scholarly journals Pharmacist-Led Transition of Care Interventions Identify and Reduce Medication Errors in Heart Failure Patients Post-Discharge

2016 ◽  
Vol 22 (8) ◽  
pp. S134-S135
Author(s):  
Michelle Fine ◽  
R. Kannan Mutharasan ◽  
Preeti Kansal ◽  
Hannah Alphs Jackson ◽  
Corrine Benacka ◽  
...  
Keyword(s):  
Heart Failure ◽  
Medication Errors ◽  
Transition Of Care ◽  
Post Discharge ◽  
Heart Failure Patients

scholarly journals Role of nurses to improve self-care in heart failure patients: a systematic review and meta-analysis

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
A Massimi ◽  
C De Vito ◽  
M L Rega ◽  
P Villari ◽  
G Damiani
Keyword(s):  
Heart Failure ◽  
Systematic Review ◽  
Meta Analysis ◽  
Self Care ◽  
Educational Interventions ◽  
Management Skills ◽  
Short Term ◽  
Post Discharge ◽  
Individual Level ◽  
Heart Failure Patients

Abstract Introduction Heart Failure (HF) is a pandemic chronic disease with a prevalence up to 3% in the general population, representing the main cause of hospitalization for people over 65. Self-care plays a central role in the management of patients with HF, showing evidence of effectiveness in reducing re-hospitalization rates and mortality. Methods We carried out a systematic review and meta-analysis to assess the efficacy of nurse-led educational interventions Vs usual care in improving self-care skills of patients with chronic HF. The main biomedical databases were searched for Randomized Control Trials (RCTs) of nurse-led educational interventions performed on adults with a previous diagnosis of HF. Improvement of HF self-management skills (self-care level) was summarized by calculating the standardized mean difference (SMD) and 95% confidence intervals (CI) stratified for the length of the follow-up. Results Globally, 14 RCTs were included involving 2078 participants. Ten studies showed the efficacy of the interventions at 3 months (short term) with a SMD of 0.78 (95% CI 0.38-1.18) in favor of the self-care education interventions. Five studies reported on self-care abilities at 6-9 months (medium term), not showing statistically significant results (SMD 0.35, 95%CI 0.11-0.81). The long-term effect of the educational interventions showed no statistically significant improvement in self-care behaviors (three studies, SMD 0.05, 95CI% 0.12 - 0.22). Conclusions These results show that nursing educational interventions improve self-care behaviors in HF, but mainly in the short term. Intensive educational interventions led by nurses, associated with appropriate continuity and transition of care, can determine the best outcomes for patients with HF, strengthening self-care behaviors over time. This approach could have a major impact not only on individual level, but on the general reduction of complications, hospitalization, medical costs and ultimately mortality. Key messages Nurse-led educational programs have a short-term efficacy in enhancing self-care behaviors among heart failure patients. Post-discharge repeated educational interventions, along with timely and shared plans ruling the transition between the hospital and the other providers, are strongly needed.

Association of post-discharge specialty outpatient visits with readmissions and mortality in high-risk heart failure patients

2019 ◽  
Vol 212 ◽  
pp. 101-112 ◽  
Author(s):  
Daniel L. Edmonston ◽  
Jingjing Wu ◽  
Roland A. Matsouaka ◽  
Clyde Yancy ◽  
Paul Heidenreich ◽  
...  
Keyword(s):  
Heart Failure ◽  
High Risk ◽  
Post Discharge ◽  
Heart Failure Patients ◽  
Outpatient Visits

scholarly journals Predictors of Post-Discharge 30-Day Hospital Readmission in Decompensated Heart Failure Patients

2019 ◽  
Author(s):  
Camila Sarteschi ◽  
Wayner Viera de Souza ◽  
Carolina Medeiros ◽  
Paulo Sergio Rodrigues Oliveira ◽  
Silvia Marinho Martins ◽  
...  
Keyword(s):  
Heart Failure ◽  
Hospital Readmission ◽  
Decompensated Heart Failure ◽  
Day Hospital ◽  
Post Discharge ◽  
Heart Failure Patients

scholarly journals Applicability of structured telephone monitoring to follow up heart failure patients discharged from Muhimbili National Hospital, Tanzania

2017 ◽  
Vol 19 (2) ◽  
Author(s):  
Sabina Mmbali ◽  
Pilly Chillo
Keyword(s):  
Heart Failure ◽  
Mobile Phones ◽  
Clinical Status ◽  
Muhimbili National Hospital ◽  
National Hospital ◽  
Post Discharge ◽  
Heart Failure Patients ◽  
Resource Poor ◽  
Telephone Monitoring

Background: Studies from developed countries have shown that home monitoring and follow up of heart failure (HF) patients by use of phone calls is cost-effective as it reduces re-admission and improves patients’ clinical status. This intervention has however not been tested in resource poor countries including Tanzania, and there are questions as to whether it is applicable in such situations. This study was carried out to determine the applicability of structured telephone monitoring of HF patients discharged from Muhimbili National Hospital in Dar es Salaam, Tanzania.   Methods: All heart failure patients admitted at the hospital’s Cardiovascular Medicine Department between August and December 2014 were consecutively recruited. Information on their clinical and demographic characteristics was collected and their mobile phone numbers recorded. Patients were then contacted through their phones on day 7, 14 and 30 post discharge and inquiry on their clinical status was made.Results: A total of 164 HF patients were admitted during the study period, of these 4 declined to participate, 3 could not establish a phone number and 26 died before discharge leaving 131 (79.9%) for follow-up. The mean age was 45±19 years and 56.5% were women. The proportion of patients that could be contacted through mobile phones were 96.2%, 94.7% and 93.9% on day 7, 14 and 30 post discharge, respectively. Over 90% of the contacted patients gave valuable information regarding their clinical status.Conclusion: Majority of HF patients can be contacted and provide valuable clinical information through mobile phones within a month post discharge from the national hospital in Tanzania.  Structured telephone monitoring could be used as a tool to follow up HF patients in a resource-poor country like Tanzania.

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