Evidence map›Paper›PMID 33161183›Full record

ArticleApplied ergonomics2021

Engineering care transitions: Clinician perceptions of barriers to safe medication management during transitions of patient care.

S M Hannum, E Abebe, Y Xiao, R Brown, I M Peña, A P Gurses

Open access · greenAbstract read
In one paragraph

Article in Applied ergonomics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
0.8field-weighted citation impact, top 29% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Observational
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 6 institutions in 1 country.

S M HannumDepartment of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Rm. 727, Baltimore, MD, 21205, USA. Electronic address: shannum1@jhu.edu.
E AbebePurdue University,College of Pharmacy, Department of Pharmacy Practice, West Lafayette, IN, USA.
Y XiaoUniversity of Texas at Arlington, College of Nursing and Health Innovation, Arlington, TX, USA.
R BrownUChicago Medicine, Department of Quality Process Improvement, Chicago, IL, USA.
I M PeñaJohns Hopkins Bayview Medical Center, Department of Internal Medicine, Baltimore, MD, USA.
A P GursesJohns Hopkins School of Medicine, Armstrong Institute for Patient Safety and Quality, Baltimore, MD, USA.
Johns Hopkins Bayview Medical Center · USJohns Hopkins University · USNational Patient Safety Foundation · USPurdue University West Lafayette · USThe University of Texas at Arlington · USUniversity of Chicago · US

Funding

AHRQ HHS R01 HS024436
6 · The paper itself

Abstract

Medication safety during care transitions is a significant challenge, especially for older adults prescribed multiple medications. Using a systems approach to understand barriers to and strategies for safe medication management throughout high-risk periods of hospital-to-home transition is one important step in designing effective interventions. Framing the care transition as a collaboration between healthcare and patient "work systems," we conducted semi-structured interviews with 37 clinical team members, representing 10 different professional roles involved in providing transitional care for patients. Thematic analyses identified key strategies used by clinical team members in preparing patients to self-manage medications safely in the home environment: (1) streamlining and coordinating clinical management of medication reconciliation across care settings; (2) building patient capacity and engagement in self-management of medications; and (3) redesigning the transitional process. Our research highlights the value in aligning professionals' care transition goals with patients and caregiver(s) to better prepare them to self-manage medications upon discharge.

Indexed as

Medication Therapy ManagementPatient TransferAgedHumansMedication ReconciliationPatient DischargePerceptionCare transitionsHealthcare systems engineeringMedication safetyPatient dischargeQualitative

Identifiers

PMID33161183
PMCPMC10416651
OpenAlexW3096519820

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.