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digital.ahrq.gov/ahrq-funded-projects/ambulatory-safety-and-quality-program/improving-provider-communication-improve-transitions-patient-care
January 01, 2023 - Improving Provider Communication to Improve Transitions in Patient Care
Your
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digital.ahrq.gov/health-care-theme/adverse-events
January 01, 2023 - Number
R01 HS029009
Principal Investigator(s)
Sikora, Andrea
Care Transitions … intervention including a mobile health application and digital navigator training to support safe care transitions … Real-Time Symptom Monitoring Using ePROs to Prevent Adverse Events During Care Transitions … multiple chronic conditions to improve understanding of individualized risk of adverse events during care transitions … Patient Engagement in Reporting Medication Events During Transitions of Care
Description
This
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-care-coordination.pdf
June 01, 2024 - ■ The ECHO-CT (Extension for Community Healthcare Outcomes-Care Transitions) is a novel
video-conferencing … Key Findings/Impact: The Toolkit To Engage High-Risk Patients in Safe Transitions
Across Ambulatory … Key Findings/Impact: SHHC providers suggested organizational strategies for
improving transitions and … The Index
identified safety threats during care transitions and targeted transitions for intervention … Most hospital-to-home health transitions had at least one safety issue, and older adults/
caregivers
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psnet.ahrq.gov/node/33559/psn-pdf
December 15, 2024 - 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 … drug-related-problems-and-polypharmacy-nursing-home-residents-cross-sectional-study
https://psnet.ahrq.gov/issue/pharmacist-led-program-improve-transitions-acute-care-skilled-nursing-facility-care
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psnet.ahrq.gov/issue/understanding-challenges-and-successes-implementing-hybrid-interventions-healthcare-settings
October 23, 2024 - Transitions of care between the hospital and home can jeopardize patient safety for a myriad of reasons … ) intervention in the UK’s National Health Services (NHS), which aims to improve the safety of care transitions … January 10, 2011
Care transitions and home health care.
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psnet.ahrq.gov/issue/longitudinal-medication-reconciliation-hospital-admission-discharge-and-post-discharge
August 19, 2020 - This study explored the impact of longitudinal medication reconciliation performed at transitions … Related Resources
Patient Safety Primers
Inpatient Transitions … August 5, 2020
Pharmacist-led program to improve transitions from acute care to skilled
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www.ahrq.gov/patient-safety/patients-families/engagingfamilies/strategy3/index.html
December 01, 2017 - Patients and families can play a role to make sure these transitions in care are safe and effective. … Patients and Families as Advisors
Strategy 2: Communicating to Improve Quality
Strategy 4: Care Transitions
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www.ahrq.gov/action-alliance/engineering-safety-practice/index.html
April 01, 2025 - * Indicates an AHRQ-supported tool or resource Strategy 4: Optimize Patient Care During Transitions … Rationale: Patients are vulnerable at the many intersections of care transitions, particularly the … Transitions may be within or between facilities and providers, a patient’s home, or other healthcare … Tools Task analysis, including cognitive task analysis . * Medications at Transitions and Clinical Handoffs … I-PASS handoff tool. * Examples Applying the Medications at Transitions and Clinical Handoffs
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digital.ahrq.gov/ahrq-funded-projects/evaluation-effectiveness-health-information-technology-based-care-transition/annual-summary/2011
January 01, 2011 - (Ongoing)
Satisfaction with care transitions among rural PCPs. … (Ongoing)
Patient satisfaction with care transitions. … Ciemins embarked on a new collaborative effort with the Community Care Transitions Project (CCTP), led … Ciemins' research in the area of transitions to non-hospital care settings because Billings Clinic Hospital … is widely considered to be one of the most progressive hospitals in the region in terms of care transitions
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digital.ahrq.gov/principal-investigator/crossdori
January 01, 2024 - Name
Use of Electronic Health Record Metadata to Assess Hospital Discharge Planning for Post-Acute Transitions … Use of Electronic Health Record Metadata to Assess Hospital Discharge Planning for Post-Acute Transitions … tools to monitor and strengthen specific behaviors within discharge workflows that optimize post-acute transitions
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www.ahrq.gov/practiceimprovement/delivery-initiative/arragrantee-magill.html
December 01, 2017 - Characterization and Feasibility of a Care Manager-Based Transitions Management Program Within a Patient … Impact of a Transitions Management Program on Hospital Readmission Rates Among Older Adults Within a … Transitions Management, University of Utah Care by Design Research Team: National and Local Advisory … Transitions Management Within the Patient-Centered Medical Home. 11th Annual Rocky Mountain Geriatrics … Transitions and Systems Dynamics. 11th Annual Rocky Mountain Geriatrics Conference.
