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Related Experiment Video

Updated: Jul 11, 2025

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Avoidable Care Transitions: A Consensus-Based Definition Using a Delphi Technique.

Rustem Makhmutov1,2, Gabriele Meyer1, Moriah E Ellen2,3

  • 1Institute for Health and Nursing Science, Medical Faculty, Martin Luther University Halle-Wittenberg, Halle, Germany.

Innovation in Aging
|November 9, 2023
PubMed
Summary

Researchers established a consensus definition for avoidable care transitions in older adults. This new definition clarifies transitions lacking patient benefit or occurring in suboptimal settings, improving care quality and safety.

Keywords:
Literature reviewSurveyTerminology

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Area of Science:

  • Gerontology
  • Health Services Research
  • Patient Safety

Background:

  • Older adults experience frequent care transitions, increasing risks.
  • A clear definition of "avoidable care transitions" is lacking in current literature.

Purpose of the Study:

  • To establish a consensus-based definition for "avoidable care transitions" in older adults.

Main Methods:

  • A 4-round Delphi survey involving 99 international experts.
  • Literature review identifying 106 definitions from 95 references.
  • Analysis of definitions to identify key themes and develop consensus.

Main Results:

  • A consensus definition for "avoidable care transitions" was achieved with 90% expert agreement.
  • The definition includes three dimensions: patient benefit/harm, resource utilization, and patient/caregiver preferences.
  • The final definition addresses transitions without significant patient benefit, those achievable in lower-resource settings, and those violating patient preferences or care plans.

Conclusions:

  • A multidisciplinary expert panel reached consensus on a definition for avoidable care transitions.
  • The new definition enhances understanding and is applicable to research and healthcare quality improvement.
  • This definition provides a framework for identifying and reducing unnecessary care transitions in older populations.