References
Coleman EA, Smith JD, Frank JC et al. Development and testing of a measure designed to assess the quality of care transitions. Int J Integrated Care 2002; Epub 2002 Jun 1.
Grimmer KA, Moss JR, Gill TK. Discharge planning quality from the carer perspective. Qual Life Res 2000; 9: 1005–13.
Harrison A, Verhoef M. Understanding coordination of care from the consumer’s perspective in a regional health system. Health Serv Res 2002; 37: 1031–54.
Coleman EA. Falling through the cracks: challenges and opportunities for improving transitional care for persons with continuous complex care needs. J Am Geriatr Soc 2003; 51: 549–55.
Coleman EA, Smith JD, Frank JC, Min S, Parry C, Kramer AM. Preparing patients and caregivers to participate in care delivered across settings: the Care Transitions Intervention. J Am Geriatr Soc 2004; 52: 1817–25.
Beers MH, Sliwkowski J, Brooks J. Compliance with medication orders among the elderly after hospital discharge. Hosp Formul 1992; 27: 720–4.
Moore C, Wisnevesky J, Williams S, McGinn T. Medical errors related to discontinuity of care from an inpatient to an outpatient setting. J Gen Intern Med 2003; 18: 646–51.
van Walraven C, Mamdani M, Fang J, Austin PC. Continuity of care and patient outcomes after hospital discharge. J Gen Intern Med 2004; 19: 624–31.
Boockvar K, Fishman E, Kyriacou CK, Monias A, Gavi S, Cortes T. Adverse events due to discontinuations in drug use and dose changes in patients transferred between acute and long-term care facilities. Arch Intern Med 2004; 164: 545–50.
Coleman EA, Min S, Chomiak A, Kramer AM. Post-hospital care transitions: patterns, complications, and risk identification. Health Serv Res 2004: 39: 1449–65.
Coleman EA, Mahoney E, Parry C. Assessing the quality of preparation for post-hospital care from the patient’s perspective: the Care Transitions Measure. Med Care 2005; 43: 246–55.
Coleman EA, Berenson RA. Lost in transition: challenges and opportunities for improving the quality of transitional care. Ann Intern Med 2004; 141: 533–6.
Jencks SF, Williams MV, Coleman EA. Rehospitalizations among patients in the Medicare fee-for-service program. N Engl J Med 2009; 360: 1418–28.
Coleman E, Parry C, Chalmers S, Min S-j. The Care Transitions Intervention: Results of a Randomized Controlled Trial. Arch Intern Med 2006; 166: 1822–8.
Jack BW, Chetty VK, Anthony D et al. A Reengineered hospital discharge program to decrease rehospitalization: a randomized trial. Ann Intern Med 2009; 150: 178–87.
Naylor MD, Brooten D, Campbell R et al. Comprehensive discharge planning and home follow-up of hospitalized elders: a randomized clinical trial. JAMA 1999; 281: 613–20.
Rich MW, Beckham V, Wittenberg C, Levin CL, Freedland KE, Carney RM. A multidisciplinary intervention to prevent the readmission of elderly patients with congestive heart failure. N Engl J Med 1995; 333: 1190–5.
Naylor MD, Brooten DA, Campbell RL, Maislin G, McCauley KM, Schwartz JS. Transitional care of older adults hospitalized with heart failure: a randomized, controlled trial. J Am Geriatr Soc 2004; 52: 675–84.
Courtney M, Edwards H, Chang A, Parker A, Finlayson K, Hamilton K. Fewer emergency readmissions and better quality of life for older adults at risk of hospital readmission: a randomized controlled trial to determine the effectiveness of a 24-week exercise and telephone follow-up program. J Am Geriatr Soc 2009; 57: 395–402.
Voss R, Gardner R, Baier R, Butterfield K, Lehrman S, Gravenstein S. The care transitions intervention: translating from efficacy to effectiveness. Arch Intern Med 2011; 171: 1232–7.
Snow V, Beck D, Budnitz T et al. Transitions of care consensus policy statement. J Hospital Medicine 2009; 4: 364–70.
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Besdine, R.W., Wetle, T.F. Opportunities to improve healthcare outcomes for elderly people and reduce re-hospitalization. Aging Clin Exp Res 23, 427–430 (2011). https://doi.org/10.1007/BF03325238
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DOI: https://doi.org/10.1007/BF03325238