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digital.ahrq.gov/ahrq-funded-projects/care-transitions-and-teamwork-pediatric-trauma-implications-health-information/final-report
January 01, 2023 - Care Transitions and Teamwork in Pediatric Trauma: Implications for Health Information Technology Design … Care Transitions and Teamwork in Pediatric Trauma: Implications for Health Information Technology Design … Principal Investigator
Gurses, Ayse Pinar
Project Name
Care Transitions and Teamwork
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psnet.ahrq.gov/issue/transitions-one-electronic-health-record-another-challenges-pitfalls-and-recommendations
March 17, 2021 - Review
Transitions from one electronic health record to another: challenges, pitfalls … Transitions from one electronic health record to another: challenges, pitfalls, and recommendations. … EHR transitions are remarkably expensive, laborious, personnel devouring, and time consuming. … This article presents recommendations to facilitate transitions between one EHR system to another and … Transitions from one electronic health record to another: challenges, pitfalls, and recommendations.
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digital.ahrq.gov/program-overview/research-stories/identifying-patients-high-need-during-care-transitions-improve-care-and-meet-social-needs
January 01, 2023 - Identifying Patients with High Need During Care Transitions to Improve Care and Meet Social Needs … Engaging and Empowering Patients and Caregivers
Subtheme:
Improving Care During Patient Transitions … Using health information exchange to identify high-need patients during care transitions can facilitate … Using health information exchange to support transitions in care
People with multiple complex chronic … her team at the State University of New York at Buffalo developed and implemented the coordinating transitions
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psnet.ahrq.gov/issue/transitions-care-consensus-policy-statement-american-college-physicians-society-general
July 27, 2022 - Commentary
Transitions of Care Consensus Policy Statement American College of Physicians-Society … Transitions of Care Consensus Policy Statement American College of Physicians-Society of General Internal … This policy statement describes ten principles developed to address quality gaps in transitions of care … Transitions of Care Consensus Policy Statement American College of Physicians-Society of General Internal … December 23, 2012
The care transitions intervention: translating from efficacy to effectiveness
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/transitions-care-pediatric-to-adult-services-disposition-comments.pdf
May 31, 2022 - as they tended to focus on work/school
transitions. … (as included in the Got Transitions®
framework). … as they tended to focus on work/school
transitions. … We now that
in the methods: As this review focused on healthcare
transitions, studies evaluating transitions … We now note: Got Transitions® (a federally
funded national resource center on healthcare transitions
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/hret-preinterventionasst.xlsx
June 02, 2025 - , References-Shared-Decisionmaking-The SHARE Approach
•Guide for Safe Transitions, References-Patient … •Guide for Safe Transitions, References-Patient and Family Engagement in Primary Care- Be Prepared to … , References - Patient and Family Advisory Councils
•Guide for Safe Transitions, References-Patient … A1
Risk
Assessing Risk for Safe Transitions of Care
Indicate the frequency or state of development … We recommend that you review and incorporate elements from the following:
Guide for Safe Transitions
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www.ahrq.gov/ncepcr/research/health-it/index.html
September 01, 2022 - consumer-focused digital healthcare, clinical decision support, safety, patient-reported outcomes, and care transitions … Initiatives
Digital Health Care Transitions : This challenge competition encouraged solvers to develop … IT) solutions to engage patients with multiple chronic conditions and family caregivers during care transitions
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www.ahrq.gov/sites/default/files/2025-02/jones-selna-report.pdf
January 01, 2025 - Final Progress Report: Inpatient-Outpatient Transitions: Reducing the Rate of Readmissions
FINAL REPORT … Title of Project: Inpatient-Outpatient Transitions: Reducing the Rate of
Readmissions
Principal Investigator … a prospective risk
assessment technique to identify risks associated with inpatient-to-ambulatory transitions … Last, we examined
meta-analyses and systematic review articles of transitions of care, including specific … The Transitions of Care initiative focused on
a series of “pilot projects” to meet this system-level
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digital.ahrq.gov/ahrq-funded-projects/scalable-digital-communication-intervention-support-older-adults-and-care
January 01, 2024 - Project Description
Publications
Creating a mobile application to support care transitions … HS029454
Funding Mechanism(s)
Improving Quality of Care and Patient Outcomes During Care Transitions … Type of Care
Surgery
Health Care Theme
Care Coordination
Technology Usability
Transitions … While surgeons try to support these patients through the perioperative transitions, most are not trained … communication needs of older adults and their care partners when preparing for and recovering from transitions
