-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017786-ritchie-final-report-2012.pdf
January 01, 2012 - Develop an IVR intervention to support care transitions in complex CHF and COPD
patients.
2. … Interventions have been tested to improve care transitions for complex hospitalized patients. … Development and testing of a
measure designed to assess the quality of care
transitions. … The Care
Transitions Intervention: Results of a Randomized
Controlled Trial. … Posthospital
care transitions: patterns, complications, and risk
identification.
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psnet.ahrq.gov/issue/hospitals-win-safety-award-simple-changes
September 06, 2006 - Related Resources
Annual Perspective
Communication During Transitions … February 27, 2019
Reduce readmissions with pharmacy programs that focus on transitions
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psnet.ahrq.gov/issue/state-healthcare-2006
April 24, 2013 - 27, 2024
Annual Perspective
Communication During Transitions … June 17, 2014
DOD and VA Health Care: Medication Needs During Transitions May Not Be
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hcup-us.ahrq.gov/datainnovations/NJAbstractFinal.pdf
September 29, 2013 - Nevertheless, the
evidence base for that care, particularly as it relates to transitions between prehospital … These transitions are poorly understood because
data linking prehospital and hospital services are lacking
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digital.ahrq.gov/ahrq-funded-projects/evaluation-effectiveness-health-information-technology-based-care-transition/annual-summary/2012
January 01, 2012 - of the CTIT system on clinical and systems-level outcomes, system efficiency, satisfaction with care transitions … among rural PCPs, patient satisfaction with care transitions, and timely communication of patient information … evidence and evidence-based tools to support patient-centered care, the coordination of care across transitions
-
psnet.ahrq.gov/issue/handoffs-and-teamwork-framework-care-transition-communication
September 28, 2022 - 26, 2025
Annual Perspective
Communication During Transitions
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digital.ahrq.gov/medical-condition/renal-kidney-disease
January 01, 2023 - Department Using Artificial Intelligence-Driven Clinical Decision Support
Care Transitions … intervention including a mobile health application and digital navigator training to support safe care transitions
-
psnet.ahrq.gov/issue/older-patients-engagement-hospital-medication-safety-behaviours
November 17, 2021 - Interprofessional and intraprofessional communication about older people's medications across transitions … November 17, 2021
Family involvement in managing medications of older patients across transitions
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digital.ahrq.gov/funding-mechanism/health-information-technology-it-improve-health-care-quality-and-outcomes-r21
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
-
digital.ahrq.gov/program-overview/research-stories/designing-digital-healthcare-technology-support-cognitive-team
January 01, 2023 - Pinar
Organization Johns Hopkins University Research Profile Care Transitions … Support Care Coordination for People with Depression Identifying Patients with High Need During Care Transitions
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psnet.ahrq.gov/issue/i-pass-illness-diversity-identifies-patients-risk-overnight-clinical-deterioration
November 16, 2022 - November 13, 2024
Diagnostic Safety Across Transitions of Care Throughout the Healthcare … March 23, 2022
Improving patient handoffs and transitions through adaptation and implementation
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digital.ahrq.gov/funding-mechanism/ambulatory-safety-and-quality-program-improving-quality-through-clinician-use
January 01, 2023 - Support and Feedback
Risk factors for unexplained medication discrepancies during transitions … Risk factors for unexplained medication discrepancies during transitions in care.
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psnet.ahrq.gov/issue/mixed-methods-study-examining-teamwork-shared-mental-models-interprofessional-teams-during
January 08, 2020 - 12, 2020
View More
Related Resources
A clinical pharmacist-led transitions … of care program for veterans with two planned care transitions (hospital to skilled care and skilled
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psnet.ahrq.gov/issue/improving-accuracy-handoff-implementing-electronic-health-record-generated-tool-improvement
January 01, 2022 - Missed and Delayed Diagnoses of Cancer
July 31, 2023
Improving safety during transitions … Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care Transitions
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psnet.ahrq.gov/issue/medication-reconciliation-hospital-discharge-qualitative-exploration-acute-care-nurses
October 20, 2021 - Related Resources
Patient Safety Primers
Inpatient Transitions … November 25, 2020
Applying the Medications at Transitions and Clinical Handoffs Toolkit
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digital.ahrq.gov/ahrq-funded-projects/infosage-information-sharing-across-generation-and-environments
January 01, 2023 - of Care
Home Health Care
Long-Term Care
Health Care Theme
Care Coordination
Transitions … information management behaviors with InfoSAGE in the context of real healthcare decision making and care transitions … Safran found that InfoSAGE is most useful during transitions of care, for example when an elder is acutely … These transitions represent times where the risk of adverse events due to potential miscommunication
-
psnet.ahrq.gov/issue/disruptive-clinician-behavior-persistent-threat-patient-safety
August 23, 2007 - 27, 2024
Annual Perspective
Communication During Transitions … August 9, 2013
Transitions of Care Consensus Policy Statement American College of Physicians-Society
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digital.ahrq.gov/2018-year-review/research-dissemination/conference-proceedings
January 01, 2018 - identifying critical components for developing patient portals for use in the acute care setting and during transitions … To support patients and their caregivers with care transitions and post-discharge responsibilities, innovative … the authors suggest that increasing the use of patient portals in the acute care setting and during transitions
-
digital.ahrq.gov/medical-condition/congestive-heart-failure-chf
January 01, 2024 - Patient-Centered Web Application on Medication Optimization in HFrEF Patients
Care Transitions … intervention including a mobile health application and digital navigator training to support safe care transitions
-
digital.ahrq.gov/population/elderly
January 01, 2024 - evaluate the Perioperative Optimization of Senior Health (myPOSH) mobile application that supports care transitions … Yun
Gong, Yang
Project Name
Patient Engagement in Reporting Medication Events During Transitions