-
psnet.ahrq.gov/node/43316/psn-pdf
July 02, 2014 - strategies to reduce readmissions, such as enhancing team communication, educating staff, and
standardizing transition
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psnet.ahrq.gov/node/43659/psn-pdf
November 05, 2014 - reported either having an inadequate handoff protocol or no protocol in place for effective patient transition
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psnet.ahrq.gov/node/43566/psn-pdf
December 19, 2014 - psnet.ahrq.gov/issue/bedside-shift-reports-what-does-evidence-say
https://psnet.ahrq.gov/issue/making-transition-nursing-bedside-shift-reports
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psnet.ahrq.gov/node/39059/psn-pdf
October 28, 2009 - communication-and-information-deficits-patients-discharged-rehabilitation-
facilities
Documentation of important care transition
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psnet.ahrq.gov/node/46688/psn-pdf
January 01, 2018 - new-solutions-reduce-wrong-route-medication-errors
https://psnet.ahrq.gov/issue/managing-risk-during-transition-new-iso-tubing-connector-standards
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psnet.ahrq.gov/node/41948/psn-pdf
January 09, 2013 - systems (CPOE), this commentary reveals barriers to adoption and lessons learned to improve hospitals'
transition
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hcup-us.ahrq.gov/db/nation/nrd/2015HCUP_NRD_110417.pdf
November 04, 2017 - Project
(HCUP) Nationwide Readmissions Database: Change in Structure and Data Elements
Caused by Transition … PROJECT (HCUP)
NATIONWIDE READMISSIONS DATABASE: CHANGE IN STRUCTURE
AND DATA ELEMENTS CAUSED BY TRANSITION … HCUP NRD
REVISED FILE STRUCTURE OF THE 2015 NATIONWIDE READMISSIONS DATABASE
Because of the transition … follow-up.3 In contrast, defining index events using the 2015 NRD
needs to take into consideration the transition … both ICD-9-CM and
ICD-10-CM/PCS codes), as well as reporting trends that span the October 1, 2015 transition
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psnet.ahrq.gov/node/43654/psn-pdf
April 02, 2015 - nursing-bedside-clinical-handover-integrated-review-issues-and-tools
https://psnet.ahrq.gov/issue/making-transition-nursing-bedside-shift-reports
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psnet.ahrq.gov/node/44413/psn-pdf
October 07, 2015 - improving-transitions-care-patients-warfarin-safe-transitions-anticoagulation-
report
A formal hospital discharge transition
-
psnet.ahrq.gov/node/45387/psn-pdf
August 15, 2016 - https://psnet.ahrq.gov/issue/medication-reconciliation-reducing-risk-medication-misadventure-during-transition-hospital
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psnet.ahrq.gov/node/47795/psn-pdf
February 20, 2019 - digital-doctor-hope-hype-and-harm-dawn-medicines-computer-age
https://psnet.ahrq.gov/issue/physician-satisfaction-transition-cpoe-paper-based-prescription
-
psnet.ahrq.gov/node/41081/psn-pdf
February 01, 2012 - hospital provides insight into the
workarounds users employed to circumvent problems associated with the transition
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digital.ahrq.gov/ahrq-funded-projects/electronic-medication-management/annual-summary/2010
January 01, 2010 - Commission created a National Patient Safety Goal requiring medication reconciliation for each care transition … electronic chart review by clinical experts to document the completeness of the medication list at all transition
-
digital.ahrq.gov/ahrq-funded-projects/improving-post-hospital-medication-management-older-adults-health-information/annual-summary/2010
January 01, 2010 - It also focuses specifically on the transition from inpatient to ambulatory settings for older adults … Specifically, the intervention automates key steps in the transition of care from the hospital to home
-
psnet.ahrq.gov/node/46160/psn-pdf
June 07, 2017 - insulin practices that reduce errors at the prescribing,
pharmacy management, administration, and transition
-
psnet.ahrq.gov/node/45545/psn-pdf
October 05, 2016 - enhancing-patient-safety-and-quality-care-improving-usability-electronic-health-record
https://psnet.ahrq.gov/issue/adverse-inpatient-outcomes-during-transition-new-electronic-health-record-system
-
psnet.ahrq.gov/node/44396/psn-pdf
January 22, 2016 - bedside-shift-shift-handoffs-systematic-review-literature
https://psnet.ahrq.gov/primer/handoffs-and-signouts
https://psnet.ahrq.gov/issue/making-transition-nursing-bedside-shift-reports
-
psnet.ahrq.gov/node/38544/psn-pdf
September 02, 2009 - pilot-study-examining-undesirable-events-among-emergency-department-boarded-patients-awaiting
https://psnet.ahrq.gov/issue/dropping-baton-qualitative-analysis-failures-during-transition-emergency-department-inpatient
-
psnet.ahrq.gov/node/49570/psn-pdf
October 01, 2008 - Recurrent Hypoglycemia: A Care Transition Failure?
October 1, 2008
Eytan T. … Recurrent Hypoglycemia: A Care Transition Failure? PSNet [internet]. 2008. … https://psnet.ahrq.gov/web-mm/recurrent-hypoglycemia-care-transition-failure
Case Objectives
Understand … https://psnet.ahrq.gov/web-mm/recurrent-hypoglycemia-care-transition-failure
https://psnet.ahrq.gov// … Even better, the presence of a true EHR would have markedly facilitated the transition of care from the
-
psnet.ahrq.gov/web-mm/treatment-challenges-after-discharge
January 03, 2017 - Appreciate the unique challenges posed by transition in care from the hospital to outpatient physician … nosocomial infections, procedural 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 … September 1, 2011
WebM&M Cases
A Seasonal Care Transition