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Artigos de revistas sobre o tema "Hospital discharge education"

Autor: Grafiati

Publicado: 4 de junho de 2021

Última modificação: 1 de fevereiro de 2022

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Shah, Nandi, and Kristen Kulasa. "Diabetes Medication Reconciliation at Hospital Discharge." Journal of the Endocrine Society 5, Supplement_1 (2021): A424. http://dx.doi.org/10.1210/jendso/bvab048.866.

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Abstract Background: During hospital discharge, patients are at high risk for medication discrepancies as they transition from hospital to home. This study aims to evaluate the prevalence of medication errors at hospital discharge for diabetes medications in patients who received an endocrinology consultation for diabetes and explore interventions to improve the accuracy of discharge medication reconciliation. Methods: All patients (n=3018) who received an endocrinology consultation for diabetes at a tertiary care medical center from October 2017 to December 2019 were included. A retrospective

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ROMANG, LARRY. "Patient Education Before Discharge From the Hospital." Southern Medical Journal 79, no. 8 (1986): 998–1001. http://dx.doi.org/10.1097/00007611-198608000-00019.

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Edwards, Elisa, and Kristie Fox. "A Retrospective Study Evaluating the Effectiveness of an Asthma Clinical Pathway in Pediatric Inpatient Practice." Journal of Pediatric Pharmacology and Therapeutics 13, no. 4 (2008): 233–41. http://dx.doi.org/10.5863/1551-6776-13.4.233.

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OBJECTIVE To determine if the asthma clinical pathway implemented at Wolfson Children's Hospital reduces the length of hospital stay. To determine if pathway use affected the use of asthma education, the use of appropriate discharge medications based on asthma classification, and readmission rates. METHODS A list of patients aged 2 to 18 years discharged from Wolfson Children's Hospital between September 1, 2004 and August 31, 2006 with the diagnosis of asthma was generated. Medical records of eligible patients were reviewed for demographic information, asthma pathway use, duration of hospital

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Sinha, Sanjai, John Dillon, Savira Kochhar Dargar, et al. "What to expect that you’re not expecting: A pilot video education intervention to improve patient self-efficacy surrounding discharge medication barriers." Health Informatics Journal 25, no. 4 (2018): 1595–605. http://dx.doi.org/10.1177/1460458218796644.

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The objective of this study was to test the feasibility of video discharge education to improve self-efficacy in dealing with medication barriers around hospital discharge. We conducted a single-arm intervention feasibility trial to evaluate the use of video education in participants who were being discharged home from the hospital. The scores of pre- and post-intervention self-efficacy involving medication barriers were measured. We also assessed knowledge retention, patient and nursing feedback, follow-up barrier assessments, and hospital revisits. A total of 40 patients participated in this

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Hill, Anne-Marie, Steven M. McPhail, Terry P. Haines, et al. "Falls After Hospital Discharge: A Randomized Clinical Trial of Individualized Multimodal Falls Prevention Education." Journals of Gerontology: Series A 74, no. 9 (2019): 1511–17. http://dx.doi.org/10.1093/gerona/glz026.

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Abstract Background Older people are at high risk of falls after hospital discharge. The study aimed to evaluate the effect of providing individualized falls prevention education in addition to usual care on falls rates in older people after hospital discharge compared to providing a social intervention in addition to usual care. Methods A randomized clinical trial at three hospitals in Western Australia: participants followed for 6 months after discharge. Baseline and outcomes measured by assessors masked to group allocation. Participants: aged 60 years and over, admitted for rehabilitation.

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Norby, Kiersten, Farhan Siddiq, Malik M. Adil, and Stephen J. Haines. "The effect of duty hour regulations on outcomes of neurological surgery in training hospitals in the United States: duty hour regulations and patient outcomes." Journal of Neurosurgery 121, no. 2 (2014): 247–61. http://dx.doi.org/10.3171/2014.4.jns131191.

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Object The effects of sleep deprivation on performance have been well documented and have led to changes in duty hour regulation. New York State implemented stricter duty hours in 1989 after sleep deprivation among residents was thought to have contributed to a patient's death. The goal of this study was to determine if increased regulation of resident duty hours results in measurable changes in patient outcomes. Methods Using the Nationwide Inpatient Sample (NIS), patients undergoing neurosurgical procedures at hospitals with neurosurgery training programs were identified and screened for in-

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Coffey, Leahy-Warren, Savage, et al. "Interventions to Promote Early Discharge and Avoid Inappropriate Hospital (Re)Admission: A Systematic Review." International Journal of Environmental Research and Public Health 16, no. 14 (2019): 2457. http://dx.doi.org/10.3390/ijerph16142457.

