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PSNet: Patient Safety Network
Journal Article

Evidence summary and recommendations for improved communication during care transitions.

Jackson PD, Biggins MS, Cowan L, et al. Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses. 2016;41:135-48.

Transitions are a complicated and vulnerable time for patients, particularly for those with complex care needs. This review examines the literature around care transitions and insights from patient and family advisory councils. The authors recommend standardizing the process for veterans with complex conditions and suggest focus on the use of real-time information exchange, documented care plans, and engaging patients and their families in transitions.