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ISMP Canada News

October 5, 2016: Delayed Treatment after Transitions of Care: A Multi-Incident Analysis

Transition of care is a term describing the movement of patients between healthcare locations, providers, or different levels of care within the same location, as their conditions or care needs change. Previous studies have shown that when a patient is transferred between a hospital and the community or a long-term care facility, the first doses of medication to be administered after the transition may be delayed. A multi-incident analysis of medication incidents was conducted to identify factors contributing to delayed treatment (i.e., delayed doses after transitions of care) and to suggest strategies to prevent or minimize the potential harm of such delays.  Read more ...