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Increasing pressure on limited healthcare resources has necessitated the development of measures promoting early discharge and avoiding inappropriate hospital (re)admission. This systematic review examines the evidence for interventions in acute hospitals including (i) hospital-patient discharge to home, community services or other settings, (ii) hospital discharge to another care setting, and (iii) reduction or prevention of inappropriate hospital (re)admissions. Academic electronic databases were searched from 2005 to 2018. In total, ninety-four eligible papers were included. Interventions w

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Studer, Helene, Fabienne Boeni, Kurt E. Hersberger, and Markus L. Lampert. "Pharmaceutical Discharge Management: Implementation in Swiss Hospitals Compared to International Guidelines." Pharmacy 9, no. 1 (2021): 33. http://dx.doi.org/10.3390/pharmacy9010033.

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Readmissions to the hospital are frequent after hospital discharge. Pharmacist-led interventions have been shown to reduce readmissions. The objective of this study was to describe pharmacist-led interventions to support patients’ medication management at hospital discharge in Switzerland and to compare them to international guidelines. We conducted a national online survey among chief hospital pharmacists focusing on medication management at hospital discharge. To put our findings in perspective, Cochrane reviews and guidelines were searched for summarised evidence and recommendations on inte

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Rouse, George W., Nancy M. Albert, Robert S. Butler, et al. "A comparative study of fluid management education before hospital discharge." Heart & Lung 45, no. 1 (2016): 21–28. http://dx.doi.org/10.1016/j.hrtlng.2015.11.003.

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Jones, Samantha, Mustafa Alnaib, Michail Kokkinakis, Michael Wilkinson, Alan St Clair Gibson, and Deiary Kader. "Pre-operative patient education reduces length of stay after knee joint arthroplasty." Annals of The Royal College of Surgeons of England 93, no. 1 (2011): 71–75. http://dx.doi.org/10.1308/003588410x12771863936765.

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INTRODUCTION The aim of this study was to evaluate the impact of a pre-operative education programme on length of hospital stay after surgery for primary and revision knee arthroplasty patients. The programme was introduced at our hospital in October 2006 to encourage patients to play an active role in their recovery process after surgery. PATIENTS AND METHODS A multidisciplinary team educated knee arthroplasty patients about their care pathway, knee surgery, pain management, expected discharge goals, in-patient and out-patient arthroplasty rehabilitation. Prospective data were collected from

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Flyer, B., L. Z. Rubenstein, A. S. Robbins, G. D. Wieland, D. Henry, and N. Cugalj. "An intervention to improve the hospital discharge summary." Academic Medicine 63, no. 5 (1988): 407–9. http://dx.doi.org/10.1097/00001888-198805000-00010.

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Diwa Agus Sudrajat, Eva Supriatin, Nursiva Indrawati, and Linlin Lindayani. "Overview The Implementation Of Discharge Planning By Nurse In Hospital: Literature Review." Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) 7, no. 3 (2021): 18–25. http://dx.doi.org/10.33023/jikep.v7i3.809.

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Background: Discharge planning is the process of interaction among of nurse, patient and family to manage the continuation treatment which is needed by the patient during the transition from hospital to home. Whatever the result is from discharge planning will have an impact on the quality of nursing treatment and the quality of patient health. Objective: Describing the implementation of nurse discharge planning in a hospital based on previous research. Methods: The type of this research is literature review. The quality in each journal is assessed using the JBI critical appraisal tools assess

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Andrietta, Maria Paula, Rita Simone Lopes Moreira, and Alba Lucia Bottura Leite de Barros. "Hospital discharge plan for patients with congestive heart failure." Revista Latino-Americana de Enfermagem 19, no. 6 (2011): 1445–52. http://dx.doi.org/10.1590/s0104-11692011000600023.

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This integrative review investigates how nurses plan the hospital discharge of patients with Congestive Heart Failure (CHF) since an inadequate discharge plan and patients’ subsequent non-adherence to instruction provided upon discharge are indicated as potential factors for re-hospitalization. A total of 24 papers were found in a search carried out in the LILACS and MEDLINE databases between 2004 and 2008, which given the inclusion criteria, were reduced to 14 papers. The papers were analyzed and categorized into ‘Health Education’, and ‘Nursing Care’. The synthesis of results indicates that

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Punzal, MD, Michelle, Patricia Santos, MD, MBA, Xiaoshu Li, PhD, Douglas R. Oyler, PharmD, and Alan M. Hall, MD. "Current practices in naloxone prescribing upon hospital discharge." Journal of Opioid Management 15, no. 5 (2019): 357–61. http://dx.doi.org/10.5055/jom.2019.0524.

