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psnet.ahrq.gov/periodic-issue/periodic-issue-353
August 05, 2022 - New graduate registered nurses: Risk mitigation strategies to ensure safety and successful transition … New graduate registered nurses (NGRNs) frequently experience a knowledge-practice gap during their transition … Recommendations for improving the transition to practice include innovative academic-clinical partnerships … advanced care planning team, in consultation with palliative care and ethics experts, determined that transition … The patient developed acute hypoxic respiratory failure the night prior to the planned transition to
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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
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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
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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
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psnet.ahrq.gov/node/47308/psn-pdf
December 21, 2018 - national-trends-safety-performance-electronic-health-record-systems-childrens-hospitals
https://psnet.ahrq.gov/issue/transition-new-electronic-health-record-and-pediatric-medication-safety-lessons-learned
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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
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psnet.ahrq.gov/node/46626/psn-pdf
December 22, 2018 - psnet.ahrq.gov/primer/diagnostic-errors
https://psnet.ahrq.gov/issue/association-between-end-rotation-resident-transition-care-and-mortality-among-hospitalized
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psnet.ahrq.gov/node/849605/psn-pdf
May 31, 2023 - quality-and-safety-challenges-critical-care-preventing-and-treating-delirium-intensive
https://psnet.ahrq.gov/issue/critical-care-transition-programs-and-risk-readmission-or-death-after-discharge-icu
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psnet.ahrq.gov/node/851356/psn-pdf
July 12, 2023 - psnet.ahrq.gov/primer/handoffs-and-signouts
https://psnet.ahrq.gov/issue/handoffs-and-teamwork-framework-care-transition-communication
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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
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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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psnet.ahrq.gov/node/49602/psn-pdf
April 01, 2010 - 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 … psnet.ahrq.gov//#table
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
avoiding transition
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psnet.ahrq.gov/node/43748/psn-pdf
December 03, 2014 - issue/tubing-misconnections-normalization-deviance
https://psnet.ahrq.gov/issue/managing-risk-during-transition-new-iso-tubing-connector-standards
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psnet.ahrq.gov/node/72570/psn-pdf
January 01, 2021 - overall hospital rating and both nurse and doctor
communication measures, as well as measures of care transition
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psnet.ahrq.gov/node/73487/psn-pdf
July 14, 2021 - suggest robust resident training programs can limit errors that may otherwise occur during this time
of transition
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psnet.ahrq.gov/node/839812/psn-pdf
November 09, 2022 - measure (local
learning) to measure staff psychological safety and evaluate the effectiveness of their transition
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psnet.ahrq.gov/node/837148/psn-pdf
May 18, 2022 - transitions and applied the IOM’s
quality of care domains to develop 49 measures for quality of care for the transition
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psnet.ahrq.gov/node/73595/psn-pdf
August 11, 2021 - https://psnet.ahrq.gov/web-mm/perils-contrast-media
https://psnet.ahrq.gov/issue/managing-risk-during-transition-new-iso-tubing-connector-standards
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psnet.ahrq.gov/primer/inpatient-transitions-care-challenges-and-safety-practices
September 07, 2019 - The primary objective of an efficient inpatient transition of care is to foster a seamless and patient-centered … establishing communication standards between staff and providers at various points of care during a patient’s transition … Medication reconciliation should be the established standard of practice conducted at every care transition … of Care March 25, 2020
Editor's Picks
Evaluation of medication errors at the transition
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psnet.ahrq.gov/node/860393/psn-pdf
January 10, 2024 - methods-studying-medication-safety-following-electronic-health-record-implementation-acute
https://psnet.ahrq.gov/primer/electronic-health-records
https://psnet.ahrq.gov/issue/transition-new-electronic-health-record-and-pediatric-medication-safety-lessons-learned