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psnet.ahrq.gov/topics-0
March 03, 2025 - Institutional Reporting Go to this topic
Never Events Go to this topic
Inpatient … Errors Go to this topic
Wrong Patient Go to this topic
Inpatient
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rojas.pdf
March 15, 2004 - conducted with blinded, retrospective chart
review of prevalent surgical procedures from a New York State … administrative database algorithm and a chart abstraction tool for identifying
adverse occurrences with inpatients … We included only those surgical procedures with a prevalence of 1 percent or
more in the New York State … New York State Department of Health. … NYPORTS:
the New York State Occurrence and Tracking System
Annual Report. Albany, NY: 2001.
11.
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www.ahrq.gov/policymakers/chipra/overview/background/next-steps2.html
December 01, 2009 - The data source is administrative records, an advantage from a State and health plan perspective. … Inpatient Patient Safety
In 2007, children ages 0-17 accounted for 6.3 million inpatient community … The Healthcare Cost and Utilization Project's (HCUP) Kids Inpatient Database (KID) procedures data suggest … The measure was nominated by the State of Alabama Medicaid Medical Director. … Its use by other State programs is not known.
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psnet.ahrq.gov/node/49759/psn-pdf
May 01, 2016 - taken to prevent a similar incident in the future, as well as what were best practices for
preventing inpatient … ) Fall-related injuries are categorized as: none, minor, moderate, major,
and death (Table 1).(3)
Inpatient … Unit-level time trends in inpatient fall rates of US hospitals. Med Care.
2012;50:801-807. … A new approach to fall prevention in inpatient care: implementing remote
audiovisual monitoring of at-risk … www.ncbi.nlm.nih.gov/pubmed/12930040
http://psqh.com/november-december-2014/a-new-approach-to-fall-prevention-in-inpatient-care
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www.ahrq.gov/sites/default/files/2024-02/berry-report.pdf
January 01, 2024 - GA, LA,
MA, MO, TN, VA, and WA) that are reporting all 2011 non-federal hospitalizations to AHRQ’s State … in these eight
states suggests approximately 210 hospitals with >250 annual hospitalizations (CDC, State … How is the value of an HST program altered by HIV prevalence
among inpatients; by HST linkage and re-engagement … care, outpatient care, medications, laboratory studies)
Hospital-level factors: HIV prevalence among inpatients … groups.
15 | P a g e
The second, “Mentor Approach for Promoting Patient Self-Care,” randomized 400 inpatients
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/bundled-payments-quality-effects_disposition-comments.pdf
August 24, 2012 - Closing the
Quality Gap Series: Revisiting the State of the Science. … recommendations from the Technical Expert
Panel, as these are generally not included in
literature databases … (For example, paying a doctor and hospital jointly for an inpatient
procedure is very different from … Inpatient mortality decreased but so did length of stay. … If not,
inpatient mortality is somewhat meaningless and its limitations should be
pointed out.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/medication-adherence-interventions_research-protocol.pdf
August 18, 2011 - Department
of Veterans Affairs and the New York State Department of Health. … Institutional settings such as inpatient
care, nursing homes, and prisons will be excluded. … We will also conduct an updated literature search (of the same databases searched initially) concurrent … New York State Department of Health. … populations, interventions, comparisons, or outcomes, as well as identifying
particular studies or databases
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/public-reporting-cost-measures_research-protocol.pdf
January 13, 2014 - Specifically, we will conduct a review of the
MEDLINE®, Scopus, and EconLit databases. … Closing the Quality
Gap: Revisiting The State of the Science. Evidence Report No 208. … Kullgren JT, Duey KA, Werner RM. (2013) A census of state healthcare price
transparency websites. … Source: www.effectivehealthcare.ahrq.gov
Published online: January 13, 2014 13
Oklahoma State … Wisconsin Hospital http://www.wicheckpoint.org/reports_step1.aspx
WHA Information Center -
Wisconsin Inpatient
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psnet.ahrq.gov/web-mm/falling-through-crack-bedrails
February 19, 2020 - taken to prevent a similar incident in the future, as well as what were best practices for preventing inpatient … Fall-related injuries are categorized as: none, minor, moderate, major, and death ( Table 1 ).( 3 ) Inpatient … Unit-level time trends in inpatient fall rates of US hospitals. Med Care. 2012;50:801-807. … A new approach to fall prevention in inpatient care: implementing remote audiovisual monitoring of at-risk … September 1, 2016
Medication-related clinical decision support alert overrides in inpatients
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/patient-monitoring-systems-rapid-review.pdf
December 01, 2024 - (2020) was an RCT of electronic best practice alerts (BPAs) in adult non-critical care
inpatients … monitoring system; they may be in
another part of the building, or potentially even in another part of the state … Primary studies frequently draw conclusions
with limited or no statistical analysis or state results … Too
few interventions have been tested outside of annotated databases in real time. … Night-time detection and response in
relation to deteriorating inpatients: A
scoping review.
