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https://www.readbyqxmd.com/read/29210555/improving-patient-safety-care-transitions
#1
Joshua Davis, Margot Savoy, Heather Bittner-Fagan
Care transitions are times of high risk of harm to patients. The transition from hospital care to outpatient care is perhaps the most well-studied transition and is encountered commonly in the family medicine setting. For discharge transitions, several hospital-based interventions for patients with major diagnoses have resulted in improvements in readmission rates, costs, and patient satisfaction. Prompt scheduling of a follow-up appointment with patients after discharge is crucial. Key issues to consider in the first post-discharge appointment include drug reconciliation and follow-up of any pending tests and results...
December 2017: FP Essentials
https://www.readbyqxmd.com/read/29197305/internal-medicine-hospitalists-perceived-barriers-and-recommendations-for-optimizing-secondary-prevention-of-osteoporotic-hip-fractures
#2
Eng Keong Tan, Kah Poh Loh, Sarah L Goff
OBJECTIVES: Osteoporosis is a major public health concern affecting an estimated 10 million people in the United States. To the best of our knowledge, no qualitative study has explored barriers perceived by medicine hospitalists to secondary prevention of osteoporotic hip fractures. We aimed to describe these perceived barriers and recommendations regarding how to optimize secondary prevention of osteoporotic hip fracture. METHODS: In-depth, semistructured interviews were performed with 15 internal medicine hospitalists in a tertiary-care referral medical center...
December 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/29196483/partners-at-care-transitions-pact-e-xploring-older-peoples-experiences-of-transitioning-from-hospital-to-home-in-the-uk-protocol-for-an-observation-and-interview-study-of-older-people-and-their-families-to-understand-patient-experience-and-involvement-in-care
#3
Natasha Kate Hardicre, Yvonne Birks, Jenni Murray, Laura Sheard, Lesley Hughes, Jane Heyhoe, Alison Cracknell, Rebecca Lawton
INTRODUCTION: Length of hospital inpatient stays have reduced. This benefits patients, who prefer to be at home, and hospitals, which can treat more people when stays are shorter. Patients may, however, leave hospital sicker, with ongoing care needs. The transition period from hospital to home can be risky, particularly for older patients with complex health and social needs. Improving patient experience, especially through greater patient involvement, may improve outcomes for patients and is a key indicator of care quality and safety...
December 1, 2017: BMJ Open
https://www.readbyqxmd.com/read/29196476/changes-in-older-people-s-care-profiles-during-the-last-2-years-of-life-1996-1998-and-2011-2013-a-retrospective-nationwide-study-in-finland
#4
Mari Aaltonen, Leena Forma, Jutta Pulkki, Jani Raitanen, Pekka Rissanen, Marja Jylha
OBJECTIVES: The time of death is increasingly postponed to a very high age. How this change affects the use of care services at the population level is unknown. This study analyses the care profiles of older people during their last 2 years of life, and investigates how these profiles differ for the study years 1996-1998 and 2011-2013. DESIGN: Retrospective cross-sectional nationwide data drawn from the Care Register for Health Care, the Care Register for Social Care and the Causes of Death Register...
December 1, 2017: BMJ Open
https://www.readbyqxmd.com/read/29182402/individual-versus-interprofessional-team-performance-in-formulating-care-transition-plans-a-randomised-study-of-trainees-from-five-professional-groups
#5
Timothy W Farrell, Katherine P Supiano, Bob Wong, Marilyn K Luptak, Brenda Luther, Troy C Andersen, Rebecca Wilson, Frances Wilby, Rumei Yang, Ginette A Pepper, Cherie P Brunker
Health professions trainees' performance in teams is rarely evaluated, but increasingly important as the healthcare delivery systems in which they will practice move towards team-based care. Effective management of care transitions is an important aspect of interprofessional teamwork. This mixed-methods study used a crossover design to randomise health professions trainees to work as individuals and as teams to formulate written care transition plans. Experienced external raters assessed the quality of the written care transition plans as well as both the quality of team process and overall team performance...
November 28, 2017: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/29177522/nurses-role-in-managing-the-fit-of-older-adults-in-skilled-nursing-facilities
#6
Jacqueline Jones, Emily Lawrence, Amy Ladebue, Chelsea Leonard, Roman Ayele, Robert E Burke
Post-acute care for older adults often involves transfer to a skilled nursing facility (SNF) following hospital discharge. This transition is often poorly coordinated and leaves older adults at risk for poor health outcomes, but new payment models offer opportunities to align improved care practices with payments. There is a dearth of evidence regarding the role of nursing and its potential to improve hospital to SNF care transitions. Ninety-nine semi-structured interviews were conducted with clinicians, patients, and caregivers from three hospitals and three SNFs...
