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381. Information flow during pediatric trauma care transitions: things falling through the cracks. | PSNet
     psnet.ahrq.gov/issue/information-flow-during-pediatric-trauma-care-transitions-things-falling-through-cracks
     February 16, 2022 - Download Citation Related Resources From the Same Author(s) Care transition … July 10, 2017 Physician transition of care: benefits of I-PASS and an electronic handoff

382. Changes made to orders placed by overnight admitting residents on teaching rounds the next day. | PSNet
     psnet.ahrq.gov/issue/changes-made-orders-placed-overnight-admitting-residents-teaching-rounds-next-day
     July 07, 2021 - May 20, 2019 Physician transition of care: benefits of I-PASS and an electronic handoff … a pediatric teaching hospital: an analysis of the safety of analgesic prescription practice in the transition

383. Medication order errors at hospital admission among children with medical complexity | PSNet
     psnet.ahrq.gov/issue/medication-order-errors-hospital-admission-among-children-medical-complexity
     July 20, 2022 - 20, 2022 Reduced postdischarge incidents after implementation of a hospital-to-home transition … a pediatric teaching hospital: an analysis of the safety of analgesic prescription practice in the transition

384. Implementing IBH Plan: Ambulatory Care Setting | The Academy
     integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan-integrating-behavioral-health-your-ambulatory-care-setting
     June 01, 2022 - Setting The infrastructure in your setting must support integration to achieve successful transition … Establish Protocols and Clinical Workflows to Manage and Treat Your Patients A transition

385. Effect of Patient and Family Centered I-PASS on adverse event rates in hospitalized children with complex chronic conditions. | PSNet
     psnet.ahrq.gov/issue/effect-patient-and-family-centered-i-pass-adverse-event-rates-hospitalized-children-complex
     November 16, 2022 - April 20, 2022 Care transition of trauma patients: processes with articulation work before … July 10, 2017 Physician transition of care: benefits of I-PASS and an electronic handoff

386. Primary care teams' reported actions to improve medication safety: a qualitative study with insights in high reliability organising. | PSNet
     psnet.ahrq.gov/issue/primary-care-teams-reported-actions-improve-medication-safety-qualitative-study-insights-high
     July 06, 2022 - November 20, 2024 Assessing patient work system factors for medication management during transition … 4, 2009 WebM&M Cases Recurrent Hypoglycemia: A Care Transition

387. Obstetrician-gynecologist views of pregnancy-related medication safety. | PSNet
     psnet.ahrq.gov/issue/obstetrician-gynecologist-views-pregnancy-related-medication-safety
     July 29, 2020 - Medication-related interventions to improve medication safety and patient outcomes on transition … September 15, 2021 Increased patient safety-related incidents following the transition

388. Frequency of diagnostic errors in the neonatal intensive care unit: a retrospective cohort study. | PSNet
     psnet.ahrq.gov/issue/frequency-diagnostic-errors-neonatal-intensive-care-unit-retrospective-cohort-study
     April 13, 2022 - View More Related Resources Scaling up a diagnostic pause at the ICU-to-ward transition … March 23, 2022 Care transition of trauma patients: processes with articulation work before

389. Electronic Prescribing and Electronic Transmission of Discharge Medication Lists (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/r18hs017029-kaushal-final-report-2011.pdf
     January 01, 2011 - Results: We found that the transition to a commercial EHR with more robust clinical decision support … Providers had great difficulty with the transition, despite being experienced e-prescribers. … One particularly vulnerable time for patients is the transition between care settings, such as the inpatient … We found that the transition to the commercial EHR resulted in perceived decreases in productivity and … Understanding physician experiences with this type of transition and their preferences for prescribing

390. Understanding the challenges and successes of implementing 'hybrid' interventions in healthcare settings: findings from a process evaluation of a patient involvement trial. | PSNet
     psnet.ahrq.gov/issue/understanding-challenges-and-successes-implementing-hybrid-interventions-healthcare-settings
     October 23, 2024 - Related Resources Assessing patient work system factors for medication management during transition … Patient activation related to fall prevention: a multisite study February 19, 2020 Transition

391. In Conversation with...Eric Coleman, MD, MPH | PSNet
     psnet.ahrq.gov/perspective/conversation-witheric-coleman-md-mph
     December 01, 2007 - The state of Maine has mandated that all hospitals publicly report care transition measure scores, and … 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. … 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.

