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  1. 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
  2. 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.
  3. 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
  4. 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
  5. 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
  6. 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
  7. 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
  8. 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
  9. 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
  10. 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
  11. 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
  12. 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
  13. 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
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840255/psn-pdf
    November 16, 2022 - transitions, it is important that healthcare professionals from each work system involved in the care transition … practice) possess a shared mental model of the goals and optimal processes for a safe and effective care transition … support safer care transitions requires the inclusion of healthcare professionals from both sides of the transition … research has highlighted the importance of incorporating the patient and care partner in the care transition … disparate-perspectives-exploring-healthcare-professionals-misaligned-mental-models-older https://psnet.ahrq.gov//#_edn7 https://psnet.ahrq.gov//#_edn8 coordination and transition
  15. 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
  16. psnet.ahrq.gov/issue/differences-safety-report-event-types-submitted-graduate-medical-education-trainees-compared
    November 11, 2020 - January 26, 2022 Physician transition of care: benefits of I-PASS and an electronic handoff … a pediatric teaching hospital: an analysis of the safety of analgesic prescription practice in the transition
  17. 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
  18. 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
  19. psnet.ahrq.gov/issue/safety-inpatient-care-surgical-settings-cohort-study
    May 15, 2024 - June 22, 2022 Care transition of trauma patients: processes with articulation work before … January 3, 2017 Failure events in transition of care for surgical patients.
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837958/psn-pdf
    December 01, 2021 - of hospital and ED crowding on patient safety, 2) the necessity for a safe and effective EMS-to-ED transition … patients on wall time —either the EMS providers who remain with the patient prior to a formal care transition … and the responsibility for the patient’s care transitions to the hospital.22  This legally defined transition … When a patient is transported by EMS to a hospital, does care have to transition to the ED or can transfer … There is no statutory or regulatory requirement that EMS providers formally transition care when they

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