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"Transitions of care"

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https://www.readbyqxmd.com/read/28213305/risk-of-suicide-according-to-the-level-of-psychiatric-contact-in-the-older-people-analysis-of-national-health-insurance-databases-in-taiwan
#1
Shin-Ting Yeh, Yee-Yung Ng, Shiao-Chi Wu
PURPOSE: Suicide in the older people is a serious problem worldwide; however the effect of psychiatric contact on the risk of suicide has not been fully explored. The aim of this study was to investigate the relationship between psychiatric contact and suicide in the older people in Taiwan. METHODS: A population-based database was used in this national case-control study. Propensity score matching was used to match older people who did and did not commit suicide from 2010 to 2012 by calendar year, gender, age, and area of residence...
February 1, 2017: Comprehensive Psychiatry
https://www.readbyqxmd.com/read/28209071/collaboration-between-primary-care-physicians-and-radiation-oncologists
#2
Elizabeth A Barnes, Edward Chow, Cyril Danjoux, May Tsao
Communication between physicians is required to ensure important patient information is relayed during the workup, treatment, follow-up and subsequent transition of care back to the primary care physician (PCP). In this review we discuss how survivorship care is being increasingly recognized as an important component of the patient's cancer journey, and one often provided by the PCP. Palliative care and symptom control for patients with non-curable malignancy is often provided by the PCP during and after cancer treatment...
January 2017: Annals of Palliative Medicine
https://www.readbyqxmd.com/read/28201698/transition-of-care-from-pre-dialysis-prelude-to-renal-replacement-therapy-the-blueprints-of-emerging-research-in-advanced-chronic-kidney-disease
#3
Kamyar Kalantar-Zadeh, Csaba P Kovesdy, Elani Streja, Connie M Rhee, Melissa Soohoo, Joline L T Chen, Miklos Z Molnar, Yoshitsugu Obi, Daniel Gillen, Danh V Nguyen, Keith C Norris, John J Sim, Steve S Jacobsen
No abstract text is available yet for this article.
February 11, 2017: Nephrology, Dialysis, Transplantation
https://www.readbyqxmd.com/read/28197967/year-end-clinic-handoffs-a-national-survey-of-academic-internal-medicine-programs
#4
Erica Phillips, Christina Harris, Wei Wei Lee, Amber T Pincavage, Karin Ouchida, Rachel K Miller, Saima Chaudhry, Vineet M Arora
BACKGROUND: While there has been increasing emphasis and innovation nationwide in training residents in inpatient handoffs, very little is known about the practice and preparation for year-end clinic handoffs of residency outpatient continuity practices. Thus, the latter remains an identified, yet nationally unaddressed, patient safety concern. OBJECTIVES: The 2014 annual Association of Program Directors in Internal Medicine (APDIM) survey included seven items for assessing the current year-end clinic handoff practices of internal medicine residency programs throughout the country...
February 14, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28193214/impacts-of-a-navigation-program-based-on-health-information-technology-for-patients-receiving-oral-anticancer-therapy-the-capri-randomized-controlled-trial
#5
Chloé Gervès-Pinquié, Fatima Daumas-Yatim, Benoît Lalloué, Anne Girault, Marie Ferrua, Aude Fourcade, François Lemare, Mario Dipalma, Etienne Minvielle
BACKGROUND: The emergence of oral delivery in cancer therapeutics is expected to result in an increased need for better coordination between all treatment stakeholders, mainly to ensure adequate treatment delivery to the patient. There is significant interest in the nurse navigation program's potential to improve transitions of care by improving communication between treatment stakeholders and by providing personalized organizational assistance to patients. The use of health information technology is another strategy aimed at improving cancer care coordination that can be combined with the NN program to improve remote patient follow-up...
February 13, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28186059/information-exchange-between-providers-during-transitions-of-surgical-care-communication-documentation-and-sometimes-both
#6
Stacey Slager, Julie Beckstrom, Charlene Weir, Guilherme Del Fiol, Benjamin S Brooke
Poor communication of health information between healthcare providers is associated with over 80% of medical errors that occur during transitions of care [1]. We interviewed a diverse sample of primary care providers and surgical providers during their patient's transitions of care before and after surgery at a Veteran's Health Administration hospital and a large tertiary academic medical center to understand how providers communicate and exchange health information for medically complex older patient across different care settings...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28183346/study-protocol-improving-the-transition-of-care-from-a-non-network-hospital-back-to-the-patient-s-medical-home
#7
Roman A Ayele, Emily Lawrence, Marina McCreight, Kelty Fehling, Jamie Peterson, Russell E Glasgow, Borsika A Rabin, Robert Burke, Catherine Battaglia
BACKGROUND: The process of transitioning Veterans to primary care following a non-Veterans Affairs (VA) hospitalization can be challenging. Poor transitions result in medical complications and increased hospital readmissions. The goal of this transition of care quality improvement (QI) project is to identify gaps in the current transition process and implement an intervention that bridges the gap and improves the current transition of care process within the Eastern Colorado Health Care System (ECHCS)...
