PURPOSE This article investigates how continuing care retirement community (CCRC) residents define transitions between levels of care. Although older adults move to CCRCs to "age in place," moving between levels of care is often stressful. More than half a million older adults live in CCRCs, with numbers continually increasing; yet, no studies address transitions between levels of care in these...

OBJECTIVES To explore the feasibility of implementing an Internet-based communication network for communication of health care information during skilled nursing facility (SNF)-to-ED care transitions, and to identify potential barriers to system implementation. METHODS Qualitative. SETTING The largest SNF affiliated with the ED of an urban tertiary care center. PARTICIPANTS Consecutive sa...

Medication errors are common and cause serious health issues during care transitions, particularly for older adults with multiple chronic conditions. In this paper, we discuss the design and evaluation of the Colorado Care Tablet, a Personal Health Application (PHA) that helps older adults and their lay caregivers manage their medication regimes during care transitions. We created a PHA that ol...

Under the Affordable Care Act of 2010, a variety of transitional care programs and services have been established to improve quality and reduce costs. These programs help hospitalized patients with complex chronic conditions—often the most vulnerable—transfer in a safe and timely manner from one level of care to another or from one type of care setting to another. We conducted a systematic revi...

PURPOSE/OBJECTIVES To describe experiences of self-management and transitioning among women with ovarian cancer. RESEARCH APPROACH Interpretive description. SETTING Participants' homes. PARTICIPANTS Purposive sample of 10 women with ovarian cancer. METHODOLOGIC APPROACH Individual interviews about women's self-management and transition experiences. MAIN RESEARCH VARIABLES Self-managem...

BACKGROUND Dementia is one of the main challenges to our health and social care. This study compares the number and timing of transitions between care settings in the last 2 years of life among older people with and without dementia. METHODS Data were derived from Finnish national registers, and include all those who died in 2002 and 2003 at the age of 70 or older (n = 70,366). Negative binom...

Background: Infants hospitalized in neonatal intensive care units (NICUs) are often severely ill, highly prone to various diseases, and exposed to complex and prolonged intensive care interventions. Consequently, they are susceptible to the lapses in teamwork and patient safety. Patient safety culture a fundamental step to improve patient safety. The present study aimed to evaluate the perspect...

The evolution of eusociality, defined as the emergence of societies with reproductive division of labour, overlapping generations, and cooperative care of young, is considered one of the major transitions in evolution and the basis of the tremendous ecological success of social insects (ants, some bees and wasps, termites) [1,2]. However, the organisation of individuals into highly cooperative ...