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The Role of Documentation and Inter-Provider Information Exchange in Care Continuity for Older Hip Fracture Patients

机译：文档和提供者间信息交流在较旧的髋关节骨折患者的关注连续性中的作用

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Maintaining continuity of patient care can be difficult during transitions between care settings, when quality of care and patient safety are at risk. We sought to understand the role of inter-provider documentation and information exchange across successive care settings for complex, older patients. Data were gathered as part of a multi-site ethnographic study that followed 23 older post-surgical hip fracture patients across multiple care transitions. Documentation and information exchange help build a "picture " of complex patients, but care continuity is challenged by late, missing or unnecessary information, duplicated assessments and lack of interoperability of electronic systems. This study demonstrates the importance of appropriate documentation in the transition process, but points to the need for comprehensive system-level solutions which standardize information collection and sharing along the continuum of care.
机译：在护理环境之间的过渡期间，当护理质量和患者安全面临风险时，可以难以保持患者护理的连续性。我们试图了解提供者互联网文档和信息交流的作用，以满足复杂的较老患者的连续护理环境。数据被收集为多站点民族造影研究的一部分，其涉及多个护理过渡的23名较旧的手术髋关节骨折患者。文档和信息交换有助于构建复杂患者的“图片”，但在迟到，缺失或不必要的信息，重复的评估和电子系统互操作性的挑战，关注连续性。本研究表明，适当文件在过渡过程中的重要性，但需要对综合系统级解决方案的需求，该解决方案标准化信息收集和共享沿着护理的连续体。

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