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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837811/psn-pdf
    August 10, 2022 - examining-status-vas-electronic-health-record-modernization-program https://psnet.ahrq.gov/issue/adverse-inpatient-outcomes-during-transition-new-electronic-health-record-system
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837146/psn-pdf
    May 18, 2022 - transitions-one-electronic-health-record-another-challenges-pitfalls-and-recommendations https://psnet.ahrq.gov/issue/transition-new-electronic-health-record-and-pediatric-medication-safety-lessons-learned
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73300/psn-pdf
    July 01, 2022 - 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 … treatments, follow-up care required, and warning signs and response Implementing solutions to improve care transition … The Centers for Medicare and Medicaid Services (CMS) recommends Project BOOST as one of the care transition
  4. psnet.ahrq.gov/issue/variations-surgical-outcomes-associated-hospital-compliance-safety-practices
    June 14, 2017 - a pediatric teaching hospital: an analysis of the safety of analgesic prescription practice in the transition … October 11, 2023 Failure events in transition of care for surgical patients.
  5. psnet.ahrq.gov/issue/uncovering-system-errors-using-rapid-response-team-cross-coverage-caught-crossfire
    April 24, 2018 - Customized Alert Settings Help Improve Management of Sepsis May 31, 2023 Care transition … February 16, 2022 Failure events in transition of care for surgical patients.
  6. psnet.ahrq.gov/issue/defining-impact-rapid-response-team-qualitative-study-nurses-physicians-and-hospital
    September 26, 2012 - January 7, 2015 Dropping the baton: a qualitative analysis of failures during the transition … September 23, 2020 Association between end-of-rotation resident transition in care and
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41786/psn-pdf
    October 24, 2012 - issue/minnesota-hospitals-are-testing-ways-reduce-return-trips This newspaper article reports on how transition
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60878/psn-pdf
    January 01, 2021 - intervention-study-reduction-medication-errors-elderly-trauma-patients https://psnet.ahrq.gov/issue/medication-errors-care-transition-trauma-patients
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45266/psn-pdf
    January 01, 2020 - learning-lawsuits-using-malpractice-claims-data-develop-care-transitions- planning-tools Patients are at risk for adverse events after they transition
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50911/psn-pdf
    February 19, 2020 - medication-reconciliation-and-patient-safety-trauma-applicability-existing-strategies https://psnet.ahrq.gov/issue/medication-errors-care-transition-trauma-patients
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50731/psn-pdf
    December 11, 2019 - awareness-diagnosis-and-follow-care-after-discharge-emergency-department https://psnet.ahrq.gov/web-mm/recurrent-hypoglycemia-care-transition-failure
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853430/psn-pdf
    September 13, 2023 - technician, pediatric intensive care unit attending) on the usability of a potential team health IT care transition
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866075/psn-pdf
    June 05, 2024 - study explored oncology patients’ willingness to report medication-related safety events after a care transition
  14. psnet.ahrq.gov/issue/impact-medication-reconciliation-improving-transitions-care
    June 19, 2019 - Medication-related interventions to improve medication safety and patient outcomes on transition
  15. psnet.ahrq.gov/issue/patient-handoffs-0
    November 23, 2024 - This review examines in-patient transition safety issues and summarizes system level, sender, and receiver
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867142/psn-pdf
    November 13, 2024 - inpatient-transitions-care-challenges-and-safety-practices https://psnet.ahrq.gov/issue/dropping-baton-qualitative-analysis-failures-during-transition-emergency-department-inpatient
  17. psnet.ahrq.gov/web-mm/anticoagulation-held-too-long
    April 01, 2008 - strategy is chosen, implementation can be cumbersome and logistically difficult, which can lead to transition … The possibility of transition errors during bridging therapy was investigated by Bell and colleagues, … This result confirms that perioperative transition errors are common and suggests that the transition … from hospital to home carries greater risk for this error than the transition after ambulatory procedures … to surgery and soon after warfarin is resumed, is also an increasingly important method of avoiding transition
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42093/psn-pdf
    June 10, 2018 - clinical-reminder-about-safe-use-insulin-vials This newsletter piece recommends strategies to ensure the safe transition
  19. psnet.ahrq.gov/issue/assessing-quality-older-persons-emergency-transitions-between-long-term-and-acute-care
    March 17, 2021 - transitions and applied the IOM’s quality of care domains to develop 49 measures for quality of care for the transition
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863213/psn-pdf
    February 28, 2024 - electronic-medication-reconciliation-tools-aimed-healthcare-professionals- support-medication Medication reconciliation at transition

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