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"Care transitions"

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https://www.readbyqxmd.com/read/30232111/partners-at-care-transitions-exploring-healthcare-professionals-perspectives-of-excellence-at-care-transitions-for-older-people
#1
Ruth Baxter, Jane O'Hara, Jenni Murray, Laura Sheard, Alison Cracknell, Robbie Foy, John Wright, Rebecca Lawton
INTRODUCTION: Hospital admissions are shorter than they were 10 years ago. Notwithstanding the benefits of this, patients often leave hospital requiring ongoing care. The transition period can therefore be risky, particularly for older people with complex health and social care needs. Previous research has predominantly focused on the errors and harms that occur during transitions of care. In contrast, this study adopts an asset-based approach to learn from factors that facilitate safe outcomes...
September 19, 2018: BMJ Open
https://www.readbyqxmd.com/read/30230083/nursing-handover-of-vital-signs-at-the-transition-of-care-from-the-emergency-department-to-the-inpatient-ward-an-integrative-review
#2
Rachel Cross, Julie Considine, Judy Currey
AIM: To examine nursing handover of vital signs during patient care transition from the emergency department (ED) to inpatient wards. BACKGROUND: Communication failures are a leading cause of patient harm making communication through clinical handover an international healthcare priority. The transition of care from ED to ward settings is informed by nursing handover. Vital sign abnormalities in the ED are associated with clinical deterioration following hospital admission...
September 19, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/30225443/at-the-intersection-of-patient-experience-data-outcomes-research-and-practice-analysis-of-hcahps-scores-in-neurology-patients
#3
Kristine T Hanson, Nicholas L Zalewski, Sara E Hocker, Richard J Caselli, Elizabeth B Habermann, Cornelius A Thiels
Objective: To assess variation in patient-reported experience in inpatient neurology patients. Patients and Methods: We retrospectively identified 1045 patients 18 years and older admitted to a neurology service and discharged from January 1, 2013, through September 30, 2016, who completed Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) surveys. Multivariable logistic regression evaluated the associations of patient factors with HCAHPS measures...
June 2018: Mayo Clinic proceedings. Innovations, quality & outcomes
https://www.readbyqxmd.com/read/30224366/transition-planning-among-us-youth-with-and-without-special-health-care-needs
#4
Lydie A Lebrun-Harris, Margaret A McManus, Samhita M Ilango, Mallory Cyr, Sarah Beth McLellan, Marie Y Mann, Patience H White
BACKGROUND: Researchers have shown that most youth with special health care needs (YSHCN) are not receiving guidance on planning for health care transition. This study examines current transition planning among US youth with and without special health care needs (SHCN). METHODS: The 2016 National Survey of Children's Health is nationally representative and includes 20 708 youth (12-17 years old). Parents and/or caregivers were asked if transition planning occurred, based on the following elements: (1) doctor or other health care provider (HCP) discussed the eventual shift to an HCP who cares for adults, (2) an HCP actively worked with youth to gain self-care skills or understand changes in health care at age 18, and (3) youth had time alone with an HCP during the last preventive visit...
September 17, 2018: Pediatrics
https://www.readbyqxmd.com/read/30220892/multicultural-transitions-caregiver-presence-and-language-concordance-at-discharge
#5
Nosaiba Rayan-Gharra, Boaz Tadmor, Ran D Balicer, Efrat Shadmi
Introduction: Patients with low health literacy (HL) and minority patients encounter many challenges during hospital to community transitions. We assessed care transitions of minority patients with various HL levels and tested whether presence of caregivers and provision of language-concordant care are associated with better care transitions. Methods: A prospective cohort study of 598 internal medicine patients, Hebrew, Russian, or Arabic native speakers, at a tertiary medical center in central Israel, from 2013 to 2014...
