Improving interunit transitions of care between emergency physicians and hospital medicine physicians: A conceptual approach

摘要: Patient care transitions across specialties involve more complexity than those within the same specialty, yet unique social and technical features remain underexplored. Further, little consensus exists among researchers practitioners about strategies to improve interspecialty communication. This concept article addresses these gaps by focusing on hand-off process between emergency hospital medicine physicians. Sensitivity cultural operational differences a common set of expectations pertaining content will effectively prepare next provider act safely efficiently when caring for patient. Through decision-making experienced published authorities in health transitions, including physicians both as well communication studies, authors propose style principles clinicians may use transition With representation from community academic settings, similarities internal are highlighted heighten appreciation values, attitudes, goals each particularly The also examine different media, behaviors, tools that share patient information. Quality measures proposed structure, process, outcome framework institutions seeking evaluate monitor improvement performance. Validation studies determine if suggested improvements result improved outcomes be necessary. By exploring dynamics suggesting best practices, hope strengthen skills contribute continuity care.