Hospital to Home

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 Elements of Safe Transitions include:

• Patient and caregiver training and education
• Patient-centered care plans, shared across settings of care
• Timely, accurate communication and information sharing
• Appropriate transportation ensured
• On-time delivery of needed medical equipment
• Designated liaison between care providers

Safe Transitions is essential when you consider how medication errors, poor communication and poor coordination between providers might potentially lead to adverse events. This risk is particularly high in aged persons with multiple chronic conditions and also when their care needs change. Safe Transitions addresses these concerns up front to avoid rehospitalization.