title: When the patient suffers: optimization of transitions between care facilities.
authors.affiliation: New York Presbyterian Hospital, Division of Geriatric Medicine and Aging, New York, USA.
authors.forename: Shelly
authors.initials: S
authors.lastname: Dubin
mesh_terms: D000368:Aged; D003072:Cognition Disorders / Q000150:complications*; D003142:Communication; D003266:Continuity of Patient Care / Q000458:organization & administration*; D003299:Cooperative Behavior; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D008607:Intellectual Disability / Q000150:complications*; D007400:Interprofessional Relations; D016294:Models, Nursing; D009735:Nursing Homes; D010347:Patient Care Planning / Q000458:organization & administration; D010351:Patient Discharge; D010360:Patient Transfer / Q000458:organization & administration*; D013315:Stress, Psychological / Q000209:etiology / Q000517:prevention & control*