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Objective: To evaluate the quality of the care transition for patients with chronic non-communicable diseases discharged from the emergency department to home., Method: A cross-sectional observational and epidemiological study conducted at an emergency department in the South of Brazil with 117 patients and 81 caregivers. The Care Transitions Measure was applied by phone to collect data. A descriptive and analytical statistical analysis was performed., Results: The quality of the care transition's total score was close to satisfactory (69.5). The "Self-Management Training" factor had the highest score (70.6), while "Understanding medications" had the lowest (68.3). Items related to understanding medications and confidence in carrying out care after discharge obtained lower scores., Conclusions: A moderate quality of the care transition was evidenced, as well as the need to adopt strategies to improve the emergency department discharge process and the continuity of the care of patients with chronic diseases.

Objective: To describe the implementation of a standardized process of effective communication for the temporary transfer of inpatient care., Method: Experience report of the implantation of a process of temporary transfer of care between professionals of the hospital wards and areas of diagnostic-therapeutic procedures of a university hospital in the south of Brazil. The process began in 2015 involving adult wards and radiology, being expanded to other areas of the hospital in 2017. The construction of the form was done through meetings and training with the professionals involved in order to contemplate the specificities of care., Result: The elaborated form contemplates relevant aspects about the patient, subsidizing the professionals during the transitions of the care, transportation and accomplishment of procedures., Final Considerations: Its implementation added security and strengthened the process of effective and structured communication among nursing professionals.

Objective: To define the safe transition process from hospital to community of patients with chronic mental disorders and their families., Method: This was an action research study included in the constructivist paradigm. The participants in the study were nurses from a psychiatry service and from primary healthcare services., Results: After the identification of causes of continuity fragmentation, the following items emerged from the participants' speeches: a) two criteria categories for safe transition (those associated with health status, dependence level, and self-care capacity of patients, and those associated with knowledge and competence level of informal caregivers); b) the design of an algorithm to facilitate clinical decision-making., Final Considerations: In order to promote adherence to therapeutic treatment in the hospital-community transition, treatment plans must include patients and their families, and improve communication networks and support among care levels.

We present the results of a prospective study of the technical and human characteristics of the transport of children transferred from other Hospitals to our PICU. During eight months of 1994, 153 children were transferred and 138 included in our study. Their ages varied between one month and fourteen years and the majority (60%) were males. 67% of the patients transferred required Pediatric specialties and 30% required surgical specialties. Accidents were the most common pathology (40%), followed by neurologic, respiratory and infectious situations (15% each) The most frequently used means of transport was an ambulance, in 88% of the cases. Only 12% of these were medically equipped and 10% had CPR material available. In 23% of the transports the patient was accompanied by both a nurse and a medical doctor. In 25% by a nurse only and in 14% by a medical doctor. None of them had training in transport medicine. The length of the transport varied between 30 min. and 14 h, with a mean of 2h. Ten patients had major complications during transfer. Their CCS on arrival at the PICU was > or = 3 in 55% of the cases. Based on these results we discuss the obvious need for a Pediatric Transport System in our country.