Facilitating interprofessional collaboration for effective care transitions of a patient with chronic obstructive pulmonary disease

TL;DR

This paper discusses how teamwork among healthcare professionals is essential for smooth patient transitions, especially for those with chronic diseases like COPD.

Contribution

The paper highlights a case study showing the unique roles of different healthcare professionals in managing a COPD patient's transition from hospital to home.

Findings

Successful interprofessional collaboration is vital for safe patient transitions.

Each team member plays a distinct role in representing, informing, and coordinating care.

Poor transitions can lead to negative outcomes for patients with complex conditions.

Abstract

Transitions of care are the movement of a patient from one care setting or provider to another. Interprofessional collaboration is critical in ensuring patient safety and satisfactory health outcomes. Each time an interprofessional team transfers a patient, the team performs three important roles: representing the patient, providing patient information for other team members, and coordinating the transition. Poor transitions of care may contribute to negative health outcomes, especially for patients with chronic health conditions, complex medication regimens, and high‐risk treatments. We present a case study of a patient with complicated chronic obstructive pulmonary disease that depicts the importance of successful interprofessional collaboration during the transition of care from hospital to home illustrating the unique contributions of the various disciplines involved in the patient's care.