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psnet.ahrq.gov/node/865806/psn-pdf
May 08, 2024 - observations, and interviews, this study describes how inconsistencies in
timing and precision at the time of transition … A safe care transition pathway describes critical steps to ensure safe transitions.
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psnet.ahrq.gov/issue/broken-fragmented-health-care-system-failed-daughter-who-died-suicide
June 29, 2022 - suicide of a concussed woman whose care failed due to gaps in team communication, discharge and transition … April 15, 2020
Increased patient safety-related incidents following the transition into
-
psnet.ahrq.gov/node/73700/psn-pdf
September 15, 2021 - framework-classifying-patient
https://psnet.ahrq.gov/issue/challenges-and-remediation-patient-safety-indicators-transition-icd … -10-cm
https://psnet.ahrq.gov/issue/challenges-and-remediation-patient-safety-indicators-transition-icd
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psnet.ahrq.gov/node/836990/psn-pdf
April 27, 2022 - Anatomy of a cyberattack: part 4: quality assurance and
error reduction, billing and compliance, transition … Anatomy of a cyberattack: part 4: quality assurance and error
reduction, billing and compliance, transition
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psnet.ahrq.gov/node/850162/psn-pdf
June 07, 2023 - wards and ICUs
to identify factors that contribute to medication safety or adverse events at times of transition … psnet.ahrq.gov/issue/medication-related-interventions-improve-medication-safety-and-patient-outcomes-transition
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psnet.ahrq.gov/issue/adapting-joint-commissions-seven-foundations-safe-and-effective-transitions-care-home
July 10, 2024 - this commentary discusses how health care organizations are applying these principles to enhance care transition … 2024
Reduced postdischarge incidents after implementation of a hospital-to-home transition
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psnet.ahrq.gov/node/73120/psn-pdf
April 07, 2021 - unintentional and the majority (62.1%) of those were found when
comparing the prescriptions during the transition … psnet.ahrq.gov/issue/medication-errors-year-review
https://psnet.ahrq.gov/issue/medication-errors-care-transition-trauma-patients
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psnet.ahrq.gov/issue/assessing-controlled-substance-prescribing-errors-pediatric-teaching-hospital-analysis-safety
August 02, 2010 - a pediatric teaching hospital: an analysis of the safety of analgesic prescription practice in the transition … a pediatric teaching hospital: an analysis of the safety of analgesic prescription practice in the transition … a pediatric teaching hospital: an analysis of the safety of analgesic prescription practice in the transition
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psnet.ahrq.gov/issue/facilitating-safe-transition-pediatric-emergency-department-home-post-discharge-phone-call
March 13, 2015 - Study
Facilitating a safe transition from the pediatric emergency department to home … Facilitating a safe transition from the pediatric emergency department to home with a post-discharge … Facilitating a safe transition from the pediatric emergency department to home with a post-discharge
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psnet.ahrq.gov/node/855419/psn-pdf
November 15, 2023 - older adults and their family caregivers, HH
frontline providers, HH leadership, and HH hospital-based transition … coordinators, were engaged to identify
best practices to implement the Hospital-to-Home Health Transition
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psnet.ahrq.gov/web-mm/hyperglycemia-and-switching-subcutaneous-insulin
May 19, 2021 - Diabetes care guidelines discuss the transition from intravenous (IV) to subcutaneous insulin in patients … should be in the target range of 140–180 and stable for at least 4 hours on the insulin infusion before transition … Glucommander also has a specific module to assist with transition from IV to subcutaneous insulin. … In this case, the physician did not use the Glucommander for the insulin transition, and the ICU nurse … off of insulin drip Protocols to guide transition from IV to subcutaneous insulin and insulin management
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psnet.ahrq.gov/web-mm/dressed-failure
September 01, 2011 - 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. … We conducted an epidemiological study of prescribing errors after the transition from a homegrown EHR … to a new commercial EHR that demonstrated an increase in many types of errors soon after the transition … Although there are no specific requirements for how to transition between EHRs, there are best practices
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psnet.ahrq.gov/issue/does-standardisation-improve-post-operative-anaesthesia-handoffs-meta-analyses-provider
June 29, 2022 - Related Resources From the Same Author(s)
Handoffs and teamwork: a framework for care transition … Medication-related interventions to improve medication safety and patient outcomes on transition … March 9, 2022
Care transition of trauma patients: processes with articulation work before
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psnet.ahrq.gov/node/49749/psn-pdf
December 01, 2015 - Diabetes care guidelines discuss the transition from intravenous (IV) to subcutaneous insulin in patients … Glucommander also
has a specific module to assist with transition from IV to subcutaneous insulin. … In this case, the physician
did not use the Glucommander for the insulin transition, and the ICU nurse … //psnet.ahrq.gov//#table
https://psnet.ahrq.gov//#references
Guidelines exist to support the safe transition … off of insulin drip
Protocols to guide transition from
IV to subcutaneous insulin and
insulin management
-
psnet.ahrq.gov/issue/association-between-end-rotation-resident-transition-care-and-mortality-among-hospitalized
August 15, 2018 - Study
Association between end-of-rotation resident transition in care and mortality … Association Between End-of-Rotation Resident Transition in Care and Mortality Among Hospitalized Patients … Association Between End-of-Rotation Resident Transition in Care and Mortality Among Hospitalized Patients
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psnet.ahrq.gov/node/41440/psn-pdf
August 17, 2016 - The updated toolkit represents
adjustments made to the AHRQ Quality Indicators to support the transition … toolkit-using-ahrq-quality-indicators-how-improve-hospital-quality-and-safety
https://psnet.ahrq.gov/issue/challenges-and-remediation-patient-safety-indicators-transition-icd
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psnet.ahrq.gov/node/40770/psn-pdf
September 14, 2011 - 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/node/45017/psn-pdf
April 13, 2016 - 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
-
psnet.ahrq.gov/node/73643/psn-pdf
August 01, 2022 - alleviate the risk of patient
safety issues, notably medication errors, occurring because of hospital transition … innovation sought to address communication gaps between the hospital and the
SNF providers when patients transition … was able to use data collection from the innovation to
generate findings regarding the types of care transition … They found that the majority of transition of care breakdowns involved discharge
communication or coordination … ECHO-CT: an interdisciplinary
videoconference model for identifying potential postdischarge transition-of-care
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psnet.ahrq.gov/node/44202/psn-pdf
June 10, 2015 - medication errors due to polypharmacy and coexisting conditions,
resulting in the need for enhanced transition … https://psnet.ahrq.gov/primer/medication-reconciliation
https://psnet.ahrq.gov/issue/facilitating-safe-transition-pediatric-emergency-department-home-post-discharge-phone-call