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201. Nursing handovers as resilient points of care: linking handover strategies to treatment errors in the patient care in the following shift. | PSNet
     psnet.ahrq.gov/issue/nursing-handovers-resilient-points-care-linking-handover-strategies-treatment-errors-patient
     August 30, 2017 - 28, 2024 View More Related Resources Ensuring effective care transition … July 21, 2017 Making the transition to nursing bedside shift reports.

202. Care Transitions Program. | PSNet
     psnet.ahrq.gov/issue/care-transitions-program
     March 14, 2018 - Multi-use Website Care Transitions Program. Citation Text: Care Transitions Program. The Division of Health Care Policy and Research; University of Colorado Health Sciences Center Copy Citation Save Save to your library Print Download PDF Sha…

203. 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

204. Medication-related medical emergency team activations: a case review study of frequency and preventability. | PSNet
     psnet.ahrq.gov/issue/medication-related-medical-emergency-team-activations-case-review-study-frequency-and
     October 27, 2021 - Medication-related interventions to improve medication safety and patient outcomes on transition … July 1, 2017 Failure events in transition of care for surgical patients.

205. Application of human factors methods to ensure appropriate infant identification and abduction prevention within the hospital setting. | PSNet
     psnet.ahrq.gov/issue/application-human-factors-methods-ensure-appropriate-infant-identification-and-abduction
     April 27, 2022 - July 27, 2022 Handoffs and teamwork: a framework for care transition communication. … New graduate registered nurses: Risk mitigation strategies to ensure safety and successful transition

206. Patient harm and institutional avoidability of out-of-hours discharge from intensive care: an analysis using mixed methods. | PSNet
     psnet.ahrq.gov/issue/patient-harm-and-institutional-avoidability-out-hours-discharge-intensive-care-analysis-using
     February 10, 2021 - March 15, 2023 Care transition of trauma patients: processes with articulation work before … June 30, 2021 Adverse events after transition from ICU to hospital ward: a multicenter

207. Usability of a human factors-based clinical decision support in the emergency department: lessons learned for design and implementation. | PSNet
     psnet.ahrq.gov/issue/usability-human-factors-based-clinical-decision-support-emergency-department-lessons-learned
     January 08, 2020 - July 21, 2021 Care transition of trauma patients: processes with articulation work before … 11, 2011 WebM&M Cases Recurrent Hypoglycemia: A Care Transition

208. 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

209. 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.

210. 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

211. Electronic handoff instruments: a truly multidisciplinary tool? | PSNet
     psnet.ahrq.gov/issue/electronic-handoff-instruments-truly-multidisciplinary-tool
     September 26, 2012 - September 26, 2012 Dropping the baton: a qualitative analysis of failures during the transition … Carayon, PhD and Nicole Werner, PhD November 16, 2022 Ensuring effective care transition

212. Older veterans and emergency department discharge information. | PSNet
     psnet.ahrq.gov/issue/older-veterans-and-emergency-department-discharge-information
     March 02, 2011 - January 8, 2018 Facilitating a safe transition from the pediatric emergency department … 8, 2008 WebM&M Cases Recurrent Hypoglycemia: A Care Transition

213. A clinical nurse specialist intervention to facilitate safe transfer from ICU. | PSNet
     psnet.ahrq.gov/issue/clinical-nurse-specialist-intervention-facilitate-safe-transfer-icu
     January 15, 2014 - View More Related Resources Scaling up a diagnostic pause at the ICU-to-ward transition … May 4, 2014 Critical care transition programs and the risk of readmission or death after

214. Case-based simulation empowering pediatric residents to communicate about diagnostic uncertainty. | PSNet
     psnet.ahrq.gov/issue/case-based-simulation-empowering-pediatric-residents-communicate-about-diagnostic-uncertainty
     November 27, 2017 - March 21, 2018 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

215. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34121/psn-pdf
     November 02, 2014 - https://psnet.ahrq.gov/issue/safety-you-go-hospital-home A review of steps for patients to make their transition

216. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/845653/psn-pdf
     March 08, 2023 - psnet.ahrq.gov/issue/examples-medical-device-misconnections https://psnet.ahrq.gov/issue/managing-risk-during-transition-new-iso-tubing-connector-standards

217. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60163/psn-pdf
     March 25, 2020 - the suicide of a concussed woman whose care failed due to gaps in team communication, discharge and transition

218. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838085/psn-pdf
     September 14, 2022 - administering-high-strength-insulin-pen-device-hospital https://psnet.ahrq.gov/issue/medication-errors-associated-transition-insulin-pens-insulin-vials

219. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50568/psn-pdf
     October 23, 2019 - https://psnet.ahrq.gov/issue/automation-i-pass-tool-improve-transitions-care I-PASS, a care transition

220. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/862613/psn-pdf
     February 14, 2024 - psnet.ahrq.gov/primer/medication-reconciliation https://psnet.ahrq.gov/issue/evaluation-medication-errors-transition-care-icu-non-icu-location