Quality of transitions in older medical patients with frequent readmissions: Opportunities for improvement

European Journal of Internal Medicine

Volumn 24, Issue 8, 2013, Pages 779-783

  Mudge, Alison M ^a,b   Shakhovskoy, Rebekah ^a   Karrasch, Annabelle ^a  

^a ROYAL BRISBANE AND WOMEN'S HOSPITAL   (Australia)

^b UNIVERSITY OF QUEENSLAND   (Australia)

Author keywords

Continuity of patient care; Patient discharge; Patient readmission

Indexed keywords

ADULT; AGED; ARTICLE; AUSTRALIA; FEMALE; HEALTH CARE QUALITY; HIGH RISK POPULATION; HOSPITAL DISCHARGE; HOSPITAL PATIENT; HOSPITAL READMISSION; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAL CARE; OUTPATIENT CARE; PATIENT EDUCATION; PHARMACIST; QUALITY CONTROL; RETROSPECTIVE STUDY; TEACHING HOSPITAL;

CONTINUITY OF PATIENT CARE; PATIENT DISCHARGE; PATIENT READMISSION;

AGED; AGED, 80 AND OVER; CONTINUITY OF PATIENT CARE; FEMALE; HOSPITALIZATION; HUMANS; MALE; MEDICATION RECONCILIATION; MIDDLE AGED; PATIENT DISCHARGE; PATIENT DISCHARGE SUMMARIES; PATIENT READMISSION; QUALITY IMPROVEMENT; QUALITY OF HEALTH CARE; RETROSPECTIVE STUDIES;

EID: 84889665462     PISSN: 09536205     EISSN: 18790828     Source Type: Journal    
DOI: 10.1016/j.ejim.2013.08.708     Document Type: Article

References (35)

