2026-04-17T04:25:46Zhttps://recercat.cat/oai/request

oai:recercat.cat:10230/718652025-11-13T19:18:32Zcom_2072_6col_2072_452952

00925njm 22002777a 4500 dc Makhmutov, Rustem author Calle Egusquiza, Alicia author Roqueta, Cristina author Amor Fernández, Eva Maria author Meyer, Gabriele author Ellen, Moriah E. author Fleischer, Steffen author Renom-Guiteras, Anna author 2025-11-11T18:09:33Z 2025-11-11T18:09:33Z 2024 2025-11-11T18:09:33Z Purpose: The phenomenon of avoidable care transitions has received increasing attention over the last decades due to its frequency and associated burden for the patients and the healthcare system. A number of assessment tools to identify avoidable transitions have been designed and implemented. The selection of the most appropriate tool appears to be challenging and time-consuming. This systematic review aimed to identify and comprehensively describe the assessment tools that can support stakeholders' care transition decisions on older adults. Methods: This study was conducted as part of the TRANS-SENIOR research network. A systematic search was conducted in MEDLINE via PubMed, CINAHL, and CENTRAL. No restrictions regarding publication date and language were applied. Results: The search in three electronic databases revealed 1266 references and screening for eligibility resulted in 58 articles for inclusion. A total of 48 assessment tools were identified covering different concepts, judgement processes, and transition destinations. We found variation in the comprehensiveness of the tools with regard to dimensions used in the judgement process. Conclusion: All tools are not comprehensive with respect to the dimensions covered, as they address only one or a few perspectives. Although assessment tools can be useful in clinical practice, it is worth it to bear in mind that they are meant to support decision-making and supplement the care professional¿s judgement, instead of replacing it. Our review might guide clinicians and researchers in choosing the right tool for identification of avoidable care transitions, and thus support informed decision-making. Open Access funding enabled and organized by Projekt DEAL. This work was supported by the European Union's Horizon 2020 research and innovation program under the Marie Sklodowska-Curie Actions [Grant No. 812656]. The study's funder had no role in study design, data collection, data analysis, data interpretation, or preparation of the manuscript. Authors were not precluded from accessing data in the study, and they accepted responsibility for submitting for publication. http://hdl.handle.net/10230/71865 Decision-making Preventable care transitions Decision support tools Older adults Assessment tools addressing avoidable care transitions in older adults: a systematic literature review