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digital.ahrq.gov/sites/default/files/docs/citation/r21hs020997-ozer-final-report-2014.pdf
January 01, 2014 - Several system changes are being made by IT as Health e-
Check transitions from research and implementation
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/health-information-exchange_research-protocol.pdf
April 20, 2015 - private organizations undertaking HIE.12 HIE across provider organizations
may help coordinate care transitions
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www.ahrq.gov/policymakers/chipra/pubs/background-2012/index.html
December 01, 2012 - calculated by specific program or by coverage by either Medicaid or CHIP, which takes into account transitions
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psnet.ahrq.gov/node/848108/psn-pdf
April 26, 2023 - to complete unconsciousness, rather than as distinct categories with clearly defined boundaries
and transitions
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/ccqmpc/ccqmp-pc-development.pdf
July 01, 2016 - to the conceptual framework to better reflect how patients
and families think about care planning, transitions
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psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learning-health-systems-patient-safety
February 26, 2025 - 10, 2024
Annual Perspective
Communication During Transitions
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psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
February 26, 2025 - 10, 2024
Annual Perspective
Communication During Transitions
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs023793-gold-final-report-2021.pdf
January 01, 2021 - Further, we found that both screens are used by the
attending, with an average of 100 ocular transitions
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
March 01, 2013 - review
Common/Low-to-
high
Low Negligible High Moderate/
Difficult
Interventions to improve care transitions
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www.ahrq.gov/chsp/publications/index.html
September 01, 2023 - Physician Practice Transitions to System Ownership Do Not Result in Diminished Practice Responsiveness
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Leonhardt_35.pdf
March 15, 2008 - Assuring medication accuracy at transitions in care.
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digital.ahrq.gov/sites/default/files/docs/publication/r03hs018830-nemeth-final-report-2013.pdf
January 01, 2013 - Synthesizing Lessons Learned Using Health Information Technology - Final Report
Grant Final Report
Grant ID: R03HS018830
Synthesizing Lessons Learned Using Health
Information Technology
Inclusive Project Dates: 05/01/10 – 04/30/13
Principal Investigator:
Lynne S. Nemeth, PhD, RN
Tea…
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psnet.ahrq.gov/perspective/rediscovering-power-surgical-mm-conference-mm-matrix
September 01, 2007 - Rediscovering the Power of the Surgical M&M Conference: The M+M Matrix
Leo A. Gordon, MD | September 1, 2007
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Gordon LA. Rediscovering the Power of the Surgical M&M Conference: The…
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psnet.ahrq.gov/perspective/patient-safety-perspective-office-practice
May 01, 2009 - Patient Safety: A Perspective from Office Practice
Richard J. Baron, MD | May 1, 2009
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Baron RJ. Patient Safety: A Perspective from Office Practice. PSNet [internet]. Rockville (MD…
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psnet.ahrq.gov/sites/default/files/2021-02/final_feb_2021_spotlight_delay_in_appropriate_dx.pdf
January 01, 2021 - Microsoft PowerPoint - FINAL Feb 2021 Spotlight_Delay in Appropriate DX.pptx - Read-Only
Spotlight
Delay in Appropriate Diagnosis and
Treatment Leading to Death from
Pulmonary Embolism
Source and Credits
• This presentation is based on the February 2021 AHRQ WebM&M
Spotlight Case
o See the full article at ht…
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psnet.ahrq.gov/web-mm/overdose-gabapentin-and-oxycodone-patient-end-stage-renal-disease-case-appropriate
October 31, 2023 - SPOTLIGHT CASE
Overdose of Gabapentin and Oxycodone in a Patient with End-Stage Renal Disease: A Case for Appropriate Interruptive Drug-Disease Alerts.
Citation Text:
Keenan CR, MacDonald S, Takeshita A, et al. Overdose of Gabapentin and Oxycodone in a Patient with End-Stage Renal Disease: A Case…
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psnet.ahrq.gov/perspective/conversation-vineet-chopra-md-msc
February 28, 2024 - In Conversation With… Vineet Chopra, MD, MSc
October 30, 2019
Citation Text:
In Conversation With… Vineet Chopra, MD, MSc. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereports.html
September 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits
Electronic Reports
Five reports are described here. Each section presents a sample report followed by purpose, description, and users and potential uses. The reports are:
Transfer Risk Reports (A high r…
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs022948-morrow-final-report-2018.pdf
January 01, 2018 - Collaborative Patient Portals: Computer-based Agents and Patients' Understanding of Numeric Health Information - Final Report
Collaborative Patient Portals: Computer-based Agents
and Patients’ Understanding of Numeric Health Information
PI…
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psnet.ahrq.gov/node/74120/psn-pdf
November 30, 2021 - Culture Clash No More: Integration and Coordination of
Disease Treatment and Palliative Care
November 30, 2021
Spero H, Usher AE, Howard B, et al. Culture Clash No More: Integration and Coordination of Disease
Treatment and Palliative Care . PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/culture-clash-no-mo…