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digital.ahrq.gov/2020-year-review/research-summary/improving-care-transitions-hospitalized-patients-pharmacy-integrated-transitions-program
January 01, 2020 - Improving Care Transitions of Hospitalized Patients With the Pharmacy Integrated Transitions Program … Organization: University of Washington Research Profile: Preventing Medication-Related Problems in Care Transitions … communication tools between medical professionals at each facility is a significant issue throughout care transitions … Following the road to recovery
The Pharmacy Integrated Transitions (PIT) program was developed by Dr … hospital and SNF teams to provide comprehensive support regarding medication management during care transitions
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digital.ahrq.gov/health-care-theme/transitions-care
January 01, 2023 - Transitions in Care
Scalable Digital Communication Intervention to Support … evaluate the Perioperative Optimization of Senior Health (myPOSH) mobile application that supports care transitions … R01 HS028982
Principal Investigator(s)
Mueller, Stephanie
Care Transitions … Use of Electronic Health Record Metadata to Assess Hospital Discharge Planning for Post-Acute Transitions … Real-Time Symptom Monitoring Using ePROs to Prevent Adverse Events During Care Transitions
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digital.ahrq.gov/events/national-web-conference-transitions-care
January 01, 2023 - A National Web Conference on Transitions in Care
Event Date:
February 24, … Jencks provided an overview of the current state and challenges IT systems face in managing transitions … Field spoke to the role of health IT in supporting transitions in care in integrated delivery systems
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digital.ahrq.gov/ahrq-funded-projects/improving-sickle-cell-transitions-care-through-health-information-technology
January 01, 2023 - Improving Sickle Cell Transitions of Care Through Health Information Technology
Project … People with SCD experience multiple transitions of care as a result of the disease’s chronicity and the … Improving Sickle Cell Transitions of Care through Health Information Technology - 2012
× … Improving sickle cell transitions of care through health information technology. … Improving Sickle Cell Transitions of Care Through Health Information Technology: Recommendations for
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digital.ahrq.gov/sites/default/files/docs/2010-02-24%20Transitions%20In%20Care%20(4).pdf
January 01, 2010 - A National Web Conference on Transitions in Care
Managing Patient Care Transitions: How Health IT … .
7
Rehospitalization as an
opportunity
•
Fragmentation of care lies behind many failed
transitions … high risk of adverse events)
AMBULATORY
SETTING
ACUTE CARE SUBACUTE CARE AMBULATORY
SETTING
Transitions … Transitions In Care
Adverse Drug Events�injury resulting from a medical intervention related to a drug … Types of Errors Leading to Serious Preventable ADEs
Transitions in Care
Key Components of Transition
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digital.ahrq.gov/ahrq-funded-projects/care-transitions-and-teamwork-pediatric-trauma-implications-health-information
January 01, 2023 - Care Transitions and Teamwork in Pediatric Trauma: Implications for Health Information Technology Design … Human-centered design of team health IT for pediatric trauma care transitions. … Contextual factors influencing barriers and facilitators in paediatric trauma care transitions. … Applied Ergonomics. 2020;85 (Special Issue on Care Transitions):103059. … Information flow during pediatric trauma care transitions: things falling through the cracks.
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digital.ahrq.gov/ahrq-funded-projects/coordinating-transitions-health-information-technology-role-improving-multiple-chronic-disease-outcomes
January 01, 2023 - Coordinating Transitions: Health Information Technology Role in Improving Multiple Chronic Disease Outcomes … This project evaluated the use of clinical decision support tools to improve the quality of transitions … While researchers initially intended to develop a Care Transitions Dashboard within an electronic health … Role of Health IT to Improve Care Transitions AHRQ hosted a free Webinar to discuss how health IT can … improve care transitions for patients with complex conditions
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digital.ahrq.gov/ahrq-funded-projects/improving-care-transitions-complex-patients-through-decision-support
January 01, 2023 - Improving Care Transitions for Complex Patients through Decision Support
Project … The decision support system was able to detect care transitions for this study’s complex patients and … Improving Care Transitions for Complex Patients through Decision Support - 2012
Improving Care … Transitions for Complex Patients through Decision Support - 2011
Improving Care Transitions for … Improving Care Transitions for Complex Patients through Decision Support - Final Report.
