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www.monahrq.ahrq.gov/ncepcr/research-transform-primary-care/transform/impactgrants/impact-profile-nc.html
August 01, 2018 - The Primary Care Transitions Planning Collaborative applied the quality improvement infrastructure to … primary care practices participated in a Web-based learning collaborative focused on improving care transitions … The accomplishments of the Primary Care Transitions Planning Collaborative range from increasing followup … recently discharged patients to learning about how to set up a system for tracking patients during care transitions
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www.monahrq.ahrq.gov/research/publications/search.html
January 01, 2024 - Date: June 2023
Publication Number: 23-0040-2-EF
Diagnostic Safety Across Transitions … brief examines the existing evidence base on how to improve diagnostic safety at intrahospital care transitions
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www.monahrq.ahrq.gov/teamstepps-program/curriculum/communication/overview/index.html
June 01, 2023 - A standardized method for transferring information (along with authority and responsibility) during transitions … I-PASS
I-PASS is the preferred handoff tool for patient transitions in care in many organizations.
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www.monahrq.ahrq.gov/patient-safety/patients-families/patient-family-engagement/index.html
April 01, 2018 - Medications at Transitions and Clinical Handoffs (MATCH) for Medication Reconciliation
Learn about the … The Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings
This toolkit … is designed to help staff actively engage patients and their care partners to prevent errors during transitions
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www.monahrq.ahrq.gov/patient-safety/settings/ambulatory/index.html
July 01, 2022 - Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings is designed to help … staff actively engage patients and their care partners to prevent errors during transitions of care.
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www.monahrq.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
September 01, 2022 - Drug Events in Older Adults
ADEs: Harms Due to Opioids
ADEs: Infusion Pumps
Alarm Fatigue
Care Transitions … Evidence
Alarm Risk Assessment
(Not reviewed)
(Not reviewed)
Summary of Evidence
Care Transitions … Patient Safety Practices
MHS I (2001)
MHS II (2013)
MHS III (2020)
Interventions To Improve Care Transitions … reviewed)
Summary of Evidence
(Not reviewed)
BOOST: Better Outcomes for Older Adults Through Safe Transitions
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www.monahrq.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pt1-transition-updated.pdf
June 01, 2022 - Communication About Error 3 3
Frequency of Events Reported Reporting Patient Safety Events 3 2
Handoffs and Transitions
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www.monahrq.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pt2_transition_apx.pdf
September 01, 2019 - HSOPS 1.0
Type of
Change
HSOPS
2.0
HSOPS
1.0
Handoffs and Information Exchange Handoffs and Transitions … on the HSOPS 1.0 composite measure Teamwork Across Units were highly correlated
with Handoffs and Transitions … HSOPS 1.0
Type of
Change
HSOPS
2.0
HSOPS
1.0
Handoffs and Information Exchange Handoffs and Transitions
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www.monahrq.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/coordinating-care-in-the-medical-neighborhood-white-paper.pdf
June 01, 2011 - transitions for
hospitalized patients to the home or other settings. … The care transitions Intervention: results of a randomized controlled trial. … Connected for health: a community-based care transitions project. 2010. … Hospitalists and care transitions: the divorce of inpatient and
outpatient care. … implementation strategies through the care transitions theme. 2010.
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www.monahrq.ahrq.gov/teamstepps-program/curriculum/communication/tools/handoff.html
May 01, 2023 - a standardized method for transferring information, along with authority and responsibility, during transitions … The handoff strategy is designed to enhance information exchange at critical times such as transitions
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www.monahrq.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-reportaddendum.pdf
March 01, 2021 - Within the primary care practice, transitions can be improved by defining team-based
care that encompasses … Principle 3: Within the primary care practice, transitions can be improved by defining
team-based care
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www.monahrq.ahrq.gov/topics/t.html
April 01, 2024 - Assessments Telehealth Tobacco Use Tobacco Use: Smoking Cessation Tools & Toolkits Training Transitions
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www.monahrq.ahrq.gov/teamstepps/rrs/rrs_slides/rrsslides.html
July 01, 2018 - Return to Top
Inter-Team Knowledge
Supports effective transitions in care between units
Is a … Transition Support ("Boundary Spanning")
Requires inter-team knowledge
Combines monitoring transitions … Return to Top
Transition Support ("Boundary Spanning") (continued)
Manage data
Monitor transitions … conducted by the Responders
Debriefs should address:
Roles
Responsibilities
Tasks
Emphasis on transitions
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www.monahrq.ahrq.gov/news/newsroom/case-studies/201522.html
August 01, 2015 - using AHRQ's Re-Engineered Discharge (RED) Toolkit to reduce hospital readmissions and improve care transitions … evidence-based framework to help us develop a more comprehensive and appropriate discharge planning and care transitions
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www.monahrq.ahrq.gov/research/findings/final-reports/index.html
June 01, 2023 - Topic(s): Communication and Teamwork Publication Date: December 2022
Improving Safety of Transitions … September 2020
Leveraging a Social Network of Elders and Families To Improve Medication Safety at Transitions
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www.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_6.pdf
October 01, 2016 - ...............................................................................3
Care Coordination/Transitions … Care Coordination/Transitions and Care Management
HFHS has a staffed central call center for all physicians … Care managers are primarily focused on
transitions of care, with some management for diabetes care, … As part of the residency training program, the K-15 clinic runs a Transitions of Care clinic as a
bridge … The transitions clinic sees
patients transitioning out of the emergency room (ER), observation or inpatient
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www.monahrq.ahrq.gov/pqmp/measures/adolescents-antipsychotic-medications.html
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www.monahrq.ahrq.gov/pqmp/measures/adolescents-psychiatric-consult.html
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www.monahrq.ahrq.gov/pqmp/measures/adolescents-psychotic-symptoms.html
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