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141. Engineering care transitions: clinician perceptions of barriers to safe medication management during transitions of patient care. | PSNet
     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

142. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36333/psn-pdf
     July 10, 2008 - studies have documented the safety problems that befall patients with complex illnesses at the time of transition … Intervention patients received a personal health record and a "transition coach," who assisted with

143. Optimizing transitions of care to reduce rehospitalizations. | PSNet
     psnet.ahrq.gov/issue/optimizing-transitions-care-reduce-rehospitalizations
     November 04, 2015 - to reduce readmissions , such as enhancing team communication, educating staff, and standardizing transition … December 19, 2018 Challenges and remediation for Patient Safety Indicators in the transition

144. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44951/psn-pdf
     March 02, 2016 - This study examined handoffs from the emergency department to the inpatient unit, a transition known … handoffs-and-signouts https://psnet.ahrq.gov/issue/dropping-baton-qualitative-analysis-failures-during-transition-emergency-department-inpatient

145. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41192/psn-pdf
     November 26, 2014 - reconciliation-errors Medication reconciliation continues to pose significant threats to patients when they transition … This study found that reconciliation errors occurred frequently at both these transition times; 42%

146. Psn-Pdf (pdf file)
     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

147. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40433/psn-pdf
     November 26, 2014 - As CPOE systems evolve, health systems are beginning to transition from older versions (with only limited … This analysis of a primary care practice that underwent such a transition found fewer overall prescribing

148. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33661/psn-pdf
     December 01, 2007 - I would argue that a good hospital discharge transition is just as important as a thorough admission … coach" and empowering them to facilitate communication and other aspects of the care transition. … SHM is working with the American College of Physicians and other organizations to develop care transition … As hospitalists, health systems, and regulatory agencies become more invested in the care transition … Lost in transition: challenges and opportunities for improving the quality of transitional care.

149. Effects of the I-PASS nursing handoff bundle on communication quality and workflow. | PSNet
     psnet.ahrq.gov/issue/effects-i-pass-nursing-handoff-bundle-communication-quality-and-workflow
     November 12, 2014 - 31, 2014 Reduced postdischarge incidents after implementation of a hospital-to-home transition … 10, 2019 View More Related Resources Ensuring effective care transition … August 21, 2019 Making the transition to nursing bedside shift reports.

150. Medical malpractice litigation and daylight saving time. | PSNet
     psnet.ahrq.gov/issue/medical-malpractice-litigation-and-daylight-saving-time
     March 24, 2019 - 288,432 malpractice claims between January 1990 and September 2018, researchers found that the spring transition … September 23, 2020 Increased patient safety-related incidents following the transition

151. Work system barriers and facilitators of a team health information technology. | PSNet
     psnet.ahrq.gov/issue/work-system-barriers-and-facilitators-team-health-information-technology
     March 11, 2020 - technician, pediatric intensive care unit attending) on the usability of a potential team health IT care transition … September 11, 2019 Care transition of trauma patients: processes with articulation work

152. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49632/psn-pdf
     July 01, 2011 - A Seasonal Care Transition Failure July 1, 2011 Young JQ. A Seasonal Care Transition Failure. … https://psnet.ahrq.gov/web-mm/seasonal-care-transition-failure The Case A 70-year-old healthy man presented … symptoms.(12-14) This potentially heightened acuity makes monitoring even more critical during the transition … predicted those patients more likely to require hospitalization or have significant symptoms during the transition … These may include specialized transition curricula, training in communication skills for giving and

153. Effect of a multispecialty faculty handoff initiative on safety culture and handoff quality. | PSNet
     psnet.ahrq.gov/issue/effect-multispecialty-faculty-handoff-initiative-safety-culture-and-handoff-quality
     March 10, 2019 - Additionally, the “handoff and transition score” on the Agency for Healthcare Quality (AHRQ) Hospital … October 6, 2016 Physician transition of care: benefits of I-PASS and an electronic handoff

154. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38612/psn-pdf
     May 06, 2009 - 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

155. Information management goals and process failures during home visits for middle-aged and older adults receiving skilled home healthcare services after hospital discharge: a multisite, qualitative study. | PSNet
     psnet.ahrq.gov/issue/information-management-goals-and-process-failures-during-home-visits-middle-aged-and-older
     November 15, 2023 - Patients are at risk for adverse events after they transition from hospital to home. … The authors recommend redesigning the care transition process from hospital to home health care providers

156. Measuring psychological safety and local learning to enable high reliability organisational change. | PSNet
     psnet.ahrq.gov/issue/measuring-psychological-safety-and-local-learning-enable-high-reliability-organisational
     May 05, 2021 - measure (local learning) to measure staff psychological safety and evaluate the effectiveness of their transition … Medication-related interventions to improve medication safety and patient outcomes on transition

157. Improving Care Transitions of Older Adults | PSNet
     psnet.ahrq.gov/training-catalog/improving-care-transitions-older-adults
     Event Description: This program focuses on the role of the clinician in managing the care transition

158. Engaging patients and informal caregivers to improve safety and facilitate person- and family-centered care during transitions from hospital to home: a qualitative descriptive study. | PSNet
     psnet.ahrq.gov/node/47896
     August 23, 2006 - A PSNet perspective discussed interventions to improve safety during the transition from hospital to … April 14, 2010 Patient Safety Innovations Transition Coaches

159. Spotlight Case July 2008 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.194_slideshow.ppt
     March 01, 2009 - ED-to-Inpatient Handoff ED-to-inpatient handoff is another care transition that can lead to medical … Dropping the baton: a qualitative analysis of failures during the transition from emergency department … Dropping the baton: a qualitative analysis of failures during the transition from emergency department … Potential Solutions to Improve Transition Improved electronic access to key information Vital signs … Dropping the baton: a qualitative analysis of failures during the transition from emergency department

160. Effective discharge communication in the emergency department. | PSNet
     psnet.ahrq.gov/issue/effective-discharge-communication-emergency-department
     January 24, 2024 - April 8, 2019 Facilitating a safe transition from the pediatric emergency department … 2010 WebM&M Cases Recurrent Hypoglycemia: A Care Transition