-
psnet.ahrq.gov/issue/breaking-silence-switch-increasing-transparency-about-trainee-participation-surgery
February 02, 2022 - nightmare': results of the Royal College of Physicians of Edinburgh and Society of Acute Medicine August transition
-
psnet.ahrq.gov/issue/vanderbilt-center-patient-and-professional-advocacy
March 02, 2022 - April 16, 2018
Handoffs and teamwork: a framework for care transition communication.
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psnet.ahrq.gov/issue/surgeon-so-bad-it-was-criminal
October 24, 2018 - September 18, 2019
Transition planning for the senior surgeon: guidance and recommendations
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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
-
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
-
psnet.ahrq.gov/issue/dont-come-back-hospitals-say
August 17, 2016 - 21, 2010
WebM&M Cases
Recurrent Hypoglycemia: A Care Transition
-
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
-
psnet.ahrq.gov/issue/posthospital-medication-discrepancies-prevalence-and-contributing-factors
July 10, 2008 - February 10, 2021
Patient Safety Innovations
Transition
-
psnet.ahrq.gov/issue/paradoxes-defensive-medicine
June 08, 2022 - March 4, 2020
Pharmacist transition-of-care services improve patient satisfaction and
-
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
-
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
-
psnet.ahrq.gov/issue/dying-waitlist
September 04, 2019 - Medication-related interventions to improve medication safety and patient outcomes on transition
-
psnet.ahrq.gov/issue/patient-worker-safety
May 20, 2019 - New graduate registered nurses: Risk mitigation strategies to ensure safety and successful transition
-
psnet.ahrq.gov/issue/care-transitions-outpatient-surgery-preoperative-process-facilitators-and-obstacles
December 31, 2014 - June 22, 2022
Care transition of trauma patients: processes with articulation work before
-
psnet.ahrq.gov/node/49840/psn-pdf
September 01, 2018 - past 20 years has consistently shown that medication adverse events often occur
surrounding times of transition … While this case supports the need for rigorous medication reconciliation at each care transition, it … Medication adverse events are common during times of transition in patient care (e.g., admission,
discharge
-
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
-
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
-
psnet.ahrq.gov/issue/most-dangerous-time-hospital-it-may-be-when-you-leave
March 08, 2017 - August 30, 2017
Association between end-of-rotation resident transition in care and mortality
-
psnet.ahrq.gov/issue/polypharmacy
May 07, 2008 - 17, 2019
Medication reconciliation: reducing risk for medication misadventure during transition
-
psnet.ahrq.gov/issue/hospitals-save-money-safety-questioned
January 18, 2006 - May 18, 2005
Cedars-Sinai doctors cling to pen and paper: transition to electronic medical