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psnet.ahrq.gov/issue/mitigating-error-vulnerability-transition-care-through-use-health-it-applications
January 23, 2019 - Commentary
Mitigating error vulnerability at the transition of care through the use … Mitigating Error Vulnerability at the Transition of Care through the Use of Health IT Applications. … Mitigating Error Vulnerability at the Transition of Care through the Use of Health IT Applications.
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psnet.ahrq.gov/issue/engineering-care-transitions-clinician-perceptions-barriers-safe-medication-management-during
July 20, 2022 - Aligning clinician and patient care transition goals using these three strategies may better prepare … July 21, 2021
Care transition of trauma patients: processes with articulation work before
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psnet.ahrq.gov/node/43481/psn-pdf
December 23, 2016 - Managing risk during transition to new ISO tubing
connector standards. … https://psnet.ahrq.gov/issue/managing-risk-during-transition-new-iso-tubing-connector-standards
The … https://psnet.ahrq.gov/issue/managing-risk-during-transition-new-iso-tubing-connector-standards
https
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psnet.ahrq.gov/issue/use-simulation-test-systems-and-prepare-staff-new-hospital-transition
May 31, 2017 - Study
Use of simulation to test systems and prepare staff for a new hospital transition … Use of Simulation to Test Systems and Prepare Staff for a New Hospital Transition. … Use of Simulation to Test Systems and Prepare Staff for a New Hospital Transition.
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psnet.ahrq.gov/issue/scaling-diagnostic-pause-icu-ward-transition-exploration-barriers-and-facilitators
July 19, 2019 - Study
Scaling up a diagnostic pause at the ICU-to-ward transition: an exploration … Scaling up a diagnostic pause at the ICU-to-ward transition: an exploration of barriers and facilitators … Scaling up a diagnostic pause at the ICU-to-ward transition: an exploration of barriers and facilitators
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psnet.ahrq.gov/issue/medication-related-interventions-improve-medication-safety-and-patient-outcomes-transition
October 27, 2021 - Medication-related interventions to improve medication safety and patient outcomes on transition … Medication-related interventions to improve medication safety and patient outcomes on transition from … Medication-related interventions to improve medication safety and patient outcomes on transition from
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psnet.ahrq.gov/node/840256/psn-pdf
November 16, 2022 - Sarah Mossburg: This is a good point to transition into talking about the framework that you developed … We redesigned that care
transition with multiple stakeholders. … Werner, I think you mentioned skilled nursing facility transitions as the other
transition that you … The first is that it’s a really important transition in terms of diagnostic
accuracy and antibiotic … And I think there’s been a
historical tendency to think of a transition as a short time period like
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psnet.ahrq.gov/node/866561/psn-pdf
August 21, 2024 - 288,432 malpractice claims between
January 1990 and September 2018, researchers found that the spring transition … sleep-and-circadian-misalignment-hospitalist-review
https://psnet.ahrq.gov/issue/increased-patient-safety-related-incidents-following-transition-daylight-savings-time
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psnet.ahrq.gov/issue/medication-reconciliation-reducing-risk-medication-misadventure-during-transition-hospital
April 24, 2018 - Study
Medication reconciliation: reducing risk for medication misadventure during transition … Medication reconciliation: reducing risk for medication misadventure during transition from hospital … Medication reconciliation: reducing risk for medication misadventure during transition from hospital
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psnet.ahrq.gov/issue/adverse-inpatient-outcomes-during-transition-new-electronic-health-record-system
September 29, 2017 - Study
Adverse inpatient outcomes during the transition to a new electronic health … Adverse inpatient outcomes during the transition to a new electronic health record system: observational … Adverse inpatient outcomes during the transition to a new electronic health record system: observational
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psnet.ahrq.gov/perspective/conversation-pascale-carayon-phd-and-nicole-werner-phd
