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PSNet: Patient Safety Network
Journal Article

Harms from discharge to primary care: mixed methods analysis of incident reports.

Williams H, Edwards A, Hibbert P, et al. The British journal of general practice : the journal of the Royal College of General Practitioners. 2015;65:e829-37.

Adverse events after hospital discharge are common, affecting nearly 20% of patients within 3 weeks of discharge. This study used data from the United Kingdom's National Reporting and Learning System to analyze the contributors to these adverse events. Principal contributing factors included inadequate discharge communication between hospital-based and outpatient physicians and insufficient assessment of patients' need for community-based services.