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Objective: To evaluate current practices in naloxone prescribing upon hospital discharge.Design: Electronic cross-sectional survey.Setting: Academic medical center.Participants: Inpatient physicians and advanced practice providers.Main outcome measures: Respondents completed survey items including current naloxone prescribing practices, barriers to naloxone prescribing, and methods to improve naloxone prescribing.Results: The survey response rate was 51.6 percent. Greater than 90 percent of respondents agreed that naloxone should be prescribed for patients with an active opioid use disorder, h

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Maher, Bridget, Hendrik Drachsler, Marco Kalz, et al. "Use of Mobile Applications for Hospital Discharge Letters." International Journal of Mobile and Blended Learning 5, no. 4 (2013): 19–42. http://dx.doi.org/10.4018/ijmbl.2013100102.

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Handover of patient care is a time of particular risk and it is important that accurate and relevant information is clearly communicated. The hospital discharge letter is an important part of handover. However, the quality of hospital discharge letters is variable and letters frequently omit important information. The Cork Letter-Writing Assessment Scale (CLAS) checklist is an itemized checklist developed to improve the quality of discharge letters. The CLAS checklist, with an inbuilt scoring system, is available as the CLAS mobile application. Mobile applications offer an exciting opportunity

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Conner, Kyaien, Tamara Cadet, Monique Brown, and Joshua Barnett. "The Impact of Peer Support on the Risk of Future Hospital Readmissions among Older Adults with a Medical Illness and Co-Occurring Depression." Social Sciences 7, no. 9 (2018): 156. http://dx.doi.org/10.3390/socsci7090156.

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Older adults account for 60% of all preventable hospital readmissions. Although not all readmissions are preventable, evidence indicates that up to 75% of hospital readmissions can be prevented with enhanced patient education, pre-discharge assessment, and effective care upon discharge. Social support, specifically peer support, after discharge from hospital may be a crucial factor in minimizing the risk of preventable hospital readmission. The pilot study reported here evaluated the relationship between peer support and hospital readmissions in a sample of depressed older adults (N = 41) who

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Gouge, Catherine C. "Improving Patient Discharge Communication." Journal of Technical Writing and Communication 47, no. 4 (2016): 419–39. http://dx.doi.org/10.1177/0047281616646749.

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Transitional care communication events—such as discharge from hospital—are complex and dynamic: impromptu questions are asked and answered, documents are discussed and signed, and health-care professionals and patients with different knowledge must work together to establish understanding. This article examines a set of patient discharge instructions that bear substantial traces of impromptu conversation in the patient discharge communication process and argues that we need to do more to account for such exchanges as a part of the complex information our documentation must coordinate and make

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Lilipaly, Angela Geraldine. "AN ANALYSIS THE INFLUENCE OF SUBPROCESS IN PATIENT DISCHARGE TO A TIMELY MANNER DISCHARGE PROCESS IN XYZ HOSPITAL." Emerging Markets : Business and Management Studies Journal 5, no. 2 (2019): 23–34. http://dx.doi.org/10.33555/ijembm.v5i2.93.

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Health care services everywhere have many process in their system. Discharge process is a last process during the patient stay in the hospital. In this process there are many division involve which would impact the time needed for each patient discharge to be completed. And this would also impact the waiting time of admiting other patient. Waiting time issues for accessing and providing healthcare services is also an issue in many hospital and is also identify by the leaders of one of the hospital in South Tangerang area (XYZ Hospital). At the time a patient is plan to be discharge, they expec

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Careyva, Beth, Danielle Snyderman, and Gretchen Diemer. "Medical student perceptions of hospital discharge transitions in care." Medical Teacher 35, no. 11 (2013): 967. http://dx.doi.org/10.3109/0142159x.2013.786821.

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Buchko, Barbara L., Connie H. Gutshall, and Elizabeth T. Jordan. "Improving Quality and Efficiency of Postpartum Hospital Education." Journal of Perinatal Education 21, no. 4 (2012): 238–47. http://dx.doi.org/10.1891/1058-1243.21.4.238.

