implementing-evidence-patient-centered-outcomes-research-using
    January 01, 2023 - The patient buddy app can potentially prevent hepatic encephalopathy-related readmissions … The patient buddy app can potentially prevent hepatic encephalopathy-related readmissions.

25. Promoting Self-Management in Stroke Survivors Using Health Information Technology - 2012 | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/promoting-self-management-stroke-survivors-using-health-it/annual-summary/2012
    January 01, 2012 - They are thus at high risk of post-stroke hospital readmissions for recurrent stroke, heart attacks, … Interventions to improve medication compliance and reduce caregiver burden may reduce hospital readmissions

26. The Effectiveness of an HIT-based Care Transition Information Transfer System to Improve Outpatient Post-Hospital Care for Medically Complex Patients - Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/publication/r18hs017864-ciemins-final-report-2012.pdf
    January 01, 2012 - Key Words: health IT, care transitions, readmissions, medically complex, rural 5 3. … Thus, reducing readmissions and improving care transitions from hospital to home to ensure timely follow-up … Table 3. 30-day Readmissions by Post-Hospital Discharge Follow-Up Visits 30-day Medical Visit … Hospitals are implementing established methods to reduce readmissions, testing new methods, or both … Changes in health care include imposed payments by CMS for avoidable readmissions, the development

27. Virginia Commonwealth University | Digital Healthcare Research
    digital.ahrq.gov/organization/virginia-commonwealth-university
    January 01, 2023 - using patient-reported outcomes for cirrhosis collected with Patient Buddy and EncephalApp on hospital readmissions … Readmission Description This project tested a mobile health application’s impact on reducing readmissions

28. Graumlich, James | Digital Healthcare Research
    digital.ahrq.gov/principal-investigator/graumlich-james
    January 01, 2023 - Project Name Value of Technology to Transfer Discharge Information Patient readmissions … Patient readmissions, emergency visits, and adverse events after software-assisted discharge from hospital

29. USA, VA, Richmond | Digital Healthcare Research
    digital.ahrq.gov/location/usa-va-richmond
    January 01, 2023 - using patient-reported outcomes for cirrhosis collected with Patient Buddy and EncephalApp on hospital readmissions … Readmission Description This project tested a mobile health application’s impact on reducing readmissions

30. Virtual Patient Advocate to Reduce Ambulatory Adverse Drug Events | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/virtual-patient-advocate-reduce-ambulatory-adverse-drug-events
    January 01, 2023 - Many readmissions stem from errors that can be directly attributed to the discontinuity and fragmentation … Accessed at http://www.wbur.org/2011/02/08/readmissions Link: http://www.wbur.org/2011/02/08/readmissions

31. Use of Push and Pull Health Information Exchange Technologies by Ambulatory Care Practices and the Impact on Potentially Avoidable Healthcare Utilization | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/use-push-and-pull-health-information-exchange-technologies-ambulatory-care
    January 01, 2023 - Furthermore, adoption of pull HIE was associated with a decrease in potentially avoidable hospitalization and readmissions … used pull HIE were associated with a 15% relative decrease in hospitalization and 1.2% decrease in readmissions … Push HIE adoption was not associated with change in hospitalization or readmissions.

32. Jack, Brian | Digital Healthcare Research
    digital.ahrq.gov/principal-investigator/jack-brian
    February 28, 2023 - Jack, Brian How hospitals reengineer their discharge processes to reduce readmissions … How hospitals reengineer their discharge processes to reduce readmissions.

33. Improving Care Transitions of Hospitalized Patients With the Pharmacy Integrated Transitions Program | Digital Healthcare Research
    digital.ahrq.gov/2020-year-review/research-summary/improving-care-transitions-hospitalized-patients-pharmacy-integrated-transitions-program
    January 01, 2020 - expose the most vulnerable patients to a high risk of complications, emotional distress, and hospital readmissions … The PIT program shows promise to reduce hospital readmissions, lessen patient emotional distress by proactively

34. Developing an Interactive, Patient-Centered mHealth Tool to Enhance Post-Cystectomy Care - Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/citation/k08hs024134-smith-final-report-2019.pdf
    January 01, 2019 - PURPOSE Readmissions following major surgical oncology procedures are prevalent and costly with cystectomy … for bladder cancer having the highest rate of complications and readmissions. … post-discharge strategies that reduce expensive and morbid post-surgical complications and hospital readmissions … I will also monitor patient satisfaction (acceptability), complications, readmissions, and resource … Using Qualitative Research to Reduce Readmissions and Optimize Perioperative Cystectomy Care, Cancer

35. Press, Valerie G. | Digital Healthcare Research
    digital.ahrq.gov/principal-investigator/press-valerie-g
    January 01, 2024 - This research will study the effectiveness of a virtual in-home program designed to reduce hospital readmissions

36. Arora, Vineet | Digital Healthcare Research
    digital.ahrq.gov/principal-investigator/arora-vineet
    January 01, 2024 - This research will study the effectiveness of a virtual in-home program designed to reduce hospital readmissions

37. Data Warehouse | Digital Healthcare Research
    digital.ahrq.gov/technology/data-warehouse
    January 01, 2023 - Arthritis Comparative effectiveness of risk-stratified care management in reducing readmissions … Comparative effectiveness of risk-stratified care management in reducing readmissions in Medicaid adults

38. Evaluation of Effectiveness of a Health Information Technology-Based Care Transition Information Transfer System - 2012 | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/evaluation-effectiveness-health-information-technology-based-care-transition/annual-summary/2012
    January 01, 2012 - Changes in health care include imposed payments for avoidable readmissions, the development of patient-centered … , may improve followup of medically complex patients post-hospitalization and lead to reductions in readmissions

39. Value of Technology to Transfer Discharge Information - 2009 | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/value-technology-transfer-discharge-information/annual-summary/2009
    January 01, 2009 - Patient readmissions, emergency visits, and adverse events after software-assisted discharge from hospital

40. Accelerating Change and Transformation in Organizations and Networks (ACTION) | Digital Healthcare Research
    digital.ahrq.gov/funding-mechanism/accelerating-change-and-transformation-organizations-and-networks-action
    January 01, 2023 - ACTION) How hospitals reengineer their discharge processes to reduce readmissions … How hospitals reengineer their discharge processes to reduce readmissions.