Sammendrag
Due to increased specialisation in the municipal health and care services, elderly patients move more frequently between different care services on the municipal level. To secure patient safety the transfer of patient information between services is important. This article studies the system put in place to secure information continuity when patients move between different care services.
Data were collected during observation in short-term units in nursing homes, and through interviews with home care personnel and collection of relevant documents. First, an inductive qualitative content analysis focusing on the information system was carried out, followed by a deductive content analysis with a resilience perspective.
Comprehensive work related to information sharing is undertaken when elderly people move from one service to another. The work relates to gathering, supplementing, correcting, filtering and translating information. The work is framed by formal structures, but additional informal structures act as important support in the everyday work of health care personnel.
Information is shared both in a written and in an oral line of communication. Information continuity is reported by employees as satisfactory. Employees’ competence and capacity to work independently are important in developing a resilient health care system for transfers of elderly patients.
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