hcq volume 19, issue 2, P67-72 2016 DOI: 10.12927/hcq.2016.24702 View full text
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David McNeil, Roger Strasser, Nancy Lightfoot, Raymond Pong

Abstract: The transition from hospital to home is a vulnerable period for patients with complex conditions, who are often frail, at risk for adverse events and unable to navigate a system of poorly coordinated care in the post-discharge period. Care transition interventions are seen as effective care coordinating mechanisms for reducing avoidable adverse events associated with the transition of the patient from the hospital to the home. A study was undertaken to evaluate the effectiveness of a care transition interventi…

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