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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33779/psn-pdf
    March 01, 2015 - Handoffs are a particular type of transition of care, and they too have garnered considerable attention … and studies are possible, even when attacking complex, multidimensional harms such as handoff and transition … New federal policy on electronic health record requirements to enable sending and receipt of transition
  2. psnet.ahrq.gov/issue/care-transitions-and-home-health-care
    August 25, 2011 - Review Care transitions and home health care. Citation Text: Boling PA. Care transitions and home health care. Clin Geriatr Med. 2009;25(1):135-48, viii. doi:10.1016/j.cger.2008.11.005. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML En…
  3. psnet.ahrq.gov/issue/improving-communication-during-transitions-care
    May 18, 2016 - Book/Report Improving Communication During Transitions of Care. Citation Text: Improving Communication During Transitions of Care. Oakbrook Terrace, IL: Joint Commission Resources; 2010. ISBN: 9781599404097. Copy Citation Save Save to your library Print …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841567/psn-pdf
    December 14, 2022 - This transition has also facilitated the shift from process measures to outcome measures. … Strategy, CMS emphasizes the need to promote safety and highlights its continued focus on the ongoing transition … Prior work focused on patient safety measurement, including the transition to digital measures, will
  5. psnet.ahrq.gov/sites/default/files/2020-06/final_june-spotlight_case_slides_06.12.2020.pdf
    January 01, 2020 - altered mental status and low blood oxygen highlights the importance of medication reconciliation upon transition … was stable and transferred to the inpatient floor – The medication list was not updated during the transition … The impact of new graduate nurse transition programs on competency development and patient safety:
  6. psnet.ahrq.gov/issue/aorn-position-statement-criminalization-human-errors-perioperative-setting
    May 01, 2022 - September 18, 2019 Transition planning for the senior surgeon: guidance and recommendations
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37874/psn-pdf
    April 18, 2011 - interprofessional-handover-and-patient-safety-anaesthesia-observational- study-handovers Patients leaving the operating room undergo a complex transition
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44411/psn-pdf
    May 09, 2017 - qualitative-analysis-physician-perspectives-missed-and-delayed-outpatient-diagnosis-focus https://psnet.ahrq.gov/web-mm/seasonal-care-transition-failure
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38603/psn-pdf
    September 29, 2009 - pilot-study-examining-undesirable-events-among-emergency-department-boarded-patients-awaiting https://psnet.ahrq.gov/web-mm/lost-transition
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49612/psn-pdf
    November 01, 2010 - Appreciate the unique challenges posed by transition in care from the hospital to outpatient physician … https://psnet.ahrq.gov//#references 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
  11. psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger
    November 08, 2013 - This transition of care is clearly communicated to the hospitalists via a secure electronic communications … delays in safe transitions from the ED to a setting where definitive therapy can be provided, and the transition … 2010 WebM&M Cases Recurrent Hypoglycemia: A Care Transition … May 1, 2006 WebM&M Cases Lost in Transition
  12. psnet.ahrq.gov/primer/post-acute-transitional-services-safety-home-based-care-programs
    April 24, 2024 - Background Transition of care is the period of time when patients move between one health care unit to … mechanisms. 55,56 Conclusion Home-based care programs have been designed to better manage patients who transition … Vanessa McElroy, MSN, PHN, ACM-RN, IQCI Director, Care Transition and Population Health Care Management … Challenges faced by patients with low socioeconomic status during the post-hospital transition. … Hospital discharge and the transition home for poor patients:“I knew I couldn’t do what they were asking
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49563/psn-pdf
    May 01, 2008 - Development of a brief "transition record" with listing of diagnoses and medications would facilitate … would eliminate redundant steps and multiple handoffs while implementing safeguards to facilitate the transition … unsupervised boarding time, and implementing safeguards such as a triage protocol will allow for a smoother transition
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49590/psn-pdf
    January 01, 2010 - orders to all of the medications that the patient has been taking.(2) This should be done at every transition … Safety Goal, focusing nationwide attention on the issue of inpatient medication errors as patients transition … called to the floor was not appropriately acted upon, perhaps secondary to nursing inexperience, a transition
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38435/psn-pdf
    February 25, 2009 - reconciliation was named as a 2005 National Patient Safety Goal in part to address these concerns at various transition
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45730/psn-pdf
    December 14, 2016 - The top three problems identified included incomplete medication reconciliation during a transition
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38710/psn-pdf
    September 14, 2009 - focused on using discharge coaches and follow-up calls from pharmacists, or a more resource intensive transition
  18. psnet.ahrq.gov/issue/clinical-pharmacist-led-transitions-care-program-veterans-two-planned-care-transitions
    December 23, 2011 - March 12, 2025 Assessing patient work system factors for medication management during transition
  19. psnet.ahrq.gov/issue/so-many-ways-be-wrong-completeness-and-accuracy-prospective-study-or-icu-handoff
    April 28, 2021 - March 23, 2022 Care transition of trauma patients: processes with articulation work before
  20. psnet.ahrq.gov/issue/making-hospitals-accountable
    December 09, 2020 - December 9, 2020 Pharmacist transition-of-care services improve patient satisfaction

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