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  1. psnet.ahrq.gov/issue/reused-devices-surgerys-deadly-suspects
    January 04, 2006 - September 11, 2019 Cedars-Sinai doctors cling to pen and paper: transition to electronic
  2. psnet.ahrq.gov/issue/nursing-care-quality-nqf
    September 06, 2011 - September 22, 2010 Work-arounds and artifacts during transition to a computer physician
  3. psnet.ahrq.gov/issue/how-make-emergency-department-visit-safe-one
    November 02, 2005 - 1, 2016 WebM&M Cases Recurrent Hypoglycemia: A Care Transition
  4. psnet.ahrq.gov/issue/human-factors-and-ergonomics-patient-safety
    June 21, 2006 - February 23, 2018 Care transition of trauma patients: processes with articulation work
  5. psnet.ahrq.gov/issue/special-issue-health-information-technology
    August 22, 2007 - May 11, 2019 Handoffs and teamwork: a framework for care transition communication.
  6. psnet.ahrq.gov/issue/improving-medication-safety-during-hospital-based-transitions-care
    May 08, 2017 - 11, 2014 Medication reconciliation: reducing risk for medication misadventure during transition
  7. psnet.ahrq.gov/web-mm/steroids-and-safety-preventing-medication-adverse-events-during-transitions-care
    September 09, 2013 - 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 … August 21, 2013 The hospital discharge: a review of a high risk care transition with
  8. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.323_slideshow.ppt
    May 01, 2014 - Lost in transition: challenges and opportunities for improving the quality of transitional care. … 8 This Case A pharmacist completed an "official medication reconciliation" during a period of care transition
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49648/psn-pdf
    March 01, 2012 - hospitalizations, and outpatient visits.(5) Hospital-based transitional care interventions aim to smooth the transition … planning, a transitions coach (a provider, often a nurse, who is responsible for coordinating the transition
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866353/psn-pdf
    July 24, 2024 - A clinical pharmacist-led transitions of care program for veterans with two planned care transitions (hospital to skilled care and skilled care to home) amid the COVID-19 pandemic. July 24, 2024 Scannell GA, Bevan DJ, Cowan A, et al. A clinical pharmacist-led transitions of care program for veterans with two plan…
  11. psnet.ahrq.gov/issue/stakeholder-perspectives-handovers-between-hospital-staff-and-general-practitioners
    October 03, 2012 - April 20, 2014 Mitigating error vulnerability at the transition of care through the use
  12. 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
  13. 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
  14. psnet.ahrq.gov/issue/diagnostic-error-medicine
    October 22, 2013 - October 31, 2011 WebM&M Cases A Seasonal Care Transition
  15. psnet.ahrq.gov/issue/quick-safety
    May 30, 2012 - February 14, 2017 Adverse inpatient outcomes during the transition to a new electronic
  16. psnet.ahrq.gov/issue/quality-improvement-series
    July 05, 2013 - June 2, 2010 Increased patient safety-related incidents following the transition into
  17. psnet.ahrq.gov/issue/administering-saline-flush-site-unseen-can-lead-wrong-route-error
    June 10, 2018 - June 10, 2018 Managing risk during transition to new ISO tubing connector standards.
  18. psnet.ahrq.gov/issue/hospital-takes-page-toyota
    April 03, 2005 - Related Resources From the Same Author(s) Cedars-Sinai doctors cling to pen and paper: transition
  19. psnet.ahrq.gov/issue/national-time-out-day
    December 08, 2015 - New graduate registered nurses: Risk mitigation strategies to ensure safety and successful transition
  20. psnet.ahrq.gov/issue/hospital-error-oversight-called-lax-state-takes-too-long-investigate-mistakes-patient
    May 04, 2015 - July 13, 2022 Cedars-Sinai doctors cling to pen and paper: transition to electronic medical

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