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The purpose of this study was to investigate the implementation of an evidence-based, streamlined, education process (comprehensive education booklet, individualized education plan, and integration of education into the clinical pathway) and nurse education to improve the quality and efficiency of postpartum education during hospitalization. A one-group pretest–posttest design was used to measure the quality of discharge teaching for new mothers and efficiency of the education process for registered nurses before and after implementation of an intervention. Results indicated that a comprehensi

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Pfaff, H., P. Steffen, A. Nitzsche, and C. Kowalski. "The association between breast cancer patients’ general health perception and organizational characteristics of the hospital." Journal of Clinical Oncology 27, no. 15_suppl (2009): e17523-e17523. http://dx.doi.org/10.1200/jco.2009.27.15_suppl.e17523.

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e17523 Background: The purpose of this study is to investigate the impact of organizational characteristics of the hospital on general health perception in postoperative primary breast cancer patients after discharge from hospital. Methods: Patients undergoing treatment for primary breast cancer in all certified breast centers in North Rhine-Westphalia (Germany) were invited to self-administer a questionnaire on health-related quality of life after discharge. Survey period was February to July 2007. 3,285 patients from 94 hospitals returned the questionnaire. The data were supplemented by dise

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Yu, Cheong M., Alice Lu, Emilie Touma, et al. "Understanding Facilitators and Barriers in the Hospital Discharge Processes of Newly Prescribed Insulin: A Mixed-Methods Study." Journal of the Endocrine Society 5, Supplement_1 (2021): A431—A432. http://dx.doi.org/10.1210/jendso/bvab048.880.

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Abstract Patients, newly prescribed insulin, being discharged from the hospital are at high risk of adverse outcomes. An electronic enterprise data warehouse (EDW) algorithm was created and validated to identify these inpatients electronically. Qualitative interviews were also conducted to assess barriers in the discharge process. The EDW algorithm to identify inpatients (09/01/18-08/31/19), newly prescribed insulin at discharge, was created by identifying screening indicators (e.g., admission/discharge medication lists, discharge summary). Iterative adjustments to the algorithm were made afte

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Hydzik, Paulina, Ewelina Kolarczyk, Wojciech Kustrzycki, et al. "Readiness for Discharge from Hospital after Myocardial Infarction: A Cross-Sectional Study." International Journal of Environmental Research and Public Health 18, no. 13 (2021): 6937. http://dx.doi.org/10.3390/ijerph18136937.

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Myocardial infarction (MI) is a common cause of cardiovascular deaths. Education of patients with myocardial infarctions essential to prevent further cardiovascular events and reduce the risk of mortality. The study aimed to evaluate the associations between patients’ readiness for hospital discharge after myocardial infarction, acceptance of illness, social, demographic, and clinical factors. The study used a cross-sectional design and included 102 patients, who were hospitalized for myocardial infarction after percutaneous coronary intervention (PCI). Two questionnaires were used: The Readin

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Cox, James C., Ira L. Leeds, Vjollca Sadiraj, Kurt E. Schnier, and John F. Sweeney. "Effects of patients’ hospital discharge preferences on uptake of clinical decision support." PLOS ONE 16, no. 3 (2021): e0247270. http://dx.doi.org/10.1371/journal.pone.0247270.

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The Centers for Medicare and Medicaid Services identified unplanned hospital readmissions as a critical healthcare quality and cost problem. Improvements in hospital discharge decision-making and post-discharge care are needed to address the problem. Utilization of clinical decision support (CDS) can improve discharge decision-making but little is known about the empirical significance of two opposing problems that can occur: (1) negligible uptake of CDS by providers or (2) over-reliance on CDS and underuse of other information. This paper reports an experiment where, in addition to electronic

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Timmers, Thomas, Loes Janssen, Walter van der Weegen, et al. "The Effect of an App for Day-to-Day Postoperative Care Education on Patients With Total Knee Replacement: Randomized Controlled Trial." JMIR mHealth and uHealth 7, no. 10 (2019): e15323. http://dx.doi.org/10.2196/15323.

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Background Patients who undergo primary Total Knee Replacement surgery (TKR) are often discharged within 1-3 days after surgery. With this relatively short length of hospital stay, a patient’s self-management is a crucial factor in optimizing the outcome of their treatment. In the case of TKR, self-management primarily involves adequate pain management, followed by physiotherapy exercises and daily self-care activities. Patients are educated on all these topics by hospital staff upon discharge from the hospital but often struggle to comprehend this information due to its quantity, complexity,

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Grimmer, Karen, Gaynor Hedges, and John Moss. "Staff perceptions of discharge planning: A challenge for quality improvement." Australian Health Review 22, no. 3 (1999): 95. http://dx.doi.org/10.1071/ah990095.

