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psnet.ahrq.gov/node/49847/psn-pdf
November 01, 2018 - I-PASS, provide organization and consistency in both
verbal and written communication during provider transitions … handoff frameworks, like the I-PASS Handoff Bundle, provide organization and
consistency in provider transitions
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_4_PPT_508.pdf
June 02, 2025 - Discharge Planning (Tool 4)
Guide to Patient & Family Engagement
Insert hospital logo here
Care Transitions … [Insert name, phone number, and email]
32 Strategy 4: IDEAL Discharge Planning (Tool 4)
Care Transitions
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psnet.ahrq.gov/node/33581/psn-pdf
December 15, 2024 - Transitions in care are also a well-documented source of preventable harm
related to medications. … especially when paired with clinical decision
support systems
Medication reconciliation at times of transitions
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psnet.ahrq.gov/primer/improving-patient-safety-and-team-communication-through-daily-huddles
December 15, 2024 - Using an online quiz-based reinforcement system to teach healthcare quality and patient safety and care transitions … May 15, 2024
Annual Perspective
Communication During Transitions
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digital.ahrq.gov/ahrq-funded-projects/scaling-equipped-clinical-decision-support
January 01, 2024 - Inappropriate ED prescribing puts older adults at risk
Transitions in care, especially when patients … Vandenberg describes the ED environment as “busy, with a lot of interruptions and transitions,” while
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psnet.ahrq.gov/perspective/patient-safety-primary-care
January 31, 2020 - 27, 2024
Annual Perspective
Communication During Transitions … Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care Transitions
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/cancer-survivor-care-transition_research-protocol.pdf
March 27, 2013 - of care vary based on setting, organizational structure, provider type
(including in the context of transitions … the four IOM
components) of survivorship care model
• Provider type (including in the context of transitions
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psnet.ahrq.gov/issue/i-pass-handoff-program-use-campaign-effect-transformational-change
April 24, 2018 - March 13, 2019
Developing a standard handoff process for operating room–to-ICU transitions … : multidisciplinary clinician perspectives from the Handoffs and Transitions in Critical Care (HATRICC … July 25, 2018
A call to bridge across silos during care transitions. … May 30, 2018
Crossing the communication chasm: challenges and opportunities in transitions
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psnet.ahrq.gov/node/42062/psn-pdf
March 11, 2015 - March 11, 2015
Sokol PE, Wynia MK; AMA Expert Panel on Care Transitions. … there-and-home-again-safely
This report proposes five responsibilities for ambulatory care practices to ensure safe care transitions
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www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/appa.html
August 01, 2022 - hospital discharge forms), improving access to medication, and allocating more resources when coordinating transitions … Johns Hopkins University
Title: Effective Enterprise-Wide Care Transitions at Discharge
Award Number … assessing care transition quality, the project team reviewed articles on care coordination and/or care transitions
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www.ahrq.gov/news/newsroom/case-studies/ktcquips85.html
October 01, 2014 - sessions and provider support calls focusing on implementation of the AHRQ-funded toolkit, Medications at Transitions
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psnet.ahrq.gov/node/39652/psn-pdf
June 30, 2010 - aftercare-tips-patients-checking-out-hospital
This news piece highlights efforts to improve discharge planning, enhance the safety of care transitions … psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge
https://psnet.ahrq.gov/issue/care-transitions-and-home-health-care
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psnet.ahrq.gov/primer/pharmacists-role-medication-safety
March 14, 2018 - blood pressure and recommend changes in medication therapy and thereby prevent harm Coordinating care transitions … Coordinate medication management across care transitions; assist with care coordination for transitions … medication reconciliation may identify potential interactions or omissions from medication list at transitions … A meta-analysis of 13 studies of pharmacist interventions at transitions of care estimated a 37% reduction … of pharmacist intervention to reduce medication errors and health-care resources utilization after transitions
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psnet.ahrq.gov/node/42130/psn-pdf
June 10, 2018 - newsletter article details the characteristics of successful community liaison programs, which facilitate
transitions … survey-results-community-liaison-programs-decrease-hospital-readmissions
https://psnet.ahrq.gov/issue/reduce-readmissions-pharmacy-programs-focus-transitions-hospital-community
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psnet.ahrq.gov/node/39052/psn-pdf
July 13, 2010 - departments, this article analyzes
obstacles and potential errors, discusses models for effective patient transitions … improving-handoffs-emergency-department
https://psnet.ahrq.gov/primer/handoffs-and-signouts
https://psnet.ahrq.gov/issue/care-transitions-intervention-results-randomized-controlled-trial
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psnet.ahrq.gov/node/41769/psn-pdf
October 17, 2012 - Eric Coleman has enhanced care transitions by developing tools and processes to improve
communication … //psnet.ahrq.gov/perspective/conversation-witheric-coleman-md-mph
https://psnet.ahrq.gov/issue/care-transitions-intervention-results-randomized-controlled-trial
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psnet.ahrq.gov/node/39342/psn-pdf
March 03, 2010 - uses an example of a preventable readmission to illustrate how ineffective communication
during care transitions … deficits-communication-and-information-transfer-between-hospital-based-and-primary-care
https://psnet.ahrq.gov/issue/transitions-care-consensus-policy-statement-american-college-physicians-society-general
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psnet.ahrq.gov/issue/disclosure-medical-errors
September 17, 2018 - December 16, 2008
Transitions of Care Consensus Policy Statement American College of … February 18, 2011
Handoffs: transitions of care for children in the emergency department … March 14, 2018
Handoffs: transitions of care for children in the emergency department
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psnet.ahrq.gov/node/40710/psn-pdf
August 24, 2011 - challenges-posthospital-care-nurses-coaches-medication-management
This study provides a comparative description of two interventions to improve care transitions … challenges-posthospital-care-nurses-coaches-medication-management
https://psnet.ahrq.gov/issue/care-transitions-intervention-translating-efficacy-effectiveness
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psnet.ahrq.gov/node/44278/psn-pdf
July 01, 2015 - psnet.ahrq.gov/issue/when-doctors-dont-talk-doctors
Clinician communication with patients and families during transitions … https://psnet.ahrq.gov/issue/when-doctors-dont-talk-doctors
https://psnet.ahrq.gov/issue/transitions-care-toc-portal