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digital.ahrq.gov/location/usa-ma-boston
January 01, 2023 - evaluate the Perioperative Optimization of Senior Health (myPOSH) mobile application that supports care transitions … R01 HS028982
Principal Investigator(s)
Mueller, Stephanie
Care Transitions … intervention including a mobile health application and digital navigator training to support safe care transitions … Real-Time Symptom Monitoring Using ePROs to Prevent Adverse Events During Care Transitions … multiple chronic conditions to improve understanding of individualized risk of adverse events during care transitions
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psnet.ahrq.gov/issue/evaluation-medication-errors-transition-care-icu-non-icu-location
September 23, 2020 - Transitions of care, whether from the hospital to the outpatient setting or within the hospital itself … Inadequate communication during handoffs that occur as part of care transitions can contribute to adverse … A past Annual Perspective discussed challenges associated with handoffs and transitions of care.
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psnet.ahrq.gov/issue/disparities-after-discharge-association-limited-english-proficiency-and-postdischarge-patient
October 14, 2020 - This study evaluated a hospital-wide care transitions program, with a goal of universal contact with … reconciliation: a systematic review of the impact on medication errors and adverse drug events associated with transitions … Interprofessional and intraprofessional communication about older people's medications across transitions
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6.html
June 01, 2014 - ‡ All measure items addressing transitions were mapped to one of the specific transition types ( … ‡ All measure items addressing transitions were mapped to one of the specific transition types ( … ‡ All measure items addressing transitions were mapped to one of the specific transition types ( … Care Transitions Measure (CTM)
a. CTM-3
b. CTM-15
10. … Safe Transitions Community Physician Office Best Practice Measures
79.
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digital.ahrq.gov/funding-mechanism/ambulatory-safety-and-quality-program-improving-management-individuals-complex
January 01, 2023 - A pilot health information technology-based effort to increase the quality of transitions … A pilot health information technology-based effort to increase the quality of transitions from skilled … Investigator
Field, Terry
Project Name
Using Health Information Technology to Improve Transitions … Investigator
Field, Terry
Project Name
Using Health Information Technology to Improve Transitions … Investigator
Feldman, Penny
Project Name
Improving Medication Management Practices and Care Transitions
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digital.ahrq.gov/organization/virginia-commonwealth-university
January 01, 2023 - Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions … Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions … Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions … Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/Ways_To_Learn_More_508.pdf
October 28, 2009 - ) Care Transitions resource room
These materials developed by the Society of Hospital Medicine to help … Available at: http://www.patientsafety.org/page/transtoolkit/
The Care Transitions Intervention
During … improving patient- and family-
centered care practices
Medication reconciliation
Medications at Transitions … Available at:
http://www.ahrq.gov/legacy/fund/informedconsent/
Medications at Transitions and Clinical … ) Care Transitions resource room
RED (Re-Engineered Discharge)
Taking Care of Myself: A Guide for When
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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-transitions-complex-elderly/annual-summary/2010
January 01, 2010 - Using Health Information Technology to Improve Transitions of Complex Elderly Patients from Skilled Nursing … SNF) to Home - 2010
Project Name
Using Health Information Technology to Improve Transitions … ambulatory geriatric population, especially when people with complex health care needs make high-risk transitions … her team will measure a range of outcomes to determine if the intervention facilitates high quality transitions … evidence and evidence-based tools to support patient-centered care, the coordination of care across transitions
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psnet.ahrq.gov/issue/medication-reconciliation-meets-its-match
May 01, 2017 - This newsletter article describes the development of the Medications at Transitions and Clinical Handoffs … January 9, 2024
Diagnostic Safety Across Transitions of Care Throughout the Healthcare … October 7, 2015
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for