February 10, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28174819/screening-consolidated-clinical-document-architecture-ccda-documents-for-sensitive-data-using-a-rule-based-decision-support-system
#8
Beatriz H Rocha, Deepika Pabbathi, Molly Schaeffer, Howard S Goldberg
BACKGROUND: The Centers for Medicare & Medicaid Services' Stage 2 final rule requires that eligible hospitals provide a visit summary electronically at transitions of care in order to qualify for "meaningful use" incentive payments. However, Massachusetts state law and Federal law prohibit the transmission of documents containing "sensitive" data unless there is a new patient consent for each transmission. OBJECTIVES: To describe the implementation and evaluation of a rule-based decision support system used to screen transition of care documents for sensitive data...
February 8, 2017: Applied Clinical Informatics
https://www.readbyqxmd.com/read/28152936/improving-transitions-of-care-through-implementation-of-a-standardized-handoff-at-a-comprehensive-cancer-center
#9
Mohamed Ait Aiss, Helene P Phu, Lakeisha R Day, Varkey Abraham, Karen Chen, Mejia Rodrigo, Shehla Razvi, Carmen E Gonzalez, Norman Brito-Dellan, Srinivas Banala, David Rubio, Nicole Vaughan-Adams, Debra S Ruiz, Tan Jens, Charles F Levenback, Michael M Frumovitz, Behrouz Zand, Carmelita P Escalante
: 242 Background: Communication failures cause two-thirds of sentinel events in hospitals. These adverse occurrences are often both fatal and preventable. Consequently, improving the quality of handoffs has been identified by multiple accreditation constituents as a top priority patient safety goal. This project was part of an institutional initiative to standardize handoffs among physicians, trainees, and midlevel providers. METHODS: Four subgroups were identified as pilot areas: Gynecologic Oncology (Gyn Onc) fellows to nocturnalists, Surgical Oncology fellows, Pediatric Oncology residents and fellows, and Emergency Center attending staff to inpatient hospitalists...
March 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28152929/safer-transitions-of-care-at-a-major-cancer-center-the-emergency-center-to-hospitalist-experience
#10
Carmen E Gonzalez, Norman Brito-Dellan, David Rubio, Mohamed Ait Aiss, Terry Rice, Karen Chen, Diane C Bodurka, Carmelita P Escalante
: 247 Background: Failures in communication lead to serious medical errors particularly during transitions of care. A standardized handoff of patients requiring admission to the inpatient setting between the Emergency Center (EC) and the Hospitalist Inpatient Service (HIS) at a comprehensive cancer center was lacking during this vulnerable time. METHODS: A quality pilot study using Plan, Do, Study, Act methodology was conducted. First, root cause analysis and process mapping of the current state was performed to identify pitfalls of the handoff process between the EC and the Hospitalist Service...
March 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28146038/enhanced-transitions-of-care-centralizing-discharge-phone-calls-improves-ability-to-reach-patients-and-reduces-hospital-readmissions
#11
Kristin A Schuller, Bita A Kash, Larry D Gamm
BACKGROUND: The discharge phone call (DPC) is an important initiative aimed at improving transitions of care and reducing readmissions. It is of added importance as financial penalties will be imposed on hospitals with "excessive" Medicare readmissions. This study examines the impact of DPCs on percentages of patients reached through the DPCs and hospital readmission rates based on the centralized or noncentralized mode of DPCs. METHODS: The health system centralized the Studer Group Discharge Phone Call program into one central call center with the goals of reaching more discharged patients and to ultimately reduce hospital readmissions...
January 31, 2017: Journal for Healthcare Quality: Official Publication of the National Association for Healthcare Quality
https://www.readbyqxmd.com/read/28141761/integrated-transitions-of-care-for-patients-with-rare-pulmonary-diseases
#12
(no author information available yet)
No abstract text is available yet for this article.
March 2017: Professional Case Management
https://www.readbyqxmd.com/read/28141754/integrated-transitions-of-care-for-patients-with-rare-pulmonary-diseases
#13
Kathleen Moreo, Cheri Lattimer, James E Lett, Cherilyn L Heggen-Peay, Laura Simone
PURPOSE/OBJECTIVES: Many continuing education (CE) resources are available to support case management professionals in developing competencies in transitions of care (TOC) that apply generally across disease areas. However, CE programs and tools are lacking for advanced TOC competencies in specific disease areas. This article describes 2 projects in which leading TOC, case management, and CE organizations collaborated to develop CE-accredited interdisciplinary pathways for promoting safe and effective TOC for patients with rare pulmonary diseases, including pulmonary arterial hypertension (PAH) and idiopathic pulmonary fibrosis (IPF)...