November 16, 2022 - Sarah Mossburg: This is a good point to transition into talking about the framework that you developed … We redesigned that care transition with multiple stakeholders. … Nicole Werner: Well, currently in our healthcare system, I would say, the only constant in a transition … And I think there’s been a historical tendency to think of a transition as a short time period like a … A care transition, from the ED or from any other healthcare setting, back to home or to another setting
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psnet.ahrq.gov/issue/august-always-nightmare-results-royal-college-physicians-edinburgh-and-society-acute-medicine
November 05, 2014 - nightmare': results of the Royal College of Physicians of Edinburgh and Society of Acute Medicine August transition … nightmare': results of the Royal College of Physicians of Edinburgh and Society of Acute Medicine August transition … nightmare': results of the Royal College of Physicians of Edinburgh and Society of Acute Medicine August transition
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psnet.ahrq.gov/issue/see-one-sim-one-do-one-national-pre-internship-boot-camp-ensure-safer-student-doctor
February 16, 2011 - See One, Sim One, Do One"—a national pre-internship boot-camp to ensure a safer "student to doctor" transition … See One, Sim One, Do One"- A National Pre-Internship Boot-Camp to Ensure a Safer "Student to Doctor" Transition … See One, Sim One, Do One"- A National Pre-Internship Boot-Camp to Ensure a Safer "Student to Doctor" Transition
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psnet.ahrq.gov/issue/transition-traditional-code-team-medical-emergency-team-and-categorization-cardiopulmonary
January 06, 2017 - Study
Transition from a traditional code team to a medical emergency team and categorization … Transition from a traditional code team to a medical emergency team and categorization of cardiopulmonary … Transition from a traditional code team to a medical emergency team and categorization of cardiopulmonary
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psnet.ahrq.gov/issue/fast-forward-rounds-effective-method-teaching-medical-students-transition-patients-safely
March 14, 2018 - Study
Fast forward rounds: an effective method for teaching medical students to transition … Fast forward rounds: an effective method for teaching medical students to transition patients safely … Fast forward rounds: an effective method for teaching medical students to transition patients safely
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psnet.ahrq.gov/perspective/using-human-factors-engineering-and-seips-model-advance-patient-safety-care-transitions
November 16, 2022 - Sarah Mossburg: This is a good point to transition into talking about the framework that you developed … We redesigned that care transition with multiple stakeholders. … Nicole Werner: Well, currently in our healthcare system, I would say, the only constant in a transition … And I think there’s been a historical tendency to think of a transition as a short time period like a … A care transition, from the ED or from any other healthcare setting, back to home or to another setting
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psnet.ahrq.gov/issue/challenges-and-remediation-patient-safety-indicators-transition-icd-10-cm
September 23, 2020 - Study
Challenges and remediation for Patient Safety Indicators in the transition … Challenges and remediation for Patient Safety Indicators in the transition to ICD-10-CM. … Challenges and remediation for Patient Safety Indicators in the transition to ICD-10-CM.
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psnet.ahrq.gov/issue/understanding-medication-safety-involving-patient-transfer-intensive-care-hospital-ward
November 14, 2018 - wards and ICUs to identify factors that contribute to medication safety or adverse events at times of transition … Medication-related interventions to improve medication safety and patient outcomes on transition … Medication-related interventions to improve medication safety and patient outcomes on transition
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psnet.ahrq.gov/node/72574/psn-pdf
December 16, 2020 - exploring-sociotechnical-intersection-patient-safety-and-electronic-health-record
https://psnet.ahrq.gov/issue/transition-new-electronic-health-record-and-pediatric-medication-safety-lessons-learned … https://psnet.ahrq.gov/issue/impact-electronic-health-record-transition-chemotherapy-error-reporting
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psnet.ahrq.gov/node/49691/psn-pdf
September 01, 2013 - However, despite a few ambulatory visits for this patient since transition to the new EHR, the allergy … There is little published data on the prevalence of this type of transition. … Limited data is available about safety threats and other unintended consequences following the transition … We conducted an epidemiological study of prescribing errors after the transition
from a homegrown EHR … Although there are no specific requirements for how to transition between EHRs, there are best practices