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psnet.ahrq.gov/issue/implementation-discharge-education-program-improve-transitions-care-patients-high-risk
January 12, 2022 - Study
Implementation of a discharge education program to improve transitions of care … Implementation of a discharge education program to improve transitions of care for patients at high risk … Pharmacists play an important role in patient safety, particularly bridging transitions of care between … Implementation of a discharge education program to improve transitions of care for patients at high risk … of care program for veterans with two planned care transitions (hospital to skilled care and skilled
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digital.ahrq.gov/sites/default/files/docs/page/improving-provider-communication-to-improve-transitions-in-patient-care.pdf
June 16, 2021 - Improving Provider Communication to Improve Transitions in Patient Care
Improving Provider Communication … to
Improve Transitions in Patient Care
When a patient’s care shifts from one setting
to another … adult patients within 3 weeks of dis
charge.1 The federal government is focusing on these
risky transitions … One of the major barriers to coordinated and effec
tive care transitions is poor communication between … Improving
provider-to-provider communication can improve care
transitions and reduce readmissions
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psnet.ahrq.gov/issue/disparate-perspectives-exploring-healthcare-professionals-misaligned-mental-models-older
May 11, 2022 - Disparate perspectives: exploring healthcare professionals' misaligned mental models of older adults' transitions … Disparate perspectives: exploring healthcare professionals' misaligned mental models of older adults’ transitions … that these healthcare professionals had misaligned mental models regarding communication during care transitions … May 4, 2022
Facilitators and barriers of care transitions - comparing the perspectives … November 16, 2022
Assessing quality of older persons' emergency transitions between
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psnet.ahrq.gov/issue/applying-medications-transitions-and-clinical-handoffs-toolkit-rural-primary-care-clinic
August 04, 2021 - Study
Applying the Medications at Transitions and Clinical Handoffs Toolkit in a … Applying the Medications at Transitions and Clinical Handoffs Toolkit in a rural primary care clinic: … The Medications at Transitions and Clinical Handoffs Toolkit (MATCH) provides strategies to implement … Applying the Medications at Transitions and Clinical Handoffs Toolkit in a rural primary care clinic: … April 17, 2024
Patient Safety Primers
Inpatient Transitions
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psnet.ahrq.gov/issue/care-transition-trauma-patients-processes-articulation-work-and-after-handoff
June 22, 2022 - Care transitions can increase the risk of patient safety events . … ) to ensure safe transitions. … June 22, 2022
Information flow during pediatric trauma care transitions: things falling … September 11, 2019
Work system barriers and facilitators in inpatient care transitions … March 12, 2025
Handoffs and transitions of care: a systematic review, meta-analysis,
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psnet.ahrq.gov/issue/care-transitions-intervention-results-randomized-controlled-trial
July 10, 2008 - Study
Classic
The care transitions intervention: results … The care transitions intervention: results of a randomized controlled trial. … The care transitions intervention: results of a randomized controlled trial. … September 15, 2021
The Family Caregiver Activation in Transitions (FCAT) tool: a new … December 16, 2014
Transitions of Care Consensus Policy Statement American College of
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psnet.ahrq.gov/issue/how-guides-improving-transitions-hospital-reduce-avoidable-rehospitalizations
November 18, 2011 - Special or Theme Issue
How-to Guides: Improving Transitions from the Hospital to … Citation Text:
How-to Guides: Improving Transitions from the Hospital to Reduce Avoidable Rehospitalizations … series, developed in conjunction with the STAAR initiative , provides tactics and resources to improve transitions … Cite
Citation
Citation Text:
How-to Guides: Improving Transitions … March 11, 2015
Improving Communication During Transitions of Care.
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digital.ahrq.gov/ahrq-funded-projects/preventing-medication-related-problems-care-transitions-skilled-nursing
July 31, 2025 - Preventing Medication-Related Problems in Care Transitions to Skilled Nursing Facilities … HS027805
Funding Mechanism(s)
Improving Quality of Care and Patient Outcomes During Care Transitions … Pharmacist
Physician
Health Care Theme
Care Coordination
Medication Errors
Transitions … Improving Care Transitions of Hospitalized Patients With the Pharmacy Integrated Transitions Program … Following the road to recovery
The Pharmacy Integrated Transitions (PIT) program was developed by Dr
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www.ahrq.gov/pqmp/implementation-qi/toolkit/h2h/improvement-data.html
July 01, 2021 - Quality of Pediatric Hospital-to-Home Transitions Toolkit
Improvement Data
Previous Page … Next Page
Table of Contents
Quality of Pediatric Hospital-to-Home Transitions Toolkit
Introduction … The Pediatric Hospital Care Improvement Project (P-HIP) Collaborative collected Hospital-to-Home Transitions
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psnet.ahrq.gov/issue/what-does-safety-mental-healthcare-transitions-mean-service-users-and-other-stakeholder
February 02, 2022 - Study
What does safety in mental healthcare transitions mean for service users and … What does safety in mental healthcare transitions mean for service users and other stakeholder groups … Transitions of care represent a vulnerable time for patients. … This survey found that safety in mental healthcare transitions (hospital to community) is perceived differently … What does safety in mental healthcare transitions mean for service users and other stakeholder groups
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digital.ahrq.gov/sites/default/files/docs/survey/improving-sickle-cell-transitions-focus-group-moderator-guide-patients.pdf
June 16, 2021 - Improving Sickle Cell Transitions, Focus Group Moderator Guide: Patients
Improving Sickle Cell Transitions … Goals:
Understand patient experience with different health care transitions
Understand how patients … We call these changes between doctors and medical settings health care
transitions. … We want this app to help organize your personal medical
information so that health care transitions … Experiences with Care Transitions
1.
