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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
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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
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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.
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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.
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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
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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
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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
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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
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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
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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
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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
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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
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psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care
February 26, 2025 - The Centers for Medicare and Medicaid Services (CMS) recommends Project BOOST as one of the care transition … checklist can identify patient concerns (logistical and psychological) regarding their preparedness to transition … Understanding how your current care transition process functions and where it fails : Formally mapping … complete a root cause analysis or failure modes effects analysis (FMEA) to understand why certain care transition … Populations
June 12, 2020
Patient Safety Innovations
Transition
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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
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psnet.ahrq.gov/node/60363/psn-pdf
March 01, 2021 - Transition Coaches® Reduce Readmissions for Medicare
Patients With Complex Postdischarge Needs
Originally … Innovation Patient Safety Focus
CTI focuses on patient empowerment during the care transition process … well
equipped to manage their post discharge care needs and be active participants in a safe care transition … surveyed patients and caregivers
on factors that are necessary and important to them during a care transition … Association between quality improvement for care transition in communities and
rehospitalizations among
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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
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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
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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
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psnet.ahrq.gov/issue/improving-patient-safety-implementing-standardized-and-consistent-approach-hand-communication
March 01, 2023 - The author describes the important characteristics of successful patient transition from one care team … July 8, 2020
Ensuring effective care transition communication: implementation of an electronic
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psnet.ahrq.gov/node/47795/psn-pdf
February 20, 2019 - digital-doctor-hope-hype-and-harm-dawn-medicines-computer-age
https://psnet.ahrq.gov/issue/physician-satisfaction-transition-cpoe-paper-based-prescription