December 1, 2017: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/29173512/from-home-to-home-mapping-the-caregiver-journey-in-the-transition-from-home-care-into-residential-care
#7
Taylor Hainstock, Denise Cloutier, Margaret Penning
Family caregivers play a pivotal role in supporting the functional independence and quality of life of older relatives, often taking on a wide variety of care-related activities over the course of their caregiving journey. These activities help family members to remain in the community and age-in-place for as long as possible. However, when needs exceed family capacities to provide care, the older family member may need to transition from one care environment to another (e.g., home care to nursing home care), or one level of care to another (from less intense to more intensive services)...
December 2017: Journal of Aging Studies
https://www.readbyqxmd.com/read/29171960/longitudinal-trajectories-of-subjective-care-stressors-the-role-of-personal-dyadic-and-family-resources
#8
Lauren R Bangerter, Yin Liu, Steven H Zarit
OBJECTIVES: Stressors are critical to the caregiver stress process, yet little work has examined resources that contribute to longitudinal changes in subjective stressors. The present study examines a variety of factors that contribute to changes in subjective stressors across time. METHOD: Dementia caregivers (N = 153) completed an in-person interview and eight daily telephone interviews at baseline, and follow up interviews at 6 and 12 months. Growth curve analyses examine how care- and non-care stressors, respite, dyadic relationship quality, family support/conflict and care transitions (e...
November 24, 2017: Aging & Mental Health
https://www.readbyqxmd.com/read/29168880/cost-effectiveness-of-a-care-transitions-program-in-a-multimorbid-older-adult-cohort
#9
Gregory J Hanson, Bijan J Borah, James P Moriarty, Jeanine E Ransom, James M Naessens, Paul Y Takahashi
BACKGROUND/OBJECTIVES: Facing penalties for preventable 30-day hospital readmissions, many provider groups have implemented programs to remedy this problem, but the cost efficacy and value of such programs are not well delineated. The objective was to compare total cost of care over 30 days of individuals enrolled in the Mayo Clinic Care Transitions (MCCT) program and individuals not enrolled. DESIGN: Retrospective cohort study using secondary data analysis of a previously published cohort study...
November 23, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29146681/a-qualitative-study-of-patient-involvement-in-medicines-management-after-hospital-discharge-an-under-recognised-source-of-systems-resilience
#10
Beth Fylan, Gerry Armitage, Deirdre Naylor, Alison Blenkinsopp
INTRODUCTION: There are risks to the safety of medicines management when patient care is transferred between healthcare organisations, for example, when a patient is discharged from hospital. Using the theoretical concept of resilience in healthcare, this study aimed to better understand the proactive role that patients can play in creating safer, resilient medicines management at a common transition of care. METHODS: Qualitative interviews with 60 cardiology patients 6 weeks after their discharge from 2 UK hospitals explored patients' experiences with their discharge medicines...
November 16, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/29132369/impact-of-pharmacist-led-medication-management-in-care-transitions
#11
Seungwon Yang
BACKGROUND: When patients are discharged from hospital to home, it is a highlighted vulnerable period for which medication - related problems are prevalent. Researchers have proposed a telephone follow-up intervention as a means to reduce hospital readmissions. However, the outcome of the intervention with the engagement of pharmacists in managing patients' medicines after discharge has not been well explored. The objectives of this study were (1) to determine whether a pharmacist telephone follow-up intervention focusing on patients' medicines management support is associated with a reduction in 30-day readmission rates and (2) to describe the number and types of pharmacist interventions in care transitions...
November 13, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29125507/self-management-and-health-care-transition-trials-tribulations-and-triumphs
#12
Cecily L Betz
PURPOSE: The purpose of this article is to provide perspectives pertaining to the importance of fostering comprehensive self-management competencies of AEA-SHCN, with attention directed to AEA with spina bifida based upon the Health Care Transition Research Consortium Health Care Transition model. This article is based upon the plenary presentation given at the Spina Bifida 3rd World Congress, entitled, Self-Management and Health Care Transition: Trials, Tribulations and Triumphs. METHOD: A historical perspective of healthcare transition initiatives and best practice guidelines is provided that have influenced the field of research and practice...
October 20, 2017: Journal of Pediatric Rehabilitation Medicine
https://www.readbyqxmd.com/read/29125408/improving-stroke-transitions-development-and-implementation-of-a-social-work-case-management-intervention
#13
Anne K Hughes, Amanda T Woodward, Michele C Fritz, Mathew J Reeves
Strokes impact over 800,000 people every year. Stroke care typically begins with inpatient care and then continues across an array of healthcare settings. These transitions are difficult for patients and caregivers, with psychosocial needs going unmet. Our team developed a case management intervention for acute stroke patients and their caregivers aimed at improving stroke transitions. The intervention focusses on four aspects of a successful care transition: support, preparedness, identifying and addressing unmet needs, and stroke education...
