McGill University Faculty of Medicine, Montreal, Quebec, Canada.
McGill University, Montreal, Quebec, Canada.
BMJ Open. 2024 Nov 28;14(11):e090764. doi: 10.1136/bmjopen-2024-090764.
Transition of care from hospital to primary care has been recognised globally as a high-risk scenario for older patients' safety by the WHO. Indeed, sub-optimal care transitions are associated with increased mortality, morbidity and adverse events.Improving communication through timely and accurate clinical information transfer has been identified as a key component of optimal care transitions. However, timely and accurate clinical information transfer from hospital to primary care varies across countries and institutions. Information transfer practices are heterogeneous, in some places depending on individual initiative and sometimes not occurring at all.To improve current practices, we will conduct a scoping review to identify the current and suggested practices of information transfer between hospital-based physicians or pharmacists and the primary care team of older patients.
This scoping review will be conducted using Arksey and O'Malley's methodological framework, augmented by Levac and the JBI Manual for Evidence Synthesis, and the findings reported according to the PRISMA extension for Scoping Reviews. We will use a search strategy developed with a specialised librarian to search four databases (MEDLINE, Embase, CINAHL and AgeLine) and reference lists of selected studies. All studies adhering to our iteratively created eligibility criteria outlined by the population, concept and context elements will be included. The data extraction table will also be constructed iteratively with the research team, and results will be presented tabularly and qualitatively.
Ethics approval was obtained. We plan to disseminate the results as scientific communication (peer-reviewed journal and presentations) and during a deliberative dialogue workshop with key stakeholders in order to generate recommendations to improve current practices in our own clinical setting, potentially to be adapted and scaled up with our collaborators provincially, nationally and internationally.This protocol has been registered on the Open Science Framework: https://osf.io/eg958.
世卫组织已将医院到初级保健的护理过渡认定为老年患者安全的高风险情况。事实上，护理过渡情况不佳与死亡率、发病率和不良事件的增加有关。通过及时准确的临床信息传递来改善沟通，已被确定为优化护理过渡的关键组成部分。然而，医院到初级保健的及时准确的临床信息传递在各国和各机构之间存在差异。信息传递实践存在异质性，在某些地方取决于个人的主动性，有时根本不存在。为了改进当前的实践，我们将进行范围综述，以确定医院医生或药剂师与老年患者的初级保健团队之间信息传递的当前和建议做法。
本范围综述将使用 Arksey 和 O'Malley 的方法学框架进行，辅之以 Levac 和 JBI 证据综合手册，并根据扩展的 PRISMA 范围综述报告结果。我们将使用与专门的图书管理员合作制定的搜索策略来搜索四个数据库（MEDLINE、Embase、CINAHL 和 AgeLine）和选定研究的参考文献列表。所有符合我们通过人群、概念和上下文元素迭代创建的资格标准的研究都将被包括在内。数据提取表也将与研究团队一起迭代构建，结果将以表格和定性形式呈现。
已获得伦理批准。我们计划通过科学交流（同行评议期刊和演讲）以及与关键利益相关者的审议对话研讨会来传播结果，以提出建议，以改善我们自己的临床环境中的当前实践，可能会与我们的省级、全国和国际合作伙伴一起进行调整和扩大。本方案已在开放科学框架上注册：https://osf.io/eg958。