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www.ahrq.gov/sites/default/files/2024-03/kennerly-report.pdf
January 01, 2024 - identified as part of routine use of
the modified IHI Global Trigger Tool (GTT) applied to hospital inpatients … Costs associated with ambulatory care visits, ED,
and inpatient admission were analyzed separately and … Comparison of pre ambulatory, emergency department, inpatient admission, and total cost for AE-positive … However, results from Table 3 indicate that the decrease in inpatient and total expenses
over the two … The review of ED records by our inpatient chart reviewers identified relatively few AEs that were POA
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psnet.ahrq.gov/web-mm/paroxysmal-supraventricular-tachycardia-masquerading-panic-attacks
September 01, 2017 - convened by the Brigham and Women’s Hospital Center for Patient Safety Research and Practice and the State … With Sex Disparities in Total Joint Arthroplasty Patients and Financial Outcomes from the National Inpatient … September 2, 2020
Medication-related clinical decision support alert overrides in inpatients
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs018649-levick-final-report-2014.pdf
January 01, 2014 - benefits of the
integrated EHR quantitatively, using data from the hospital administrative and clinical databases … increasingly common once standards of interoperability, data
exchange, and confidentiality at regional, state … In the period during which data was flowing electronically from the inpatient to outpatient EHR, data … Initially, dataflow from the outpatient to inpatient system
was unreliable because data were often … Moreover, the outpatient prenatal data required
access through a separate tab within the inpatient
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psnet.ahrq.gov/web-mm/bad-writing-wrong-medication
March 01, 2015 - These costs were attributed to inpatient stays (62%), emergency department visits (6%), outpatient care … Characteristics associated with more frequent counseling were younger pharmacists, increased intensity of state … Patient counseling provided in community pharmacies: effects of state regulation, pharmacist age, and … Communication training, adverse events, and quality measures: 2 retrospective database analyses in Washington State
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs026505-wallace-final-report-2020.pdf
January 01, 2020 - service utilization in year prior to index
ED discharge); and health outcomes (e.g., primary care, inpatient … isolation.17 Screening tools that include questions of social needs have
predicted ED revisits and inpatient … tone of initial conversations were casual and confident; the majority of participants continued to
state … Advantage Plans (Health
Maintenance Organizations) 54 (3.6%) 49 (3.7%) 103 (3.7%)
Medicaid, Disability & State … Medicare Advantage Plans (Health
Maintenance Organizations) 17 (4.4%) 4 (4.1%)
Medicaid, Disability & State
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psnet.ahrq.gov/primer/post-acute-transitional-services-safety-home-based-care-programs
April 24, 2024 - , or the Community Health Accreditation Program 22 ) and surveyed by the accrediting agency and the state … electrocardiogram, an ultrasound console, 40 a portal to medical references (such as textbooks and drug databases … patient experience, and reduce health care costs, which can be 19% to 30% less than for traditional inpatient … B to CMS, State Operations Manual, Pub. No. 100-07 (SOM, Advance App. … April 24, 2024
Patient Safety Primers
Inpatient Transitions
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0217-fullreport.pdf
April 01, 2018 - Inpatient stays, outpatient visits, urgent care visits, and acute care (evaluation and
management) … Inpatient stays, outpatient visits, urgent care visits, and acute care (evaluation and
management) … In a study of the Healthcare Cost and Utilization Project (HCUP)
inpatient and ED databases, Brousseau … Care Setting – inpatient: No.
c. Care Setting – other – please specify: No.
d. … The abstraction tool was modified to explicitly state this.
6.B.
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psnet.ahrq.gov/node/33723/psn-pdf
December 01, 2011 - only describe reported falls; under-
reporting also has to be factored in.(4)
Between 30%–50% of inpatient … ://psnet.ahrq.gov//#ref11
https://psnet.ahrq.gov//#ref12
https://psnet.ahrq.gov//#ref1
Preventing Inpatient … Evidence from community and care home settings cannot be assumed to automatically apply to hospitals,
as inpatients … Can volunteer companions prevent falls among inpatients? … Does vitamin D stop inpatients falling? A randomised controlled trial.
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psnet.ahrq.gov/perspective/preparing-health-reform-federal-government-and-nursing-workforce
September 01, 2012 - Projection results (including state-by-state demand) and description of projection models should be released … One could at least muse about a future state where organizational incentives on value are so intense … RW : Speaking as a researcher, is there evidence that a regulatory approach, such as a state-mandated … in hospitals, so research about nursing care is fundamentally research about hospital care, and the databases … September 30, 2011
Nurse staffing and inpatient hospital mortality.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Jack_28.pdf
February 21, 2008 - This study is taking place on a portion of the inpatient general medicine service at
BMC. … barrier to providing the RED intervention (at least in our teaching hospital, where
residents care for inpatients … National and regional estimates on hospital use
for all patients from the HCUP Natiowide Inpatient … Medical
errors related to discontinuity of care from an inpatient
to an outpatient setting. … Depression
is a risk factor for rehospitalization in medical
inpatients.