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psnet.ahrq.gov/issue/understanding-hazards-adverse-drug-events-among-older-adults-after-hospital-discharge
September 21, 2022 - healthcare professionals outlined several multifactorial hazards for medication-related harm during care transitions … reconciliation: a systematic review of the impact on medication errors and adverse drug events associated with transitions … January 22, 2025
A clinical pharmacist-led transitions of care program for veterans with … two planned care transitions (hospital to skilled care and skilled care to home) amid the COVID-19 pandemic
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psnet.ahrq.gov/issue/team-cognition-handoffs-relating-system-factors-team-cognition-functions-and-outcomes-two
February 16, 2022 - This qualitative study explores how team cognition occurs during care transitions and interprofessional … February 16, 2022
Information flow during pediatric trauma care transitions: things falling … September 11, 2019
Work system barriers and facilitators in inpatient care transitions … Disparate perspectives: exploring healthcare professionals' misaligned mental models of older adults' transitions
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psnet.ahrq.gov/issue/partially-structured-postoperative-handoff-protocol-improves-communication-2-mixed-surgical
November 19, 2018 - protocol improves communication in 2 mixed surgical intensive care units: findings from the Handoffs and Transitions … From the Same Author(s)
Developing a standard handoff process for operating room–to-ICU transitions … : multidisciplinary clinician perspectives from the Handoffs and Transitions in Critical Care (HATRICC … February 16, 2022
Developing a standard handoff process for operating room–to-ICU transitions … : multidisciplinary clinician perspectives from the Handoffs and Transitions in Critical Care (HATRICC
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psnet.ahrq.gov/node/855419/psn-pdf
November 15, 2023 - integration of patient-
reported safety information during older adults’ hospital-
to-home-health care transitions … integration of patient-reported safety information during older adults’ hospital-to-
home-health care transitions … using-stakeholder-intervention-refinement-teams-develop-approaches-real-time-integration
https://psnet.ahrq.gov/issue/effect-transitions-intervention-ensure-patient-safety-and-satisfaction-when-transferred … post-acute-transitional-services-safety-home-based-care-programs
https://psnet.ahrq.gov/issue/facilitators-and-barriers-care-transitions-comparing-perspectives-hospital-and-community
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psnet.ahrq.gov/issue/notice-intent-publish-funding-opportunity-announcement-improve-care-transitions-through-use
February 13, 2019 - 13, 2019
Notice of Intent to Publish Funding Opportunity Announcement to Improve Care Transitions … exploring the adoption of interoperable information technologies to improve communication during transitions
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psnet.ahrq.gov/node/46301/psn-pdf
October 11, 2017 - Care transitions know-how not just for clinicians.
October 11, 2017
Ready T. HealthLeaders Media. … https://psnet.ahrq.gov/issue/care-transitions-know-how-not-just-clinicians
Transitions are an error-prone … This news article reports that organizational leadership should be
engaged in enhancing safety of transitions … https://psnet.ahrq.gov/issue/care-transitions-know-how-not-just-clinicians
https://psnet.ahrq.gov/issue
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psnet.ahrq.gov/node/41880/psn-pdf
January 08, 2014 - DOD and VA Health Care: Medication Needs During
Transitions May Not Be Managed for All Servicemembers …
https://psnet.ahrq.gov/issue/dod-and-va-health-care-medication-needs-during-transitions-may-not-be … reveals the need for a policy to ensure that veterans' medication needs are safely
managed during transitions … https://psnet.ahrq.gov/issue/dod-and-va-health-care-medication-needs-during-transitions-may-not-be-managed-all … https://psnet.ahrq.gov/issue/dod-and-va-health-care-medication-needs-during-transitions-may-not-be-managed-all
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psnet.ahrq.gov/issue/posthospital-medication-discrepancies-prevalence-and-contributing-factors
July 10, 2008 - identify problems leading to medical errors, poor quality of care for chronic conditions, and unsafe transitions … Download Citation
Related Resources From the Same Author(s)
The care transitions … August 21, 2013
The Family Caregiver Activation in Transitions (FCAT) tool: a new measure … December 29, 2014
Promoting effective transitions of care at hospital discharge: a review … November 28, 2016
Promoting effective transitions of care at hospital discharge: a review
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psnet.ahrq.gov/issue/estimating-impact-patient-safety-enabling-digital-transfer-patients-prescription-information
May 24, 2023 - Transitions of care introduce risk of medication errors, even with interoperable electronic medication … This study estimates the prevalence and burden of medication errors at transitions of care (hospital … August 26, 2020
Applying the Medications at Transitions and Clinical Handoffs Toolkit … July 8, 2020
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication
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psnet.ahrq.gov/node/43840/psn-pdf
January 28, 2015 - A qualitative study of systemic influences on paramedic
decision making: care transitions and patient … A qualitative study of systemic influences on paramedic
decision making: care transitions and patient … https://psnet.ahrq.gov/issue/qualitative-study-systemic-influences-paramedic-decision-making-care-
transitions-and-patient … https://psnet.ahrq.gov/issue/qualitative-study-systemic-influences-paramedic-decision-making-care-transitions-and-patient … https://psnet.ahrq.gov/issue/qualitative-study-systemic-influences-paramedic-decision-making-care-transitions-and-patient
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psnet.ahrq.gov/node/33779/psn-pdf
March 01, 2015 - Handoffs and Transitions
January 22, 2014
Sehgal NL. Handoffs and Transitions. … https://psnet.ahrq.gov/perspective/handoffs-and-transitions
Annual Perspective 2014
Despite recent … From its earliest days, the patient safety field identified transitions of care as an important
latent … Transitions of Care
The area of care transitions, particularly those associated with hospital discharge … Annual Perspective 2014: Handoffs and Transitions. March 2015.
