A call to bridge across silos during care transitions

F Sheikh, E Gathecha, M Bellantoni… - The Joint Commission …, 2018 - Elsevier
Background Older adults with complex medical conditions are vulnerable during care
transitions. Poor care transitions can lead to poor patient outcomes and frequent …

Optimizing care transitions: Adapting evidence-informed solutions to local contexts

LP Jeffs - Joint Commission journal on quality and …, 2017 - jointcommissionjournal.com
Ensuring safe and high-quality care transitions across the care continuum continues to be a
global health policy priority. The urgency of this priority will continue to grow, given our aging …

Implementation of complex interventions: lessons learned from the patient-centered outcomes research institute transitional care portfolio

SB Gesell, JP Bettger, RH Lawrence, J Li… - Medical care, 2021 - journals.lww.com
Background: Despite the well-documented risks to patient safety associated with transitions
from one care setting to another, health care organizations struggle to identify which …

[HTML][HTML] Care transitions

T Earl, N Katapodis, S Schneiderman - Making Healthcare Safer III …, 2020 - ncbi.nlm.nih.gov
As patients prepare to move from the hospital to other settings, failing to make adequate
discharge arrangements can lead to costly and unnecessary hospital readmissions …

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 …

Care transitions intervention and other non-nursing home transitions models

EH Bowman, KL Flood - Geriatrics Models of Care: Bringing'Best Practice' …, 2015 - Springer
Abstract The American Geriatrics Society has defined transitional care as “a set of actions
designed to ensure the coordination and continuity of health care as patients transfer …

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 …

[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 …

High-Quality Care Transitions Promote Continuity of Care and Safer Discharges.

DD Carr - Journal of the New York State Nurses Association, 2018 - go.gale.com
The care transition process is an essential part of healthcare delivery affecting patients and
families, healthcare providers, and healthcare systems. The care transition, when instituted …

The care transitions intervention: a patient-centered approach to ensuring effective transfers between sites of geriatric care

C Parry, EA Coleman, JD Smith, J Frank… - Home health care …, 2003 - Taylor & Francis
During an episode of illness, older patients may receive care in multiple settings; often
resulting in fragmented care and poorly-executed care transitions. The negative …