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make discussion question: Another likely barrier is the lack of communication and integration between healthcare professionals. Discharge planning involves collaboration of physicians, nurses, case managers, social workers, and primary care providers to ensure that patients receive adequate care after being discharged from the hospital. However, many hospitals experience breakdowns in communication due to incompatible electronic health records (EHRs), time constraints, or unclear delegation of responsibilities (Tsai et al., 2020). Lack of effective communication may result in patients being discharged without referral, appointment for follow up or even management of their medications. This can result in potentially avoidable consequences including wrong prescription, missed appointment, which may lead to readmission. To address this problem, there is a need to integrate EHR systems and standardize handoff processes from the hospital to home care settings.

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