-
psnet.ahrq.gov/node/48174/psn-pdf
January 01, 2020 - surgeon: a qualitative study of expert
opinions on assuring performance and supporting safe
career transitions … surgeon: a qualitative study of expert opinions on assuring
performance and supporting safe career transitions
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psnet.ahrq.gov/primer/medication-reconciliation
March 15, 2025 - Patients often receive new medications or have changes made to their existing medications at times of transitions … Medication reconciliation refers to the process of avoiding such inadvertent inconsistencies across transitions … processes could prevent medication discrepancies and potential ADEs at hospital admission, in-hospital transitions … focused on attempting to prevent medication errors at hospital admission, discharge, or in-patient transitions … July 17, 2024
Patient Safety Primers
Inpatient Transitions
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psnet.ahrq.gov/node/73394/psn-pdf
June 16, 2021 - reconciliation: a systematic review
of the impact on medication errors and adverse drug
events associated with transitions … reconciliation: a systematic review of the
impact on medication errors and adverse drug events associated with transitions
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psnet.ahrq.gov/node/73494/psn-pdf
July 14, 2021 - scoping-review-communication-tools-applicable-patients-and-their-primary-
care-providers-after
Communication failures during transitions … identified several tools to support communication between inpatient providers and patients during
transitions
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psnet.ahrq.gov/node/47912/psn-pdf
April 24, 2019 - systematic-literature-review-and-narrative-synthesis-risks-medical-discharge-
letters-patients
Care transitions … systematic-literature-review-and-narrative-synthesis-risks-medical-discharge-letters-patients
https://psnet.ahrq.gov/perspective/care-transitions
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psnet.ahrq.gov/node/49501/psn-pdf
February 03, 2006 - https://psnet.ahrq.gov/web-mm/lost-transition
Case Objectives
Provide an overview of transitions in … The chart or other formal written documentation is rarely used
for transitions. … Transitions in care: studying safety in emergency department signovers. … Profiles in patient safety:
emergency care transitions. … Emergency care transitions.
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psnet.ahrq.gov/issue/same-system-different-outcomes-comparing-transitions-two-paper-based-systems-same
June 13, 2011 - Study
Same system, different outcomes: comparing the transitions from two paper-based … Same system, different outcomes: comparing the transitions from two paper-based systems to the same computerized … Same system, different outcomes: comparing the transitions from two paper-based systems to the same computerized
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psnet.ahrq.gov/issue/qualitative-study-systemic-influences-paramedic-decision-making-care-transitions-and-patient
January 08, 2014 - Study
A qualitative study of systemic influences on paramedic decision making: care transitions … 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
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psnet.ahrq.gov/node/862986/psn-pdf
February 21, 2024 - essential-elements-nurses-have-address-promote-safe-discharge-paediatrics-
systematic-review
Nurses play a significant role during transitions … essential-elements-nurses-have-address-promote-safe-discharge-paediatrics-systematic-review
https://psnet.ahrq.gov/primer/discharge-planning-and-transitions-care
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.104_slideshow.ppt
September 01, 2005 - cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=12622580
Factors Contributing to ADEs in Elderly
Transitions … often rushed
Use multidisciplinary approach to education process
Medication Reconciliation at Transitions … Medication Reconciliation at Transitions of Care
Should take place with every transition
ICU to floor … Medication Discrepancy Tool
Produced by Care Transitions Program at University of Colorado at Denver … pill contains more than one medication
Medication reconciliation should be performed routinely at transitions
-
psnet.ahrq.gov/issue/aviation-pediatric-surgery
January 12, 2022 - 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
-
psnet.ahrq.gov/issue/obstetriciangynecologist-hospitalists-can-we-improve-safety-and-outcomes-patients-and
August 04, 2021 - December 21, 2022
Promoting effective transitions of care at hospital discharge: a review … February 1, 2012
Systematically improving physician assignment during in-hospital transitions … December 5, 2007
Perspective
Care Transitions
December
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psnet.ahrq.gov/issue/safer-care-improving-caregiver-comprehension-discharge-instructions
October 26, 2022 - Improving Diagnostic Safety and Quality
April 26, 2023
The effect of transitions … Understanding of Treatment and Follow-up Care
May 26, 2021
Engineering care transitions … : clinician perceptions of barriers to safe medication management during transitions of patient care.
-
psnet.ahrq.gov/issue/causes-use-errors-ventilation-devices-systematic-review
October 12, 2022 - Disparate perspectives: exploring healthcare professionals' misaligned mental models of older adults' transitions … July 21, 2021
Engineering care transitions: clinician perceptions of barriers to safe … medication management during transitions of patient care.
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psnet.ahrq.gov/issue/roadmap-advance-patient-safety-ambulatory-care
June 09, 2021 - September 13, 2023
Information flow during pediatric trauma care transitions: things … May 11, 2022
Work system barriers and facilitators in inpatient care transitions of pediatric … Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care Transitions
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psnet.ahrq.gov/issue/policies-promote-shared-responsibility-safer-electronic-health-records
August 25, 2021 - January 21, 2019
Applying requisite imagination to safeguard electronic health record transitions … Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care Transitions … September 7, 2022
Applying requisite imagination to safeguard electronic health record transitions
-
psnet.ahrq.gov/issue/case-adverse-drug-reaction-induced-dispensing-error
August 17, 2022 - 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
-
psnet.ahrq.gov/issue/long-term-sustainability-and-adaptation-i-pass-handovers
September 09, 2020 - Entangled in complexity: an ethnographic study of organizational adaptability and safe care transitions … May 8, 2024
Patient Safety Primers
Inpatient Transitions … Diagnostic Safety and Quality
April 26, 2023
Facilitators and barriers of care transitions
-
psnet.ahrq.gov/issue/work-system-barriers-and-facilitators-team-health-information-technology
March 11, 2020 - Resources From the Same Author(s)
Work system barriers and facilitators in inpatient care transitions … March 11, 2020
Information flow during pediatric trauma care transitions: things falling … March 15, 2017
View More
Related Resources
Handoffs and transitions
-
psnet.ahrq.gov/node/74837/psn-pdf
February 16, 2022 - Although all areas were addressed, additional focus is needed on patient and
public involvement, transitions … medication-without-harm-whos-third-global-patient-safety-challenge
https://psnet.ahrq.gov/primer/discharge-planning-and-transitions-care