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One hundred staff in three acute care public hospitals were asked about their perceptions of successes and failures of their discharge planning activities. The intention was to highlight ways in which the quality of discharge planning could be improved within the acute hospital setting. Generally staff described failures more commonly than successes, with a number of key failures being identified, including problems associated with vacating beds, lack of appropriate staff, patients and carer education about discharge activities, general process issues, problems associated with community servic

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Jenzarli, Ali, Minh-Tri Duong, and Christy M. Thai. "Promoting Healthcare Safety And Quality By Assessing Anticoagulation Education Process." American Journal of Health Sciences (AJHS) 4, no. 3 (2013): 103–14. http://dx.doi.org/10.19030/ajhs.v4i3.8006.

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We conducted a baseline study of warfarin patient education process by (1) assessing a healthcare facility’s current compliance with the education requirements for anticoagulation therapy, (2) assessing how effectively warfarin education was being provided in terms of patient’s knowledge and (3) identifying areas where process improvements were warranted. The facility is an acute care teaching hospital and a Level I Trauma Center with a pharmacist-managed outpatient anticoagulation clinic. We collected data from patients concerning (1) six warfarin knowledge domains (drug-nutrition interaction

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Li, Zheng, and David Arthur. "Family education for people with schizophrenia in Beijing, China." British Journal of Psychiatry 187, no. 4 (2005): 339–45. http://dx.doi.org/10.1192/bjp.187.4.339.

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BackgroundMuch of China lacks well-developed services for people with schizophrenia and their families, and most of the existing services focus on hospitals. There is a need for culturally sensitive family treatments offered by nurses.AimsTo conduct a longitudinal experimental study examining the effect of patient and family education in a sample of Chinese people with schizophrenia.MethodA randomised controlled trial was conducted in a large hospital with a sample of 101 patients with schizophrenia and their families. Data were collected at admission and at discharge, and then at 3 and 9 mont

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Jun, Jin, Kailyn Stern, and Maja Djukic. "Integrative Review of the Interventions for Improving Patients’ Experiences Revealed in Quality Improvement Projects." Journal of Patient Experience 7, no. 6 (2020): 882–92. http://dx.doi.org/10.1177/2374373520925271.

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Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) is the first national, standardized, publicly reported survey of patients’ perspectives of hospital care closely linked to hospitals’ reimbursement and reputation. Thus, it is critical to learn about what interventions work for improving HCAHPS. Eight peer-reviewed studies examining nursing-led interventions at improving patient satisfaction in hospitals, measured by the HCAHPS, were identified. Using the Critical Appraisal Skills Program for cohort studies, each study was evaluated for a level of evidence. Interventions

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Crowe, Jean, and Jennifer Henderson. "Pre-Arthroplasty Rehabilitation is Effective in Reducing Hospital Stay." Canadian Journal of Occupational Therapy 70, no. 2 (2003): 88–96. http://dx.doi.org/10.1177/000841740307000204.

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Backround. The purpose of the trial was to evaluate the effect on length of stay of individually tailored rehabilitation for clients who were undergoing hip or knee arthroplasty. Method. Clients (n = 133) with complex needs (comorbid conditions or limited social support) were randomly assigned to receive preoperative usual care (UC) or rehabilitation (R). Usual care clients received a single preoperative clinic visit. Rehabilitation clients were individually assessed and received multi disciplinary rehabilitation to optimize functional capacity, education about the in-hospital phase and early

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Blewer, Audrey L., Mary E. Putt, Lance B. Becker, et al. "Video-Only Cardiopulmonary Resuscitation Education for High-Risk Families Before Hospital Discharge." Circulation: Cardiovascular Quality and Outcomes 9, no. 6 (2016): 740–48. http://dx.doi.org/10.1161/circoutcomes.116.002493.

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Brunetti, Luigi, Seung-Mi Lee, Nancy Doherty, et al. "Impact of warfarin discharge education program on hospital readmission and treatment costs." International Journal of Clinical Pharmacy 40, no. 3 (2018): 721–29. http://dx.doi.org/10.1007/s11096-018-0631-y.

