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psnet.ahrq.gov/node/33567/psn-pdf
June 15, 2024 - Handoffs
June 15, 2024
Handoffs and Signouts. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/handoffs
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed in 2024.
Backgroun…
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psnet.ahrq.gov/node/33559/psn-pdf
December 15, 2024 - Medication Reconciliation
December 15, 2024
Medication Reconciliation. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/medication-reconciliation
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safet…
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psnet.ahrq.gov/node/60909/psn-pdf
September 16, 2020 - Improving patient handoffs and transitions through
adaptation and implementation of I-PASS across multiple
handoff settings.
September 16, 2020
Blazin LJ, Sitthi-Amorn J, Hoffman JM, et al. Improving patient handoffs and transitions through adaptation
and implementation of I-PASS across multiple handoff settings. …
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psnet.ahrq.gov/perspective/patient-and-family-roles-safety
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 … listing 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 … It is essential to teach and share information about medications for the transition of going home.
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psnet.ahrq.gov/perspective/conversation-beverley-h-johnson-about-role-patients-family-reducing-harm
June 14, 2023 - It is essential to teach and share information about medications for the transition of going home. … 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 … listing 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
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psnet.ahrq.gov/web-mm/double-trouble
August 01, 2012 - This process should take place both prior to leaving the hospital and again promptly after transition … errors, involving a strong role for the pharmacist, should be considered for use as elderly patients transition
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psnet.ahrq.gov/web-mm/spotlight-mistaken-attribution-diagnostic-misstep
July 01, 2011 - history.( 10,11 ) Errors in misdiagnosis can occur in the ED, on the psychiatric unit, or during a transition … From the Same Author(s)
WebM&M Cases
A Seasonal Care Transition … August 10, 2011
WebM&M Cases
A Seasonal Care Transition
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psnet.ahrq.gov/issue/medications-transitions-and-clinical-handoffs-match-toolkit-medication-reconciliation
October 02, 2013 - Toolkit
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation.
Citation Text:
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation. Gleason KM, Brake H, Agramonte V, Perfetti C. Rockville, MD: Agency for H…
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psnet.ahrq.gov/web-mm/haste-makes-care-unsafe
January 07, 2015 - The thoughtful integration of handover checklists (here, in particular, at the transition between anesthesiologists … October 1, 2011
WebM&M Cases
A Seasonal Care Transition
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psnet.ahrq.gov/issue/clinical-clerkship-students-perceptions-unsafe-transitions-every-patient
October 19, 2022 - Study
Clinical clerkship students' perceptions of (un)safe transitions for every patient.
Citation Text:
Koch PE, Simpson D, Toth H, et al. Clinical Clerkship Students’ Perceptions of (Un)Safe Transitions for Every Patient. Academic Medicine. 2014;89(3). doi:10.1097/acm.0000000000000153.…
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psnet.ahrq.gov/web-mm/duplicate-therapies-retail-pharmacy
August 05, 2022 - high-risk patients could improve clinical outcomes. 9 Medication reconciliation can be beneficial at each transition
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psnet.ahrq.gov/issue/implementation-ed-i-pass-standardized-handoff-tool-pediatric-emergency-department
November 16, 2022 - Study
Implementation of ED I-PASS as a standardized handoff tool in the pediatric emergency department.
Citation Text:
Yanni E, Calaman S, Wiener E, et al. Implementation of ED I-PASS as a standardized handoff tool in the pediatric emergency department. J Healthc Qual. 2023;45(3):140-147…
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psnet.ahrq.gov/issue/improving-communication-hospital-skilled-nursing-facility-through-standardized-hand-quality
September 08, 2021 - Study
Improving communication from hospital to skilled nursing facility through standardized hand-off: a quality improvement project.
Citation Text:
Baluyot A, McNeill C, Wiers S. Improving communication from hospital to skilled nursing facility through standardized hand-off: a quality i…
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psnet.ahrq.gov/issue/transitions-one-electronic-health-record-another-challenges-pitfalls-and-recommendations
psnet
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psnet.ahrq.gov/perspective/role-community-pharmacists-patient-safety
October 24, 2021 - essential for all prescriptions and can help ensure that any errors occurring as a result of the care transition … KH: Well, I think that's a great transition point to start talking about patient safety.
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psnet.ahrq.gov/web-mm/dying-hospital-advanced-dementia
November 01, 2016 - Despite the ultimate transition to comfort care, many would agree that this patient's death was less … At this point, the transition to hospice occurs.
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psnet.ahrq.gov/issue/effects-multifaceted-medication-reconciliation-quality-improvement-intervention-patient
April 12, 2023 - Study
Emerging Classic
Effects of a multifaceted medication reconciliation quality improvement intervention on patient safety: final results of the MARQUIS study.
Citation Text:
Schnipper JL, Mixon A, Stein J, et al. Effects of a multifaceted medication reconcil…
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psnet.ahrq.gov/issue/effects-multimodal-transitional-care-intervention-patients-high-risk-readmission-target-read
August 18, 2021 - Study
Effects of a multimodal transitional care intervention in patients at high risk of readmission: the TARGET-READ randomized clinical trial.
Citation Text:
Donzé JD, John G, Genné D, et al. Effects of a multimodal transitional care intervention in patients at high risk of readmission…
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psnet.ahrq.gov/issue/evaluation-adverse-drug-events-and-medication-discrepancies-transitions-care-between-hospital
June 07, 2023 - Study
Evaluation of adverse drug events and medication discrepancies in transitions of care between hospital discharge and primary care follow-up.
Citation Text:
Armor BL, Wight AJ, Carter SM. Evaluation of Adverse Drug Events and Medication Discrepancies in Transitions of Care Between H…
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psnet.ahrq.gov/web-mm/myasthenia-crisis-after-delayed-diagnosis-medically-complex-patient
February 21, 2020 - Failures
October 31, 2023
Scaling up a diagnostic pause at the ICU-to-ward transition