March 2017: Professional Case Management
https://www.readbyqxmd.com/read/28140684/interprofessional-education-involving-medical-and-pharmacy-students-during-transitions-of-care
#14
Carrie Vogler, Jennifer Arnoldi, Helen Moose, Susan T Hingle
The transition of care from hospital to home is susceptible to clinical errors and adverse drug events. Despite this risk and the benefits of an interprofessional approach to patient care, medicine and pharmacy do not often collaborate during transitions of care. The purpose of this study was to evaluate the impact of an interprofessional education experience consisting of medical and pharmacy students performing transitions of care. A total of 88 students (13 pharmacy students and 75 medical students) participated and were surveyed before and after the experience, to evaluate their confidence in performing aspects of the transition of care process as well as their attitudes towards interprofessional care...
January 31, 2017: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/28131998/methodology-used-in-comparative-studies-assessing-programmes-of-transition-from-paediatrics-to-adult-care-programmes-a-systematic-review
#15
E Le Roux, H Mellerio, S Guilmin-Crépon, S Gottot, P Jacquin, R Boulkedid, C Alberti
OBJECTIVE: To explore the methodologies employed in studies assessing transition of care interventions, with the aim of defining goals for the improvement of future studies. DESIGN: Systematic review of comparative studies assessing transition to adult care interventions for young people with chronic conditions. DATA SOURCES: MEDLINE, EMBASE, ClinicalTrial.gov. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: 2 reviewers screened comparative studies with experimental and quasi-experimental designs, published or registered before July 2015...
January 27, 2017: BMJ Open
https://www.readbyqxmd.com/read/28116015/transition-of-care-practices-from-emergency-department-to-inpatient-survey-data-and-development-of-algorithm
#16
Sangil Lee, Jaime Jordan, H Gene Hern, Chad Kessler, Susan Promes, Sarah Krzyzaniak, Fiona Gallahue, Ted Stettner, Jeffrey Druck
INTRODUCTION: We aimed to assess the current scope of handoff education and practice among resident physicians in academic centers and to propose a standardized handoff algorithm for the transition of care from the emergency department (ED) to an inpatient setting. METHODS: This was a cross-sectional survey targeted at the program directors, associate or assistant program directors, and faculty members of emergency medicine (EM) residency programs in the United States (U...
January 2017: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28110617/characterization-of-drug-related-problems-occurring-in-patients-receiving-outpatient-antimicrobial-therapy
#17
Cory M Hale, Jeffrey M Steele, Robert W Seabury, Christopher D Miller
BACKGROUND: Despite the numerous benefits of outpatient parenteral antimicrobial therapy (OPAT), appreciable risks of drug-related problems (DRPs) exist. No studies to date comprehensively assess DRPs in this population. OBJECTIVES: Objectives of this study were to (1) characterize the frequency and types of DRPs experienced by patients discharged on OPAT and (2) determine the fraction of adverse drug reactions (ADRs) resulting in hospital readmission or emergency department (ED) presentation and changes in therapy...
January 1, 2017: Journal of Pharmacy Practice
https://www.readbyqxmd.com/read/28103769/evaluation-of-neuroleptic-utilization-in-the-intensive-care-unit-during-transitions-of-care
#18
Brian Gilbert, James R Morales, Randi J Searcy, Donald W Johnson, Jason A Ferreira
PURPOSE: The purpose of this study was to identify risk factors associated with inappropriate continuation of neuroleptics postdischarge from the intensive care unit (ICU) and hospital. MATERIALS AND METHODS: A retrospective chart review was performed including all patients greater than 18 years of age who received neuroleptic medications in an ICU. RESULTS: One hundred sixty-one patients were included during the 12- month study period. There were 85 (53%) patients discharged from the ICU with inappropriate continuation of a neuroleptic medication...
February 2017: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/28101609/patient-preparation-for-transitions-of-surgical-care-is-failing-to-prepare-surgical-patients-preparing-them-to-fail
#19
Luke A Martin, Samuel R G Finlayson, Benjamin S Brooke
BACKGROUND: Transitions of care before and after surgery are critical for patient preparation. We sought to determine whether the degree of exposure to health information resources before and after surgery increases preparedness and decreases hospital readmission. METHODS: A national Web-based, cross-sectional survey was conducted of 1917 patients and caregivers who had a recent surgical encounter. Health information resources used before and after surgery were correlated with patient level of preparedness...
January 18, 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/28096909/further-thoughts-on-transition-of-care-for-spina-bifida-patients-experiences-in-bc
#20
Cyrus Chehroudi, Andrew MacNeily
No abstract text is available yet for this article.
November 2016: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
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