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Nemetchek, Brooklyn, Asif Khowaja, Anthony Kavuma, et al. "Exploring healthcare providers’ perspectives of the paediatric discharge process in Uganda: a qualitative exploratory study." BMJ Open 9, no. 9 (2019): e029526. http://dx.doi.org/10.1136/bmjopen-2019-029526.

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IntroductionThe burden of childhood mortality continues to be born largely by low-income and middle-income countries. The critical postdischarge period has been largely neglected despite evidence that mortality rates during this period can exceed inpatient mortality rates. However, there is a paucity of data on the paediatric discharge process from the perspective of the healthcare provider. Provider perspectives may be important in the development of an improved understanding of the barriers and facilitators to improving the transition from hospital to home.ObjectivesTo explore healthcare pro

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Tong, Hui-Juan, Feng Qiu, and Ling Fan. "Effect of hospital discharge plan for children with type 1 diabetes on discharge readiness, discharge education quality, and blood glucose control." World Journal of Clinical Cases 9, no. 4 (2021): 774–83. http://dx.doi.org/10.12998/wjcc.v9.i4.774.

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Et.al, B. Sushrith. "A Case Study on Hospital Readmission Prediction Using Deep Learning Algorithms on EHRs." Turkish Journal of Computer and Mathematics Education (TURCOMAT) 12, no. 3 (2021): 4267–73. http://dx.doi.org/10.17762/turcomat.v12i3.1718.

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In this paper, focus is made on predicting the patients who are going to be re-admitted back in the hospital before discharge using latest deep-learning algorithms is applied on the electronic health records of patients which is a time-series data. To begin with the study of the data and its analysis this project deployed the conventional supervised ML algorithms like the Logistic Regression, Naïve Bayes, Random Forest and SVM and compared their performances on different portion sizes of dataset. The final model built uses deep-learning architectures such as RNN and LSTM to improve the predict

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Shaikh, Ulfat, and Christina Slee. "Triple Duty: Integrating Graduate Medical Education With Maintenance of Board Certification to Improve Clinician Communication at Hospital Discharge." Journal of Graduate Medical Education 7, no. 3 (2015): 462–65. http://dx.doi.org/10.4300/jgme-d-14-00760.1.

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ABSTRACT Background Complete and accurate discharge summaries can improve communication and continuity of care between inpatient and ambulatory settings as well as reduce adverse events. However, discharge summaries commonly lack key information. Objective To determine if a quality improvement intervention that actively engages residents and attending physicians would improve the timeliness and quality of hospital discharge summaries at our academic children's hospital, and would help trainees and clinicians complete educational requirements. Methods Electronic health record queries were used

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Kleinpell, Ruth M. "Randomized Trial of an Intensive Care Unit–Based Early Discharge Planning Intervention for Critically Ill Elderly Patients." American Journal of Critical Care 13, no. 4 (2004): 335–45. http://dx.doi.org/10.4037/ajcc2004.13.4.335.

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• Background Few investigators have targeted elderly patients and monitored outcomes of care in studies on discharge planning interventions after critical illness. • Objectives To pilot test an intensive care unit–based nursing screening intervention to assist in determining the discharge needs and outcomes of critically ill elderly patients. • Method A randomized clinical trial with in-hospital and mailed questionnaires was used. Patients 65 years and older who were hospitalized in 1 of 2 intensive care units at 2 midwestern university-affiliated medical centers were recruited for the study.

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Medler, Corey, Nicholas Mercuro, Nancy MacDonald, et al. "Implementation Methods for a Collaborative Pharmacist-Led Antimicrobial Stewardship Intervention at Hospital Discharge." Infection Control & Hospital Epidemiology 41, S1 (2020): s268—s269. http://dx.doi.org/10.1017/ice.2020.838.

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Background: Unnecessary and prolonged antibiotic use is an important driver of antimicrobial resistance, increasing patient harm and resource utilization. Antimicrobials prescribed at hospital discharge represent an important opportunity to intervene and optimize therapy. Objective: We describe the implementation of a pharmacist-led multidisciplinary antimicrobial stewardship (AMS) intervention at transition of care (TOC) to improve antibiotic selection and duration. Methods: This intervention an IRB-approved multihospital, quasi-experimental, 3-phase stepped-wedge project in a 5-hospital heal

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Sharara, Sima L., Sara E. Cosgrove, Sara E. Cosgrove, et al. "1063. A Healthcare Worker-Informed Approach to the Hospital-to-Home Transition on Oral Antibiotics." Open Forum Infectious Diseases 6, Supplement_2 (2019): S376. http://dx.doi.org/10.1093/ofid/ofz360.927.

