AHRQ Patient Safety Network ► Navigating care transitions: a process model of how doctors overcome organizational barriers and create awareness.

AHRQ Patient Safety Network



Navigating care transitions: a process model of how doctors overcome organizational barriers and create awareness.

Hilligoss B, Vogus TJ. Med Care Res Rev. 2015;72:25-48.

This ethnographic study explored the underlying reasons for safety and communication problems at the transition of care between the emergency department and hospital wards. Through observation and interviews with physicians and hospital leadership, the study identifies structural and cultural barriers to effective communication and reveals time-consuming workarounds that physicians utilized to ensure patient safety.

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