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digital.ahrq.gov/funding-mechanism/ambulatory-safety-and-quality-program-improving-management-individuals-complex
January 01, 2023 - Skilled Nursing Facilities (SNF) to Home
The e-Coach technology-assisted care transition … The E-Coach technology-assisted care transition system: a pragmatic randomized trial. … Ritchie, Christine
Project Name
e-Coaching: Interactive Voice Response-Enhanced Care Transition
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fecc-tables-13-14.pdf
June 02, 2025 - -14 33.3 28.6
Protocols/Plans
Child has shared care plan FECC-16 40.0 48.8*
Child has written transition … child’s condition
Protocols/Plans
Child has shared care plan FECC-16 40.9 49.1
Child has written transition
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Perry_49.pdf
March 27, 2008 - in most health care settings, new paperwork or
software would have to be created for this type of transition … variation on readbacks, the “teachback,” has been considered as a tool for including patients in
the transition … Because of pragmatic challenges involved in timing a transition
update to include patients, particularly … have been noted: (1) pre-turnover, during which the individuals involved begin to prepare for
transition … ; (2) arrival, where incoming and off-going workers gather; (3) meeting, during which
the transition
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psnet.ahrq.gov/node/36333/psn-pdf
July 10, 2008 - studies have documented the safety problems that befall patients with complex illnesses at the time of
transition … Intervention patients received a personal health record and a "transition coach," who assisted
with
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psnet.ahrq.gov/node/33661/psn-pdf
December 01, 2007 - I would argue that a good
hospital discharge transition is just as important as a thorough admission … coach" and empowering
them to facilitate communication and other aspects of the care transition. … SHM is working with the American College of Physicians and other
organizations to develop care transition … As hospitalists, health systems, and regulatory
agencies become more invested in the care transition … Lost in transition: challenges and opportunities for improving the quality of
transitional care.
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psnet.ahrq.gov/issue/work-system-barriers-and-facilitators-team-health-information-technology
March 11, 2020 - technician, pediatric intensive care unit attending) on the usability of a potential team health IT care transition … September 11, 2019
Care transition of trauma patients: processes with articulation work
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psnet.ahrq.gov/issue/medical-malpractice-litigation-and-daylight-saving-time
March 24, 2019 - 288,432 malpractice claims between January 1990 and September 2018, researchers found that the spring transition … September 23, 2020
Increased patient safety-related incidents following the transition
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psnet.ahrq.gov/issue/effect-multispecialty-faculty-handoff-initiative-safety-culture-and-handoff-quality
March 10, 2019 - Additionally, the “handoff and transition score” on the Agency for Healthcare Quality (AHRQ) Hospital … October 6, 2016
Physician transition of care: benefits of I-PASS and an electronic handoff
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hcup-us.ahrq.gov/db/nation/nrd/HCUPAnalysisICD10Readmissions.pdf
June 12, 2020 - HCUPAnalysisICD10Readmissions
IMPACT OF THE ICD-10-CM/PCS TRANSITION
ON READMISSION RATES
Recommended … Impact of
the ICD-10-CM/PCS Transition on Readmission Rates, 2015-2017. ONLINE. June 12,
2020. … o Across the transition from ICD-9-CM to ICD-10-CM/PCS, the 30-day all-cause
readmission rates were stable … o Across the transition from ICD-9-CM to ICD-10-CM/PCS, the 30-day condition-
specific readmission rates … The purpose of this report is to examine the impact of the transition from ICD-9-CM to ICD-10-
CM/PCS
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psnet.ahrq.gov/issue/optimizing-transitions-care-reduce-rehospitalizations
November 04, 2015 - to reduce readmissions , such as enhancing team communication, educating staff, and standardizing transition … December 19, 2018
Challenges and remediation for Patient Safety Indicators in the transition
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/heart-failure-transition-care_disposition-comments.pdf
May 27, 2014 - natural history of HF or an unrelated illness, rather
than a preventable readmission related to the transition … However, this is not
likely to be the case and a transition of care intervention applied
15 years ago … populations, clinical scenarios, contemporary data, and
lack of data on comparative effectiveness of transition
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psnet.ahrq.gov/node/49632/psn-pdf
July 01, 2011 - A Seasonal Care Transition Failure
July 1, 2011
Young JQ. A Seasonal Care Transition Failure. … https://psnet.ahrq.gov/web-mm/seasonal-care-transition-failure
The Case
A 70-year-old healthy man presented … symptoms.(12-14) This
potentially heightened acuity makes monitoring even more critical during the transition … predicted those patients more likely to require hospitalization or have significant
symptoms during the transition … These may include specialized transition curricula, training in communication skills for
giving and
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psnet.ahrq.gov/node/44951/psn-pdf
March 02, 2016 - This study examined
handoffs from the emergency department to the inpatient unit, a transition known … handoffs-and-signouts
https://psnet.ahrq.gov/issue/dropping-baton-qualitative-analysis-failures-during-transition-emergency-department-inpatient
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-design-guide-final508.pdf
June 02, 2025 - In each transition, opportunities
arise for breakdowns in communication that may lead to medical errors … A Warm Handoff Plus is a transition conducted in person between two members of the
healthcare team in … Identify patient transition points within the practice. … For each
transition identified in Step 1, determine:
� Who is handing off the patient or information
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psnet.ahrq.gov/issue/effects-i-pass-nursing-handoff-bundle-communication-quality-and-workflow
November 12, 2014 - 31, 2014
Reduced postdischarge incidents after implementation of a hospital-to-home transition … 10, 2019
View More
Related Resources
Ensuring effective care transition … August 21, 2019
Making the transition to nursing bedside shift reports.
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psnet.ahrq.gov/issue/information-management-goals-and-process-failures-during-home-visits-middle-aged-and-older
November 15, 2023 - Patients are at risk for adverse events after they transition from hospital to home. … The authors recommend redesigning the care transition process from hospital to home health care providers
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psnet.ahrq.gov/node/41192/psn-pdf
November 26, 2014 - reconciliation-errors
Medication reconciliation continues to pose significant threats to patients when they transition … This study found that reconciliation errors occurred frequently at both these transition
times; 42%
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fecc-tables-11-12.pdf
June 02, 2025 - Protocols/Plans
Child has shared care plan FECC-16 36.4 52.4*** 65.9*** 41.2
Child has written transition … Protocols/Plans
Child has shared care plan FECC-16 37.5 53.7*** 62.6*** 40.8
Child has written transition
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digital.ahrq.gov/ahrq-funded-projects/randomized-clinical-trial-smartphone-virtual-reality-pain-management-during
January 01, 2024 - A Randomized Clinical Trial of Smartphone Virtual Reality for Pain Management During Burn Care Transition … Name: A Randomized Clinical Trial of Smartphone Virtual Reality for Pain Management During Burn Care Transition
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psnet.ahrq.gov/issue/measuring-psychological-safety-and-local-learning-enable-high-reliability-organisational
May 05, 2021 - measure (local learning) to measure staff psychological safety and evaluate the effectiveness of their transition … Medication-related interventions to improve medication safety and patient outcomes on transition