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psnet.ahrq.gov/issue/family-caregiver-activation-transitions-fcat-tool-new-measure-family-caregiver-self-efficacy
September 10, 2014 - Study
The Family Caregiver Activation in Transitions (FCAT) tool: a new measure of … The Family Caregiver Activation in Transitions (FCAT) Tool: A New Measure of Family Caregiver Self-Efficacy … Efforts to improve patient safety during care transitions have had mixed success, possibly due to failure … August 21, 2013
Promoting effective transitions of care at hospital discharge: a review … December 29, 2014
The care transitions intervention: results of a randomized controlled
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psnet.ahrq.gov/issue/impact-medication-reconciliation-improving-transitions-care
June 19, 2019 - Emerging Classic
Impact of medication reconciliation for improving transitions … Impact of medication reconciliation for improving transitions of care. … Impact of medication reconciliation for improving transitions of care. … February 2, 2022
Pharmacist linkage in care transitions: from academic medical center … December 14, 2016
Promoting effective transitions of care at hospital discharge: a review
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www.ahrq.gov/sites/default/files/2024-01/arbaje-report.pdf
January 01, 2024 - SHHC agencies need strategies to
provide safer transitions. … The index identified safety
threats during care transitions and targeted transitions for intervention … The index has the potential to identify safety threats during care transitions and
target transitions … A call to bridge
across silos during care transitions. … Transitions in Care. In: Harper GM, Lyons WL, Potter JF, eds.
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psnet.ahrq.gov/node/60363/psn-pdf
March 01, 2021 - during
transitions, such as duplicative or missing medications. … Care Transitions Intervention. … Family caregivers’ experiences during transitions out of the hospital. … Active Roles for older adults in navigating care transitions. … The Care Transitions Intervention: Results of a randomized
controlled trial.
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www.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumgurs.html
October 01, 2014 - Institution: Johns Hopkins University, Baltimore
Grant Title: Improving the Safety of Care Transitions … a novel, risk-analysis-informed intervention bundle and pilot test its impact on the safety of care transitions … national and international quality/patient safety improvement collaboratives focusing on handoffs and care transitions
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/engaging-caregivers-rapid-review.pdf
April 01, 2024 - and assess the effectiveness of these PSPs to improve safety during
care transitions. … There are numerous harms associated with care transitions. … Care transitions. In: Hall KK, Shoemaker-
Hunt S, Hoffman L, et al, eds. … Care transitions from patient and caregiver
perspectives. … The care transitions intervention: Results of
a randomized controlled trial.
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effectivehealthcare.ahrq.gov/products/transitions-care-pediatric-adult/research
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digital.ahrq.gov/ahrq-funded-projects/improving-sickle-cell-transitions-care-through-health-information-technology/annual-summary/2012
January 01, 2012 - Improving Sickle Cell Transitions of Care through Health Information Technology - 2012 … Project Name
Improving Sickle Cell Transitions of Care Through Health Information Technology … Care transitions occur when either the setting (e.g., from home-based to hospital-based care), or the … These transitions are more likely to be successful when that health information is accurate, tailored … Care transitions are particularly fraught for patients with SCD, few of whom have access to effective
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digital.ahrq.gov/principal-investigator/feldman-penny
January 01, 2023 - through Technology
Improving Medication Management Practices and Care Transitions … Improving Medication Management Practices and Care Transitions through Technology - Final Report. … through Technology
Improving Medication Management Practices and Care Transitions … through Technology
Improving Medication Management Practices and Care Transitions … through Technology
Improving Medication Management Practices and Care Transitions
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psnet.ahrq.gov/node/60022/psn-pdf
March 11, 2020 - Work system barriers and facilitators in inpatient care
transitions of pediatric trauma patients. … Work system barriers and facilitators in inpatient care
transitions of pediatric trauma patients. … https://psnet.ahrq.gov/issue/work-system-barriers-and-facilitators-inpatient-care-transitions-pediatric … -
trauma-patients
Care transitions increase the risk of patient safety events, and pediatric patients … ,
identify system barriers and solutions to guide efforts towards improving care transitions.
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs023837-gurses-final-report-2021.pdf
January 01, 2021 - accounted for 87.5% of all care
transitions. … Transitions between units are transitions from one system to another, with handoff
communication between … OR to PICU transitions. … While care transitions influence quality of care, relatively little work has focused on
transitions … Designing and
managing healthcare transitions.