Understanding facilitators and barriers to care transitions: insights from project ACHIEVE site visits

AM Scott, J Li, S Oyewole-Eletu, HQ Nguyen… - The Joint Commission …, 2017 - Elsevier
Background Care transitions between clinicians or settings are often fragmented and
marked by adverse events. To increase patient safety and deliver more efficient and effective …

Exploring care transitions from patient, caregiver, and health-care provider perspectives

KT Fuji, AA Abbott, JF Norris - Clinical Nursing Research, 2013 - journals.sagepub.com
Care transitions involve coordination of patient care across multiple care settings. Many
problems occur during care transitions resulting in negative patient outcomes and …

Integrating health information technology to achieve seamless care transitions

L Marcotte, J Kirtane, J Lynn… - Journal of Patient …, 2015 - journals.lww.com
Improving care transitions, or “handoffs” as patients migrate from one care setting to another,
is a priority across stakeholder groups and health-care settings and additionally is included …

Project ACHIEVE–using implementation research to guide the evaluation of transitional care effectiveness

J Li, J Brock, B Jack, B Mittman, M Naylor… - BMC health services …, 2016 - Springer
Background Poorly managed hospital discharges and care transitions between health care
facilities can cause poor outcomes for both patients and their caregivers. Unfortunately, the …

“Did I do as best as the system would let me?” Healthcare professional views on hospital to home care transitions

MM Davis, M Devoe, D Kansagara, C Nicolaidis… - Journal of general …, 2012 - Springer
ABSTRACT BACKGROUND Patients are vulnerable to poor quality, fragmented care as they
transition from hospital to home. Few studies examine the discharge process from the …

Safety threats and opportunities to improve interfacility care transitions: insights from patients and family members

L Jeffs, S Kitto, J Merkley, RF Lyons… - Patient preference and …, 2012 - Taylor & Francis
Aim To explore patients' and family members' perspectives on how safety threats are
detected and managed across care transitions and strategies that improve care transitions …

Care transitions from patient and caregiver perspectives

SE Mitchell, V Laurens, GM Weigel… - The Annals of Family …, 2018 - Annals Family Med
PURPOSE Despite concerted actions to streamline care transitions, the journey from
hospital to home remains hazardous for patients and caregivers. Remarkably little is known …

[HTML][HTML] How do care transitions work?: Unraveling the working mechanisms of care transition interventions

DLM Zwart, JL Schnipper, D Vermond, DW Bates - Medical care, 2021 - journals.lww.com
Background: Failure of safe care transitions after hospital discharge results in unnecessary
worsening of symptoms, extended period of illness or readmission to the hospital. Objective …

Mapping the care transition from hospital to skilled nursing facility

M Campbell Britton, J Petersen‐Pickett… - Journal of evaluation …, 2020 - Wiley Online Library
Purpose Care transitions between hospitals and skilled nursing facilities (SNFs) are often
associated with breakdowns in communication that may place patients at risk for adverse …

The care transitions intervention: results of a randomized controlled trial

EA Coleman, C Parry, S Chalmers… - Archives of internal …, 2006 - jamanetwork.com
Background Patients with complex care needs who require care across different health care
settings are vulnerable to experiencing serious quality problems. A care transitions …