Importance Reducing early (< 30 days) hospital readmissions is a policy priority aimed at
improving health care quality. The cumulative complexity model conceptualizes patient …

Background People who are prescribed self administered medications typically take only
about half their prescribed doses. Efforts to assist patients with adherence to medications …

Background: Evidence shows that suboptimum handovers at hospital discharge lead to
increased rehospitalizations and decreased quality of health care. Purpose: To …

Background Older people taking multiple medications represent a large and growing
proportion of the population. Managing multiple medications can be challenging, and this is …

Background Multi-morbidity, poly-pharmacy and cognitive impairment leave many old
patients in a frail condition with a high risk of adverse outcomes if proper health care is not …

Transitions in care from hospital to primary care for older patients with chronic diseases (CD)
are complex and lead to increased mortality and service use. In response to these …

When a patient's transition from the hospital to home is less than optimal, the repercussions
can be far-reaching–hospital readmission, adverse medical events, and even mortality …

Frail older adults are vulnerable to hospitalization and transitional care is needed to
maintain care continuity; however, there exists no review regarding transitional care …

Background Different models for care pathways involving both specialist and primary care
have been developed to ensure adequate follow-up after discharge. These care pathways …

Background Medication‐related adverse events in primary care represent an important
cause of hospital admissions and mortality. Adverse events could result from people …