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psnet.ahrq.gov/node/43821/psn-pdf
April 25, 2016 - Navigating care transitions: a process model of how
doctors overcome organizational barriers and create … Navigating Care Transitions. Medical Care Research and Review. 2014;72(1). … https://psnet.ahrq.gov/issue/navigating-care-transitions-process-model-how-doctors-overcome-
organizational-barriers-and … https://psnet.ahrq.gov/issue/navigating-care-transitions-process-model-how-doctors-overcome-organizational-barriers-and … https://psnet.ahrq.gov/issue/navigating-care-transitions-process-model-how-doctors-overcome-organizational-barriers-and
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psnet.ahrq.gov/node/44002/psn-pdf
March 25, 2015 - Preventing medication errors in transitions of care: a
patient case approach. … Preventing medication errors in transitions of care: A patient case
approach. … https://psnet.ahrq.gov/issue/preventing-medication-errors-transitions-care-patient-case-approach
Transitions … https://psnet.ahrq.gov/issue/preventing-medication-errors-transitions-care-patient-case-approach
https
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psnet.ahrq.gov/issue/medication-reconciliation-during-transitions-care-patient-safety-strategy-systematic-review
January 12, 2022 - Review
Medication reconciliation during transitions of care as a patient safety strategy … Medication reconciliation during transitions of care as a patient safety strategy: a systematic review … Medication reconciliation during transitions of care as a patient safety strategy: a systematic review … February 3, 2016
Preventing medication errors in transitions of care: a patient case
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psnet.ahrq.gov/node/39976/psn-pdf
November 17, 2010 - Surgical residents, duty hours
restrictions, and shift transitions. … Surgical residents, duty hours
restrictions, and shift transitions. … https://psnet.ahrq.gov/issue/new-professionalism-surgical-residents-duty-hours-restrictions-and-shift-
transitions … https://psnet.ahrq.gov/issue/new-professionalism-surgical-residents-duty-hours-restrictions-and-shift-transitions … https://psnet.ahrq.gov/issue/new-professionalism-surgical-residents-duty-hours-restrictions-and-shift-transitions
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psnet.ahrq.gov/node/44935/psn-pdf
April 15, 2016 - Pharmacy-led medication reconciliation programmes at
hospital transitions: a systematic review and meta … Pharmacy-led medication reconciliation programmes at hospital
transitions: a systematic review and meta-analysis … https://psnet.ahrq.gov/issue/pharmacy-led-medication-reconciliation-programmes-hospital-transitions- … https://psnet.ahrq.gov/issue/pharmacy-led-medication-reconciliation-programmes-hospital-transitions-systematic-review-and … https://psnet.ahrq.gov/issue/pharmacy-led-medication-reconciliation-programmes-hospital-transitions-systematic-review-and
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psnet.ahrq.gov/node/45815/psn-pdf
January 25, 2017 - Handoffs: transitions of care for children in the
emergency department. … https://psnet.ahrq.gov/issue/handoffs-transitions-care-children-emergency-department
Improvement efforts … have focused on care transitions, which are known to be vulnerable to communication
failures. … communication methods, coupled with effective
training on the use of those tools, can improve the safety of transitions … https://psnet.ahrq.gov/issue/handoffs-transitions-care-children-emergency-department
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/43715/psn-pdf
November 26, 2014 - An intervention to improve transitions from NICU to
ambulatory care: quasi-experimental study. … An intervention to improve transitions from NICU to ambulatory
care: quasi-experimental study. … https://psnet.ahrq.gov/issue/intervention-improve-transitions-nicu-ambulatory-care-quasi-experimental … https://psnet.ahrq.gov/issue/intervention-improve-transitions-nicu-ambulatory-care-quasi-experimental-study … https://psnet.ahrq.gov/issue/intervention-improve-transitions-nicu-ambulatory-care-quasi-experimental-study
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psnet.ahrq.gov/issue/assessing-patient-work-system-factors-medication-management-during-transition-care-among
July 20, 2022 - The authors suggest that patient work-system factors be assessed before transitions to home to identify … 2020
Engineering a foundation for partnership to improve medication safety during care transitions … December 18, 2024
A clinical pharmacist-led transitions of care program for veterans … with two planned care transitions (hospital to skilled care and skilled care to home) amid the COVID-
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psnet.ahrq.gov/node/45940/psn-pdf
October 31, 2017 - Crossing the communication chasm: challenges and
opportunities in transitions of care from the hospital … Crossing the Communication Chasm: Challenges and Opportunities in
Transitions of Care from the Hospital … https://psnet.ahrq.gov/issue/crossing-communication-chasm-challenges-and-opportunities-transitions-care … https://psnet.ahrq.gov/issue/crossing-communication-chasm-challenges-and-opportunities-transitions-care-hospital-primary … https://psnet.ahrq.gov/issue/crossing-communication-chasm-challenges-and-opportunities-transitions-care-hospital-primary