November 10, 2017: Social Work in Health Care
https://www.readbyqxmd.com/read/29105505/development-and-pilot-testing-of-the-focus-on-the-person-form-supporting-care-transitions-for-people-with-dementia
#14
Elissa Burton, Susan Slatyer, Mary Bronson, Pam Nichols, Eleanor Quested, Andrew Hill, Sean Maher, Samar Aoun, Keith D Hill, Yukiko Kuno, Chris Toye
When people with dementia are hospitalised, their capacity to communicate with the staff may be limited, compounding risks of distress and other adverse outcomes. Opportunities for carers to share relevant information to inform appropriate person-centred care are also limited. This four-phase mixed methods study aimed to develop an evidence-based family carer-staff communication form, the Focus on the Person form, to address this concern. In Phase I, a literature review plus consultation with clinicians and carers informed form development...
January 1, 2017: Dementia
https://www.readbyqxmd.com/read/29098353/pediatric-heart-transplantation-transitioning-to-adult-care-transit-baseline-findings
#15
Kathleen L Grady, Kathleen Van't Hof, Adin-Cristian Andrei, Tamara Shankel, Richard Chinnock, Shelley Miyamoto, Amrut V Ambardekar, Allen Anderson, Linda Addonizio, Farhana Latif, Debra Lefkowitz, Lee Goldberg, Seth A Hollander, Michael Pham, Jill Weissberg-Benchell, Nichole Cool, Clyde Yancy, Elfriede Pahl
Young adult solid organ transplant recipients who transfer from pediatric to adult care experience poor outcomes related to decreased adherence to the medical regimen. Our pilot trial for young adults who had heart transplant (HT) who transfer to adult care tests an intervention focused on increasing HT knowledge, self-management and self-advocacy skills, and enhancing support, as compared to usual care. We report baseline findings between groups regarding (1) patient-level outcomes and (2) components of the intervention...
November 3, 2017: Pediatric Cardiology
https://www.readbyqxmd.com/read/29097094/a-community-pharmacist-led-service-to-facilitate-care-transitions-and-reduce-hospital-readmissions
#16
Joshua D Feldman, Rachel I Otting, Craig M Otting, Matthew J Witry
OBJECTIVES: To assess the impact of a community pharmacist-delivered care transition intervention on 30-day hospital readmissions. SETTING: A single private 263-bed hospital in the Midwest United States and 12 partnering community pharmacies, 1 serving as primary pharmacy. PRACTICE INNOVATION: Adult general medicine inpatients were evaluated by nursing staff with the use of a worksheet based on the Better Outcomes by Optimizing Safe Transitions (BOOST) readmission risk toolkit...
October 30, 2017: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/29095169/what-every-graduating-resident-needs-to-know-about-quality-improvement-and-patient-safety-a-content-analysis-of-26-sets-of-acgme-milestones
#17
Meghan Lane-Fall, Joshua J Davis, Justin Clapp, Jennifer S Myers, Lee Ann Riesenberg
PURPOSE: Quality improvement (QI) and patient safety (PS) are broadly relevant to the practice of medicine, but specialty-specific milestones demonstrate variable expectations for trainee competency in QI/PS. The purpose of this study was to develop a unifying portrait of QI/ PS expectations for graduating residents irrespective of specialty. METHOD: Milestones from 26 residency programs representing the 24 member boards of the American Board of Medical specialties were downloaded from the Accreditation Council for Graduate Medical Education (ACGME) website in 2015...
October 31, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29083292/collaborative-care-transitions-symposium-insights-from-participants
#18
Lianne Jeffs, Marianne Saragosa, Michelle Zahradnik, Maria Maione, Aimee Hindle, Cecilia Santiago, Murray Krock, Vicky Stergiopoulos, Beverly Bulmer, Kaleil Mitchell, Colleen McNamee, Noor Ramji
BACKGROUND/PURPOSE: There are promising signs that interprofessional collaborative practice is associated with quality care transitions and improved access to patient-centred healthcare. A one-day symposium was held to increase awareness and capacity to deliver quality collaborative care transitions to interprofessional health disciplines and service users. METHOD: A mixed methods study was used that included a pre-post survey design and interviews to examine the impact of the symposium on knowledge, attitudes and practice change towards care transitions and collaborative practice with symposium participants...
2017: Nursing Leadership
https://www.readbyqxmd.com/read/29082778/a-scoping-review-of-the-needs-of-children-and-other-family-members-after-a-child-s-traumatic-injury
#19
Samantha Jones, Naomi Davis, Sarah F Tyson
OBJECTIVE: To review children's and their families' needs after a child's traumatic injury and assessment tools to measure needs. DATA SOURCES: Medline, Embase, CINAHL and PsycINFO databases (2005-September 2017) were searched and screened for papers (of any design) investigating children's and families' needs after a child's traumatic physical injury. REVIEW METHODS: Data regarding children's and families' needs were extracted by two independent raters...
October 1, 2017: Clinical Rehabilitation
https://www.readbyqxmd.com/read/29082355/transitions-in-care-a-critical-review-of-measurement
#20
Ann Malley, Carole Kenner
The purpose of article is to explore how transitions in care have been operationalized and discuss how nurse managers can leverage their role in impacting care transitions.
December 2016: Journal of perioperative & critical intensive care nursing
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