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digital.ahrq.gov/ahrq-funded-projects/evaluation-effectiveness-health-information-technology-based-care-transition
January 01, 2023 - Care
Primary Care
Specialty Care
Health Care Theme
Chronic Disease Management
Transitions … in Care
Medication Management
Reducing readmissions and improving care transitions from … 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
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psnet.ahrq.gov/node/38224/psn-pdf
February 18, 2011 - perspective discussed hospital
readmissions as well as methods to reduce them, including use of a transitions … psnet.ahrq.gov/perspective/conversation-witheric-coleman-md-mph
https://psnet.ahrq.gov/perspective/care-transitions … https://psnet.ahrq.gov/issue/care-transitions-intervention-results-randomized-controlled-trial
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psnet.ahrq.gov/node/44063/psn-pdf
June 01, 2016 - post-hospitalization adverse events have persisted despite interventions directed at enhancing hospital-to-
home care transitions … psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge
https://psnet.ahrq.gov/issue/care-transitions-intervention-results-randomized-controlled-trial … https://psnet.ahrq.gov/issue/care-transitions-intervention-results-randomized-controlled-trial
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psnet.ahrq.gov/issue/diagnostic-discordance-health-information-exchange-and-inter-hospital-transfer-outcomes
May 19, 2021 - 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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digital.ahrq.gov/funding-mechanism/ahrq-health-services-research-demonstration-and-dissemination-grants-r18
January 01, 2023 - through Technology-Assisted Innovation in Primary Care
Improving Rural Healthcare Transitions … Improving Rural Healthcare Transitions Through Health Information Exchange - Final Report. … Principal Investigator
Wood, Kenneth
Project Name
Improving Rural Healthcare Transitions … Principal Investigator
Wood, Kenneth
Project Name
Improving Rural Healthcare Transitions
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psnet.ahrq.gov/issue/assessment-patient-retention-inpatient-care-information-post-hospitalization
June 01, 2022 - July 12, 2023
The effect of transitions intervention to ensure patient safety and satisfaction … Understanding of Treatment and Follow-up Care
May 26, 2021
Engineering care transitions … : clinician perceptions of barriers to safe medication management during transitions of patient care. … patients and informal caregivers to improve safety and facilitate person- and family-centered care during transitions
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psnet.ahrq.gov/issue/culture-safety-ems-systems
September 27, 2023 - 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 … November 19, 2018
Handoffs: transitions of care for children in the emergency department
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psnet.ahrq.gov/node/49788/psn-pdf
March 01, 2017 - Nelson, PharmD, MS
As shown in this case, care transitions frequently result in errors, including ones … Most serious medical errors are due
to miscommunication between medical providers during transitions … of care.(1) The majority of medication-
related problems also occur during these transitions, especially … of care has been shown to reduce errors during transitions in and out of the
hospital, decrease mortality … Improving medication safety during hospital-based transitions of
care.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.323_slideshow.ppt
May 01, 2014 - Medication reconciliation during transitions of care as a patient safety strategy: a systematic review … Medication Reconciliation
Performing robust, thorough, and accurate medication reconciliation during transitions … Medication reconciliation during transitions of care as a patient safety strategy: a systematic review … Medication reconciliation during transitions of care as a patient safety strategy: a systematic review … Medication reconciliation during transitions of care as a patient safety strategy: a systematic review
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psnet.ahrq.gov/node/46546/psn-pdf
January 10, 2018 - an online quiz-based reinforcement system to
teach healthcare quality and patient safety and care
transitions … an online quiz-based reinforcement system to teach
healthcare quality and patient safety and care transitions … three
quizzes to teach important concepts related to quality improvement, patient safety, and care transitions
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psnet.ahrq.gov/node/40940/psn-pdf
December 31, 2011 - achieved through systematic redesign of primary care and improved management of medications and care
transitions … refocusing-lens-patient-safety-ambulatory-chronic-disease-care
