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. 2017 Aug 8;6(1):158.
doi: 10.1186/s13643-017-0554-z.

Effectiveness of person- and family-centered care transition interventions: a systematic review protocol

Affiliations

Effectiveness of person- and family-centered care transition interventions: a systematic review protocol

Chantal Backman et al. Syst Rev. .

Abstract

Background: Care transitions from the hospital to home are critical to the sustainability of our health care system. Ineffective care transitions can be caused by high incidences of post-discharge adverse events, by poor communication with patients, and/or by inadequate information transfer between providers from the hospital to home. Any one of these can lead to fragmented care, high readmission rates, increased visits to the emergency department, and ultimately poor patient outcomes. Despite the ongoing improvement efforts of health care organizations, the efficacy of person- and family-centered care transition interventions on the quality of care and on the patient experience are not known. The aim of this systematic review is to critically analyze the body of evidence regarding the effectiveness of person- and family-centered care transition interventions on the quality of care, and the experience of patients.

Methods: We will conduct a systematic review using the Cochrane Handbook's guidelines and will adhere to a standardized reporting format: Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). A comprehensive search strategy will be conducted in the following databases: MEDLINE, EMBASE, CINAHL, Cochrane Central Register of Controlled Trials, and the Cochrane Consumers and Communication Group. Following a two-step screening process, data including the full reference, objectives, target population, description of the intervention and control intervention, outcome measures, design, length of post-intervention follow-up period, and the study results will be extracted, synthesized, and reported. Risk of bias and quality of the studies will also be assessed.

Discussion: This systematic review will summarize and present the evidence base for person- and family-centered care transition interventions. This review will also inform further research and will lay the groundwork for more empirical studies on person- and family-centered care transitions. Specifically, the results of this systematic review may inform the development of measures to monitor safe and effective person- and family-centered transitions from the hospital to home. These results may also be important for policy makers, decision-makers, clinicians, and patients/families who are involved in navigating the health care system.

Systematic review registration: PROSPERO CRD42017067990.

Keywords: Care transitions; Person- and family-centered care; Systematic review protocol.

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Conflict of interest statement

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Not applicable.

Consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

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References

    1. McMurray H, Hicks E, Johnson H, Elliott J, Byrne K, Stolee P. Trying to find information is like hating yourself every day: the collision of electronic information systems in transition with patients in transition. Health Informatics J. 2013;19:218–232. doi: 10.1177/1460458212467547. - DOI - PubMed
    1. Forster AJ, Murff HJ, Peterson JF, Gandhi TK, Bates DW. The incidence and severity of adverse events affecting patients after discharge from the hospital. Ann Intern Med. 2003;138(3):161–167. doi: 10.7326/0003-4819-138-3-200302040-00007. - DOI - PubMed
    1. Kripalani S, LeFevre F, Phillips CO, Williams MV, Basaviah P, Baker DW. Deficits in communication and information transfer between hospital-based and primary care physicians: implications for patient safety and continuity of care. J Am Med Assoc. 2007;297(8):831–841. doi: 10.1001/jama.297.8.831. - DOI - PubMed
    1. Laugaland K, Aase K, Barach P. Interventions to improve patient safety in transitional care—a review of the evidence. Work. 2012;41(Suppl 1):2915–2924. - PubMed
    1. Institute for Patient- and Family-Centered Care (IPFCC). What is patient- and family-centered health care? http://www.ipfcc.org/about/pfcc.html. Accessed 3 Aug 2017.

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