As a patient moves from hospital back home to receive community-based care, quality of care and patient safety are often put at risk. This study aimed to analyse the discharge process to identify and compare the barriers and facilitators within the context of the system in which they occur, from the perspectives of both hospital and community healthcare staff. The results were derived from the analysis of 348 incident reports, the observation of five discharge planning meetings with hospital staff, three focus groups with hospital staff, and six focus groups with community healthcare staff. Five themes representative of the barriers and four themes representative of the facilitators for this process were identified from both hospital and community healthcare staff's perspective. These were then discussed in the context of the subsystem, hospital or community healthcare setting, in which they occur.

当患者从医院搬回家接受社区护理时，护理质量和患者安全往往面临风险。本研究旨在从医院和社区医护人员的角度分析出院过程，以识别和比较在其发生的系统背景下的障碍和促进因素。结果来自对 348 份事件报告的分析、与医院工作人员的五次出院计划会议、与医院工作人员的三个焦点小组以及与社区医疗保健人员的六个焦点小组的观察。从医院和社区医疗保健人员的角度确定了代表障碍的五个主题和代表该过程的协调者的四个主题。然后在子系统的上下文中讨论这些，