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Clinical Practice Guideline for Care Transition
Korean J Clin Geri 2018 Jun;19(1):27-37
Published online June 30, 2018;  https://doi.org/10.15656/kjcg.2018.19.1.27
Copyright © 2018 The Korean Academy of Clinical Geriatrics.

Yoon-Sook Kim1, Jin-Young Shin2, Kyoung-Jin Kim2, Jong-Min Lee3, Kun-Sei Lee4, Jae-Kyung Choi2, Seol-Heui Han5

1Department of Quality Improvement, Konkuk University Medical Center, Seoul, Korea; 2Department of Family Medicine, Konkuk University Medical Center, Seoul, Korea; 3Department of Rehabilitation Medicines, Konkuk University Medical Center, Seoul, Korea; 4Department of Preventive Medicine, Konkuk University, Chungju, Korea; 5Department of Neurology, Konkuk University Medical Center, Seoul, Korea
Received March 23, 2018; Revised June 14, 2018; Accepted June 19, 2018.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
 Abstract
Background: After successful care transition, it is crucial to improve health care, health promotion, and quality of life of the elderly. In addition, successful care transition reduces readmission rate of the elderly, improves health recovery, and prevents functional decline after discharge. However, Republic of Korea does not have a care transition system for continuous management after discharge. We developed a clinical practice guideline to ensure that healthcare providers in hospitals can safely and successfully perform care transitions.
Methods: The clinical practice guideline for care transition was first developed by the Konkuk University Medical Center, using a 23-step adaptation method. Evidence levels and recommendation ratings were established in accordance with SIGN 2011 (The Scottish Intercollegiate Guidelines Network).
Results: The final four recommendations were derived from expert advice: assessing during admission and before discharge; establishing care transition planning through an interprofessional team; educating the patient, his or her family, and the healthcare provider; and establishing organization-wide systems for communicating client information during care transitions.
Conclusion: The use of this guideline by healthcare providers helps elderly patients maintain continuity of care when movingfrom one place to another.
Keywords : Care transition, Clinical practice guideline, Elderly
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June 2018, 19 (1)