https://psnet.ahrq.gov/issue/understanding-care-transitions-patient-safety-issue … https://psnet.ahrq.gov/issue/understanding-care-transitions-patient-safety-issue
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psnet.ahrq.gov/node/43141/psn-pdf
April 30, 2014 - inpatient quality improvement goals led to enhanced patient safety processes, such as hospital-to-
home transitions … engaging-residents-and-fellows-improve-institution-wide-quality-first-six-years-novel
https://psnet.ahrq.gov/issue/promoting-effective-transitions-care-hospital-discharge-review-key-issues-hospitalists … https://psnet.ahrq.gov/issue/promoting-effective-transitions-care-hospital-discharge-review-key-issues-hospitalists
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digital.ahrq.gov/sites/default/files/docs/publication/BarrierstoMeaningfulUseAppendixB.pdf
June 16, 2021 - perform medication
reconciliation
The EP performs medication reconciliation for
more than 65% of transitions … of care in which the
patient is transitioned into the care of the EP
The EP who transitions their … The EP who transitions or refers patients to
another setting of care or provider of care
provides … a summary of care record for more
than 65% of transitions of care and referrals
2. … The EP who transitions or refers their patient
to another setting of care or provider of care
electronically
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psnet.ahrq.gov/node/854393/psn-pdf
October 11, 2023 - pharmacy-led-medication-reconciliation-best-practice
Medication reconciliation should be completed at admission, discharge, and during transitions … medication-reconciliation
https://psnet.ahrq.gov/issue/pharmacy-led-medication-reconciliation-programmes-hospital-transitions-systematic-review-and
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digital.ahrq.gov/sites/default/files/docs/page/findings-and-lessons-from-improving-management-of-individuals-with-complex-health-care-needs-through-health-it-grant-initiative.pdf
February 20, 2014 - In addition, many projects
focused on improving transitions across settings. … , patients, and families have access to
relevant information during transitions between
ambulatory … On February 24, 2010, AHRQ hosted a national
Web conference on transitions in care featuring
Dr. … The project enhanced an existing HIE
and decision support tool so as to detect transitions
in care … Figure 3 illustrates
the type of transitions studied across the MCP proj-
ects.
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psnet.ahrq.gov/node/49840/psn-pdf
September 01, 2018 - Steroids and Safety: Preventing Medication Adverse
Events During Transitions of Care
September 1, 2018 … Steroids and Safety: Preventing Medication Adverse Events During Transitions of
Care. … https://psnet.ahrq.gov/web-mm/steroids-and-safety-preventing-medication-adverse-events-during-
transitions-care … Recognize the frequency of medication adverse events during care transitions and the role that
medication … Preventing adverse drug events during transitions in care is challenging.
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psnet.ahrq.gov/node/47403/psn-pdf
November 07, 2018 - Defining minimum necessary anticoagulation-related
communication at discharge: Consensus of the Care
Transitions … Defining Minimum Necessary Anticoagulation-Related Communication
at Discharge: Consensus of the Care Transitions … anticoagulants, are at increased risk for adverse drug
events and may be particularly vulnerable during care transitions
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psnet.ahrq.gov/web-mm/lapse-antibiotics-leads-sepsis
November 21, 2021 - screening for early identification and management of sepsis, the risk of error during handoffs and transitions … Having said that, given the frequency of handoffs and care transitions, it is clear that a formal mechanism … Transitions in care across institutions and within hospitals may lead to errors and put patient safety … Protocols and checklists have been shown in published studies to reduce risks associated with transitions … Handoffs and transitions in critical care (HATRICC): protocol for a mixed methods study of operating
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psnet.ahrq.gov/web-mm/seasonal-care-transition-failure
June 01, 2016 - 7 ) to recommend and the ACGME to require, as of July 2011, enhanced training for residents in safe transitions … standardized approach to handoff communications.( 9 ) Until recently, research has focused on transitions
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psnet.ahrq.gov/node/38260/psn-pdf
April 22, 2011 - Significant attention to gaps in the continuity of care has led to past research focused on hospital
transitions … A past AHRQ WebM&M perspective discussed care
transitions associated with hospital discharge. … development-and-evaluation-integrated-electronic-prescribing-and-drug-management-system
https://psnet.ahrq.gov/perspective/care-transitions