-
digital.ahrq.gov/ahrq-funded-projects/assessing-readiness-achievement-impact-stage-3-care-coordination-criteria
January 01, 2023 - Primary Care
Health Care Theme
Care Coordination
Interoperability
Meaningful Use
Transitions … ability to electronically send, receive, and incorporate information between providers’ EHRs during transitions
-
digital.ahrq.gov/ahrq-funded-projects/surveillance-adverse-drug-events-ambulatory-pediatrics
January 01, 2023 - Care
Health Care Theme
Adverse Events
Chronic Disease Management
Patient Safety
Transitions … surveillance system for measuring the incidence of ADEs occurring in these patient populations during transitions
-
digital.ahrq.gov/sites/default/files/docs/publication/BarrierstoMeaningfulUseAppendixA.pdf
January 01, 2010 - reconciliation between care
settings
Medication reconciliation is performed for more
than 50%of transitions … to another provider or
setting
Summary of care record is provided for more than
50% of patient transitions
-
digital.ahrq.gov/ahrq-funded-projects/supporting-continuity-care-poisonings-electronic-information-exchange/annual-summary/2012
January 01, 2012 - for electronic information exchange between PCCs and EDs to support individual patient care and care transitions … evidence and evidence-based tools to support patient-centered care, the coordination of care across transitions
-
digital.ahrq.gov/ahrq-funded-projects/medication-reconciliation-improve-quality-transitional-care
January 01, 2023 - significant source of error can cause injury and fatality, and occurs in all health care settings and all transitions
-
digital.ahrq.gov/ahrq-funded-projects/supporting-continuity-care-poisonings-electronic-information-exchange/annual-summary/2011
January 01, 2011 - for electronic information exchange between PCCs and EDs to support individual patient care and care transitions … evidence and evidence-based tools to support patient-centered care, the coordination of care across transitions
-
digital.ahrq.gov/ahrq-funded-projects/supporting-continuity-care-poisonings-electronic-information-exchange/annual-summary/2010
January 01, 2010 - for electronic information exchange between PCCs and EDs to support individual patient care and care transitions … evidence and evidence-based tools to support patient-centered care, the coordination of care across transitions
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs018151-smith-final-report-2013.pdf
January 01, 2013 - For these same goals, medication reconciliation is
recommended at all patient care transitions, but … AHRQ Ambulatory Safety and Quality program has
highlighted “integration of patient information across transitions … is innovative, providing an
automated real-time notification and alert system as patients undergo transitions … Promoting effective transitions of care at hospital
discharge: a review of key issues for hospitalists … The care
transitions intervention: results of a randomized
controlled trial.
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs022586-lacson-final-report-2017.pdf
January 01, 2017 - Scope: Transitions in care, especially for patients transitioning to ambulatory care from the
emergency … As such,
identifying and communicating them at times of patient transitions in care between a non-
ambulatory … In addition, during care transitions and across care settings,
responsibility for follow-up management … The abstract is as follows:
To facilitate follow-up of critical test results across transitions … However,
transitions in care, especially for patients undergoing transitions to ambulatory care sites
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017029-kaushal-final-report-2011.pdf
January 01, 2011 - care settings, such as the inpatient to the outpatient setting.4
Use of HIT and HIE to improve care transitions … A particularly
vulnerable time for patients, in terms of risk for ADEs, are transitions across care … Recognizing the challenges
associated with transitions and refining CDS within systems may help maximize … Care transitions: a threat and an
opportunity for patient safety. Am J Med Qual. … Risk Factors for Unexplained Medication
Discrepancies During Transitions in Care (To be submitted
to
-
digital.ahrq.gov/ahrq-funded-projects/medication-reconciliation-improve-quality-transitional-care/annual-summary/2011
January 01, 2011 - cause injury or even fatalities and happens in all types of health care settings, including patient transitions
-
digital.ahrq.gov/ahrq-funded-projects/medication-reconciliation-improve-quality-transitional-care/annual-summary/2012
January 01, 2012 - cause injury or even fatalities and happens in all types of health care settings, including patient transitions
-
digital.ahrq.gov/ahrq-funded-projects/improving-post-hospital-medication-management-older-adults-health-information
January 01, 2023 - Care
Health Care Theme
Adverse Events
Medication Management
Medication Safety
Transitions … During care transitions, patients receive medications from different prescribers who often lack access
-
digital.ahrq.gov/health-information-exchange-1
January 01, 2023 - Medication errors pose a significant threat to patients undergoing transitions (Forster, Murff, Peterson
-
digital.ahrq.gov/sites/default/files/docs/2010-04-06%20Patient%20Empowerment%20(1).pdf
January 01, 2010 - Video or telephone‐based counseling
• Internet or IVR‐supported Stepped‐Care
Approach
The Care Transitions … survey 7 (and 2 yellow flags)
Conclusions
• Patient engagement is a critical element of
safe care transitions … the Problem: UAB Hospital
Challenge of Current Care Transition Models
Possible Solutions
The Care Transitions
-
digital.ahrq.gov/ahrq-funded-projects/surveillance-adverse-drug-events-ambulatory-pediatrics/annual%20summary/2010
January 01, 2010 - sickle cell disease, cystic fibrosis, or cancer, either in the emergency department (ED) or during the transitions … surveillance system for measuring the incidence of ADEs occurring in these patient populations during transitions
-
digital.ahrq.gov/ahrq-funded-projects/e-coaching-interactive-voice-response-ivr-enhanced-care-transition-support/annual-summary/2011
January 01, 2011 - evidence and evidence-based tools to support patient-centered care, the coordination of care across transitions
-
digital.ahrq.gov/type-care/multi-specialty-care
January 01, 2023 - cross-sector care alerts and interoperable personalized care planning into the existing Coordinating Transitions
-
digital.ahrq.gov/location/usa-ma-worcester
January 01, 2023 - Investigator(s)
Garber, Lawrence
Using Health Information Technology to Improve Transitions
-
digital.ahrq.gov/ahrq-funded-projects/rural-connection-strengthening-care-through-technology
January 01, 2023 - Type of Care
Primary Care
Tertiary Care
Health Care Theme
Patient Safety
Transitions