August 8, 2018: International Journal of Integrated Care
https://www.readbyqxmd.com/read/30218818/putting-patients-at-the-center-of-kidney-care-transitions-prepare-now-a-cluster-randomized-controlled-trial
#6
Jamie A Green, Patti L Ephraim, Felicia F Hill-Briggs, Teri Browne, Tara S Strigo, Chelsie L Hauer, Rebecca A Stametz, Jonathan D Darer, Uptal D Patel, Katina Lang-Lindsey, Brian L Bankes, Shakur A Bolden, Patricia Danielson, Suzanne Ruff, Lana Schmidt, Amy Swoboda, Peter Woods, Brandy Vinson, Diane Littlewood, George Jackson, Jane F Pendergast, Jennifer St Clair Russell, Kelli Collins, Evan Norfolk, Ion D Bucaloiu, Shravan Kethireddy, Charlotte Collins, Daniel Davis, Jeremy dePrisco, Dave Malloy, Clarissa J Diamantidis, Sherri Fulmer, Jennifer Martin, Dori Schatell, Navdeep Tangri, Amanda Sees, Cory Siegrist, Jeffrey Breed, Angela Medley, Elisabeth Graboski, Jonathan Billet, Matthew Hackenberg, Dale Singer, Stephanie Stewart, Aviel Alkon, Nrupen A Bhavsar, LaPricia Lewis-Boyer, Caitlin Martz, Christina Yule, Raquel C Greer, Milda Saunders, Blake Cameron, L Ebony Boulware
Care for patients transitioning from chronic kidney disease to kidney failure often falls short of meeting patients' needs. The PREPARE NOW study is a cluster randomized controlled trial studying the effectiveness of a pragmatic health system intervention, 'Patient Centered Kidney Transition Care,' a multi-component health system intervention designed to improve patients' preparation for kidney failure treatment. Patient-Centered Kidney Transition Care provides a suite of new electronic health information tools (including a disease registry and risk prediction tools) to help providers recognize patients in need of Kidney Transitions Care and focus their attention on patients' values and treatment preferences...
September 12, 2018: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/30211785/resilience-from-a-stakeholder-perspective-the-role-of-next-of-kin-in-cancer-care
#7
Inger Johanne Bergerød, Geir S Braut, Siri Wiig
OBJECTIVE: The aim of this article was to provide new knowledge on how next of kin are co-creators of resilient performance, as seen from the viewpoint of the healthcare personnel and managers. The following research question guided the study: How are next of kin involved in shaping resilience within cancer care in hospitals? METHODS: The design of the study is a case study of cancer departments in two Norwegian hospitals. Data collection included a total of 32 qualitative semistructured interviews at two organizational levels (managers and staff)...
September 11, 2018: Journal of Patient Safety
https://www.readbyqxmd.com/read/30210936/health-care-transition-experiences-of-males-with-childhood-onset-duchenne-and-becker-muscular-dystrophy-findings-from-the-muscular-dystrophy-surveillance-tracking-and-research-network-md-starnet-health-care-transitions-and-other-life-experiences-survey
#8
Pangaja Paramsothy, Adrienne R Herron, Molly M Lamb, Kathi Kinnett, Jodi Wolff, Michele L Yang, Joyce Oleszek, Shree Pandya, Annie Kennedy, Darryl Cooney, Deborah Fox, Daniel Sheehan
Introduction: As the proportion of males with Duchenne muscular dystrophy (DMD) surviving into adulthood increases, more information is needed regarding their health care transition planning, an essential process for adolescents and young adults with DMD. The objective of this study was to describe the health care transition experiences of a population of males living with Duchenne or Becker muscular dystrophy (DBMD). Methods: The eligible participants, identified through the Muscular Dystrophy Surveillance Tracking and Research Network (MD STARnet) surveillance project, were 16-31 years old and lived in Arizona, Colorado, Georgia, Iowa, or western New York (n=258)...
August 21, 2018: PLoS Currents
https://www.readbyqxmd.com/read/30180040/improving-the-transition-of-care-process-for-veterans-hospitalized-at-non-vha-facilities
#9
James V Libbon, Carrie Meg Austin, Leta C Gill-Scott, Robert E Burke
Veterans receiving primary care through the Veterans Health Administration (VHA) are at increased risk of adverse outcomes when transitioning from a non-VHA hospitalization to VHA primary care. We intervened to improve these care transitions through identifying Veterans at a partnered community hospital, use of a multidisciplinary patient-structured discharge information sheet for community case managers to effectively communicate with VHA clinics, and implementation of a VHA site process for receiving information...
