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psnet.ahrq.gov/node/60909/psn-pdf
September 16, 2020 - Improving patient handoffs and transitions through
adaptation and implementation of I-PASS across multiple … Improving patient handoffs and transitions through adaptation
and implementation of I-PASS across multiple … https://psnet.ahrq.gov/issue/improving-patient-handoffs-and-transitions-through-adaptation-and-
implementation-i-pass … https://psnet.ahrq.gov/issue/improving-patient-handoffs-and-transitions-through-adaptation-and-implementation-i-pass … https://psnet.ahrq.gov/issue/improving-patient-handoffs-and-transitions-through-adaptation-and-implementation-i-pass
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psnet.ahrq.gov/issue/transitions-one-electronic-health-record-another-challenges-pitfalls-and-recommendations
psnet
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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/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/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/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/node/33569/psn-pdf
June 15, 2024 - 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/perspective/conversation-pascale-carayon-phd-and-nicole-werner-phd
November 16, 2022 - : any time a patient transitions from one broad environment of care setting to another. … We know that transitions are vulnerable times that need a lot of attention. … From an HFE perspective, care transitions are a process that spans two distinct work systems. … Another PSLL also examined patient transitions, specifically medication transitions , or changes in … Medication transitions: vulnerable periods of change in need of human factors and ergonomics.
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psnet.ahrq.gov/issue/evaluation-adverse-drug-events-and-medication-discrepancies-transitions-care-between-hospital
June 07, 2023 - Study
Evaluation of adverse drug events and medication discrepancies in transitions … Evaluation of Adverse Drug Events and Medication Discrepancies in Transitions of Care Between Hospital … Evaluation of Adverse Drug Events and Medication Discrepancies in Transitions of Care Between Hospital … January 5, 2017
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for
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psnet.ahrq.gov/web-mm/when-meds-dont-reach-bed
May 16, 2022 - Goals of care and advance directives are key elements that can guide care during care transitions. … Impact of community pharmacist-performed post-discharge medication reviews in transitions of care. … 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/new-professionalism-surgical-residents-duty-hours-restrictions-and-shift-transitions
October 19, 2022 - Surgical residents, duty hours restrictions, and shift transitions. … Surgical residents, duty hours restrictions, and shift transitions. … Surgical residents, duty hours restrictions, and shift transitions.
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psnet.ahrq.gov/node/33559/psn-pdf
December 15, 2024 - 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 … drug-related-problems-and-polypharmacy-nursing-home-residents-cross-sectional-study
https://psnet.ahrq.gov/issue/pharmacist-led-program-improve-transitions-acute-care-skilled-nursing-facility-care
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psnet.ahrq.gov/issue/understanding-challenges-and-successes-implementing-hybrid-interventions-healthcare-settings
October 23, 2024 - Transitions of care between the hospital and home can jeopardize patient safety for a myriad of reasons … ) intervention in the UK’s National Health Services (NHS), which aims to improve the safety of care transitions … January 10, 2011
Care transitions and home health care.
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psnet.ahrq.gov/issue/longitudinal-medication-reconciliation-hospital-admission-discharge-and-post-discharge
August 19, 2020 - This study explored the impact of longitudinal medication reconciliation performed at transitions … Related Resources
Patient Safety Primers
Inpatient Transitions … August 5, 2020
Pharmacist-led program to improve transitions from acute care to skilled
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psnet.ahrq.gov/issue/evaluation-medication-errors-transition-care-icu-non-icu-location
September 23, 2020 - Transitions of care, whether from the hospital to the outpatient setting or within the hospital itself … Inadequate communication during handoffs that occur as part of care transitions can contribute to adverse … A past Annual Perspective discussed challenges associated with handoffs and transitions of care.
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psnet.ahrq.gov/issue/disparities-after-discharge-association-limited-english-proficiency-and-postdischarge-patient
October 14, 2020 - This study evaluated a hospital-wide care transitions program, with a goal of universal contact with … reconciliation: a systematic review of the impact on medication errors and adverse drug events associated with transitions … Interprofessional and intraprofessional communication about older people's medications across transitions
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psnet.ahrq.gov/issue/medication-reconciliation-meets-its-match
May 01, 2017 - This newsletter article describes the development of the Medications at Transitions and Clinical Handoffs … January 9, 2024
Diagnostic Safety Across Transitions of Care Throughout the Healthcare … October 7, 2015
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for
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psnet.ahrq.gov/issue/effects-refined-evidence-based-toolkit-and-mentored-implementation-medication-reconciliation
April 12, 2023 - Medication reconciliation aims to prevent adverse events during transitions of care, but implementing … 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.
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psnet.ahrq.gov/issue/improving-patient-handoffs-and-transitions-through-adaptation-and-implementation-i-pass
September 23, 2020 - Study
Improving patient handoffs and transitions through adaptation and implementation … Improving patient handoffs and transitions through adaptation and implementation of I-PASS across multiple … Improving patient handoffs and transitions through adaptation and implementation of I-PASS across multiple
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psnet.ahrq.gov/issue/reengineered-hospital-discharge-program-decrease-rehospitalization-randomized-trial
August 04, 2021 - A similar but more resource-intensive intervention, the care transitions trial , also was successful … August 25, 2011
Transitions of Care Consensus Policy Statement American College of Physicians-Society … WebM&M Cases
Failure to Latch
September 1, 2008
The care transitions