Entangled in complexity: an ethnographic study of organizational adaptability and safe care transitions for patients with complex care needs.

Ann‐Therese Hedqvist; Gesa Praetorius; Mirjam Ekstedt; Catharina Lindberg

Study

Entangled in complexity: an ethnographic study of organizational adaptability and safe care transitions for patients with complex care needs.

May 8, 2024

Hedqvist A‐T, Praetorius G, Ekstedt M, et al. J Adv Nurs. 2024;Epub Apr 20.

View more articles from the same authors.

Transitions of care are a vulnerable time for all patients and especially older adults with complex care needs. Utilizing document review, observations, and interviews, this study describes how inconsistencies in timing and precision at the time of transition put patients at risk. Examples include early discharge from hospital due to crowding, insufficient assessment of activities of daily living, and incomplete transfer of information. A safe care transition pathway describes critical steps to ensure safe transitions.

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Discontinuities, Gaps, and Hand-Off Problems

Entangled in complexity: an ethnographic study of organizational adaptability and safe care transitions for patients with complex care needs.

Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors

Inpatient Transitions of Care: Challenges and Safety Practices

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

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Entangled in complexity: an ethnographic study of organizational adaptability and safe care transitions for patients with complex care needs.

Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors

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