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psnet.ahrq.gov/node/33604/psn-pdf
December 15, 2024 - 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
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psnet.ahrq.gov/issue/framework-analysis-communication-errors-health-care
October 21, 2020 - August 14, 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-19 pandemic … Diagnostic Safety and Quality
April 26, 2023
Facilitators and barriers of care transitions … July 1, 2020
Towards safer transitions: a curriculum to teach and assess hospital-to-hospice
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psnet.ahrq.gov/issue/handoffs-and-transitions-care-systematic-review-meta-analysis-and-practice-management
September 23, 2020 - Review
Handoffs and transitions of care: a systematic review, meta-analysis, and … Handoffs and transitions of care: a systematic review, meta-analysis, and practice management guideline … Handoffs and transitions of care: a systematic review, meta-analysis, and practice management guideline
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psnet.ahrq.gov/issue/academic-year-end-transfers-outpatients-outgoing-incoming-residents-unaddressed-patient
January 27, 2016 - Care transitions pose a risk to patient safety. … graduating residents to their successors, and suggests methods by which residency programs can ensure safe transitions … 2014
The computerized rounding report: implementation of a model system to support transitions
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psnet.ahrq.gov/issue/year-end-resident-clinic-handoffs-narrative-review-and-recommendations-improvement
March 28, 2018 - This narrative review found that several practices can enhance the safety of year-end transitions, including … January 20, 2021
Improving end-of-rotation transitions of care among ICU patients … August 9, 2017
Provider-to-provider communication during transitions of care from outpatient
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psnet.ahrq.gov/issue/assessment-patient-retention-inpatient-care-information-post-hospitalization
June 01, 2022 - July 12, 2023
The effect of transitions intervention to ensure patient safety and satisfaction … 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. … patients and informal caregivers to improve safety and facilitate person- and family-centered care during transitions
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psnet.ahrq.gov/node/33567/psn-pdf
June 15, 2024 - handoffs
https://psnet.ahrq.gov/glossary/handoffs-and-handovers
https://psnet.ahrq.gov/issue/handoffs-and-transitions-care-systematic-review-meta-analysis-and-practice-management … https://psnet.ahrq.gov/issue/handoffs-and-transitions-care-systematic-review-meta-analysis-and-practice-management … The University of Pennsylvania
developed a handoff tool in the Handoffs and Transitions in Critical … Education also requires that residency programs maintain
formal educational programs in handoffs and care transitions … patient-handoffs-and-multi-specialty-trainee-perspectives-across-institution-informing
https://psnet.ahrq.gov/primer/inpatient-transitions-care-challenges-and-safety-practices
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psnet.ahrq.gov/web-mm/duplicate-therapies-retail-pharmacy
August 05, 2022 - available evidence supports medication reconciliation interventions that use pharmacy staff during transitions … Transitions of care (TOC) are a high-risk period for medication-related harm. 3 Systematic reviews … Transitions of care between different healthcare settings should be targeted for interventions to limit … Pharmacist-led transitions of care between hospitals, primary care clinics, and community pharmacies. … Pharmacy-supported interventions at transitions of care: an umbrella review.
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psnet.ahrq.gov/issue/information-exchange-among-physicians-caring-same-patient-community
March 28, 2011 - Significant attention to gaps in the continuity of care has led to past research focused on hospital transitions … A past AHRQ WebM&M perspective discussed care transitions associated with hospital discharge. … July 16, 2014
The care transitions intervention: translating from efficacy to effectiveness
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psnet.ahrq.gov/web-mm/critical-echocardiogram-result-lost-follow
July 31, 2023 - Adverse events during transitions of care Perhaps the biggest hole in our figurative Swiss cheese model … Transitions of care increase the risk of adverse events due to the potential for miscommunication as … Utilize Patient Navigators Some hospitals have attempted to bridge potential gaps during transitions … of care by using providers dedicated to transitions of care, or patient navigators. … OEI-06-08-00220. [ Free full text (PDF) ] Chartbook on Care Coordination: Transitions of Care.
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psnet.ahrq.gov/web-mm/correct-treatment-plan-incorrect-diagnosis-pharmacist-intervention
May 01, 2011 - Nelson, PharmD, MS As shown in this case, care transitions frequently result in errors, including ones … Most serious medical errors are due to miscommunication between medical providers during transitions … of care.( 1 ) The majority of medication-related problems also occur during these transitions, especially … of care has been shown to reduce errors during transitions in and out of the hospital, decrease mortality … Improving medication safety during hospital-based transitions of care.
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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/issue/support-hospital-home-elders-randomized-trial
November 30, 2016 - Comprehensive programs such as Project RED and the Care Transitions Intervention have successfully … Eric Coleman, a pioneer in the field of care transitions and a recipient of a MacArthur Award. … March 27, 2013
The care transitions intervention: translating from efficacy to effectiveness
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psnet.ahrq.gov/issue/pharmacy-led-medication-reconciliation-programmes-hospital-transitions-systematic-review-and
April 18, 2018 - Review
Pharmacy-led medication reconciliation programmes at hospital transitions: … Pharmacy-led medication reconciliation programmes at hospital transitions: a systematic review and meta-analysis … Pharmacy-led medication reconciliation programmes at hospital transitions: a systematic review and meta-analysis
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psnet.ahrq.gov/node/850343/psn-pdf
December 12, 2023 - psnet.ahrq.gov/issue/challenge-competition-impact-patient-safety-tools
https://psnet.ahrq.gov/issue/medications-transitions-and-clinical-handoffs-match-toolkit-medication-reconciliation … https://psnet.ahrq.gov/issue/toolkit-engage-high-risk-patients-safe-transitions-across-ambulatory-settings
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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
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psnet.ahrq.gov/issue/advanced-medication-reconciliation-systematic-review-impact-medication-errors-and-adverse
December 18, 2017 - 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 … reconciliation: a systematic review of the impact on medication errors and adverse drug events associated with transitions
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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/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/issue/potential-uses-ai-perioperative-nursing-handoffs-qualitative-study
September 01, 2021 - Handoffs and transitions of care represent a vulnerable time for patients as important information … 2019
The computerized rounding report: implementation of a model system to support transitions