Significance Perioperative handoffs interconnect the preoperative, intraoperative, and
postoperative phases underlying surgical care to maintain care continuity—yet are prone to …

Background Failure to rescue (FTR) denotes mortality from post-operative complications
after surgery with curative intent. High-volume, low-mortality units have similar complication …

Background Despite antibiotic stewardship programs existing in most acute care hospitals,
there continues to be variation in appropriate antibiotic use. While existing research …

Background Measures to evaluate high-risk medication safety during transfers of care
should span different safety dimensions across all components of these transfers and reflect …

Introduction: Improving medication safety during transition of care is an international
healthcare priority. While existing research reveals that medication-related incidents and …

Purpose Although previous research indicates that care transitions differ between rural and
urban areas, the knowledge of challenges related to care transitions in rural areas appears …

The specialty referral process consists of primary care clinicians referring patients to
specialty consultants. This care transition requires effective care coordination and health …

Background Registered nurses are critical for the delivery of high-quality healthcare during
care transitions from hospital to home. Older co-morbid patients are most vulnerable during …

The scale and pace of improvement in patient safety in healthcare has been unacceptably
slow. A paucity of research into the application of systems-thinking concepts and a failure to …

The delivery of home care in England is explored with respect to (a) the work system (b) the
barriers that challenge worker performance, and most importantly (c) whether these barriers …