title: Owning our off-ramps.
abstract: In this issue of JCHIMP, Meade et al., publish the results of qualitative analysis regarding a second-year rotation in tracing the outcome of discharged patients. They report that their residents develop remarkable insights into the types of failures and miscommunications that plague our discharge processes. This perspective piece places this article in the context of literature seeking to understand why these problems are endemic and how we must prioritize efforts to address and prevent them.
authors.affiliation: Greater Baltimore Medical Center, Baltimore, MD, USA; pfoster@gbmc.org.
authors.forename: Paul N
authors.initials: PN
authors.lastname: Foster
keywords: BOOST; Graduate medical Education; Hospital discharge; Patient safety; transitions of care
references.citation: J Gen Intern Med. 2003 Aug;18(8):646-51
references.pmid: 12911647
references.citation: JAMA. 2013 Jan 23;309(4):381-91
references.pmid: 23340640
references.citation: Ann Intern Med. 2011 Oct 18;155(8):520-8
references.pmid: 22007045
references.citation: JAMA. 2013 Jan 23;309(4):394-6
references.pmid: 23340642
references.citation: J Hosp Med. 2013 Aug;8(8):421-7
references.pmid: 23873709
references.citation: JAMA. 2007 Feb 28;297(8):831-41
references.pmid: 17327525