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121. Toolkit to Engage High-Risk Patients In Safe Transitions Across Ambulatory Settings | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/ambulatory-care/safe-transitions.html
     December 01, 2017 - Patients who transition from one ambulatory care facility clinician to another are especially vulnerable

122. Appendix I. Measure Mapping Strategy | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/care/coordination/atlas/appendix1.html
     June 01, 2014 - Care Assessment Tool-Child Edition (PCAT-CE))] As Coordination Needs Change In preparation for transition … adulthood), does your provider have a process to share information with the adult care provider including: transition … Measures that focus on a particular transition point are mapped to both the before and after setting … (e.g., a measure of the transition from hospital discharge to outpatient care would map to Inpatient … were able to map all measures related to transitions to one or the other of the subdomains specifying transition

123. NICU Toolkit: Family Information Packet Cover Sheet (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-cover.pdf
     June 02, 2025 - discharged, your Health Coach should follow up with you by phone within a few days to make sure the transition

124. Written Statement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-146-written-statement.pdf
     June 02, 2025 - Intellectual Property Rights Statement Re: Measure Number 0146: Adolescent Assessment of Preparation for Transition

125. Appendix E. Category Definitions | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/engage/appe.html
     March 01, 2017 - Safety Issues Fragmentation of the care systems and transitions between providers Definition: The transition

126. Slide Presentation: An Introduction to Safe Transitions for Patients to New Appointments
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetransitions.pptx
     June 02, 2025 - team to determine how to use the tools and resources Use the Appointment Aide with patients who will transition … team to determine how to use the tools and resources; Use the Appointment Aide with patients who will transition

127. Tool 2: How to Begin the Re-engineered Discharge Implementation At Your Hospital (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool2ref.html
     March 01, 2025 - The hospital discharge: a care transition with a high potential for errors.

128. Tool 2: How to Begin the Re-engineered Discharge Implementation At Your Hospital (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool2ref.html
     March 01, 2025 - The hospital discharge: a care transition with a high potential for errors.

129. Impact of Telediagnosis on Every Step of the Diagnostic Process | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/teledx-3.html
     August 01, 2020 - Medical Association, 10 and the American Telemedicine Association, 11 among others. 12 With the rapid transition

130. Patient Centered Medical Home (PCMH) | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/research/care-coordination/pcmh/index.html
     August 01, 2022 - Practice Facilitation Practice facilitation is one of the most promising strategies to support the transition

131. Better Outcomes through Research for Newborns | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/communities/pbrn/registry/better-outcomes-through-research-newborns.html
     May 04, 2015 - collaborative of pediatric clinicians and researchers who evaluate care in the birth setting and in the transition

132. TeamSTEPPS Research/Evidence Base: Crew Resource Management Training | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/evidence-base/crew-resource.html
     June 01, 2023 - A transition of aviation crew resource management to hospital emergency departments: the MedTeams story

133. AHRQ's Quality & Patient Safety Programs by Setting: Hospital | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/index.html
     February 01, 2025 - Optimizing Safe Transitions provides hospitals a comprehensive set of interventions to improve the care transition … to Home: A Resource Toolkit provides customizable resources to help hospitals and families safely transition

134. UCLA Primary Care Research Network | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/communities/pbrn/registry/ucla-primary-care-research-network.html
     January 01, 2012 - dedicated to enabling translational research discoveries within the context of primary care and in the transition

135. Making Healthcare Safer III Patient Safety Practices | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/making-healthcare-safer/mhs3/practices.html
     April 01, 2020 - Transitions of Care Models BOOST: Better Outcomes for Older Adults Through Safe Transitions CTI: Care Transition

136. Johns Hopkins Children’s Center Uses AHRQ-Funded I-PASS Tool to Boost Patient Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/201903.html
     April 01, 2019 - changes by closely adhering—sometimes by as much as 100 percent—to the AHRQ-supported and proven care transition

137. Information to Help Hospitals Get Started (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/Ways_To_Learn_More_508.docx
     June 02, 2025 - Advancing Patient Safety organization, provides patients and families the tools that will help smooth their transition … patients with complex care needs and their family caregivers receive specific tools and work with a Transition … CoachTM to learn self-management skills that will ensure that patient needs are met during the transition

138. Findings | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/findings.html
     August 01, 2022 - Of the 230 claims examined, 13 (5.7%) were determined to involve a potential transition of care event … hospital’s clinical and administrative documents to identify potential failures occurring during the transition … (tasks, organization, patient/caregiver, provider, technology and tools, and environment) and care transition … This project also found that of the 13 claims judged to have potentially involved a suboptimal care transition

139. ED-to-Hospital Transitions | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions2.html
     June 01, 2023 - In conclusion, the ED-to-hospital transition is a high-risk time for diagnostic errors.

140. NICU Family Information Packet, Appendix B, Vision Screening and Retinopathy (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-vision.pdf
     June 02, 2025 - – Stages 1-5: degree of vasculopathy at the vascular-avascular transition (Stage 5 is most severe