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psnet.ahrq.gov/issue/safety-pediatric-hospice-and-palliative-care-qualitative-study
September 02, 2020 - September 2, 2020
Improving patient handoffs and transitions through adaptation and implementation … doctors' experiences of patient safety in health information exchange during interorganizational care transitions … December 11, 2024
Annual Perspective
Communication During Transitions
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psnet.ahrq.gov/issue/failure-rescue-following-emergency-surgery-fram-analysis-management-deteriorating-patient
May 19, 2021 - Download Citation
Related Resources From the Same Author(s)
Engineering care transitions … : clinician perceptions of barriers to safe medication management during transitions of patient care. … Disparate perspectives: exploring healthcare professionals' misaligned mental models of older adults' transitions
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psnet.ahrq.gov/issue/artificial-intelligence-can-be-regulated-using-current-patient-safety-procedures-and
March 06, 2019 - 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
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psnet.ahrq.gov/node/43184/psn-pdf
May 14, 2014 - However,
this review identified potential safety concerns during transitions in the opposite direction—from … The authors include a checklist to
enhance the safety of such transitions.
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psnet.ahrq.gov/node/35340/psn-pdf
July 10, 2008 - identify problems leading to medical errors, poor quality of care for chronic conditions, and unsafe
transitions … posthospital-medication-discrepancies-prevalence-and-contributing-factors
https://psnet.ahrq.gov/issue/care-transitions-program
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psnet.ahrq.gov/node/48130/psn-pdf
August 07, 2019 - psnet.ahrq.gov/issue/adverse-events-long-term-care-residents-transitioning-hospital-back-nursing-
home
Transitions … primer/health-care-associated-infections
https://psnet.ahrq.gov/issue/medication-errors-during-patient-transitions-nursing-homes-characteristics-and-association
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psnet.ahrq.gov/primer/medication-reconciliation
September 07, 2019 - 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/issue/macarthur-fellows-program-eric-coleman
June 11, 2013 - Eric Coleman has enhanced care transitions by developing tools and processes to improve communication … November 20, 2013
Improving Transitions of Care: Hand-off Communications.
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psnet.ahrq.gov/primer/pharmacists-role-medication-safety
March 14, 2018 - blood pressure and recommend changes in medication therapy and thereby prevent harm Coordinating care transitions … Coordinate medication management across care transitions; assist with care coordination for transitions … medication reconciliation may identify potential interactions or omissions from medication list at transitions … A meta-analysis of 13 studies of pharmacist interventions at transitions of care estimated a 37% reduction … of pharmacist intervention to reduce medication errors and health-care resources utilization after transitions
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psnet.ahrq.gov/node/47219/psn-pdf
July 25, 2018 - commentary presents simulation as a promising tool to develop and assess home care
staff skills to improve transitions … psnet.ahrq.gov/issue/safer-care-home-use-simulation-training-improve-standards
https://psnet.ahrq.gov/issue/care-transitions-and-home-health-care
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psnet.ahrq.gov/node/45377/psn-pdf
October 27, 2016 - inpatient-notes-reducing-diagnostic-error-new-horizon-opportunities-hospital-
medicine
Hospitalists have a key role in facilitating transitions … psnet.ahrq.gov/issue/role-hospitalists-patient-safety
https://psnet.ahrq.gov/issue/promoting-effective-transitions-care-hospital-discharge-review-key-issues-hospitalists
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psnet.ahrq.gov/node/44877/psn-pdf
April 27, 2016 - Health Administration faces various challenges to providing safe care, including poor
continuity during transitions … review-alleged-patient-deaths-patient-wait-times-and-scheduling-practices-phoenix-va-health
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/node/60858/psn-pdf
August 26, 2020 - Patients and caregivers are sometimes excluded
from the planning related to transitions of care such … Goals of care and advance directives are key elements that can
guide care during care transitions. … Challenges at Care Transitions: Failure to Follow
Medication Changes Made at Hospital Discharge. … Identifying the Optimal Role for Pharmacists in
Care Transitions: A Systematic Review. … A Call to Bridge Across Silos during Care Transitions | Elsevier Enhanced Reader.
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psnet.ahrq.gov/issue/using-medication-reconciliation-prevent-errors
March 27, 2024 - Related Resources
Annual Perspective
Communication During Transitions … Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care Transitions
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psnet.ahrq.gov/node/46822/psn-pdf
April 12, 2019 - A previous Annual Perspective
explored tools for safer transitions of care. … do-pharmacist-led-medication-reviews-hospitals-help-reduce-hospital-readmissions-systematic
https://psnet.ahrq.gov/perspective/handoffs-and-transitions
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psnet.ahrq.gov/node/47006/psn-pdf
October 13, 2018 - related commentary explores why discharges from ICU to home occur and calls for
implementing care transitions … psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge
https://psnet.ahrq.gov/perspective/care-transitions
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psnet.ahrq.gov/node/41591/psn-pdf
November 26, 2014 - Healthcare
professional views on hospital to home care transitions. … Healthcare
professional views on hospital to home care transitions.
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psnet.ahrq.gov/web-mm/medication-reconciliation-twist-or-dare-we-say-patch
April 03, 2024 - The Commentary Transitions of care, such as admission to, transfer within, and discharge from the hospital … is the formal process for identifying and correcting unintentional medication discrepancies across transitions … Take-Home Points Transitions of care are vulnerable periods due to poor communication and inadvertent … Medication reconciliation during transitions of care as a patient safety strategy: a systematic review … April 18, 2018
Medication reconciliation during transitions of care as a patient safety
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psnet.ahrq.gov/issue/re-engineered-discharge-red-toolkit
June 20, 2014 - May 29, 2024
Diagnostic Safety Across Transitions of Care Throughout the Healthcare System … The CUSP Method
September 26, 2019
Toolkit to Engage High-Risk Patients in Safe Transitions … October 5, 2015
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for
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psnet.ahrq.gov/issue/medication-safety-key-action-areas
June 27, 2018 - action at a system level to improve: high-alert medications , polypharmacy, and medication use at care transitions … 27, 2024
Annual Perspective
Communication During Transitions