1. S. Jencks, M. Williams, and E. Coleman Rehospitalizations among patients in the Medicare fee-for-service program N Engl J Med 360 2009 1418 1428
2. L. Hansen, R. Young, K. Hinami, A. Leung, and M. Williams Interventions to reduce 30-day rehospitalization: a systematic review Ann Intern Med 155 2011 520 528
3. S. Parker Do current discharge arrangements from inpatient hospital care for the elderly reduce readmission rates, the length of inpatient stay or mortality, or improve health status? Health Evidence Network report 2005 [serial on the Internet]
4. I. Scott Preventing the rebound: improving care transition in hospital discharge processes Aust Health Rev 34 2010 445 451
5. C. Grafft, F. McDonald, K. Ruud, J. Liesinger, M. Johnson, and J. Maessens Effect of hospital follow-up appointment on clinical event outcomes and mortality Arch Intern Med 170 2010 955 960
6. R. Burke, and E. Coleman Interventions to decrease hospital readmissions. Keys for cost-effectiveness JAMA Intern Med 173 2013 695 698
7. A. Di Iorio, A. Longo, A. MC, A. Mitidieri Costanza, S. Bandinelli, S. Capasso, and M. Giganti Characteristics of geriatric patients related to early and late readmissions to hospital Aging Clin Exp Res 10 1998 339 346
8. T. Kwok, E. Lau, J. Woo, J.K. Luk E. Wong, and A. Sham Hospital readmission among old medical patients in Hong Kong J R Coll Physicians Lond 33 1999 153 156
9. R. Phillips, C. Safran, P. Cleary, and T. Delbanco Predicting emergency readmissions for patients discharged from the medical service of a teaching hospital J Gen Intern Med 2 1987 400 405
10. A. Mudge, K. Kasper, A. Clair, H. Redfern, J. Bell, and M. Barras Recurrent readmissions in medical patients: a prospective study J Hosp Med 6 2011 61 67
11. E.A. Coleman Falling through the cracks: challenges and opportunities for improving transitional care for persons with continuous complex needs J Am Geriatr Soc 51 2003 549 555
12. S. Pearson, S.C. Inglis, S.N. McLennan, L. Brennan, M. Russell, and D. Wilkinson Prolonged effects of a home-based intervention in patients with chronic illness Arch Intern Med 166 2006 645 650
13. M. Courtney, H. Edwards, A. Chang, A. Parker, K. Finlayson, and K. Hamilton Fewer emergency readmissions and better quality of life for older adults at risk of hospital readmission: a randomized controlled trial to determine the effectiveness of a 24-week exercise and telephone follow-up program J Am Geriatr Soc 57 2009 395 401
14. B. Jack, V. Chetty, D. Anthony, J. Greenwald, G. Sanchez, and A. Johnson A reeingineered hospital discharge program to decrease rehospitalization. A randomized trial Ann Intern Med 150 2009 178 187
15. S. Kripalani, A. Jackson, J. Schnipper, and E. Coleman Promoting effective transitions of care at hospital discharge: a review of key issues for hospitalists J Hosp Med 2 2007 314 323
16. L.O. Hansen, A. Strater, L. Smith, J. Lee, R. Press, and N. Ward Hospital discharge documentation and risk of rehospitalisation BMJ Qual Saf 20 2011 773 778
17. A. Mudge, S. Laracy, K. Richter, and C. Denaro Controlled trial of multidisciplinary care teams for acutely ill medical inpatients: enhanced multidisciplinary care Intern Med J 36 2006 558 563
18. C.M. Bell, J.L. Schnipper, A.D. Auerbach, P.J. Kaboli, T.B. Wetterneck, and D.V. Gonzales Associations of communication between hospital-based physicians and primary care providers with patient outcomes J Gen Intern Med 24 2008 381 386
19. V. Arora, M. Prochaska, J. Farnan, M. D'Arcy, K. Schwarz, and L. Vinci Problems after discharge and understanding of communication with their primary care physicians among hospitalized seniors: a mixed methods study J Hosp Med 5 2010 385 391
20. C. Van Walraven, R. Seth, P.C. Austin, and A. Laupacis Effect of discharge summary availability during post-discharge visits on hospital readmission J Gen Intern Med 17 2002 186 192
21. G.J. Misky, H. Wald, and E.A. Coleman Post-hospitalization transitions: examining the effects of timing of primary care follow-up J Hosp Med 5 2010 392 397
22. E.A. Coleman, C. Parry, S. Chalmers, and S. Min The care transitions intervention Arch Intern Med 166 2006 1822 1828
23. J.Y.Z. Li, T.Y. Young, P. Hakendorf, D. Ben-Tovim, and C.H. Thompson Timeliness in discharge summary dissemination is associated with patients' clinical outcomes J Eval Clin Pract 19 2013 76 79
24. A. Takeda, S. Taylor, R. Taylor, F. Khan, H. Krum, and M. Underwood Clinical service organisation for heart failure Cochrane Database Syst Rev 2012 (9). http:dx-doi.org:10.1002/14651858.CD002752.pub3
25. S. Kripalani, F. LeFevre, C. Phillips, M. Williams, P. Basaviah, and D. Baker Deficits in communication and information transfer between hospital-based and primary care physicians JAMA 297 2007 831 841
26. L.I. Horwitz, G.Y. Jenq, U.C. Brewster, C. Chen, S. Kanade, and P.H. Van Ness Comprehensive quality of discharge summaries at an academic medical center J Hosp Med 8 2013 436 443
27. M. Tinetti, T. Fried, and C. Boyd Designing health care for the most common chronic condition - multimorbidity JAMA 307 2012 2493 2494
28. C.H. Cain, E. Neuwirth, J. Bellows, C. Zuber, and J. Green Patient experiences of transitioning from hospital to home: an ethnographic quality improvement project J Hosp Med 7 2012 382 387
29. P. Feigenbaum, E. Neuwirth, L. Trowbridge, S. Teplitsky, C. Barnes, and E. Fireman Factors contributing to all-cause 30-day readmissions: a structured case series across 18 hospitals Med Care 50 2012 599 605
30. D. Kashiwagi, M. Burton, L. Kirkland, S. Cha, and P. Varkey Do timely outpatient follow-up visits decrease hospital readmission rates? Am J Med Qual 27 2012 11 15
31. H. Rayner, R. Temple, T. Marshall, and D. Clarke A comparison of hospital readmission rates between two general physicians with different outpatient review practices BMC Health Serv Res 2 2002 1 8
32. I. Oduyebo, C. Lehmann, C. Pollack, N. Durkin, J. Miller, and S. Mandell Association of self-reported hospital discharge handoffs with 30-day readmissions JAMA Intern Med 173 2013 624 629
33. A.K. Jha, E.J. Orav, and A.M. Epstein Public reporting of discharge planning and rates of readmission N Engl J Med 361 2009 2637 2645
34. E. Marks Complexity science and the readmission dilemma JAMA Intern Med 173 2013 629 631
35. A. Auerbach, M. Fang, J. Glasheen, D. Brotman, K.J. O'Leary, and L.I. Horowitz BOOST: evidence needing a lift J Hosp Med 8 2013 468 469