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psnet.ahrq.gov/web-mm/transition-nowhere
March 21, 2009 - Care transitions is a hot topic in health care, with innovations in health care policy and payment reform … Promoting effective transitions of care at hospital discharge: a review of key issues for hospitalists … Impact of an integrated transitions management program in primary care on hospital readmissions. … The Geriatric Transitions Objective Structured Video Examination (GT-OSVE). … of care program for veterans with two planned care transitions (hospital to skilled care and skilled
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psnet.ahrq.gov/issue/handoffs-transitions-care-children-emergency-department
July 03, 2016 - Organizational Policy/Guidelines
Handoffs: transitions of care for children in the … Citation Text:
Handoffs: transitions of care for children in the emergency department. … Improvement efforts have focused on care transitions , which are known to be vulnerable to communication … Copy URL
Cite
Citation
Citation Text:
Handoffs: transitions … October 19, 2022
Work system barriers and facilitators in inpatient care transitions
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digital.ahrq.gov/ahrq-funded-projects/patient-engagement-reporting-medication-events-during-transitions-care
January 01, 2024 - Patient Engagement in Reporting Medication Events During Transitions of Care … event reporting platform has the potential to reduce adverse medication events during hospital-to-home transitions … HS027846
Funding Mechanism(s)
Improving Quality of Care and Patient Outcomes During Care Transitions … in Care
Patients with cancer experience frequent transitions of care (TOC) that may lead … and barriers to patient engagement in reporting medication events via a reporting tool during care transitions
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digital.ahrq.gov/ahrq-funded-projects/coordinating-transitions-health-information-technology-role-improving-multiple-chronic-disease-outcomes/citation/informatics
January 01, 2023 - Informatics’ role in integrating population and patient-level knowledge to improve care transitions in … Informatics’ role in integrating population and patient-level knowledge to improve care transitions in … informatics-role-integrating-population-and-patient-level-…
Principal Investigator
Hewner, Sharon
Project Name
Coordinating Transitions
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www.ahrq.gov/news/newsroom/case-studies/201420.html
November 01, 2014 - AHRQ's RED Toolkit Leads to Lower Readmissions, Better Care Transitions in Two Texas Hospitals
Search … hospital readmissions and as a catalyst for additional progress on efforts to improve patient care transitions … Both VBHS facilities have also done more to improve patient discharge and care transitions, including … readmissions and participating in the Centers for Medicare and Medicaid Services' Community-based Care Transitions
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digital.ahrq.gov/ahrq-funded-projects/patient-engagement-reporting-medication-events-during-transitions-care/citation/acceptance
January 01, 2024 - The acceptance and use of digital technologies for self-reporting medication safety events after care transitions … The acceptance and use of digital technologies for self-reporting medication safety events after care transitions … Yun
Gong, Yang
Project Name
Patient Engagement in Reporting Medication Events During Transitions
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digital.ahrq.gov/ahrq-funded-projects/improving-sickle-cell-transitions-care-through-health-information-technology/citation/improving
January 01, 2023 - Improving sickle cell transitions of care through health information technology. … Improving sickle cell transitions of care through health information technology. … 27320460
Principal Investigator
Jain, Anjali
Project Name
Improving Sickle Cell Transitions
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digital.ahrq.gov/ahrq-funded-projects/coordinating-transitions-health-information-technology-role-improving-multiple-chronic-disease-outcomes/citation/social
January 01, 2023 - Integrating social determinants of health into primary care clinical and informational workflow during care transitions … Integrating social determinants of health into primary care clinical and informational workflow during care transitions … 2327-9214.1282/
Principal Investigator
Hewner, Sharon
Project Name
Coordinating Transitions
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psnet.ahrq.gov/web-mm/lost-transition
November 17, 2010 - Case Objectives Provide an overview of transitions in continuously operating industries Review … The chart or other formal written documentation is rarely used for transitions. … Transitions in care: studying safety in emergency department signovers. … Profiles in patient safety: emergency care transitions. … Emergency care transitions.