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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/TableofContents_Vol1.pdf
December 22, 2008 - Documentation of Mandated Discharge Summary Components in Transitions from
Acute to Subacute Care
Amy … Park
High-Hanging Fruit: Improving Transitions in Health Care
Shawn J. Perry, Robert L.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/TableofContents_Vol4.pdf
December 22, 2008 - Documentation of Mandated Discharge Summary Components in Transitions from
Acute to Subacute Care
Amy … Park
High-Hanging Fruit: Improving Transitions in Health Care
Shawn J. Perry, Robert L.
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psnet.ahrq.gov/issue/perception-intimidation-perioperative-setting
November 03, 2010 - 24, 2011
Evidence summary and recommendations for improved communication during care transitions … surgeon: a qualitative study of expert opinions on assuring performance and supporting safe career transitions
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-medical-errors-and-adverse-events
October 18, 2006 - Disparate perspectives: exploring healthcare professionals' misaligned mental models of older adults' transitions … February 1, 2023
Information flow during pediatric trauma care transitions: things falling
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psnet.ahrq.gov/issue/influencing-sceptical-staff-become-supporters-service-improvement-qualitative-study-doctors
September 02, 2020 - Surgical residents, duty hours restrictions, and shift transitions. … 2011
The computerized rounding report: implementation of a model system to support transitions
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psnet.ahrq.gov/issue/incidence-adverse-events-swedish-hospitals-retrospective-medical-record-review-study
August 05, 2009 - June 26, 2019
Reducing risks in complex care transitions in rural areas: a grounded theory … 2009
The computerized rounding report: implementation of a model system to support transitions
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psnet.ahrq.gov/issue/teamwork-and-total-quality-management-durable-partnership
September 11, 2019 - Surgical residents, duty hours restrictions, and shift transitions. … February 3, 2021
Transitions from one electronic health record to another: challenges
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psnet.ahrq.gov/issue/free-lessons-aviation-safety
October 19, 2022 - September 20, 2023
Improving safety during transitions of care through the use of electronic … March 10, 2021
What does safety in mental healthcare transitions mean for service users
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psnet.ahrq.gov/periodic-issue/periodic-issue-453
August 28, 2024 - Transitions of care between the hospital and home can jeopardize patient safety for a myriad of reasons … ) intervention in the UK’s National Health Services (NHS), which aims to improve the safety of care transitions
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psnet.ahrq.gov/periodic-issue/periodic-issue-464
October 30, 2024 - Patients are vulnerable to patient safety events during care transitions between inpatient settings. … This study found that over 22% of patients experienced adverse events (AE) during transitions of care
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psnet.ahrq.gov/periodic-issue/periodic-issue-455
September 25, 2024 - Care home safety incidents and safeguarding reports relating to hospital to care home transitions … 91 incident reports from care homes in England examined patient safety events that occurred during transitions
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psnet.ahrq.gov/periodic-issue/periodic-issue-459
October 30, 2024 - focus on educating pregnant patients to recognize and respond to hypertensive emergencies and improved transitions … focus on educating pregnant patients to recognize and respond to hypertensive emergencies and improved transitions
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psnet.ahrq.gov/periodic-issue/periodic-issue-462
October 30, 2024 - Transitions of care present challenges, such as loss of information or misunderstandings, that can negatively … Transitions of care present challenges, such as loss of information or misunderstandings, that can negatively
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psnet.ahrq.gov/periodic-issue/periodic-issue-436
April 10, 2024 - Transitions of care introduce risk of medication errors, even with interoperable electronic medication … This study estimates the prevalence and burden of medication errors at transitions of care (hospital
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www.ahrq.gov/ncepcr/care/coordination/atlas/appendix2.html
June 01, 2014 - coordination: 1) health care home, 2) proactive care plan, 3) communication, 4) information systems, and 5) transitions … Development and testing of a measure designed to assess the quality of care transitions.
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-slides.html
July 01, 2023 - Slide 15: Key Safety Elements: Teamwork Training
Communicate during transitions of care. … Communicate during transitions of care. 14
Have high-reliability teams.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/assess-psc-hsop-slides.pptx
January 01, 2017 - Hospital management support for patient safety
Teamwork across hospital units
Hospital handoffs and transitions … Hospital handoffs and transitions Important patient care information is often lost during shift changes
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psnet.ahrq.gov/web-mm/patient-safety-and-adherence-self-administered-medications
September 29, 2011 - Transitions in care may be made safer by electronic data sharing between physicians, health care centers … Related Resources
Annual Perspective
Communication During Transitions
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/health-literacy-pfe-070913.ppt
July 01, 2013 - Chart1
Teamwork within Units
Teamwork Across Units
Handoffs/Transitions
State Ave
EXAMPLE: HSOPS … 0.85
0.75
0.63
Sheet1
State Ave
Teamwork within Units 85%
Teamwork Across Units 75%
Handoffs/Transitions
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psnet.ahrq.gov/primer/patient-safety-101
January 16, 2025 - It has also been well documented that transitions of care are particularly risky, especially after hospital … may be found in the Primers on Ambulatory Care Safety , Long-term Care and Patient Safety , and Transitions