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psnet.ahrq.gov/perspective/conversation-lawrence-smith-md
February 01, 2012 - June 8, 2011
Perspective
Care Transitions
December
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psnet.ahrq.gov/node/74022/psn-pdf
March 01, 2021 - Impact of community pharmacist-
performed post-discharge medication reviews in transitions of care.
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digital.ahrq.gov/sites/default/files/docs/citation/state-regional-demonstration-hit-in-final-report.pdf
July 01, 2015 - evidence and evidence-based tools to support patient-centered care, the
coordination of care across transitions … evidence and evidence-based tools to support patient-centered care, the coordination of care across transitions
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psnet.ahrq.gov/node/49852/psn-pdf
February 01, 2019 - As we know from other hospital-based care transitions, including patient discharge and intrahospital … patient
handoffs, high-quality communication and information exchange during care transitions are essential
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www.ahrq.gov/patient-safety/news-events/summit-research-2020/questions.html
March 01, 2021 - How can providers more seamlessly coordinate care transitions within and across various health settings … in accessing care, challenges for patient-provider communication, and problems associated with care transitions
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www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-digital.html
May 01, 2024 - Care Transitions App for Patients with Multiple Chronic Conditions (R01) PIs: Lipka Samal; Patricia … Women’s Hospital; Independent Hospital Develops and tests the effectiveness of an app to support care transitions
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psnet.ahrq.gov/web-mm/false-assumptions-result-missed-pneumothorax-after-bronchoscopy-transbronchial-biopsy
March 15, 2023 - used appropriately, can help standardize and organize the most crucial aspects of care during these transitions … Medication
September 30, 2020
WebM&M Cases
Lost in Transitions
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs020693-wexler-final-report-2014.pdf
January 01, 2014 - non-urgent and routine health services for
Medicaid patients; and 2) improve coordination of care across transitions … higher satisfaction with care and their PCPs will experience improved communication during
patient transitions
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/2-SOPS_101_Webcast_2020-Gray.pdf
January 01, 2020 - Understanding SOPS Surveys: A Primer for New users -Gray
Overview of the SOPS Surveys
6
Laura Gray, MPH
Senior Study Director
User Network for the AHRQ Surveys on Patient Safety Culture (SOPS)
Westat
AHRQ’s SOPS Program
• Initiated and funded by AHRQ since 2001
• Develops survey measures that are validated an…
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digital.ahrq.gov/health-it-tools-and-resources/implementation-toolsets-e-prescribing/physician-offices
January 01, 2023 - A Toolset for E-Prescribing Implementation in Physician Offices
The purpose of this toolset is to provide your practice with the knowledge and resources to implement e-prescribing successfully. The toolset is designed for use by a diverse range of provider organizations, from small, independ…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/nyp-webinar-servati-demo-project.pdf
June 02, 2025 - Implementing the New CAHPS® Protocol for Obtaining Patient Comments About Their Care
The NYP Patient Narrative
Demonstration Project
Tara Servati, M.P.H.
Patient Experience Specialist for the Ambulatory Care
Network, New York-Presbyterian
New York, NY
NYP Demonstration Project Overview
Overall Aim:
– Asses…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/advanced-practice-guide.pdf
March 01, 2016 - module https://www.stepsforward.org/modules/
empathetic-listening
Using the SafeMed model to improve
transitions
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psnet.ahrq.gov/node/73905/psn-pdf
October 06, 2021 - Transitions through pregnancy and birth can pose complex safety challenges, and normal physiologic
changes
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-155-fullreport.pdf
September 01, 2018 - Does not reflect transitions between programs. … This measure also may be calculated as a program-specific measure, taking into account
transitions between … Reflect transitions between Medicaid and CHIP. … States where
Medicaid and CHIP programs coordinate with each other better facilitate transitions for … An investigation of MEPS data from 2000-2004 for 18-64 year olds revealed that
transitions into and
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www.ahrq.gov/sites/default/files/2024-01/dierks-report.pdf
January 01, 2024 - need to coordinate care across
several different services and manage
the patient across several transitions … transition through the physical and
function phases of care, the resources required to achieve these transitions
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/engaging-caregivers-appendix-b.xlsx
May 29, 2025 - teach-back (n=289) NR Not specifically, but used teach-back questions from IHI recommendations for ideal transitions … Teach-back was chosen as an easy-to-use effective communication tool to address care transitions for
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psnet.ahrq.gov/node/48123/psn-pdf
August 28, 2019 - Hidden health IT hazards: a qualitative analysis of
clinically meaningful documentation discrepancies at
transfer out of the pediatric intensive care unit.
August 28, 2019
Orenstein EW, Ferro DF, Bonafide CP, et al. JAMIA Open. 2019;2(3):392-398.
https://psnet.ahrq.gov/issue/hidden-health-it-hazards-qualitative-an…
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psnet.ahrq.gov/node/854820/psn-pdf
October 25, 2023 - A multi-method exploratory evaluation of a service
designed to improve medication safety for patients with
monitored dosage systems following hospital discharge.
October 25, 2023
Alqenae FA, Steinke DT, Belither H, et al. A multi-method exploratory evaluation of a service designed to
improve medication safety for …
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www.ahrq.gov/cpi/about/organization/nac/emert.html
February 01, 2025 - NAC Member Biography: Mason B. Emert
Mason B. Emert, M.P.H. Epidemiologist Choctaw Nation Health Services Authority Mason B. Emert, M.P.H. , is an enrolled member of the Choctaw Nation of Oklahoma and currently serves as Choctaw Nation's tribal epidemiologist. He has worked to establish Choctaw Nation's first d…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ehr-impact6.html
July 01, 2024 - Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety
Conclusion
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Table of Contents
Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety
Introduction on Diagnostic Documentation
History of EHR…