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psnet.ahrq.gov/node/60664/psn-pdf
July 08, 2020 - Applying the Medications at Transitions and Clinical
Handoffs Toolkit in a rural primary care clinic:
implications for nursing, patients, and caregivers.
July 8, 2020
Jarrett T, Cochran J, Baus A. Applying the Medications at Transitions and Clinical Handoffs Toolkit in a
rural primary care clinic: implications for…
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psnet.ahrq.gov/node/60539/psn-pdf
July 10, 2017 - Understanding facilitators and barriers to care
transitions: insights from Project ACHIEVE Site Visits.
July 10, 2017
Scott AM, Li J, Oyewole-Eletu S, et al. Understanding facilitators and barriers to care transitions: insights
from Project ACHIEVE Site Visits. Jt Comm J Qual Patient Saf. 2017;43(9):433-447.
doi:1…
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psnet.ahrq.gov/node/47147/psn-pdf
November 19, 2018 - Developing a standard handoff process for operating
room–to-ICU transitions: multidisciplinary clinician
perspectives from the Handoffs and Transitions in Critical
Care (HATRICC) study.
November 19, 2018
Lane-Fall MB, Pascual JL, Massa S, et al. Developing a Standard Handoff Process for Operating Room-to-
ICU Tra…
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psnet.ahrq.gov/node/37340/psn-pdf
November 14, 2007 - Care transitions in the outpatient surgery preoperative
process: facilitators and obstacles to information flow
and their consequences.
November 14, 2007
Schultz K, Carayon P, Hundt AS, et al. Care transitions in the outpatient surgery preoperative process:
facilitators and obstacles to information flow and their …
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psnet.ahrq.gov/node/45192/psn-pdf
December 04, 2016 - Evidence summary and recommendations for improved
communication during care transitions.
December 4, 2016
Jackson PD, Biggins MS, Cowan L, et al. Evidence Summary and Recommendations for Improved
Communication during Care Transitions. Rehabil Nurs. 2016;41(3):135-48. doi:10.1002/rnj.230.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/44458/psn-pdf
September 09, 2015 - Utilizing pharmacy students in transitions-of-care
services.
September 9, 2015
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.
https://psnet.ahrq.gov/issue/utilizing-pharmacy-students-tran…
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psnet.ahrq.gov/node/46716/psn-pdf
January 10, 2018 - Toolkit to Engage High-Risk Patients in Safe Transitions
Across Ambulatory Settings.
January 10, 2018
Davis K, Collier S, Situ J, et al. Rockville, MD: Agency for Healthcare Research and Quality; December
2017. AHRQ Publication No. 1800051EF.
https://psnet.ahrq.gov/issue/toolkit-engage-high-risk-patients-safe-tran…
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psnet.ahrq.gov/node/38462/psn-pdf
June 24, 2010 - Care transitions and home health care.
June 24, 2010
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.
https://psnet.ahrq.gov/issue/care-transitions-and-home-health-care
This article reviews the literature on transitions of care, discusses …
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psnet.ahrq.gov/node/40657/psn-pdf
August 03, 2011 - Effectiveness and cost of a transitional care program for
heart failure: a prospective study with concurrent
controls.
August 3, 2011
Stauffer BD, Fullerton C, Fleming N, et al. Effectiveness and cost of a transitional care program for heart
failure: a prospective study with concurrent controls. Arch Intern Med. 2…
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psnet.ahrq.gov/node/47219/psn-pdf
July 25, 2018 - Preparing clinicians for transitioning patients across care
settings and into the home through simulation.
July 25, 2018
Molloy MA, Cary MP, Brennan-Cook J, et al. Preparing Clinicians for Transitioning Patients Across Care
Settings and Into the Home Through Simulation. Home Healthc Now. 2018;36(4):225-231.
doi:10…
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psnet.ahrq.gov/node/46830/psn-pdf
May 30, 2018 - A call to bridge across silos during care transitions.