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digital.ahrq.gov/national-webinars/role-health-it-improve-care-transitions
January 01, 2023 - Role of Health IT to Improve Care Transitions
Event Date:
September 26, 2019 … Description:
AHRQ hosted a free webinar to discuss how health IT can improve care transitions for patients … participants should be able to: Describe the role of health IT in improving health outcomes during care transitions … Describe how mHealth technology can be used to improve care coordination and transitions. … Discuss the use of clinical decision support tools to improve the quality of transitions for adults with
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digital.ahrq.gov/ahrq-funded-projects/real-time-symptom-monitoring-using-epros-prevent-adverse-events-during-care-transitions
January 01, 2023 - Real-Time Symptom Monitoring Using ePROs to Prevent Adverse Events During Care Transitions … patient-reported outcomes of hospitalized patients has the potential to reduce adverse events during care transitions … HS028662
Funding Mechanism(s)
Improving Quality of Care and Patient Outcomes During Care Transitions … in Care
Adverse events (AE) during care transitions threaten patient safety and increase … , which will be evaluated in a randomized controlled trial examining patients with MCCs during care transitions
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digital.ahrq.gov/ahrq-funded-projects/use-ehr-metadata-assess-hospital-discharge-planning-post-acute-transitions
January 31, 2025 - Use of Electronic Health Record Metadata to Assess Hospital Discharge Planning for Post-Acute Transitions … identify gaps, inconsistencies, and inefficiencies in discharge planning to inform improvements in transitions … in Care
Transitions in care are often poorly coordinated and disruptive to those who transition … Discharge planning is critical to these transitions in care--summary of pending results, changes in medication … Name: Use of Electronic Health Record Metadata to Assess Hospital Discharge Planning for Post-Acute Transitions
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digital.ahrq.gov/ahrq-funded-projects/improving-rural-healthcare-transitions-through-health-information-exchange
January 01, 2023 - Improving Rural Healthcare Transitions Through Health Information Exchange
Project … Enhancements to KeyHIE included adding critical transitions-of-care clinicians as exchange users including … The ability of these users to improve patients' transitions of care was expected to be improved by providing … Improving Rural Healthcare Transitions Through Health Information Exchange - Final Report. … Principal Investigator: Wood, Kenneth Project Name: Improving Rural Healthcare Transitions Through
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digital.ahrq.gov/ahrq-funded-projects/vizhome-context-based-health-information-needs-assessment-strategy/citation/safehome
January 01, 2023 - SafeHOME: promoting safe transitions to the home. … SafeHOME: promoting safe transitions to the home. Stud Health Technol Inform 2016;220:51-4.
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digital.ahrq.gov/ahrq-funded-projects/care-transitions-and-teamwork-pediatric-trauma-implications-health-information/citation/work
January 01, 2023 - Work system barriers and facilitators in inpatient care transitions of pediatric trauma patients. … Work system barriers and facilitators in inpatient care transitions of pediatric trauma patients. … Applied Ergonomics. 2020;85 (Special Issue on Care Transitions):103059. … pubmed.ncbi.nlm.nih.gov/32174347/
Principal Investigator
Gurses, Ayse Pinar
Project Name
Care Transitions
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digital.ahrq.gov/ahrq-funded-projects/improving-medication-management-practices-and-care-transitions-through
January 01, 2023 - Improving Medication Management Practices and Care Transitions through Technology … Improving Medication Management Practices and Care Transitions through Technology - 2012
Improving … Medication Management Practices and Care Transitions through Technology - 2011
Improving Medication … Management Practices and Care Transitions through Technology - 2010
×
Disclaimer … Improving Medication Management Practices and Care Transitions through Technology - Final Report.
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digital.ahrq.gov/ahrq-funded-projects/care-transitions-app-patients-multiple-chronic-conditions
January 01, 2023 - Care Transitions App for Patients with Multiple Chronic Conditions
Project … in Care
Care transitions are a vulnerable period for patients, leading to post-discharge … The care transitions app will bridge the transition between hospital, home, and primary care clinic to … The specific aims of the project are as follows: Develop a care transitions app and a multi-component … The Care Transitions App will incorporate components from the research team’s prior work, specifically
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digital.ahrq.gov/ahrq-funded-projects/improving-sickle-cell-transitions-care-through-health-information-technology/final-report
January 01, 2023 - Improving Sickle Cell Transitions of Care Through Health Information Technology: Recommendations for … Improving Sickle Cell Transitions of Care Through Health Information Technology: Recommendations for … PDF
Improving Sickle Cell Transitions of Care Through Health IT: Recommendations for Tool Development … Report
Principal Investigator
Jain, Anjali
Project Name
Improving Sickle Cell Transitions
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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-transitions-complex-elderly-2
January 01, 2023 - Managing Patient Care Transitions: How Health IT can reduce unnecessary re-hospitalizations. … Managing Patient Care Transitions: How Health IT can reduce unnecessary re-hospitalizations. … Managing Patient Care Transitions: How Health IT can reduce unnecessary re-hospitalizations. … Project Name
Using Health Information Technology to Improve Transitions of Complex Elderly Patients
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digital.ahrq.gov/ahrq-funded-projects/improving-rural-healthcare-transitions-through-health-information-exchange/final-report
January 01, 2023 - Improving Rural Healthcare Transitions Through Health Information Exchange - Final Report … Improving Rural Healthcare Transitions Through Health Information Exchange - Final Report. … PDF
Improving Rural Healthcare Transitions Through Health Information Exchange - Final Report … Principal Investigator
Wood, Kenneth
Project Name
Improving Rural Healthcare Transitions
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digital.ahrq.gov/ahrq-funded-projects/improving-care-transitions-complex-patients-through-decision-support/final-report
January 01, 2023 - Improving Care Transitions for Complex Patients through Decision Support - Final Report … Improving Care Transitions for Complex Patients through Decision Support - Final Report. … PDF
Improving Care Transitions for Complex Patients through Decision Support - Final Report … Principal Investigator
Eisenstein, Eric
Project Name
Improving Care Transitions for Complex