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psnet.ahrq.gov/issue/preventing-vincristine-administration-errors
June 16, 2019 - April 29, 2018
Managing risk during transition to new ISO tubing connector standards.
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psnet.ahrq.gov/node/47613/psn-pdf
December 05, 2018 - editorial delineates various vulnerabilities that predispose older patients to
adverse events during the transition
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psnet.ahrq.gov/node/47079/psn-pdf
July 02, 2019 - Researchers sought to assess the impact of a transition from a
legacy electronic health record system
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psnet.ahrq.gov/issue/preventing-and-managing-impact-anesthesia-awareness
May 27, 2020 - ) Opioid-Induced Respiratory Depression
May 27, 2020
Managing risk during transition
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psnet.ahrq.gov/issue/minnesota-hospitals-are-testing-ways-reduce-return-trips
January 18, 2012 - This newspaper article reports on how transition coaches can help improve transfer and discharge communication
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psnet.ahrq.gov/issue/safety-you-go-hospital-home
November 23, 2016 - 2014
National Patient Safety Foundation; NPSF
A review of steps for patients to make their transition
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psnet.ahrq.gov/issue/health-care-professionals-tools
January 30, 2003 - November 11, 2020
Care transition of trauma patients: processes with articulation work
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psnet.ahrq.gov/web-mm/treatment-challenges-after-discharge
January 03, 2017 - Appreciate the unique challenges posed by transition in care from the hospital to outpatient physician … nosocomial infections, procedural complications, and diagnostic and therapeutic errors.( 4 )
The transition … One such opportunity for harm occurs when test results are pending at the time of a care transition. … Patients are particularly vulnerable to adverse events at discharge because the discharge care transition … September 1, 2011
WebM&M Cases
A Seasonal Care Transition
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psnet.ahrq.gov/node/49570/psn-pdf
October 01, 2008 - Recurrent Hypoglycemia: A Care Transition Failure?
October 1, 2008
Eytan T. … Recurrent Hypoglycemia: A Care Transition Failure? PSNet [internet]. 2008. … https://psnet.ahrq.gov/web-mm/recurrent-hypoglycemia-care-transition-failure
Case Objectives
Understand … https://psnet.ahrq.gov/web-mm/recurrent-hypoglycemia-care-transition-failure
https://psnet.ahrq.gov// … Even better, the presence of a true EHR would have markedly facilitated the transition of care from the
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psnet.ahrq.gov/issue/using-medication-reconciliation-prevent-errors
March 27, 2024 - September 28, 2022
Patient Safety Innovations
Transition
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psnet.ahrq.gov/issue/engineering-foundation-partnership-improve-medication-safety-during-care-transitions
July 20, 2022 - July 20, 2022
Assessing patient work system factors for medication management during transition
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psnet.ahrq.gov/issue/provider-provider-communication-during-transitions-care-outpatient-acute-care-systematic
October 29, 2017 - of patient safety research, most of the focus has been on handoffs during hospitalization or the transition
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psnet.ahrq.gov/issue/what-does-safety-mental-healthcare-transitions-mean-service-users-and-other-stakeholder
February 02, 2022 - Medication-related interventions to improve medication safety and patient outcomes on transition
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psnet.ahrq.gov/issue/effectiveness-pharmacist-intervention-reduce-medication-errors-and-health-care-resources
August 04, 2021 - Medication-related interventions to improve medication safety and patient outcomes on transition
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psnet.ahrq.gov/periodic-issue/periodic-issue-411
October 31, 2023 - Study
Reduced postdischarge incidents after implementation of a hospital-to-home transition … The transition from hospital to home is a vulnerable time as patients may have changes in medications … Study
Reduced postdischarge incidents after implementation of a hospital-to-home transition … The transition from hospital to home is a vulnerable time as patients may have changes in medications
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psnet.ahrq.gov/node/37004/psn-pdf
July 08, 2008 - deficits-communication-and-information-transfer-between-hospital-based-and-primary-care
https://psnet.ahrq.gov/issue/transition-care-hospitalized-elderly-patients-development-discharge-checklist-hospitalists
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psnet.ahrq.gov/node/42223/psn-pdf
August 15, 2013 - discharge planning rounds and consists of seven domains that
address key aspects of the hospital-to-home transition
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psnet.ahrq.gov/node/38558/psn-pdf
February 18, 2011 - that state or national
regulations may be needed to improve medication safety across the hospital–SNF transition
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psnet.ahrq.gov/issue/acog-committee-opinion-464-patient-safety-surgical-environment
July 18, 2019 - Endnote tagged PubMedId RIS
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Related Resources
Transition
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psnet.ahrq.gov/issue/patient-controlled-analgesia-proxy
March 20, 2019 - February 8, 2017
Managing risk during transition to new ISO tubing connector standards