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psnet.ahrq.gov/issue/effects-i-pass-nursing-handoff-bundle-communication-quality-and-workflow
November 12, 2014 - A previous Annual Perspective highlighted safety issues related to handoffs and care transitions.
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psnet.ahrq.gov/web-mm/saved-ecmo
May 05, 2017 - Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care Transitions … December 31, 2014
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/issue/maternity-ward-highland-under-fire-patients
December 12, 2018 - 27, 2024
Annual Perspective
Communication During Transitions
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psnet.ahrq.gov/issue/flying-blind
January 18, 2023 - October 23, 2019
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for
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psnet.ahrq.gov/perspective/patient-safety-during-hospital-discharge
April 01, 2018 - components that manage patient education, postdischarge care, and postdischarge phone calls.( 12 ) The Care Transitions … program, designated transition coaches empower patients and their caregivers to take active roles during 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.
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psnet.ahrq.gov/issue/perioperative-medication-errors-uncovering-risk-behind-drapes
March 27, 2018 - incidents reached the patient and the majority of those stemmed from communication breakdowns during transitions
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psnet.ahrq.gov/web-mm/ems-perils-hospital-overcrowding
November 25, 2020 - air ambulance, regardless of location—EMTALA applies and the responsibility for the patient’s care transitions … for ambulance transfer delays and established a national standard of 15 minutes or less for ambulance transitions … There is a lack of clarity as to precisely how and when care transitions from EMS to the hospital and … Patient Safety
How can communication between outpatient clinics and the ED be improved to smooth transitions … When hospitals and EDs have the capacity to receive ambulance patients without delay, safe transitions
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psnet.ahrq.gov/issue/preventing-errors-relating-commonly-used-anticoagulants
June 16, 2019 - March 23, 2012
Results of the Medications At Transitions and Clinical Handoffs (MATCH
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psnet.ahrq.gov/issue/what-medications-does-your-patient-take-enhancing-medication-safety-outpatient-setting
January 08, 2020 - June 18, 2013
Improving care transitions: current practice and future opportunities for
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psnet.ahrq.gov/issue/quality-institute-toolkits
November 09, 2022 - January 5, 2017
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for
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psnet.ahrq.gov/issue/global-burden-preventable-medication-related-harm-health-care-systematic-review
November 15, 2023 - September 11, 2024
Annual Perspective
Communication During Transitions
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psnet.ahrq.gov/issue/teamstepps-diagnosis-improvement
July 17, 2024 - July 23, 2023
Diagnostic Safety Across Transitions of Care Throughout the Healthcare
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psnet.ahrq.gov/issue/improving-resident-education-and-patient-safety-method-balance-initial-caseloads-academic
January 27, 2016 - This study describes a process to better manage transitions that occur when panels of patients are
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psnet.ahrq.gov/issue/effectiveness-interventions-improve-patient-handover-surgery-systematic-review
June 25, 2018 - This systematic review found indications that checklists can improve the quality of care transitions
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psnet.ahrq.gov/issue/primary-care-teams-reported-actions-improve-medication-safety-qualitative-study-insights-high
July 06, 2022 - 2022
Engineering a foundation for partnership to improve medication safety during care transitions
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psnet.ahrq.gov/issue/handoff-communication
October 16, 2019 - June 23, 2021
Work system barriers and facilitators in inpatient care transitions of
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psnet.ahrq.gov/issue/medication-safety-certificate-program
September 30, 2020 - of pharmacist intervention to reduce medication errors and health-care resources utilization after transitions
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psnet.ahrq.gov/issue/safer-hospital-care-strategies-continuous-innovation
October 05, 2022 - 18, 2024
Annual Perspective
Communication During Transitions
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psnet.ahrq.gov/issue/patient-safety-supporting-culture-continuous-quality-improvement-hospitals-and-other-health
August 09, 2023 - 27, 2024
Annual Perspective
Communication During Transitions
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psnet.ahrq.gov/issue/top-five-review-post-pandemic-patient-safety-priorities
July 10, 2024 - September 30, 2020
Use of complete medication history to identify and correct transitions-of-care