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psnet.ahrq.gov/glossary/handoffs-and-handovers
September 13, 2021 - professional who spent hours assessing and managing a patient, upon completion of her work, provides a brief summary … The summary may leave out key details due to oversight, exacerbated by an unstructured process and being
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psnet.ahrq.gov/node/33661/psn-pdf
December 01, 2007 - especially when it includes performing medication reconciliation, patient
education, and discharge summary … Prepare a detailed discharge summary and deliver it promptly to the PCP. … A detailed summary should be delivered within 1 week. … Patients should be given a copy of the summary when possible and should be asked to bring it to
their … In summary, there are a number of challenges facing patients, physicians, and health systems with regard
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psnet.ahrq.gov/node/33567/psn-pdf
June 15, 2024 - The I-PASS mnemonic
stands for:
Illness severity: one-word summary of patient acuity ("stable," "watcher … ," or "unstable")
Patient summary: brief summary of the patient's diagnoses and treatment plan
Action … handoff tool, but states the
communication should include content such as illness assessment, patient summary
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psnet.ahrq.gov/node/73106/psn-pdf
April 01, 2021 - select the most
appropriate tool.1
There are several approaches to tracking improvements, such as summary … Infections in a hospital
https://psnet.ahrq.gov//#1
https://psnet.ahrq.gov//#2
https://psnet.ahrq.gov//#4
Summary … In summary, tracking patient safety measures helps health care organizations understand their baseline
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psnet.ahrq.gov/node/37004/psn-pdf
July 08, 2008 - one-third of recommended outpatient investigations were not completed,
frequently because the discharge summary … did not contain details of the necessary workup, or because the
discharge summary was not available
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psnet.ahrq.gov/node/865484/psn-pdf
April 03, 2024 - Communication of incidental imaging findings on
inpatient discharge summaries after implementation of
electronic health record notification system.
April 3, 2024
Mattay G, Mallikarjun K, Grow P, et al. Communication of incidental imaging findings on inpatient discharge
summaries after implementation of electronic …
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psnet.ahrq.gov/node/49703/psn-pdf
March 01, 2014 - The patient was then discharged from the urgent
care clinic and provided an after-visit summary that … One particular issue was that the after-visit summary stated that the patient's diagnosis
was thrush … his diagnosis of a herpetic viral infection was correct, apologized for the
error on the after-visit summary … Although no harm resulted from the interactions, the mistake on the after-visit summary and
the communication … The after-visit
summary incorrectly populated the diagnosis of thrush from the triage information and
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.359_slideshow.ppt
October 01, 2015 - educational activity, participants should be able to:
State the goals of the HITECH Act of 2009
Describe the "summary … /www.healthit.gov/sites/default/files/170.314a2drug_interaction_checks_2014_tp_approvedv1.2.pdf
13
Summary … additional meaningful use criterion that applies to this case involves ability to electronically transmit "summary … of care record" between facilities
These care summary records are required to have multiple elements … documented in the medical record
Of course, the allergy could not be documented or expressed in a care summary
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psnet.ahrq.gov/primer/handoffs
October 18, 2023 - The I-PASS mnemonic stands for: Illness severity: one-word summary of patient acuity ("stable," "watcher … ," or "unstable") Patient summary: brief summary of the patient's diagnoses and treatment plan Action … handoff tool, but states the communication should include content such as illness assessment, patient summary
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.84_slideshow.ppt
December 01, 2004 - Discharge summaries often delayed and incomplete
In a recent audit, median delay between discharge and summary … physicians caring for the patient
Association between hospital readmissions and availability of discharge summary … Quality assessment of a discharge summary system. … Effect of discharge summary availability during post-discharge visits on hospital readmission.
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psnet.ahrq.gov/print/pdf/node/865864
January 01, 2024 - Healthcare Research and Quality
Diagnostic Error
Curated Library
Incidence of Diagnostic Errors
25-Year summary … https://psnet.ahrq.gov/
https://psnet.ahrq.gov/node/865864
https://psnet.ahrq.gov/issue/25-year-summary-us-malpractice-claims-diagnostic-errors … -1986-2010-analysis-national
https://psnet.ahrq.gov/issue/25-year-summary-us-malpractice-claims-diagnostic-errors … recommends tactics to improve its measurement, including trigger tools and patient reporting.
25-Year summary … -1986-2010-analysis-national
https://psnet.ahrq.gov/issue/25-year-summary-us-malpractice-claims-diagnostic-errors
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psnet.ahrq.gov/issue/communication-incidental-imaging-findings-inpatient-discharge-summaries-after-implementation
August 19, 2020 - Study
Communication of incidental imaging findings on inpatient discharge summaries after implementation of electronic health record notification system.
Citation Text:
Mattay G, Mallikarjun K, Grow P, et al. Communication of incidental imaging findings on inpatient discharge summaries a…
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psnet.ahrq.gov/issue/adequacy-hospital-discharge-summaries-documenting-tests-pending-results-and-outpatient-follow
September 23, 2020 - Study
Classic
Adequacy of hospital discharge summaries in documenting tests with pending results and outpatient follow-up providers.
Citation Text:
Were MC, Li X, Kesterson J, et al. Adequacy of hospital discharge summaries in documenting tests with pending re…
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psnet.ahrq.gov/issue/sound-alarm
May 11, 2019 - July 8, 2020
Implications of Health Literacy for Public Health: Workshop Summary. … October 8, 2014
Facilitating Patient Understanding of Discharge Instructions: Workshop Summary
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psnet.ahrq.gov/issue/investigation-detection-retained-vaginal-swabs-and-tampons-following-childbirth
April 01, 2019 - Summary of Highlights, Themes and Future Work. … Summary of Highlights, Themes and Future Work.
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psnet.ahrq.gov/issue/nam-scholars-diagnostic-excellence-program
April 28, 2021 - June 15, 2011
Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary … Patient Safety Innovations
Rescue Improvement Conference Innovation Summary
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psnet.ahrq.gov/node/849600/psn-pdf
May 31, 2023 - Danger in discharge summaries: abbreviations create
confusion for both author and recipient.
May 31, 2023
Coghlan A, Turner S, Coverdale S. Danger in discharge summaries: abbreviations create confusion for
both author and recipient. Intern Med J. 2023;53(4):550-558. doi:10.1111/imj.15582.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/49470/psn-pdf
December 01, 2004 - audit of discharge
summaries at our hospital, the median delay between patient discharge and discharge summary … research demonstrates an association between hospital readmissions and availability of the
discharge summary … has been shown to reduce emergency department
visits in one small study.(11,12) Automating discharge summary … Quality assessment of a discharge summary system. … Effect of discharge summary availability during post-
discharge visits on hospital readmission.
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psnet.ahrq.gov/issue/effects-discharge-time-out-quality-hospital-discharge-summaries
December 31, 2014 - Study
The effects of a 'discharge time-out' on the quality of hospital discharge summaries.
Citation Text:
Mohta N, Vaishnava P, Liang C, et al. The effects of a 'discharge time-out' on the quality of hospital discharge summaries. BMJ Qual Saf. 2012;21(10):885-90.
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psnet.ahrq.gov/issue/access-clinical-information-bedside
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Comprehensive Healthcare Inspection Summary Report: Evaluation of Care