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psnet.ahrq.gov/issue/care-transitions-intervention-results-randomized-controlled-trial
July 10, 2008 - Study
Classic
The care transitions intervention: results … The care transitions intervention: results of a randomized controlled trial. … The care transitions intervention: results of a randomized controlled trial. … September 15, 2021
The Family Caregiver Activation in Transitions (FCAT) tool: a new … December 16, 2014
Transitions of Care Consensus Policy Statement American College of
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psnet.ahrq.gov/issue/care-transition-trauma-patients-processes-articulation-work-and-after-handoff
June 22, 2022 - Care transitions can increase the risk of patient safety events . … ) to ensure safe transitions. … June 22, 2022
Information flow during pediatric trauma care transitions: things falling … September 11, 2019
Work system barriers and facilitators in inpatient care transitions … March 12, 2025
Handoffs and transitions of care: a systematic review, meta-analysis,
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psnet.ahrq.gov/issue/how-guides-improving-transitions-hospital-reduce-avoidable-rehospitalizations
November 18, 2011 - Special or Theme Issue
How-to Guides: Improving Transitions from the Hospital to … Citation Text:
How-to Guides: Improving Transitions from the Hospital to Reduce Avoidable Rehospitalizations … series, developed in conjunction with the STAAR initiative , provides tactics and resources to improve transitions … Cite
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How-to Guides: Improving Transitions … March 11, 2015
Improving Communication During Transitions of Care.
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psnet.ahrq.gov/issue/learning-lawsuits-using-malpractice-claims-data-develop-care-transitions-planning-tools
January 21, 2019 - Study
Learning from lawsuits: using malpractice claims data to develop care transitions … Learning From Lawsuits: Using Malpractice Claims Data to Develop Care Transitions Planning Tools. … of malpractice claims and stakeholder focus groups to inform planning tools for postdischarge care transitions … Learning From Lawsuits: Using Malpractice Claims Data to Develop Care Transitions Planning Tools. … integration of patient-reported safety information during older adults’ hospital-to-home-health care transitions
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psnet.ahrq.gov/issue/improving-care-transitions-current-practice-and-future-opportunities-pharmacists
December 12, 2012 - Commentary
Improving care transitions: current practice and future opportunities … Improving care transitions: current practice and future opportunities for pharmacists. … describes how pharmacists can safeguard medication tracking and communication practices during care transitions … Improving care transitions: current practice and future opportunities for pharmacists. … June 18, 2013
Improving care transitions: optimizing medication reconciliation.
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psnet.ahrq.gov/issue/developing-standard-handoff-process-operating-room-icu-transitions-multidisciplinary
February 06, 2019 - Study
Developing a standard handoff process for operating room–to-ICU transitions … : multidisciplinary clinician perspectives from the Handoffs and Transitions in Critical Care (HATRICC … Developing a Standard Handoff Process for Operating Room-to-ICU Transitions: Multidisciplinary Clinician … Perspectives from the Handoffs and Transitions in Critical Care (HATRICC) Study. … Perspectives from the Handoffs and Transitions in Critical Care (HATRICC) Study.
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psnet.ahrq.gov/issue/clinical-clerkship-students-perceptions-unsafe-transitions-every-patient
October 19, 2022 - Study
Clinical clerkship students' perceptions of (un)safe transitions for every … Clinical Clerkship Students’ Perceptions of (Un)Safe Transitions for Every Patient. … qualitative analysis of medical students' perceptions revealed persistent concerns related to the safety of transitions … Clinical Clerkship Students’ Perceptions of (Un)Safe Transitions for Every Patient.
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psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge
April 27, 2022 - Systematic problems in care transitions are at the root of most adverse events that arise after discharge … Preventing Adverse Events After Discharge Ensuring safe care transitions requires a systematic approach … These studies, the Care Transitions trial and the Project RED study , both successfully reduced readmissions … Evaluating the effectiveness of care transitions interventions is hindered by the fact that the standard … patients are readmitted likely vary between hospitals and patient populations, indicating that care transitions
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psnet.ahrq.gov/node/865455/psn-pdf
March 27, 2024 - Communication During Transitions of Care
March 27, 2024
Gurses AP, Sousane Z, Mossburg S. … Communication During Transitions of Care. PSNet [internet]. 2024. … https://psnet.ahrq.gov/perspective/communication-during-transitions-care
Introduction
Inaccurate or … Although risks are associated with transitions of care, these transitions present opportunities to detect … High-hanging fruit: improving transitions in health care.
