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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
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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.
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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.
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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
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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:
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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psnet.ahrq.gov/node/45730/psn-pdf
December 14, 2016 - The top three problems identified included incomplete medication
reconciliation during a transition
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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
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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
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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
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psnet.ahrq.gov/issue/making-hospitals-accountable
December 09, 2020 - December 9, 2020
Pharmacist transition-of-care services improve patient satisfaction