-
digital.ahrq.gov/ahrq-funded-projects/automated-notification-follow-testing-recommendations-across-care-settings
January 01, 2023 - Ambulatory Care
Primary Care
Specialty Care
Health Care Theme
Patient Safety
Transitions … Identifying and communicating about critical results at times of patient transitions in care between
-
digital.ahrq.gov/sites/default/files/docs/page/findings-and-lessons-from-the-ahrq-ambulatory-safety-and-quality-program.pdf
August 09, 2013 - Integrating Patient Information Across
Transitions in Care
9. Coordinating Care
10. … Integrating Patient Information Across
Transitions in Care
9. Coordinating Care
10. … Integrating Patient Information
Across Transitions in Care
Background
Safe and effective transitions … , such as enhanced hospital dis-
charge management, improved patient monitoring
following transitions … Some projects focused par-
ticularly on providing high-quality, appropriate care
during transitions
-
digital.ahrq.gov/sites/default/files/docs/lesson/10-0051-ef-medication-reconciliation.pdf
February 01, 2010 - on certain
preventive measures
� Improve clinical workflow
� Improve care coordination during
transitions … following areas: using data provided by patients;
electronic health record (EHR) system readiness; care transitions … Objectives Summary
USING DATA PROVIDED BY PATIENTS
ELECTRONIC HEALTH RECORD SYSTEM READINESS
CARE TRANSITIONS
-
digital.ahrq.gov/ahrq-funded-projects/nicu-2-home-using-hit-support-parents-nicu-graduates-transitioning-home/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/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/e-coaching-interactive-voice-response-ivr-enhanced-care-transition-support/annual-summary/2010
January 01, 2010 - evidence and evidence-based tools to support patient-centered care, the coordination of care across transitions
-
digital.ahrq.gov/ahrq-funded-projects/virtual-continuity-and-its-impact-complex-hospitalized-patients-care
January 01, 2023 - Care
Acute Care
Health Care Theme
Medication Errors
Medication Reconciliation
Transitions … Virtual Continuity would provide automated real-time notification and alerts for patients undergoing 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/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/holomua-project-improving-transitional-care-hawaii
January 01, 2023 - Type of Care
Primary Care
Tertiary Care
Health Care Theme
Care Coordination
Transitions
-
digital.ahrq.gov/ahrq-funded-projects/nicu-2-home-using-hit-support-parents-nicu-graduates-transitioning-home/annual-summary/2012
January 01, 2012 - evidence and evidence-based tools to support patient-centered care, the coordination of care across transitions
-
digital.ahrq.gov/sites/default/files/docs/page/ahrq-dhr-2021-year-in-review.pdf
January 01, 2021 - ................................................10
Identifying Patients With High Need During Care Transitions … ,
and wellness at various points of interaction with the healthcare system, including during
care transitions … Using health information exchange to support transitions
in care
People with multiple complex chronic … This intervention, called the Telehealth Education
Leveraging Electronic Transitions of Care for COPD … ORGANIZATION
Johns Hopkins University
RESEARCH PROFILE
Care Transitions and
Teamwork in Pediatric
-
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/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/use-push-and-pull-health-information-exchange-technologies-ambulatory-care
January 01, 2023 - Physician
Type of Care
Primary Care
Health Care Theme
Interoperability
Transitions … mechanism for providers to learn additional information about a patient’s health and healthcare, inform 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/ahrq-funded-projects/community-shared-clinical-abstract-improve-care/annual-summary/2010
January 01, 2010 - The project assesses the effect of providing additional clinical information during 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/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/sites/default/files/docs/citation/r21hs024335-rangachari-final-report-2018.pdf
January 01, 2018 - , e.g., outpatient-to-inpatient-to-outpatient care transitions for
chronic disease patients on multiple … The goal of MedRec is to reduce medication discrepancies during care transitions, and provide an
accurate … functionality over time, numerous hospitals still use partially paper-based processes during
care transitions … order (from the active list),
which in turn, led to not only medication discrepancies during care transitions … practices known to
reduce medication discrepancies and promote medication-list accuracy during care transitions