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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetransitions_finalreport.docx
November 01, 2017 - Patients who transition from one ambulatory care facility clinician to another are especially vulnerable … Patients who transition from one clinician to another are especially vulnerable to patient-safety errors … .4 This model, while designed for an inpatient setting, outlines the key components of a successful transition … care setting and during the discharge process to help prepare patients and their caregivers for the transition … The proposed workflow assumed the sites could identify patients who would need transition of care support
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/About_the_Guide_508.pdf
June 02, 2025 - Discharge Planning helps
reduce preventable readmissions by engaging
patients and family members in the transition
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www.ahrq.gov/ncepcr/research/disseminating-evidence/pcph.html
September 01, 2024 - report synthesizes findings across five of the topics and identifies three overarching themes: a need to transition
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_6.pdf
October 01, 2016 - Academic activities include the Continuity, A-PCTC (K15), and Transition of care
clinics, and research … A team
of resident physicians and MAs manages the care transition, usually in a single visit, and hands … MAs
call patients after discharge following a protocol for transition care management. … Care and transition
management of high-
risk patients
Care management is by RN case managers. … An MA and backup MA are
dedicated to following up and scheduling patients for care-transition visits
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www.ahrq.gov/news/newsletters/e-newsletter/965.html
July 01, 2025 - aspects of the medication management process, including tasks for patients to manage medicines during the transition … indicators that could be assessed before discharge to improve safety and patient experience during the transition
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Leape.pdf
June 02, 2025 - years to come, this period at the beginning of the 21st century will be
regarded as a time of profound transition … At the heart of that
transition is creating the culture change we need to make patient care safe.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Behara.pdf
January 01, 2004 - The
transition of care did not simply involve the sharing of information, but also
included expectations … whose assessment has started, but whose problem cannot be
adequately characterized at the time of the transition
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www.ahrq.gov/topics/hospital-readmissions.html
January 01, 2012 - Hospital Readmissions
Reducing preventable hospital readmissions is a national priority for payers, providers, and policymakers seeking to improve health care and lower costs. In 2012, the Centers for Medicare & Medicaid Services began reducing Medicare payments for certain hospitals with excess 3…
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www.ahrq.gov/topics/hospital-discharge.html
Topic: Hospital Discharge
AHRQ has research, tools and resources for clinicians to improve the hospital discharge process, including the Re-Engineered Discharge Toolkit.
Improving Hospital Discharge Through Medication Reconciliation and Education
Improving the Emerg…
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www.ahrq.gov/patient-safety/patients-families/engagingfamilies/guide.html
December 01, 2017 - Discharge Planning helps reduce preventable readmissions by engaging patients and family members in the transition
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/About_the_Guide_508.docx
June 02, 2025 - Discharge Planning helps reduce preventable readmissions by engaging patients and family members in the transition
-
www.ahrq.gov/cahps/surveys-guidance/nh/index.html
August 01, 2023 - difference is that the Discharged Resident Instrument also covers therapy services (and may cover the transition
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www.ahrq.gov/es/tools/index.html?page=5
December 01, 2017 - This toolkit provides customizable resources for hospitals that wish to improve safety when newborns transition
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www.ahrq.gov/pqmp/measures/index.html?page=6
Health COE: Children's Hospital of Philadelphia (CHOP)
Adolescent Assessment of Preparation for Transition
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www.ahrq.gov/pqmp/measures/index.html?page=3
Children admitted to the hospital should have documentation in their hospital medical record of a transition
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www.ahrq.gov/funding/training-grants/grants/active/t32/T32-harv2.html
October 01, 2014 - Support for career transition, including successful competition for career development awards.
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www.ahrq.gov/news/newsroom/case-studies/201514.html
June 01, 2015 - It's critically important that we prepare them for the next level of their transition," Ms.
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www.ahrq.gov/news/newsroom/case-studies/201536.html
January 01, 2016 - It was also used as a catalyst for patient safety discussions as the Medical Center prepared to transition
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www.ahrq.gov/ncepcr/tools/self-mgmt/how.html
February 01, 2016 - Clinicians can ease the transition of implementing a self-management support program by learning how
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fecc-mailed-survey.pdf
June 01, 2025 - the main provider
may have created for your child: shared care plans, emergency care plans, and transition … This is sometimes called a
transition plan.
Is your child age 15 or older? … Has the main provider created a written transition plan that summarizes how your child’s
care will … This is sometimes called a
transition plan.
33. Is your child age 15 or older? … Has the main provider created a written transition plan that summarizes how your child’s
care will change