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161. Using stakeholder intervention refinement teams to develop approaches for real-time integration of patient-reported safety information during older adults’ hospital-to-home-health care transitions. | PSNet
     psnet.ahrq.gov/issue/using-stakeholder-intervention-refinement-teams-develop-approaches-real-time-integration
     January 21, 2019 - 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

162. Prescribing discrepancies likely to cause adverse drug events after patient transfer. | PSNet
     psnet.ahrq.gov/issue/prescribing-discrepancies-likely-cause-adverse-drug-events-after-patient-transfer
     December 08, 2010 - reconciliation was named as a 2005 National Patient Safety Goal in part to address these concerns at various transition … 16, 2019 Medication reconciliation: reducing risk for medication misadventure during transition

163. The care transitions intervention: results of a randomized controlled trial. | PSNet
     psnet.ahrq.gov/issue/care-transitions-intervention-results-randomized-controlled-trial
     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 continuity

164. Work system barriers and facilitators in inpatient care transitions of pediatric trauma patients. | PSNet
     psnet.ahrq.gov/issue/work-system-barriers-and-facilitators-inpatient-care-transitions-pediatric-trauma-patients
     September 11, 2019 - September 11, 2019 Care transition of trauma patients: processes with articulation work … Pascale Carayon, PhD and Nicole Werner, PhD November 16, 2022 Care transition

165. Resident to resident handoffs in the emergency department: an observational study. | PSNet
     psnet.ahrq.gov/issue/resident-resident-handoffs-emergency-department-observational-study
     September 28, 2022 - September 28, 2022 Assessing patient work system factors for medication management during transition … March 28, 2011 WebM&M Cases Lost in Transition February

166. Overview of adverse events related to invasive procedures in the intensive care unit. | PSNet
     psnet.ahrq.gov/issue/overview-adverse-events-related-invasive-procedures-intensive-care-unit
     November 29, 2023 - November 20, 2013 Adverse events after transition from ICU to hospital ward: a multicenter … February 10, 2021 Failure events in transition of care for surgical patients.

167. Reduced effectiveness of interruptive drug–drug interaction alerts after conversion to a commercial electronic health record. | PSNet
     psnet.ahrq.gov/issue/reduced-effectiveness-interruptive-drug-drug-interaction-alerts-after-conversion-commercial
     May 20, 2019 - Researchers sought to assess the impact of a transition from a legacy electronic health record system … August 29, 2018 Transition to a new electronic health record and pediatric medication

168. Medication discrepancies upon hospital to skilled nursing facility transitions. | PSNet
     psnet.ahrq.gov/issue/medication-discrepancies-upon-hospital-skilled-nursing-facility-transitions
     July 20, 2011 - that state or national regulations may be needed to improve medication safety across the hospital–SNF transition … 17, 2019 Medication reconciliation: reducing risk for medication misadventure during transition

169. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865455/psn-pdf
     March 27, 2024 - healthcare professionals and organizations to mitigate challenges and improve communication during transition … Checklists and Structured Handoffs Ineffective communication during handoffs, or the transition of patient … One study found that implementing bundled transition strategies that included a post- discharge telephone … Following transition from hospital to other care settings, patients report being unprepared for their … to engage patients and home health providers in evaluating hospital-to-home care transition quality

170. Patient safety in the critical care environment. | PSNet
     psnet.ahrq.gov/issue/patient-safety-critical-care-environment
     November 16, 2022 - 16, 2022 Reduced postdischarge incidents after implementation of a hospital-to-home transition … May 4, 2014 Critical care transition programs and the risk of readmission or death after

171. Reducing inappropriate outpatient medication prescribing in older adults across electronic health record systems. | PSNet
     psnet.ahrq.gov/issue/reducing-inappropriate-outpatient-medication-prescribing-older-adults-across-electronic
     September 29, 2021 - August 30, 2023 The impact of transition to a digital hospital on medication errors ( … 2, 2010 WebM&M Cases Recurrent Hypoglycemia: A Care Transition

172. The impact of checklists on inpatient safety outcomes: a systematic review of randomized controlled trials. | PSNet
     psnet.ahrq.gov/issue/impact-checklists-inpatient-safety-outcomes-systematic-review-randomized-controlled-trials
     September 29, 2021 - October 13, 2018 Adverse events after transition from ICU to hospital ward: a multicenter … May 20, 2020 Critical care transition programs and the risk of readmission or death after

173. Strategies to improve the patient safety outcome indicator: preventing or reducing falls. | PSNet
     psnet.ahrq.gov/issue/strategies-improve-patient-safety-outcome-indicator-preventing-or-reducing-falls
     March 24, 2021 - New graduate registered nurses: Risk mitigation strategies to ensure safety and successful transition … Medication-related interventions to improve medication safety and patient outcomes on transition

174. Impact of performance obstacles on intensive care nurses' workload, perceived quality and safety of care, and quality of working life. | PSNet
     psnet.ahrq.gov/issue/impact-performance-obstacles-intensive-care-nurses-workload-perceived-quality-and-safety-care
     March 11, 2020 - June 22, 2022 Care transition of trauma patients: processes with articulation work before … October 12, 2011 View More Related Resources Care transition of

175. The uptake of technologies designed to influence medication safety in Canadian hospitals. | PSNet
     psnet.ahrq.gov/issue/uptake-technologies-designed-influence-medication-safety-canadian-hospitals
     March 10, 2021 - 10, 2024 Reduced postdischarge incidents after implementation of a hospital-to-home transition … April 22, 2011 Adverse events after transition from ICU to hospital ward: a multicenter

176. Long-term sustainability and adaptation of I-PASS handovers. | PSNet
     psnet.ahrq.gov/issue/long-term-sustainability-and-adaptation-i-pass-handovers
     September 09, 2020 - Practices March 27, 2024 Medication management of COVID-19 patients during transition … 6, 2023 Reduced postdischarge incidents after implementation of a hospital-to-home transition

177. Effect of patient- and medication-related factors on inpatient medication reconciliation errors. | PSNet
     psnet.ahrq.gov/issue/effect-patient-and-medication-related-factors-inpatient-medication-reconciliation-errors
     May 08, 2017 - Medication reconciliation continues to pose significant threats to patients when they transition in … This study found that reconciliation errors occurred frequently at both these transition times; 42% of

178. Transitioning between electronic health records: effects on ambulatory prescribing safety. | PSNet
     psnet.ahrq.gov/issue/transitioning-between-electronic-health-records-effects-ambulatory-prescribing-safety
     June 03, 2013 - 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

179. Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication discharge plan. | PSNet
     psnet.ahrq.gov/issue/promoting-medication-safety-older-adults-upon-hospital-discharge-guiding-principles
     July 31, 2019 - Related Resources Assessing patient work system factors for medication management during transition … January 22, 2025 Medication management of COVID-19 patients during transition to virtual

180. Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes. | PSNet
     psnet.ahrq.gov/issue/team-cognition-handoffs-relating-system-factors-team-cognition-functions-and-outcomes-two
     February 16, 2022 - Download Citation Related Resources From the Same Author(s) Care transition … July 5, 2023 Care transition of trauma patients: processes with articulation work before