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psnet.ahrq.gov/issue/improving-communication-hospital-skilled-nursing-facility-through-standardized-hand-quality
September 08, 2021 - Transitions from hospital to skilled nursing facilities (SNF) remain a patient safety challenge. … December 9, 2020
Pharmacist-led program to improve transitions from acute care to skilled … Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care Transitions … Disparate perspectives: exploring healthcare professionals' misaligned mental models of older adults' transitions … July 21, 2021
Improving patient handoffs and transitions through adaptation and implementation
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psnet.ahrq.gov/issue/implementation-ed-i-pass-standardized-handoff-tool-pediatric-emergency-department
November 16, 2022 - is a structured handoff tool that aims to improve communication and reduce adverse events during transitions … implementation of a modified I-PASS tool for use in the emergency department (ED I-PASS) to improve transitions … Implementation of ED I-PASS decreased the perceived loss of key patient information during transitions … July 28, 2021
Work system barriers and facilitators in inpatient care transitions of … December 5, 2018
Handoffs: transitions of care for children in the emergency department
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psnet.ahrq.gov/issue/medications-transitions-and-clinical-handoffs-match-toolkit-medication-reconciliation
October 02, 2013 - Toolkit
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication … Citation Text:
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation … Based on lessons learned from facilities that have implemented the Medications at Transitions and Clinical … Copy URL
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Medications at Transitions
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psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care
February 26, 2025 - Mentorship: An external expert in care transitions may help a hospital and its BOOST team more effectively … Post-acute care transitions : Existing partnerships between short-term acute care hospitals and skilled … nursing facilities (SNFs) should be leveraged to further improve care transitions through the use of … The program grew out of his general interest in health literacy and a desire to improve transitions in … Care Transitions for Older Adults Resource Room: Project BOOST [Web site].
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psnet.ahrq.gov/web-mm/preventable-transfer-hospital
March 31, 2022 - The quality of the discharge process and effective transitions of care are critical in minimizing gaps … High-quality patient care requires well-coordinated transitions of care with clear communication between … Optimal transitions are critical for high-risk patients who are transferred between SNFs and hospitals … Gaps in hospital and skilled nursing facility responsibilities during transitions of care: a comparison … Palliative care transitions from acute care to community-based care: A qualitative systematic review
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psnet.ahrq.gov/issue/so-many-ways-be-wrong-completeness-and-accuracy-prospective-study-or-icu-handoff
April 28, 2021 - This article describes the impact of the Handoffs and Transitions in Critical Care (HATRICC) study … protocol improves communication in 2 mixed surgical intensive care units: findings from the Handoffs and Transitions … February 6, 2019
Developing a standard handoff process for operating room–to-ICU transitions … : multidisciplinary clinician perspectives from the Handoffs and Transitions in Critical Care (HATRICC … March 12, 2025
Handoffs and transitions of care: a systematic review, meta-analysis,
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psnet.ahrq.gov/issue/medication-discrepancies-upon-hospital-skilled-nursing-facility-transitions
July 20, 2011 - Study
Medication discrepancies upon hospital to skilled nursing facility transitions … Medication discrepancies upon hospital to skilled nursing facility transitions. … Medication discrepancies upon hospital to skilled nursing facility transitions.
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psnet.ahrq.gov/perspective/conversation-witheric-coleman-md-mph
December 01, 2007 - Robert Wachter, Editor, AHRQ WebM&M: What got you interested in transitions?
Dr. … As it comes to transitions, what systems help today? … Transitions Intervention, to improve care handoffs. … Of course, regulations could also play an important role in improving transitions of care. … The Care Transitions Intervention: results of a randomized controlled trial.
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psnet.ahrq.gov/issue/improving-end-rotation-transitions-care-among-icu-patients
September 23, 2020 - Journal Article
Improving end-of-rotation transitions of care among ICU patients … Improving end-of-rotation transitions of care among ICU patients. … Improving end-of-rotation transitions of care among ICU patients.
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psnet.ahrq.gov/issue/effects-multifaceted-medication-reconciliation-quality-improvement-intervention-patient
April 12, 2023 - The goal of medication reconciliation is to prevent unintended medication discrepancies at times of transitions … October 4, 2023
Applying the Medications at Transitions and Clinical Handoffs Toolkit … July 8, 2020
Pharmacist linkage in care transitions: from academic medical center to … October 30, 2019
Impact of medication reconciliation for improving transitions of care … June 13, 2011
Medication discrepancies upon hospital to skilled nursing facility transitions
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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