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Abstract Background Improved antibiotic decision-making during the hospital-to-home transition is an important but under-addressed target for antimicrobial stewardship. This study aims to provide a healthcare worker-informed approach to characterize prescriber antibiotic decision-making and patient medication management at discharge to identify barriers to and strategies for antibiotic stewardship during the hospital-to-home transition. Methods Semi-structured interviews were conducted at an academic medical center with relevant stakeholders including house staff (n = 10), nurses (n = 2), nurs

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Shimizu, Akiko, Ryuichi Ohta, Hana Otani, and Chiaki Sano. "The Contribution of Temporal Flat Lateral Position on the Mortality and Discharge Rates of Older Patients with Severe Dysphagia." International Journal of Environmental Research and Public Health 18, no. 16 (2021): 8443. http://dx.doi.org/10.3390/ijerph18168443.

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Severe dysphagia leads to mortality in older patients and hinders their discharge from hospitals. The temporal flat lateral position (TFLP) enables them to continuously eat, thus resolving the aforementioned issues. We aimed to explore the effect of TFLP on the mortality and discharge rates of older patients with severe dysphagia. This interventional study comprised a historical control of patients admitted to a rural community hospital from January 2019 to December 2020 and diagnosed with severe dysphagia. The primary outcomes included the mortality and the rate of discharge from the hospital

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Zakiyah, Ana, Duwi Basuki, and Windu Santoso. "RELATIONSHIP between NURSE CHARACTERISTICS WITH DISCHARGE PLANNING IMPLEMENTATION." INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) 1, no. 2 (2017): 193–97. http://dx.doi.org/10.29082/ijnms/2017/vol1.iss2.3.

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Discharge planning is one of the activities in the provision of nursing care on patients in the hospital, it will have a shortening impact on patient care in the hospital and reduce the patient's recurrence rate, but the implementation is not appropriate. so far, implementation of Discharge planning is still to be done after the patient finished having treatment by making a summary of the recording of patients return. Various characteristic factors of nurses can influence the implementation of discharge planning in hospital. The research purpose was to know the relationship of factors that inf

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Zakiyah, Ana, Duwi Basuki, and Windu Santoso. "RELATIONSHIP between NURSE CHARACTERISTICS WITH DISCHARGE PLANNING IMPLEMENTATION." INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) 1, no. 2 (2017): 193–97. http://dx.doi.org/10.29082/ijnms/2017/vol1/iss2/3.

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Discharge planning is one of the activities in the provision of nursing care on patients in the hospital, it will have a shortening impact on patient care in the hospital and reduce the patient's recurrence rate, but the implementation is not appropriate. so far, implementation of Discharge planning is still to be done after the patient finished having treatment by making a summary of the recording of patients return. Various characteristic factors of nurses can influence the implementation of discharge planning in hospital. The research purpose was to know the relationship of factors that inf

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Hall, J. N., J. P. Graham, M. McGowan, and A. H. Cheng. "MP08: What’s the plan?: Improving ED patient discharge communication through patient-centred discharge handouts." CJEM 19, S1 (2017): S67—S68. http://dx.doi.org/10.1017/cem.2017.174.

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Introduction: Discharge from the Emergency Department (ED) is a high-risk period for communication failures. Clear verbal and written discharge instructions at patient-level health literacy are fundamental to a safe discharge process. As part of a hospital-wide quality initiative to measure and improve discharge processes, and in response to patient feedback, the St. Michael’s Hospital ED and patient advisors co-designed and implemented patient-centred discharge handouts. Methods: The design and implementation of discharge handouts was based on a collaborative and iterative approach, including

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Scott, Ian A. "Preventing the rebound: improving care transition in hospital discharge processes." Australian Health Review 34, no. 4 (2010): 445. http://dx.doi.org/10.1071/ah09777.

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Background.Unplanned readmissions of recently discharged patients impose a significant burden on hospitals with limited bed capacity. Deficiencies in discharge processes contribute to such readmissions, which have prompted experimentation with multiple types of peridischarge interventions. Objective.To determine the relative efficacy of peridischarge interventions categorised into two groups: (1) single component interventions (sole or predominant) implemented either before or after discharge; and (2) integrated multicomponent interventions which have pre- and postdischarge elements. Design.Sy

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Khawcharoenporn, Thana, Pansachee Damronglerd, Krongtip Chunloy, and Beverly E. Sha. "Enhanced inpatient rounds, appointment reminders, and patient education improved HIV care engagement following hospital discharge." International Journal of STD & AIDS 29, no. 7 (2018): 641–49. http://dx.doi.org/10.1177/0956462417749420.

