Moving chronically ill or frail patients from one place of care toanother is one of the most overlooked and significant sources of medical errors, according to a report released Monday.

The serious problems imposed by moving patients from one setting to another, such as between a nursing home and a hospital, have been neglected by healthcare policymakers and caregivers, according to researchers writing in the Annals of Internal Medicine. Dr. Eric Coleman of the University of Colorado Health Sciences Center and Dr. Robert Berenson of the Urban Institute in Washington co-authored the article.

The feel that regulators and providers still focus too much on medical
errors that occur while patients are in hospitals or in nursing homes.

The study points out staffing unfamiliarity between facilities and an
emphasis on taking care of patients only when they are in one’s place of employment as two of the most serious sources for medical error during transitional care.