August 30, 2018: Journal for Healthcare Quality: Official Publication of the National Association for Healthcare Quality
https://www.readbyqxmd.com/read/30169442/designing-large-scale-improvement-using-an-academic-practice-partnership-to-enhance-care-transitions
#10
Shea Polancich, Cynthia S Selleck, Terri Poe, Rebecca Miltner, Maria R Shirey
This department column highlights translation of research into healthcare quality practice. Achieving the highest quality in healthcare requires organizations to understand care delivery and to develop and design process efficiencies. The improvement process may be enhanced through a partnership between the healthcare facility and an affiliated school of nursing. The purpose of this article was to describe the process for developing a large-scale improvement project focused on enhancing care transitions within an academic medical center using an academic-practice partnership model...
September 2018: Journal for Healthcare Quality: Official Publication of the National Association for Healthcare Quality
https://www.readbyqxmd.com/read/30169256/health-care-transition-from-adolescent-to-adult-services-for-young-people-with-hiv
#11
REVIEW
Diane M Straub, Amanda E Tanner
HIV-related care and treatment engagement are crucial steps to improve individual and population-level health; yet, many young people (18-25 years old) with HIV are not maintained in, or disengage from, care. Health-care transition and the transfer to adult care are particularly vulnerable points in the care and treatment of young people with HIV. In this Review, we explore barriers and facilitators to health-care transition, evaluate existing health-care transition programmes, and identify best practices for the improvement of health-care transition outcomes and health...
March 2018: Lancet Child & Adolescent Health
https://www.readbyqxmd.com/read/30169183/clinic-attendance-and-disengagement-of-young-adults-with-type-1-diabetes-after-transition-of-care-from-paediatric-to-adult-services-traced-a-randomised-open-label-controlled-trial
#12
Mary White, Michele A O'Connell, Fergus J Cameron
BACKGROUND: Care transition from paediatric to adult services for young adults with type 1 diabetes is frequently associated with decreased attendance at outpatient hospital clinics and increased disengagement from specialist services. We aimed to assess the effect of an appointment-management intervention on clinic attendance and disengagement after transition. METHODS: We did a randomised, open-label, controlled trial of patients aged 17-19 years with type 1 diabetes...
December 2017: Lancet Child & Adolescent Health
https://www.readbyqxmd.com/read/30166297/impact-of-patient-characteristics-on-the-canadian-patient-experiences-survey-inpatient-care-survey-analysis-from-an-academic-tertiary-care-centre
#13
Fraser D Rubens, Diana M Rothwell, Amal Al Zayadi, Sudhir Sundaresan, Tim Ramsay, Alan Forster
OBJECTIVE: To determine the role of patient demographics, care domains and self-perceived health status in the analysis and interpretation of results from the Canadian Patient Experience Survey-Inpatient Care. DESIGN: Cross-sectional survey. SETTING: Single large Canadian two campus tertiary care academic centre. PARTICIPANTS: Random sampling of hospital patients postdischarge. INTERVENTION AND MAIN OUTCOME MEASURES: Logistic regression models were developed to analyse topbox scoring on four questions of global care (rate experience, recommend hospital, rate hospital, overall helped)...
August 30, 2018: BMJ Open
https://www.readbyqxmd.com/read/30154057/the-epilepsy-transition-care-gap-in-young-adults-with-childhood-onset-epilepsy
#14
Christine M Baca, Frances Barry, Anne T Berg
INTRODUCTION: A substantial proportion of young adults with childhood-onset epilepsy may require ongoing long-term epilepsy care as adults. OBJECTIVE: The objective of the study was to assess the extent to which epilepsy transition discussions occurred in adolescents with childhood-onset epilepsy prior to the age of attaining majority (prior to their 18th birthday) in a community-based cohort of individuals with childhood-onset epilepsy followed longitudinally. METHODS: The Connecticut Study of Epilepsy is a prospective, community-based study of newly diagnosed childhood-onset epilepsy with 613 children (onset < 16 years old; year recruited: 1993-97)...
