The Care Transitions Intervention

A Multidisciplinary Intervention to Prevent the Readmission of Elderly Patients with Congestive Heart Failure

1995 • 2,368 citations

The Incidence and Severity of Adverse Events Affecting Patients after Discharge from the Hospital

2003 • 1,819 citations

Comprehensive Discharge Planning and Home Follow-up of Hospitalized Elders

1999 • 1,690 citations

Falling Through the Cracks: Challenges and Opportunities for Improving Transitional Care for Persons with Continuous Complex Care Needs

2003 • 1,038 citations

A chronic disease score from automated pharmacy data

1992 • 960 citations

Unintended Medication Discrepancies at the Time of Hospital Admission

2005 • 902 citations

Discharge planning from hospital to home

2013 • 847 citations

Improving the Quality of Transitional Care for Persons with Complex Care Needs

2003 • 790 citations

Medical errors related to discontinuity of care from an inpatient to an outpatient setting

2003 • 760 citations

Lost in Transition: Challenges and Opportunities for Improving the Quality of Transitional Care

2004 • 708 citations

Posthospital Medication Discrepancies

2005 • 689 citations

Preparing Patients and Caregivers to Participate in Care Delivered Across Settings: The Care Transitions Intervention

2004 • 617 citations

Effects of a Home-Based Intervention Among Patients With Congestive Heart Failure Discharged From Acute Hospital Care

1998 • 470 citations

Posthospital Care Transitions: Patterns, Complications, and Risk Identification

2004 • 406 citations

Assessing the Quality of Preparation for Posthospital Care from the Patient??s Perspective

2005 • 365 citations

Adverse Events Due to Discontinuations in Drug Use and Dose Changes in Patients Transferred Between Acute and Long-term Care Facilities

2004 • 316 citations

Effect of discharge summary availability during post-discharge visits on hospital readmission

2002 • 314 citations

The impact of follow-up telephone calls to patients after hospitalization

2001 • 289 citations

Development and testing of a measure designed to assess the quality of care transitions

2002 • 235 citations

Continuity of care and patient outcomes after hospital discharge

2004 • 234 citations

The Care Transitions Intervention: A Patient-Centered Approach to Ensuring Effective Transfers Between Sites of Geriatric Care

2003 • 172 citations

Reduction in hospital readmission stay of elderly patients by a community based hospital discharge scheme: a randomised controlled trial.

1988 • 138 citations

Predicting Hospitalization and Functional Decline in Older Health Plan Enrollees: Are Administrative Data as Accurate as Self-Report?

1998 • 88 citations

A Qualitative Exploration of a Patient-Centered Coaching Intervention to Improve Care Transitions in Chronically Ill Older Adults

2006 • 83 citations

A new tool for identifying discrepancies in postacute medications for community-dwelling older adults

2004 • 79 citations

Impact of the BBA on post-acute utilization.

1999 • 74 citations

Carepartner Experiences With Hospital Care

1999 • 72 citations

Compliance with medication orders among the elderly after hospital discharge.

1992 • 70 citations

Patients' and Caregivers' Transition from Hospital to Home: Needs and Recommendations

1999 • 68 citations

Understanding Coordination of Care from the Consumer's Perspective in a Regional Health System

2002 • 61 citations

Discharge planning quality from the carer perspective.

2000 • 53 citations

One Patient, Many Places: Managing Health Care Transitions, Part I: Introduction, Accountability, Information for Patients in Transition

2004 • 17 citations