May 30, 2018
Sheikh F, Gathecha E, Bellantoni M, et al. A Call to Bridge Across Silos during Care Transitions. Jt Comm
J Qual Patient Saf. 2018;44(5):270-278. doi:10.1016/j.jcjq.2017.10.006.
https://psnet.ahrq.gov/issue/call-bridge-across-silos-during-care-tran…
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psnet.ahrq.gov/node/41916/psn-pdf
December 12, 2012 - Process indicators of quality clinical pharmacy services
during transitions of care.
December 12, 2012
Pharmacy AC of C, Kirwin J, Canales AE, et al. Process indicators of quality clinical pharmacy services
during transitions of care. Pharmacotherapy. 2012;32(11):e338-e347. doi:10.1002/phar.1214.
https://psnet.ahr…
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psnet.ahrq.gov/node/42114/psn-pdf
March 20, 2013 - Hospital-initiated transitional care interventions as a
patient safety strategy: a systematic review.
March 20, 2013
Rennke S, Nguyen OK, Shoeb MH, et al. Hospital-initiated transitional care interventions as a patient safety
strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):433-40. doi:10.7326/0003-4…
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psnet.ahrq.gov/node/41976/psn-pdf
March 11, 2013 - Moving beyond readmission penalties: creating an ideal
process to improve transitional care.
March 11, 2013
Burke RE, Kripalani S, Vasilevskis EE, et al. Moving beyond readmission penalties: creating an ideal
process to improve transitional care. J Hosp Med. 2013;8(2):102-9. doi:10.1002/jhm.1990.
https://psnet.ahr…
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psnet.ahrq.gov/node/41008/psn-pdf
December 27, 2014 - Medications at Transitions and Clinical Handoffs (MATCH)
Toolkit for Medication Reconciliation.
December 27, 2014
Gleason KM, Brake H, Agramonte V, Perfetti C. Rockville, MD: Agency for Healthcare Research and
Quality; 2012. AHRQ Publication No.11(12)-0059.
https://psnet.ahrq.gov/issue/medications-transitions-and-…
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psnet.ahrq.gov/node/38746/psn-pdf
July 01, 2009 - Systematically improving physician assignment during in-
hospital transitions of care by enhancing a preexisting
hospital electronic health record.
July 1, 2009
Zsenits B, Polashenski WA, Sterns RH, et al. Systematically improving physician assignment during in-
hospital transitions of care by enhancing a preexist…
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psnet.ahrq.gov/node/41849/psn-pdf
December 05, 2012 - Improving care transitions: current practice and future
opportunities for pharmacists.
December 5, 2012
Pharmacy AC of C, Hume AL, Kirwin J, et al. Improving care transitions: current practice and future
opportunities for pharmacists. Pharmacotherapy. 2012;32(11):e326-37. doi:10.1002/phar.1215.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/37303/psn-pdf
October 18, 2016 - Promoting effective transitions of care at hospital
discharge: a review of key issues for hospitalists.
October 18, 2016
Kripalani S, Jackson AT, Schnipper JL, et al. Promoting effective transitions of care at hospital discharge: a
review of key issues for hospitalists. J Hosp Med. 2007;2(5):314-23.
https://psnet.…
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psnet.ahrq.gov/node/40674/psn-pdf
October 16, 2012 - The care transitions intervention: translating from
efficacy to effectiveness.
October 16, 2012
Voss R, Gardner R, Baier R, et al. The care transitions intervention: translating from efficacy to
effectiveness. Arch Intern Med. 2011;171(14):1232-7. doi:10.1001/archinternmed.2011.278.
https://psnet.ahrq.gov/issue/ca…
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psnet.ahrq.gov/node/42080/psn-pdf
February 27, 2013 - Transitions of Care (TOC) Portal.
February 27, 2013
https://psnet.ahrq.gov/issue/transitions-care-toc-portal
This Web site provides resources for clinicians and patients to help achieve safe care transitions.
https://psnet.ahrq.gov/issue/transitions-care-toc-portal
https://psnet.ahrq.gov/issue/improving-transitions…