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psnet.ahrq.gov/issue/discharge-missteps-can-send-seniors-back-hospital
March 28, 2012 - an example of a preventable readmission to illustrate how ineffective communication during care transitions … June 10, 2018
Reduce readmissions with pharmacy programs that focus on transitions from
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psnet.ahrq.gov/issue/hospital-discharge-its-one-most-dangerous-periods-patients
June 01, 2016 - Transitions in care between inpatient and outpatient settings are an increasing concern for patient … home health nurses, this newspaper article discusses various risks associated with hospital-to-home transitions
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psnet.ahrq.gov/issue/what-every-graduating-resident-needs-know-about-quality-improvement-and-patient-safety
March 29, 2023 - protocol improves communication in 2 mixed surgical intensive care units: findings from the Handoffs and Transitions … November 16, 2022
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/issue/older-patients-engagement-hospital-medication-safety-behaviours
November 17, 2021 - Interprofessional and intraprofessional communication about older people's medications across transitions … November 17, 2021
Implementation of a discharge education program to improve transitions … February 19, 2020
Family involvement in managing medications of older patients across transitions
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psnet.ahrq.gov/issue/workplace-violence-pervasiveness-perioperative-environment-multiprofessional-survey
November 11, 2020 - 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/issue/doing-detective-work-find-cancer-how-are-non-specific-symptom-pathways-cancer-investigation
April 05, 2023 - 29, 2014
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A clinical pharmacist-led transitions … of care program for veterans with two planned care transitions (hospital to skilled care and skilled … July 24, 2024
Annual Perspective
Communication During Transitions
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psnet.ahrq.gov/node/44456/psn-pdf
September 02, 2015 - tackling-communication-barriers-between-long-term-care-facility-and-
emergency-department
Highlighting risks associated with transitions … older-patients-understanding-emergency-department-discharge-information-and-its-relationship
https://psnet.ahrq.gov/issue/medication-errors-during-patient-transitions-nursing-homes-characteristics-and-association
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psnet.ahrq.gov/glossary/handoffs-and-handovers
September 13, 2021 - same clinical unit, shorter lengths of stay in hospitals and other occupancy issues have increased transitions … Due to the increasing recognition of hazards associated with these transitions in care, the term "handovers
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psnet.ahrq.gov/node/49772/psn-pdf
October 01, 2016 - screening for early identification and
management of sepsis, the risk of error during handoffs and transitions … More pertinent to the current case, use of the EHR to manage care transitions and prevent errors in … Transitions in care across institutions and within hospitals may lead to errors and put patient safety … Protocols and checklists have been shown in published studies to reduce risks associated with
transitions … Handoffs and transitions in critical care (HATRICC):
protocol for a mixed methods study of operating
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psnet.ahrq.gov/node/41725/psn-pdf
January 01, 2013 - https://psnet.ahrq.gov/issue/improving-patient-handovers-hospital-primary-care-systematic-review
Care transitions … improving-patient-handovers-hospital-primary-care-systematic-review
https://psnet.ahrq.gov/issue/care-transitions-program
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psnet.ahrq.gov/periodic-issue/periodic-issue-439
May 29, 2024 - Entangled in complexity: an ethnographic study of organizational adaptability and safe care transitions … Transitions of care are a vulnerable time for all patients and especially older adults with complex care … A safe care transition pathway describes critical steps to ensure safe transitions. … Transitions of care are a vulnerable time for all patients and especially older adults with complex care … A safe care transition pathway describes critical steps to ensure safe transitions.
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psnet.ahrq.gov/issue/distributing-cognition-icu-handoffs-conform-grices-maxims
May 09, 2015 - A recap of ongoing research studying the important transitions, or "handoffs" of care, that occur between … February 8, 2017
An intervention to improve transitions from NICU to ambulatory care:
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psnet.ahrq.gov/node/854248/psn-pdf
October 04, 2023 - reduced-postdischarge-incidents-after-implementation-hospital-home-transition-intervention
https://psnet.ahrq.gov/primer/discharge-planning-and-transitions-care
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psnet.ahrq.gov/node/867599/psn-pdf
January 22, 2025 - The authors suggest that patient work-system factors be assessed before
transitions to home to identify
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psnet.ahrq.gov/issue/effect-hospitalist-discontinuity-adverse-events
August 25, 2011 - April 24, 2018
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Related Resources
Promoting effective transitions … March 17, 2010
Systematically improving physician assignment during in-hospital transitions … December 5, 2007
Perspective
Care Transitions
December
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psnet.ahrq.gov/issue/clinical-information-transfer-and-medication-reconciliation-patients-transferred-pediatric
September 28, 2010 - September 2, 2020
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Related Resources
Handoff tool improves transitions … October 14, 2020
Pharmacist-led program to improve transitions from acute care to skilled … July 8, 2020
Applying the Medications at Transitions and Clinical Handoffs Toolkit in
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psnet.ahrq.gov/issue/interruptions-wild-development-sociotechnical-systems-model-interruptions-emergency
August 31, 2016 - Same Author(s)
Learning from lawsuits: using malpractice claims data to develop care transitions … Disparate perspectives: exploring healthcare professionals' misaligned mental models of older adults' transitions … Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care Transitions
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psnet.ahrq.gov/issue/failing-wisely-can-promote-safer-healthcare-system
April 30, 2014 - 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/issue/hospital-quality-and-patient-safety-competencies-development-description-and-recommendations
January 10, 2018 - Using an online quiz-based reinforcement system to teach healthcare quality and patient safety and care transitions … August 22, 2018
Transitions of Care Consensus Policy Statement American College of Physicians-Society … March 17, 2010
Systematically improving physician assignment during in-hospital transitions
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psnet.ahrq.gov/node/39673/psn-pdf
December 21, 2014 - Interventions such as those in the Care Transitions study and the Project RED study have relied on more … patient-safety-concerns-arising-test-results-return-after-hospital-discharge
https://psnet.ahrq.gov/issue/care-transitions-intervention-results-randomized-controlled-trial