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401. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39730/psn-pdf
     December 21, 2014 - This study explored a less understood risk for wrong-site surgery by focusing on the documentation transition

402. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33660/psn-pdf
     December 01, 2007 - performance measurement called the Care Transitions Measure, a patient- reported measure of their transition … The state of Maine has mandated that all hospitals publicly report care transition measure scores, and … consumer council for the Joint Commission for raising awareness of the importance of discharge and transition

403. ISMP Medication Safety Alert!® Nurse-Advise ERR. | PSNet
     psnet.ahrq.gov/issue/ismp-medication-safety-alertr-nurse-advise-err
     January 26, 2023 - September 25, 2019 Ensuring effective care transition communication: implementation of

404. Making hospitals accountable. | PSNet
     psnet.ahrq.gov/issue/making-hospitals-accountable
     December 09, 2020 - December 9, 2020 Pharmacist transition-of-care services improve patient satisfaction

405. Adverse events in long-term care residents transitioning from hospital back to nursing home. | PSNet
     psnet.ahrq.gov/issue/adverse-events-long-term-care-residents-transitioning-hospital-back-nursing-home
     April 28, 2021 - 2, 2015 Medication reconciliation: reducing risk for medication misadventure during transition

406. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/850675/psn-pdf
     June 14, 2023 - Partnering with families during the planning for the transition from hospital to home is associated with … Enable (CARE) Act to assist family caregivers as their loved ones go into the hospital and as they transition … in the medical record so that they can receive education and instruction for ongoing care and the transition … could not be at the bedside and were no longer present for nurse shift changes and for planning the transition

407. Improving Communication During Transitions of Care. | PSNet
     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 …

408. Care transitions and home health care. | PSNet
     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…

409. Medicine communication from hospital to residential aged care facilities: a cross-sectional survey of aged care facility staff. | PSNet
     psnet.ahrq.gov/issue/medicine-communication-hospital-residential-aged-care-facilities-cross-sectional-survey-aged
     December 06, 2023 - Related Resources From the Same Author(s) Medication management of COVID-19 patients during transition

410. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40711/psn-pdf
     August 24, 2011 - service to capture inpatients on warfarin and provide them with dosing, monitoring, and coordination of transition

411. Understanding hazards for adverse drug events among older adults after hospital discharge: insights from frontline care professionals. | PSNet
     psnet.ahrq.gov/issue/understanding-hazards-adverse-drug-events-among-older-adults-after-hospital-discharge
     September 21, 2022 - Related Resources Assessing patient work system factors for medication management during transition

412. Registered nurses' and medical doctors' experiences of patient safety in health information exchange during interorganizational care transitions: a qualitative review. | PSNet
     psnet.ahrq.gov/issue/registered-nurses-and-medical-doctors-experiences-patient-safety-health-information-exchange
     July 22, 2020 - Medication-related interventions to improve medication safety and patient outcomes on transition

413. A partially structured postoperative handoff protocol improves communication in 2 mixed surgical intensive care units: findings from the Handoffs and Transitions in Critical Care (HATRICC) prospective cohort study. | PSNet
     psnet.ahrq.gov/issue/partially-structured-postoperative-handoff-protocol-improves-communication-2-mixed-surgical
     November 19, 2018 - July 5, 2023 Care transition of trauma patients: processes with articulation work before

414. 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

415. 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

416. Microsoft PowerPoint - FINAL June-Spotlight Case Slides_06.12.2020.pptx (pdf file)
     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:

417. 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

418. Diffusion of Responsibility Leads to Danger | PSNet
     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

419. 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

420. Digital Health and Patient Safety. | PSNet
     psnet.ahrq.gov/issue/digital-health-and-patient-safety-technology-not-magic-wand
     July 22, 2020 - October 28, 2020 Impact of an electronic health record transition on chemotherapy error