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digital.ahrq.gov/organization/university-minnesota
January 01, 2023 - 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/patient-safety/settings/hospital/match/appendix/app-5.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Appendix … Medication Reconciliation Process
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Table of Contents
Medications at Transitions
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digital.ahrq.gov/medication-reconciliation
January 01, 2023 - certain preventive measures
Improve clinical workflow
Improve care coordination during transitions … following areas: using data provided by patients; electronic health record (EHR) system readiness; care transitions … Care Transitions
A major challenge for both inpatient and outpatient organizations is integrating reconciliation
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digital.ahrq.gov/ahrq-funded-projects/health-information-exchange-utilization-and-inter-hospital-transfer-outcomes
January 31, 2023 - Type of Care
Acute Care
Health Care Theme
Care Coordination
Interoperability
Transitions … These high-risk transitions result in higher mortality rates and increased vulnerability to diagnostic … potential to reduce risks, improve diagnostic accuracy, and enhance patient safety during these critical transitions
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digital.ahrq.gov/ahrq-funded-projects/evaluation-effectiveness-health-information-technology-based-care-transition/annual-summary/2010
January 01, 2010 - Clinical and systems-level outcomes. ( Ongoing )
System efficiency. ( Ongoing )
Satisfaction with care transitions … among rural PCPs. ( Ongoing )
Patient satisfaction with care transitions. ( Ongoing )
Timely communication … evidence and evidence-based tools to support patient-centered care, the coordination of care across transitions
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digital.ahrq.gov/ahrq-funded-projects/improving-pediatric-cancer-survivorship-care-through-survivorlink/annual-summary/2010
January 01, 2010 - Yet high-quality, individualized survivorship care is challenging due to: 1) multiple transitions in … cancer survivors in SurvivorLink. ( Ongoing )
Facilitate the exchange of clinical information at key transitions … evidence and evidence-based tools to support patient-centered care, the coordination of care across transitions
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digital.ahrq.gov/ahrq-funded-projects/automatic-notification-system-test-results-finalized-after-discharge/annual-summary/2011
January 01, 2011 - and acknowledgement of test results by responsible inpatient and ambulatory physicians during care 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/patient-preferences-participation-patient-care-and-safety-activities-hospitals
July 17, 2024 - Interprofessional and intraprofessional communication about older people's medications across transitions … November 18, 2016
Family involvement in managing medications of older patients across transitions
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psnet.ahrq.gov/issue/patient-misidentification-laboratory-medicine-qualitative-analysis-227-root-cause-analysis
August 28, 2024 - January 5, 2017
Improving transitions of care for patients on warfarin: the Safe Transitions
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs022674-adler-milstein-final-report-2014.pdf
January 01, 2014 - Providers also needed to
demonstrate reconciliation of medications (for >50% of transitions of care) … as well as medication allergies
and problems (for >10% of transitions). … Sending Information during Care Transitions: Summary of Care Records (SCRs)
Recommendation Changes: … In our statewide sample, sixty-six percent of
practices were able to send an SCR during transitions … EHR functionality for receiving information during patient care transitions: Referrals and
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psnet.ahrq.gov/issue/handoff-communication-tools
May 25, 2022 - Defining minimum necessary anticoagulation-related communication at discharge: Consensus of the Care Transitions … October 7, 2015
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for
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digital.ahrq.gov/2020-year-review/research-summary
January 01, 2020 - Kidney Disease
Young at Heart: Improving Hypertension Management in Kids
Improving Care Transitions … of Hospitalized Patients With the Pharmacy Integrated Transitions Program
Creating a Health Information
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digital.ahrq.gov/year-survey/2013
January 01, 2013 - Year of Survey
2013
Improving Sickle Cell Transitions, Focus Group Moderator … Year of Survey
2013
Improving Sickle Cell Transitions, Focus Group Moderator
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psnet.ahrq.gov/web-mm/treatment-challenges-after-discharge
January 03, 2017 - )
The transition in care prompted by patient discharge differs significantly from intra-hospital transitions … Intra-hospital care transitions involve two clearly defined care teams (transferring and receiving) that … [ 19 ]), and the Care Transitions Initiative ( 20 ), share common interventions. … In summary, transitions of care, and in particular, the discharge process, are ripe with opportunity … The care transitions intervention: results of a randomized controlled trial.
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digital.ahrq.gov/health-care-theme/medication-errors
January 01, 2023 - Investigator(s)
Sikora, Andrea
TELE-TOC Telehealth Education Leveraging Electronic Transitions … Abraham, Joanna
Arora, Vineet
Preventing Medication-Related Problems in Care Transitions
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psnet.ahrq.gov/issue/addressing-prehospital-patient-safety-using-science-injury-prevention-and-control
April 12, 2019 - May 27, 2020
Handoffs and transitions of care: a systematic review, meta-analysis, and … View More
Related Resources
Assessing quality of older persons' emergency transitions
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psnet.ahrq.gov/issue/medication-communication-concept-analysis
June 16, 2021 - Interprofessional and intraprofessional communication about older people's medications across transitions … patients and informal caregivers to improve safety and facilitate person- and family-centered care during transitions
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digital.ahrq.gov/2020-year-review
January 01, 2020 - Healthcare in Older Adults
Young at Heart: Improving Hypertension Management in Kids
Improving Care Transitions … of Hospitalized Patients With the Pharmacy Integrated Transitions Program
Read All Seven Emerging
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/carecoordination.html
June 01, 2018 - on Care Coordination
Acknowledgments
Care Coordination
Trends in Care Coordination Measures
Transitions … has identified three long-term goals related to care coordination:
Improve the quality of care transitions
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psnet.ahrq.gov/primer/handoffs
October 18, 2023 - The University of Pennsylvania developed a handoff tool in the Handoffs and Transitions in Critical … also requires that residency programs maintain formal educational programs in handoffs and care transitions … Related Resources
Patient Safety Primers
Inpatient Transitions