392. Spotlight Case July 2008 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.263_slideshow.ppt
     March 01, 2012 - N Engl J Med. 2009;360:1418-1428. http://www.ncbi.nlm.nih.gov/pubmed/19339721 * Discharge Transition … (1) Hospital-based transitional care interventions aim to smooth the transition from inpatient to outpatient … setting and (potentially) prevent unplanned readmissions * * Discharge Transition (2) Multiple … adverse events after discharge and prevent rehospitalizations: Patient engagement in discharge planning Transition … Because of this, they are generally recommended to help in the transition from hospital to home See

393. Lapse in Antibiotics Leads to Sepsis | PSNet
     psnet.ahrq.gov/web-mm/lapse-antibiotics-leads-sepsis
     November 21, 2021 - A recent systematic study suggested that bedside handoffs during nursing shift transition is a potential … hospital staff from more than 500 hospitals in the United States, more than 80% of respondents identified transition … error.( 12 ) In a recently published survey of ED physicians, 29% reported adverse events during the transition … and collaborative relationships as the key factors facilitating a reduction of errors associated with transition … 2011 WebM&M Cases Recurrent Hypoglycemia: A Care Transition

394. The effect of transitions intervention to ensure patient safety and satisfaction when transferred from hospital to home health care-a systematic review. | PSNet
     psnet.ahrq.gov/issue/effect-transitions-intervention-ensure-patient-safety-and-satisfaction-when-transferred
     October 20, 2021 - Medication-related interventions to improve medication safety and patient outcomes on transition … September 28, 2022 Handoffs and teamwork: a framework for care transition communication

395. Medication management strategies by community-dwelling older adults: a multisite qualitative analysis. | PSNet
     psnet.ahrq.gov/issue/medication-management-strategies-community-dwelling-older-adults-multisite-qualitative
     November 20, 2024 - June 9, 2015 Assessing patient work system factors for medication management during transition … Related Resources Assessing patient work system factors for medication management during transition

396. Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/intro.html
     September 01, 2015 - Preparing for a Session For many people, especially experienced trainers, the transition from a teacher-centered … Here are some suggestions on how to make this transition: Know the content It might seem obvious

397. Davidson, Giana | Digital Healthcare Research
     digital.ahrq.gov/principal-investigator/davidson-giana
     January 01, 2023 - to reduce medication-related issues among patients during the hospital-to-skilled nursing facility transition

398. Project BOOST Increases Patient Understanding of Treatment and Follow-up Care | PSNet
     psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care
     February 26, 2025 - The Centers for Medicare and Medicaid Services (CMS) recommends Project BOOST as one of the care transition … checklist can identify patient concerns (logistical and psychological) regarding their preparedness to transition … Understanding how your current care transition process functions and where it fails : Formally mapping … complete a root cause analysis or failure modes effects analysis (FMEA) to understand why certain care transition … Populations June 12, 2020 Patient Safety Innovations Transition

399. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60363/psn-pdf
     March 01, 2021 - Transition Coaches® Reduce Readmissions for Medicare Patients With Complex Postdischarge Needs Originally … Innovation Patient Safety Focus CTI focuses on patient empowerment during the care transition process … well equipped to manage their post discharge care needs and be active participants in a safe care transition … surveyed patients and caregivers on factors that are necessary and important to them during a care transition … Association between quality improvement for care transition in communities and rehospitalizations among

400. Hcup Recomforreportingtrends 070517 (pdf file)
     hcup-us.ahrq.gov/datainnovations/HCUP_RecomForReportingTrends_070517.pdf
     July 05, 2017 - both ICD-9-CM and ICD-10-CM/PCS codes), as well as reporting trends that span the October 1, 2015 transition … . on October 1, 2015, thus administrative data that are annual, calendar-year files that span the transition … data element: DQTR) to determine whether there is discontinuity in the categorization because of the transition