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digital.ahrq.gov/ahrq-funded-projects/participation-primary-care-practices-health-information-exchange-hie-colorado/annual-summary/2009
January 01, 2009 - evidence and evidence-based tools to support patient-centered care, the coordination of care across transitions
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digital.ahrq.gov/ahrq-funded-projects/ambulatory-care-compact-organize-risk-and-decisionmaking-accord/annual-summary/2010
January 01, 2010 - evidence and evidence-based tools to support patient-centered care, the coordination of care across transitions
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www.ahrq.gov/news/newsletters/e-newsletter/938.html
November 01, 2024 - research in all settings: long-term care, ambulatory care, acute care hospitals and those focusing on transitions
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www.ahrq.gov/news/newsletters/e-newsletter/946.html
February 01, 2025 - Product: Making Healthcare Safer IV: Use of Structured Handoff Protocols for Intrahospital Within-Unit Transitions
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effectivehealthcare.ahrq.gov/sites/default/files/naik.pdf
January 01, 2009 - gaps in
accountability for roles
Lack of explicit rules guiding
responsibilities and
role transitions
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digital.ahrq.gov/ahrq-funded-projects/regional-approach-transforming-healthcare-quality-through-information/annual-summary-2010
January 01, 2010 - evidence and evidence-based tools to support patient-centered care, the coordination of care across transitions
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psnet.ahrq.gov/primer/communication-between-clinicians
September 15, 2024 - Issues involving communication between clinicians at times of transitions in care are discussed in the
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psnet.ahrq.gov/primer/disruptive-and-unprofessional-behavior
September 15, 2024 - April 10, 2024
Patient Safety Primers
Inpatient Transitions
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psnet.ahrq.gov/node/33574/psn-pdf
March 15, 2025 - Poorly handled care transitions (e.g., when a patient is discharged from the hospital or
when care is
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digital.ahrq.gov/program-overview/research-reports/2023-year-review/dhr-impact-reach
January 01, 2023 - Prevention Clinical Decision Support Tool Townhall on Informatics Priorities for Government Agencies A Care Transitions
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psnet.ahrq.gov/primer/culture-safety
September 15, 2024 - April 10, 2024
Patient Safety Primers
Inpatient Transitions
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/recruitment-call-script-ny.pdf
October 01, 2015 - o Is your practice undergoing any transitions at this time, such as changing EHR,
closing or combining
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/navigating-hierarchy-121013.pptx
January 01, 2006 - threats
New infectious, environmental, and behavioural risks
Rapid demographic and epidemiological transitions
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/patfamilyengagement/CUSP-Patient-Family-Engagement.pptx
May 01, 2013 - 1
Working with Advisors1
Be a Partner in Your Care1
Get to Know Your Health Care Team1
Care 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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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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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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www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyref.html
April 01, 2020 - Seamless care: safe patient transitions from hospital to home. … Preparing patients and caregivers to participate in care delivered across settings: the Care Transitions … Promoting effective transitions of care at hospital discharge: a review of key issues for hospitalists … Improving transitions to reduce readmissions. Front Health Serv Manage 2009; 25(3):3-10.
204 .