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psnet.ahrq.gov/node/846127/psn-pdf
March 15, 2023 - complex surgical patients to follow up with the provider who saw them in
the hospital to improve the transition … benefit from dedicating resources to develop a robust post-discharge follow-up
program that supports the transition … post-discharge follow-up programs require bundled care changes that span the inpatient
and outpatient transition
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psnet.ahrq.gov/perspective/approach-improving-patient-safety-communication
August 31, 2020 - information cards to increase patient awareness and to support communication during this critical patient transition … among providers are a common source of error that can result in adverse events, particularly at patient transition … The second is the need to develop effective transition tools that align with the requirements of the
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.227_slideshow.ppt
November 01, 2010 - Appreciate the unique challenges posed by transition in care from the hospital to outpatient physician … Patients are particularly vulnerable to adverse events at discharge because the discharge care transition
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.104_slideshow.ppt
September 01, 2005 - instructions to patients regarding medications
Facilitate accurate information transfer at times of transition … Medication Reconciliation at Transitions of Care
Should take place with every transition
ICU to floor
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psnet.ahrq.gov/issue/these-patients-had-lobby-correct-diabetes-diagnoses-was-their-race-reason
July 10, 2024 - December 13, 2023
Scaling up a diagnostic pause at the ICU-to-ward transition: an exploration
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psnet.ahrq.gov/issue/proposal-use-common-ground-exists-between-medical-and-legal-professions-promote-culture
December 15, 2021 - August 13, 2008
Impact of an electronic health record transition on chemotherapy error
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psnet.ahrq.gov/issue/two-pandemics-same-story-potentially-dangerous-overuse-antibiotics-and-road-medical-hell
March 11, 2020 - December 23, 2016
Managing risk during transition to new ISO tubing connector standards
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psnet.ahrq.gov/issue/paradoxes-defensive-medicine
June 08, 2022 - March 4, 2020
Pharmacist transition-of-care services improve patient satisfaction and
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psnet.ahrq.gov/issue/dying-waitlist
September 04, 2019 - Medication-related interventions to improve medication safety and patient outcomes on transition
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psnet.ahrq.gov/issue/patient-worker-safety
May 20, 2019 - New graduate registered nurses: Risk mitigation strategies to ensure safety and successful transition
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psnet.ahrq.gov/issue/health-literacy-practices-primary-care-settings-examples-field
April 27, 2022 - May 4, 2015
Impact of an electronic health record transition on chemotherapy error reporting
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psnet.ahrq.gov/issue/stop-silent-misdiagnosis-patients-preferences-matter
February 02, 2020 - August 5, 2020
Medication errors associated with transition from insulin pens to insulin
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psnet.ahrq.gov/web-mm/admission-drug-dose-too-low
September 01, 2011 - 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/web-mm/it-safe-be-direct
September 30, 2015 - 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/web-mm/when-meds-dont-reach-bed
May 16, 2022 - of care with the patient and his family during the second admission ultimately led to an agreed upon transition … Impact of a transition-of-care pharmacist during hospital discharge. … The effect of a collaborative pharmacist-hospital care transition program on the likelihood of 30-day … December 18, 2024
Medication management of COVID-19 patients during transition to virtual
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psnet.ahrq.gov/issue/dont-come-back-hospitals-say
August 17, 2016 - 21, 2010
WebM&M Cases
Recurrent Hypoglycemia: A Care Transition
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psnet.ahrq.gov/issue/utilizing-pharmacy-students-transitions-care-services
October 19, 2022 - Commentary
Utilizing pharmacy students in transitions-of-care services.
Citation Text:
L'Hommedieu T, DeCoske M, Lababidi RE, et al. Utilizing pharmacy students in transitions-of-care services. Am J Health Syst Pharm. 2015;72(15):1266-8. doi:10.2146/ajhp140561.
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psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge
April 27, 2022 - Failure to enlist appropriate resources to help with the transition from hospital to home (or another
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psnet.ahrq.gov/issue/measuring-shared-mental-models-healthcare
June 30, 2019 - June 30, 2019
Handoffs and teamwork: a framework for care transition communication.
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psnet.ahrq.gov/issue/learning-error-identifying-contributory-causes-medication-errors-australian-hospital
October 19, 2022 - October 6, 2011
Work-arounds and artifacts during transition to a computer physician