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181. Safety of inpatient care in surgical settings: cohort study. | PSNet
     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.

182. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33569/psn-pdf
     June 15, 2024 - Failure to enlist appropriate resources to help with the transition from hospital to home (or another … effect-hospital-multifaceted-clinical-pharmacist-intervention-risk-readmission-randomized https://psnet.ahrq.gov/issue/transition-care-hospitalized-elderly-patients-development-discharge-checklist-hospitalists … https://psnet.ahrq.gov/web-mm/recurrent-hypoglycemia-care-transition-failure https://psnet.ahrq.gov/

183. 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

184. The hospital discharge: a review of a high risk care transition with highlights of a reengineered discharge process.  | PSNet
     psnet.ahrq.gov/issue/hospital-discharge-review-high-risk-care-transition-highlights-reengineered-discharge-process
     December 16, 2014 - Study The hospital discharge: a review of a high risk care transition with highlights

185. EMS Perils from Hospital Overcrowding | PSNet
     psnet.ahrq.gov/web-mm/ems-perils-hospital-overcrowding
     November 25, 2020 - 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

186. Failure to rescue following emergency surgery: a FRAM analysis of the management of the deteriorating patient. | PSNet
     psnet.ahrq.gov/issue/failure-rescue-following-emergency-surgery-fram-analysis-management-deteriorating-patient
     May 19, 2021 - May 19, 2021 Care transition of trauma patients: processes with articulation work before … April 1, 2019 Failure events in transition of care for surgical patients.

187. Adverse events during intrahospital transport of critically ill children: a systematic review. | PSNet
     psnet.ahrq.gov/issue/adverse-events-during-intrahospital-transport-critically-ill-children-systematic-review
     October 14, 2020 - April 7, 2022 Care transition of trauma patients: processes with articulation work … February 8, 2017 Physician transition of care: benefits of I-PASS and an electronic handoff

188. Information flow during pediatric trauma care transitions: things falling through the cracks. | PSNet
     psnet.ahrq.gov/issue/information-flow-during-pediatric-trauma-care-transitions-things-falling-through-cracks
     February 16, 2022 - Download Citation Related Resources From the Same Author(s) Care transition … July 10, 2017 Physician transition of care: benefits of I-PASS and an electronic handoff

189. Changes made to orders placed by overnight admitting residents on teaching rounds the next day. | PSNet
     psnet.ahrq.gov/issue/changes-made-orders-placed-overnight-admitting-residents-teaching-rounds-next-day
     July 07, 2021 - May 20, 2019 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

190. Medication order errors at hospital admission among children with medical complexity | PSNet
     psnet.ahrq.gov/issue/medication-order-errors-hospital-admission-among-children-medical-complexity
     July 20, 2022 - 20, 2022 Reduced postdischarge incidents after implementation of a hospital-to-home transition … a pediatric teaching hospital: an analysis of the safety of analgesic prescription practice in the transition

191. Effect of Patient and Family Centered I-PASS on adverse event rates in hospitalized children with complex chronic conditions. | PSNet
     psnet.ahrq.gov/issue/effect-patient-and-family-centered-i-pass-adverse-event-rates-hospitalized-children-complex
     November 16, 2022 - April 20, 2022 Care transition of trauma patients: processes with articulation work before … July 10, 2017 Physician transition of care: benefits of I-PASS and an electronic handoff

192. Primary care teams' reported actions to improve medication safety: a qualitative study with insights in high reliability organising. | PSNet
     psnet.ahrq.gov/issue/primary-care-teams-reported-actions-improve-medication-safety-qualitative-study-insights-high
     July 06, 2022 - November 20, 2024 Assessing patient work system factors for medication management during transition … 4, 2009 WebM&M Cases Recurrent Hypoglycemia: A Care Transition

193. Obstetrician-gynecologist views of pregnancy-related medication safety. | PSNet
     psnet.ahrq.gov/issue/obstetrician-gynecologist-views-pregnancy-related-medication-safety
     July 29, 2020 - Medication-related interventions to improve medication safety and patient outcomes on transition … September 15, 2021 Increased patient safety-related incidents following the transition

194. Frequency of diagnostic errors in the neonatal intensive care unit: a retrospective cohort study. | PSNet
     psnet.ahrq.gov/issue/frequency-diagnostic-errors-neonatal-intensive-care-unit-retrospective-cohort-study
     April 13, 2022 - View More Related Resources Scaling up a diagnostic pause at the ICU-to-ward transition … March 23, 2022 Care transition of trauma patients: processes with articulation work before

195. Understanding the challenges and successes of implementing 'hybrid' interventions in healthcare settings: findings from a process evaluation of a patient involvement trial. | PSNet
     psnet.ahrq.gov/issue/understanding-challenges-and-successes-implementing-hybrid-interventions-healthcare-settings
     October 23, 2024 - Related Resources Assessing patient work system factors for medication management during transition … Patient activation related to fall prevention: a multisite study February 19, 2020 Transition

196. In Conversation with...Eric Coleman, MD, MPH | PSNet
     psnet.ahrq.gov/perspective/conversation-witheric-coleman-md-mph
     December 01, 2007 - The state of Maine has mandated that all hospitals publicly report care transition measure scores, and … 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. … 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.

197. Spotlight Case July 2008 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.263_slideshow.ppt
     March 01, 2012 - N Engl J Med. 2009;360:1418-1428. http://www.ncbi.nlm.nih.gov/pubmed/19339721 * Discharge Transition … (1) Hospital-based transitional care interventions aim to smooth the transition from inpatient to outpatient … setting and (potentially) prevent unplanned readmissions * * Discharge Transition (2) Multiple … adverse events after discharge and prevent rehospitalizations: Patient engagement in discharge planning Transition … Because of this, they are generally recommended to help in the transition from hospital to home See

198. Lapse in Antibiotics Leads to Sepsis | PSNet
     psnet.ahrq.gov/web-mm/lapse-antibiotics-leads-sepsis
     November 21, 2021 - A recent systematic study suggested that bedside handoffs during nursing shift transition is a potential … hospital staff from more than 500 hospitals in the United States, more than 80% of respondents identified transition … error.( 12 ) In a recently published survey of ED physicians, 29% reported adverse events during the transition … and collaborative relationships as the key factors facilitating a reduction of errors associated with transition … 2011 WebM&M Cases Recurrent Hypoglycemia: A Care Transition

199. The effect of transitions intervention to ensure patient safety and satisfaction when transferred from hospital to home health care-a systematic review. | PSNet
     psnet.ahrq.gov/issue/effect-transitions-intervention-ensure-patient-safety-and-satisfaction-when-transferred
     October 20, 2021 - Medication-related interventions to improve medication safety and patient outcomes on transition … September 28, 2022 Handoffs and teamwork: a framework for care transition communication

200. Medication management strategies by community-dwelling older adults: a multisite qualitative analysis. | PSNet
     psnet.ahrq.gov/issue/medication-management-strategies-community-dwelling-older-adults-multisite-qualitative
     November 20, 2024 - June 9, 2015 Assessing patient work system factors for medication management during transition … Related Resources Assessing patient work system factors for medication management during transition