The AHRQ PSNet Collection comprises an extensive selection of resources relevant to the patient safety community. These resources come in a variety of formats, including literature, research, tools, and Web sites. Resources are identified using the National Library of Medicine’s Medline database, various news and content aggregators, and the expertise of the AHRQ PSNet editorial and technical teams.
Williams M, Li J, Hansen LO, et al. South Med J. 2014;107:455-65.
… medical journal … South Med J … This qualitative study of a large-scale quality improvement effort to reduce … Intensive mentoring by project champions appeared to be a key factor in success of the program. …
Berry JG, Ziniel SI, Freeman L, et al. Int J Qual Health Care. 2013;25:573-81.
Hospital readmissions have emerged as a national policy priority, in part spurred by financial penalties for high readmission rates under the Affordable Care Act. This study used the care transitions survey to assess the relationship between parents' perceptions of their child's hospital discharge and readmission. Unplanned 30-day readmissions were significantly more likely when parents did not believe that their child was "healthy enough to leave the hospital." Of note, more than 95% of parents in this survey felt they had all the information needed to take care of their child upon discharge. The National Quality Forum has endorsed a set of strategies to prevent adverse events after discharge and Project RED researches strategies for reducing readmissions.
Kripalani S, Jackson AT, Schnipper JL, et al. J Hosp Med. 2007;2:314-23.
This article reviews key challenges in providing safe transitions from hospital to home, including discontinuity between inpatient and outpatient physicians, medication regimen changes, and complicated discharge instructions. The authors also discuss strategies to prevent medical errors in the postdischarge period.
Coleman EA, Smith JD, Raha D, et al. Arch Intern Med. 2005;165:1842-1847.
… of patients discharged after hospitalization experience a medication discrepancy. Using data from 375 adults, … proton pump inhibitors. The authors conclude that use of a medication discrepancy tool can identify problems leading …