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psnet.ahrq.gov/node/37745/psn-pdf
May 07, 2008 - clinical-outcomes-home-based-medication-reconciliation-program-after-
discharge-skilled
Inadvertent medication discrepancies are common at the time of transitions … has also documented the
value of clinical pharmacists in preventing medication errors during care transitions
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psnet.ahrq.gov/issue/prospective-controlled-trial-electronic-hand-hygiene-reminder-system
April 07, 2021 - protocol improves communication in 2 mixed surgical intensive care units: findings from the Handoffs and Transitions … September 4, 2024
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/42568/psn-pdf
December 29, 2014 - This study used the care transitions survey to
assess the relationship between parents' perceptions … factors-contributing-all-cause-30-day-readmissions-structured-case-series-across-18-hospitals
https://psnet.ahrq.gov/issue/care-transitions-intervention-results-randomized-controlled-trial
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psnet.ahrq.gov/issue/contributions-tele-intensive-care-unit-tele-icu-technology-quality-care-and-patient-safety
February 16, 2022 - September 13, 2023
Information flow during pediatric trauma care transitions: things … Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care Transitions … Disparate perspectives: exploring healthcare professionals' misaligned mental models of older adults' transitions … March 25, 2015
Work system barriers and facilitators in inpatient care transitions of … April 2, 2008
Care transitions in the outpatient surgery preoperative process: facilitators
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psnet.ahrq.gov/node/849127/psn-pdf
May 17, 2023 - readmissions-and-adverse-events-after-discharge
https://psnet.ahrq.gov/primer/discharge-planning-and-transitions-care
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psnet.ahrq.gov/node/50452/psn-pdf
October 09, 2019 - study reports the results of a survey measuring patients' experience of their own safety during care
transitions
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psnet.ahrq.gov/node/41413/psn-pdf
September 26, 2012 - events after hospital discharge continue to plague patients despite interventions focusing on
improved transitions … past AHRQ WebM&M commentary
discussed the role of postdischarge follow-up phone calls on safe care transitions
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psnet.ahrq.gov/node/45870/psn-pdf
March 25, 2017 - A previous PSNet perspective discussed the challenges associated with care transitions
and suggested … lean-hospitals-improving-quality-patient-safety-and-employee-engagement-third-edition
https://psnet.ahrq.gov/perspective/care-transitions
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psnet.ahrq.gov/primer/teamwork-training
September 07, 2019 - Training February 28, 2024
Related Resources
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 … March 27, 2024
Patient Safety Primers
Inpatient Transitions
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psnet.ahrq.gov/node/49733/psn-pdf
May 01, 2015 - Transitions in Adolescent Medicine
May 1, 2015
Okumura MJ, Williams RG. … Transitions in Adolescent Medicine. PSNet [internet]. 2015. … https://psnet.ahrq.gov/web-mm/transitions-adolescent-medicine
The Case
A 21-year-old woman with a history … A consensus statement on health care transitions for
young adults with special health care needs. … American Diabetes Association
Transitions Working Group.
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psnet.ahrq.gov/web-mm/postdischarge-follow-phone-call
May 19, 2021 - Hospitals and health care organizations therefore have considerable incentives to improve transitions … of care, and interventions to improve transitions are becoming widespread.( 9 )
This case illustrates … Although postdischarge phone calls were not specifically mentioned in the Transitions of Care Consensus … Policy Statement ( 17 ), they have been a part of nearly every large successful transitions intervention … The care transitions intervention: results of a randomized controlled trial.
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psnet.ahrq.gov/issue/moving-toward-improved-teamwork-cancer-care-role-psychological-safety-team-communication
October 19, 2012 - 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/does-incorporating-medications-surveyors-interpretive-guidelines-reduce-use-potentially
December 15, 2011 - Interprofessional and intraprofessional communication about older people's medications across transitions … Patient Safety
April 10, 2024
Assessing quality of older persons' emergency transitions … October 13, 2018
Medication errors during patient transitions into nursing homes: characteristics
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psnet.ahrq.gov/issue/artificial-intelligence-anesthetic-care-survey-physician-anesthesiologists
March 15, 2016 - protocol improves communication in 2 mixed surgical intensive care units: findings from the Handoffs and Transitions … May 11, 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/seen-through-their-eyes-residents-reflections-cognitive-and-contextual-components-diagnostic
November 18, 2013 - 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/surgeon-agreement-time-handover-prospective-cohort-study
July 19, 2010 - 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/clinical-evaluation-ade-scorecards-decision-support-tool-adverse-drug-event-analysis-and
December 31, 2014 - Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care Transitions … Disparate perspectives: exploring healthcare professionals' misaligned mental models of older adults' transitions … July 21, 2021
Learning from lawsuits: using malpractice claims data to develop care transitions
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psnet.ahrq.gov/issue/medication-error-prevention-survey-five-years-results
March 26, 2015 - 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/master-science-medical-and-healthcare-simulation
November 01, 2023 - November 1, 2023
Transitions of Care Consensus Policy Statement American College of Physicians-Society … February 18, 2011
Handoffs: transitions of care for children in the emergency department
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psnet.ahrq.gov/issue/handoffs-and-teamwork-framework-care-transition-communication
September 28, 2022 - 26, 2025
Annual Perspective
Communication During Transitions