ReviewThe British journal of general practice : the journal of the Royal College of General Practitioners2020
Threats to safe transitions from hospital to home: a consensus study in North West London primary care.
Review in The British journal of general practice : the journal of the Royal College of General Practitioners, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 4 of them syntheses that pooled it.
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Who cites it
27 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Perioperative patient safety recommendations: systematic review of clinical practice guidelines.BJS open · 2024Pooled it
- Healthcare professionals' perspectives and experiences of osteoporosis medication treatment: a qualitative systematic review.Archives of osteoporosis · 2024Pooled it
- Patient- and family-centred care transition interventions for adults: a systematic review and meta-analysis of RCTs.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2023Pooled it
- Interventions at Hospital Discharge to Guide Caregivers in Medication Management for People Living with Dementia: a Systematic Review.Journal of general internal medicine · 2021Pooled it
- Team-based digital communication reduced patient-initiated phone calls to the hospital and improved patient satisfaction after orthopedic surgery: a randomized controlled trial in 70 patients.Acta orthopaedica · 2024Trial
- Adaptation Model for Patient and Caregiver Dyads in Hospital-to-Home Transition: Theory Development and Content Validation.Healthcare (Basel, Switzerland) · 2026Article
- HOME, the heart of healing: advancing patient safety beyond the hospital.BMJ open quality · 2026Article
- Older adults' experiences of hospital-to-home transitions in rural Sweden: a qualitative study.BMC geriatrics · 2025Article
- Realist review of informal carer involvement in the transition of medicines-related care for patients moving from hospital to home.BMJ open · 2025Review
- Entangled in complexity: An ethnographic study of organizational adaptability and safe care transitions for patients with complex care needs.Journal of advanced nursing · 2025Article
- Opportunities for optimising care transitions of adults with multiple long-term conditions: a qualitative interview study.BMC geriatrics · 2025Article
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- Provider Perspectives, Barriers, and Improvement Strategies for Hospital Discharge Support Programs: A Focus Group Interview Study in Korea.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2024Article
- Stakeholder perceptions of and attitudes towards problematic polypharmacy and prescribing cascades: a qualitative study.Age and ageing · 2024Article
- Identifying and mapping measures of medication safety during transfer of care in a digital era: a scoping literature review.BMJ quality & safety · 2024Article
- Reducing risks in complex care transitions in rural areas: a grounded theory.International journal of qualitative studies on health and well-being · 2023Article
- A systems approach to the safety and efficiency of prescribing at the primary-secondary care interface.Future healthcare journal · 2023Article
- Quality of care during rural care transitions: a qualitative study on structural conditions.BMC nursing · 2023Article
- Exploring barriers and opportunities to improve osteoporosis care across the acute-to-primary care interface: a qualitative study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2023Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTransitions between healthcare settings are vulnerable points for patients.
aimTo identify key threats to safe patient transitions from hospital to primary care settings. DESIGN AND
settingThree-round web-based Delphi consensus process among clinical and non-clinical staff from 39 primary care practices in North West London, England.
methodRound 1 was a free-text idea-generating round. Rounds 2 and 3 were consensus-obtaining rating rounds. Practices were encouraged to complete the questionnaires at team meetings. Aggregate ratings of perceived level of importance for each threat were calculated (1-3:
resultsA total of 39 practices completed round 1, 36/39 (92%) completed round 2, and 30/36 (83%) completed round 3. Round 1 identified nine threats encompassing problems involving communication, service organisation, medication provision, and patients who were most at risk. 'Poor quality of handover instructions from secondary to primary care teams' achieved the highest rating (mean rating at round 3 = 8.43) and a 100% consensus that it was a
conclusionThis study identified specific threats to safe patient transitions from hospital to primary care, providing policymakers and healthcare providers with targets for quality improvement strategies. Further work would need to identify factors underpinning these threats so that interventions can be tailored to the relevant behavioural and environmental contexts in which these threats arise.
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