August 25, 2018: Epilepsy & Behavior: E&B
https://www.readbyqxmd.com/read/30146371/increased-risk-of-suicide-attempts-and-unintended-death-among-those-transitioning-from-prison-to-community-in-later-life
#15
Lisa C Barry, David C Steffens, Kenneth E Covinsky, Yeates Conwell, Yixia Li, Amy L Byers
OBJECTIVE: The number of individuals transitioning from correctional facilities to community in later life (age ≥50 ) is increasing. We sought to determine if later-life prison release is a risk factor for suicidal behavior and death by accidental injury, including drug overdose. DESIGN: Retrospective cohort study. SETTING: U.S. Department of Veterans Affairs and Medicare healthcare systems, 2012-2014. PARTICIPANTS: Veterans age ≥50 released from correctional facilities (N = 7,671 re-entry veterans) and those never incarcerated (N = 7,671)...
July 21, 2018: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/30139564/anticoagulation-across-care-transitions-identifying-minimum-data-to-maximize-drug-safety
#16
EDITORIAL
Nadine Shehab, Jeffrey L Greenwald, Daniel S Budnitz
No abstract text is available yet for this article.
August 20, 2018: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/30136718/impact-of-medication-reconciliation-for-improving-transitions-of-care
#17
REVIEW
Patrick Redmond, Tamasine C Grimes, Ronan McDonnell, Fiona Boland, Carmel Hughes, Tom Fahey
BACKGROUND: Transitional care provides for the continuity of care as patients move between different stages and settings of care. Medication discrepancies arising at care transitions have been reported as prevalent and are linked with adverse drug events (ADEs) (e.g. rehospitalisation).Medication reconciliation is a process to prevent medication errors at transitions. Reconciliation involves building a complete list of a person's medications, checking them for accuracy, reconciling and documenting any changes...
August 23, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/30136714/caregiver-based-interventions-to-optimize-medication-safety-in-vulnerable-elderly-adults-a-systematic-evidence-based-review
#18
Kamal C Wagle, Elaine N Skopelja, Noll L Campbell
OBJECTIVES: To study the effect of caregiver-focused interventions to support medication safety in older adults with chronic disease. DESIGN: Systematic review. SETTING: Studies published before January 31, 2017, searched using Ovid Medline, PubMed, EMBASE, Scopus, CINAHL, PsycINFO, and Google Scholar. PARTICIPANTS: Caregivers with or without a care recipient. MEASUREMENTS: Inclusion criteria: interventions focused on caregivers aiming to improve medication safety...
August 23, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/30134474/mapping-the-flow-of-pediatric-trauma-patients-using-process-mining
#19
Ashimiyu B Durojaiye, Nicolette M McGeorge, Lisa L Puett, Dylan Stewart, James C Fackler, Peter L T Hoonakker, Harold P Lehmann, Ayse P Gurses
BACKGROUND:  Inhospital pediatric trauma care typically spans multiple locations, which influences the use of resources, that could be improved by gaining a better understanding of the inhospital flow of patients and identifying opportunities for improvement. OBJECTIVES:  To describe a process mining approach for mapping the inhospital flow of pediatric trauma patients, to identify and characterize the major patient pathways and care transitions, and to identify opportunities for patient flow and triage improvement...
July 2018: Applied Clinical Informatics
https://www.readbyqxmd.com/read/30128789/self-identified-social-determinants-of-health-during-transitions-of-care-in-the-medically-underserved-a-narrative-review
#20
Anunta Virapongse, Gregory J Misky
BACKGROUND: Medically underserved or low socioeconomic status (SES) patients face significant vulnerability and a high risk of adverse events following hospital discharge. The environmental, social, and economic factors, otherwise known as social determinants, that compound this risk have been ineffectually described in this population. As the underserved comprise 30% of patients discharged from the hospital, improving transitional care and preventing readmission in this group has profound quality of care and financial implications...
August 20, 2018: Journal of General Internal Medicine
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