Equipping for Patient Transfers in Pediatric to Adult Headache Care Transitions

2020 ◽  
Vol 60 (10) ◽  
pp. 2129-2130
Author(s):  
Maggie W. Waung
Keyword(s):  
Care Transitions ◽  
Patient Transfers ◽  
Headache Care

scholarly journals Real-Time Surveys Reveal Important Safety Risks During Interhospital Care Transitions for Neurologic Emergencies

2018 ◽  
Vol 34 (1) ◽  
pp. 53-58 ◽  
Author(s):  
John Sather ◽  
Craig Rothenberg ◽  
Emily B. Finn ◽  
Kevin N. Sheth ◽  
Charles Matouk ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Real Time ◽  
Critically Ill ◽  
Survey Methodology ◽  
Care Transitions ◽  
Advanced Practice ◽  
Patient Transfers ◽  
Safety Risks ◽  
Neuroscience Intensive Care Unit ◽  
Traditional Approaches

Critically ill patients may be exposed to unique safety threats as a result of the complexity of interhospital and intrahospital transitions involving the emergency department (ED). Real-time surveys were administered to clinicians in the ED and neuroscience intensive care unit of a tertiary health care system to assess perceptions of handoff safety and quality in transitions involving critically ill neurologic patients. In all, 115 clinical surveys were conducted among 26 patient transfers. Among all clinician types, 1 in 5 respondents felt the handoff process was inadequate. Risks to patient safety during the transfer process were reported by 1 in 3 of respondents. Perceived risks were reported more frequently by nurses (44%) than physicians/advanced practice providers (28%). Real-time survey methodology appears to be a feasible and valuable, albeit resource intensive, tool to identify safety risks, expose barriers to communication, and reveal challenges not captured by traditional approaches to inform multidisciplinary quality improvement efforts.

884-P: Mi Puente: A Care Transitions Intervention for At-Risk Hispanics with Multiple Cardiometabolic Conditions

Diabetes ◽  
2019 ◽  
Vol 68 (Supplement 1) ◽  
pp. 884-P
Author(s):  
JULIA I. BRAVIN ◽  
MICHELLE L. ANDERSON ◽  
TAYLOR CLARK ◽  
KIMBERLY L. SAVIN ◽  
DUVIA LARA LEDESMA ◽  
...  
Keyword(s):  
At Risk ◽  
Care Transitions

Comparing Physician and Nurse Opinions of Team and Individual Handoffs: Does Role Influence Preference?

2020 ◽  
Vol 64 (1) ◽  
pp. 613-617
Author(s):  
Emily Heuck ◽  
Abigail Wooldridge
Keyword(s):  
Intensive Care Unit ◽  
Safety Issue ◽  
Care Transitions ◽  
Intensive Care Unit Care ◽  
Sociotechnical System ◽  
Health Care Professions ◽  
Work System ◽  
Professional Needs ◽  
Future Work ◽  
System Designs

Care transitions are key to patient safety and remain a safety issue despite previous research. This study examines how the design of care transitions impacts different health care professions. Twenty-nine physicians and nurses were interviewed about operating room to intensive care unit care transitions. We compared relationships between work system elements in positive and negative opinions about two sociotechnical system designs: including team or individual handoffs. Nurses did not express positive opinions of individual handoffs or negative opinions of team handoffs, while physicians expressed positive and negative opinions of both. Relationships between work system elements varied by profession in the positive opinions about team handoffs and negative opinions about individual handoffs. Professional needs and culture may be related to the different perceptions of each handoff. Future work should continue to examine professional differences when developing a flexibly standardized process to ensure all users are considered.

scholarly journals Potential of community-based risk estimates for improving hospital performance measures and discharge planning

2021 ◽  
Vol 10 (2) ◽  
pp. e001230
Author(s):  
Michael Reid ◽  
George Kephart ◽  
Pantelis Andreou ◽  
Alysia Robinson
Keyword(s):  
Discharge Planning ◽  
Care Transitions ◽  
Hospital Setting ◽  
Hospital Performance ◽  
Case Mix ◽  
Readmission Rates ◽  
Mixed Effect ◽  
Adjusted Risk ◽  
Community Risk ◽  
Effect Regression

BackgroundRisk-adjusted rates of hospital readmission are a common indicator of hospital performance. There are concerns that current risk-adjustment methods do not account for the many factors outside the hospital setting that can affect readmission rates. Not accounting for these external factors could result in hospitals being unfairly penalized when they discharge patients to communities that are less able to support care transitions and disease management. While incorporating adjustments for the myriad of social and economic factors outside of the hospital setting could improve the accuracy of readmission rates as a performance measure, doing so has limited feasibility due to the number of potential variables and the paucity of data to measure them. This paper assesses a practical approach to addressing this problem: using mixed-effect regression models to estimate case-mix adjusted risk of readmission by community of patients’ residence (community risk of readmission) as a complementary performance indicator to hospital readmission rates.MethodsUsing hospital discharge data and mixed-effect regression models with a random intercept for community, we assess if case-mix adjusted community risk of readmission can be useful as a quality indicator for community-based care. Our outcome of interest was an unplanned repeat hospitalisation. Our primary exposure was community of residence.ResultsCommunity of residence is associated with case-mix adjusted risk of unplanned repeat hospitalisation. Community risk of readmission can be estimated and mapped as indicators of the ability of communities to support both care transitions and long-term disease management.ConclusionContextualising readmission rates through a community lens has the potential to help hospitals and policymakers improve discharge planning, reduce penalties to hospitals, and most importantly, provide higher quality care to the people that they serve.

Improving Patient Activation among Older Veterans: Results from a Social Worker-Led Care Transitions Intervention

2021 ◽  
pp. 1-15
Author(s):  
Nicholas S. Koufacos ◽  
Justine May ◽  
Kimberly M. Judon ◽  
Emily Franzosa ◽  
Brian E. Dixon ◽  
...  
Keyword(s):  
Social Worker ◽  
Care Transitions ◽  
Patient Activation
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