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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/pqmp/toolkits/tfc6-allsites.pdf
January 01, 2020 - TFC6: Transition Record Contents
TFC6: Transition Record Contents
2015 Sep 2018 Jan 2019 Jan 2020 Jan
Discharge Month
0
85
100
0
20
40
60
80
100
TF
C
6
S
…
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digital.ahrq.gov/principal-investigator/schnipper-jeffrey-lawrence
September 13, 2018 - Electronic Medication Adherence Reporting and Feedback During Care Transitions … Electronic Medication Adherence Reporting and Feedback During Care Transitions - Final Report. … Lawrence
Project Name
Electronic Medication Adherence Reporting and Feedback During Care Transitions … Electronic Medication Adherence Reporting and Feedback During Care Transitions
Description
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digital.ahrq.gov/organization/state-university-new-york-buffalo
January 01, 2023 - cross-sector care alerts and interoperable personalized care planning into the existing Coordinating Transitions … R01 HS028000
Principal Investigator(s)
Hewner, Sharon
Coordinating Transitions … Improving Multiple Chronic Disease Outcomes
Description
This study aimed to improve care transitions
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psnet.ahrq.gov/node/33660/psn-pdf
December 01, 2007 - Coleman has emerged as one of the
world's leading authorities on issues surrounding transitions of care … His care model, the Care Transitions Intervention, is being adopted by leading health
care organizations … Robert Wachter, Editor, AHRQ WebM&M: What got you interested in transitions?
Dr. … As it
comes to transitions, what systems help today? … Transitions Intervention, to improve care handoffs.
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psnet.ahrq.gov/issue/hospitals-put-emphasis-collection-medication-data
September 14, 2011 - Related Resources
Patient Safety Primers
Inpatient Transitions … Diagnostic Safety and Quality
April 26, 2023
Pharmacist-led program to improve transitions … July 8, 2020
Applying the Medications at Transitions and Clinical Handoffs Toolkit in … June 10, 2018
Promoting effective transitions of care at hospital discharge: a review … October 18, 2016
Preventing medication errors in transitions of care: a patient case
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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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psnet.ahrq.gov/node/38558/psn-pdf
February 18, 2011 - Medication discrepancies upon hospital to skilled nursing
facility transitions. … Medication discrepancies upon hospital to skilled nursing facility
transitions. … https://psnet.ahrq.gov/issue/medication-discrepancies-upon-hospital-skilled-nursing-facility-transitions … https://psnet.ahrq.gov/issue/medication-discrepancies-upon-hospital-skilled-nursing-facility-transitions
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psnet.ahrq.gov/node/33661/psn-pdf
December 01, 2007 - Care Transitions
December 1, 2007
Kripalani S. Care Transitions. PSNet [internet]. 2007. … https://psnet.ahrq.gov/perspective/care-transitions
Perspective
Hospital discharge is often viewed … Of course, regulations could also play an important role in improving transitions of care. … Better reporting of discharge processes and outcomes should also
help improve care transitions. … The Care Transitions Intervention: results of a randomized
controlled trial.
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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
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psnet.ahrq.gov/node/38628/psn-pdf
May 13, 2009 - /issue/fast-forward-rounds-effective-method-teaching-medical-students-transition-
patients-safely
Transitions … A past AHRQ WebM&M perspective and
interview discuss care transitions. … fast-forward-rounds-effective-method-teaching-medical-students-transition-patients-safely
https://psnet.ahrq.gov/issue/transitions-care-consensus-policy-statement-american-college-physicians-society-general … planning-and-implementing-systems-based-patient-safety-curriculum-medical-education
https://psnet.ahrq.gov/perspective/care-transitions
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psnet.ahrq.gov/node/37778/psn-pdf
May 21, 2008 - May 21, 2008
Little Rock, AR: National Transitions of Care Coalition; April 2008. … health-care-professionals-tools
This Web site provides tools for providers to improve patient safety during transitions … , including a
medication card, care transitions checklist, guidebooks, and policy papers.
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psnet.ahrq.gov/node/41527/psn-pdf
July 18, 2012 - Improving Transitions of Care: Hand-off Communications. … https://psnet.ahrq.gov/issue/improving-transitions-care-hand-communications
This tool describes factors … https://psnet.ahrq.gov/issue/improving-transitions-care-hand-communications
https://psnet.ahrq.gov/primer
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psnet.ahrq.gov/node/49730/psn-pdf
April 01, 2015 - Care transitions is a hot topic in health care, with innovations in health care policy and payment reform … The need to include training to facilitate effective
care transitions (12,13) is a critical and often … medical
conditions), provider factors (i.e., familiarity with best practices in care transitions), … Impact of an integrated transitions management
program in primary care on hospital readmissions. … The Geriatric Transitions Objective Structured Video Examination (GT-OSVE).
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psnet.ahrq.gov/issue/human-factors-complex-sociotechnical-systems
June 09, 2021 - January 20, 2021
Information flow during pediatric trauma care transitions: things falling … May 11, 2022
Work system barriers and facilitators in inpatient care transitions of pediatric … Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care Transitions … Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care 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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psnet.ahrq.gov/issue/roles-and-role-ambiguity-patient-and-caregiver-performed-outpatient-parenteral-antimicrobial
November 20, 2024 - July 20, 2022
Work system barriers and facilitators in inpatient care transitions of … March 11, 2020
A call to bridge across silos during care transitions. … May 30, 2018
Learning from lawsuits: using malpractice claims data to develop care transitions … June 16, 2021
Facilitators and barriers of care transitions - comparing the perspectives
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psnet.ahrq.gov/issue/most-dangerous-time-hospital-it-may-be-when-you-leave
March 08, 2017 - The piece also describes strategies to enhance transitions and reduce readmission rates. … October 13, 2018
Crossing the communication chasm: challenges and opportunities in transitions … October 31, 2017
Care transitions know-how not just for clinicians.
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psnet.ahrq.gov/issue/survey-results-community-liaison-programs-decrease-hospital-readmissions
June 10, 2018 - newsletter article details the characteristics of successful community liaison programs , which facilitate transitions … October 17, 2018
Reduce readmissions with pharmacy programs that focus on transitions … June 18, 2013
Improving care transitions: current practice and future opportunities for
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6n.html
June 01, 2014 - Interpersonal communication
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Information transfer
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Facilitate transitions … transfer:
Between health care professional(s) and patient/family: 2.1-2.5, 3.4
Facilitate transitions … Interpersonal communication
Information transfer
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Facilitate transitions … Information transfer:
Across health care teams or settings: 1, 3, 4, 6
Facilitate transitions … Interpersonal communication
Information transfer
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Facilitate transitions