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Human immunodeficiency virus (HIV) care engagement post hospital discharge is often suboptimal. Strategies to improve follow-up are needed. A quasi-experimental study was conducted among hospitalized HIV-infected patients between the period from 1 January 2013 to 30 June 2014 (preintervention period) and 1 July 2014 to 31 December 2015 (intervention period). During the intervention period, an HIV care team consisting of an Infectious Diseases physician, a nurse, a pharmacist, a social worker, and an HIV-infected volunteer made daily inpatient rounds. Prior to discharge, patients received a str

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Staveski, Sandra L., V. P. Parveen, Sai B. Madathil, Susan Kools, and Linda S. Franck. "Nurse and parent perceptions associated with the Parent Education Discharge Instruction Programme in southern India." Cardiology in the Young 26, no. 6 (2015): 1168–75. http://dx.doi.org/10.1017/s1047951115002164.

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AbstractIntroductionParents of children with CHD require home care knowledge in order to ensure their child’s health and safety, but there has been no research on how to achieve this in a resource-constrained environment. The aim of this investigation was to compare parent and nurse perceptions of parent readiness for discharge after a structured nurse-led parent discharge teaching programme in India.Materials and methodsA pre-post design was used to compare parent and nurse perceptions of parental uncertainty and readiness for hospital discharge before and after introduction of the parent edu

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Felder, Kimberly, Louise Vaz, Penelope Barnes, and Cara Varley. "Utilizing a Post-discharge Telephone Call in Outpatient Parenteral Antimicrobial Therapy (OPAT): Findings from a Quality Improvement Project." Open Forum Infectious Diseases 4, suppl_1 (2017): S333. http://dx.doi.org/10.1093/ofid/ofx163.790.

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Abstract Background Transitions of care from hospitals to outpatient settings, especially for patients requiring outpatient parenteral antimicrobial therapy (OPAT) are complex. OPAT complications, such as adverse antimicrobial reactions, vascular access problems, and hospital readmissions are common. Data from transitions of care literature suggest that post-discharge telephone calls (TCs) may significantly decrease re-hospitalization but no studies have assessed the utility of post-discharge TCs as an OPAT program quality improvement process. Methods Adult OPAT patients discharged from our ho

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Qualls, Brandon, Hiwot Seyoum, Tammy Walker, and Mary Carey. "Unplanned Re-Hospitalization Among Older Persons Results in Loss of their Independence." Innovation in Aging 4, Supplement_1 (2020): 912–13. http://dx.doi.org/10.1093/geroni/igaa057.3355.

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Abstract The Centers for Medicare & Medicaid Services defines a hospital readmission as an inpatient stay that begins within 30 days of the discharge date of an index admission, to the same or a different hospital. The aims of the study were to analyze the recurrent readmissions of older persons admitted to a community hospital with diagnoses of: Chronic Obstructive Pulmonary Disease (COPD), Pneumonia (PNA), and Congestive Heart Failure (CHF). Based on the results, we will develop additional strategies that can be used to reduce the rate for hospital readmission for older patients. A retro

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Marcantoni, Jodie R., Kristina Finney, and Michael A. Lane. "Using Health Literacy Guidelines to Improve Discharge Education and the Post-Hospital Transition." American Journal of Medical Quality 29, no. 1 (2013): 86. http://dx.doi.org/10.1177/1062860613508905.

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Lee, Bo Ryeong, and Hyun Young Koo. "Needs for Post-hospital Education among Parents of Infants and Toddlers with Congenital Heart Disease." Child Health Nursing Research 26, no. 1 (2020): 107–20. http://dx.doi.org/10.4094/chnr.2020.26.1.107.

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Purpose: This study was conducted to investigate the educational needs of parents of infants and toddlers with congenital heart disease (CHD) after hospital discharge.Methods: Qualitative content analysis was conducted of in-depth interviews of eight parents, and the results of an online survey of 171 parents were analyzed quantitatively.Results: Only 16.4% of parents reported that they had received education after hospital discharge on how to provide care for a child with CHD at home. The main reason why parents did not receive education on this topic was that they did not have sufficient opp

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