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Related Concept Videos

Discharge Summary Forms01:31

Discharge Summary Forms

The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Planning Nursing Care I01:21

Planning Nursing Care I

The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
Community Based Intervention01:30

Community Based Intervention

Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
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Substance Use Disorders Affecting Sleep01:24

Substance Use Disorders Affecting Sleep

Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Dosage Regimens: Designs and Approaches01:28

Dosage Regimens: Designs and Approaches

Designing a dosage regimen, which refers to the manner of drug administration, is a complex process involving the selection of drug dose, route, and frequency. This process is underpinned by pharmacokinetic parameters derived from tests and population averages. These parameters are then tailored to patient-specific variables such as diagnosis, demographics, and allergy status. Once therapy commences, therapeutic response monitoring is critical and achieved through clinical and physical...
Pharmaceutical Poisoning: Potential Scenarios01:26

Pharmaceutical Poisoning: Potential Scenarios

Pharmaceutical poisoning can occur through various channels, impacting an estimated 2 million hospitalized patients in the U.S. annually with serious adverse drug responses. These scenarios encompass both therapeutic uses, such as drug toxicity, where even standard dosages can lead to severe central nervous system depression, and non-therapeutic exposures, including accidental ingestion by children, and environmental and occupational exposures.Unintentional poisonings often involve exploratory...

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Updated: May 9, 2026

Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum
04:36

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Published on: August 5, 2020

The Development of a Toolkit to Inform Unplanned Discharge Planning in Residential Substance Use Disorder Programs.

Natalie B Riblet1,2, Susan Stevens1,2, Lisa Zubkoff3,4

  • 1Veterans Affairs Medical Center, White River Junction, VT.

Journal of Patient Safety
|May 7, 2026
PubMed
Summary

A new toolkit helps staff in residential substance use disorder (SUD) programs prevent unplanned discharges and related harm. Preliminary findings suggest the toolkit is acceptable and feasible for implementation.

Keywords:
residential programssubstance use disordertoolkitunplanned discharge

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Area of Science:

  • Patient safety
  • Substance use disorder treatment
  • Healthcare quality improvement

Background:

  • Unplanned discharge is a significant patient safety issue in residential substance use disorder (SUD) programs, often leading to patient harm.
  • Staff actions can influence unplanned discharge rates, yet clear guidance for prevention is lacking.
  • A need exists for evidence-based tools to support staff in managing and preventing unplanned discharges.

Purpose of the Study:

  • To develop and assess the acceptability and feasibility of a toolkit designed to guide staff in residential SUD programs on preventing unplanned discharge.
  • To provide best practices for managing unplanned discharges and mitigating associated harm.

Main Methods:

  • A three-phase, evidence-based framework was used to design the toolkit.
  • Phase 1 involved qualitative interviews with staff and literature searches to inform content.
  • Phases 2 and 3 focused on usability testing with experts and a pilot assessment using a validated survey.

Main Results:

  • The toolkit was found to be acceptable and feasible by surveyed staff.
  • Participant feedback led to enhancements, improving the final toolkit.

Conclusions:

  • This study presents the first toolkit specifically for preventing unplanned discharge in residential SUD settings.
  • Preliminary results indicate the toolkit is a potentially valuable and implementable resource.
  • Further research is recommended to evaluate the toolkit's impact on clinical processes and patient outcomes.