Testing a post-discharge nurse-led transitional home visit in acute care pediatrics: the Hospital-To-Home Outcomes (H2O) study protocol

2016 ◽  
Vol 72 (4) ◽  
pp. 915-925 ◽  
Author(s):  
Heather L. Tubbs-Cooley ◽  
Rita H. Pickler ◽  
Jeffrey M. Simmons ◽  
Katherine A. Auger ◽  
Andrew F. Beck ◽  
...  
Keyword(s):  
Acute Care ◽  
Study Protocol ◽  
Home Visit ◽  
Post Discharge ◽  
Hospital To Home ◽  
Transitional Home

scholarly journals Economic evaluation of Australian acute care accreditation (ACCREDIT-CBA (Acute)): study protocol for a mixed-method research project

BMJ Open ◽  
2013 ◽  
Vol 3 (2) ◽  
pp. e002381 ◽  
Author(s):  
Virginia Mumford ◽  
David Greenfield ◽  
Reece Hinchcliff ◽  
Max Moldovan ◽  
Kevin Forde ◽  
...  
Keyword(s):  
Economic Evaluation ◽  
Acute Care ◽  
Study Protocol ◽  
Mixed Method ◽  
Mixed Method Research ◽  
Research Project ◽  
Acute Study

scholarly journals In-Home Telerehabilitation for Post-Knee Arthroplasty: A Pilot Study

2009 ◽  
Vol 1 (1) ◽  
pp. 9-16 ◽  
Author(s):  
Michel Tousignant ◽  
Patrick Boissy ◽  
Hélène Corriveau ◽  
Hélène Moffet ◽  
François Cabana
Keyword(s):  
Health Care ◽  
Pilot Study ◽  
Acute Care ◽  
Knee Arthroplasty ◽  
Health Care Professionals ◽  
Acute Care Hospital ◽  
Rehabilitation Services ◽  
Control Group ◽  
Care Hospital ◽  
Post Discharge

The purpose of this study was to investigate the efficacy of in-home telerehabilitation as an alternative to conventional rehabilitation services following knee arthroplasty. Five community-living elders who had knee arthroplasty were recruited prior to discharge from an acute care hospital. A pre/post-test design without a control group was used for this pilot study. Telerehabilitation sessions (16) were conducted by two trained physiotherapists from a service center to the patient’s home using H264 videoconference CODECs (Tandberg 550 MXP) connected at 512 Kb\s. Disability (range of motion, balance and lower body strength) and function (locomotor performance in walking and functional autonomy) were measured in face-to-face evaluations prior to and at the end of the treatments by a neutral evaluator. The satisfaction of the health care professional and patient was measured by questionnaire. Results are as follows. One participant was lost during follow-up. Clinical outcomes improved for all subjects and improvements were sustained two months post-discharge from in-home telerehabilitation. The satisfaction of the participants with in-home telerehabilitation services was very high. The satisfaction of the health care professionals with the technology and the communication experience during the therapy sessions was similar or slightly lower. In conclusion, telerehabilitation for post-knee arthroplasty is a realistic alternative for dispensing rehabilitation services for patients discharged from an acute care hospital.Keywords: Telerehabilitation, Physical Therapy, Total Knee Arthroplasty, Videoconferencing

Reduction in Post-Discharge Return to Acute Care in Hepatopancreatobiliary Surgery: Results of a Quality Improvement Initiative

2020 ◽  
Vol 231 (2) ◽  
pp. 231-238
Author(s):  
Brendan P. Lovasik ◽  
Catherine M. Blair ◽  
Lori A. Little ◽  
Marty Sellers ◽  
John F. Sweeney ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Acute Care ◽  
Quality Improvement Initiative ◽  
Post Discharge ◽  
Hepatopancreatobiliary Surgery

scholarly journals A TRIAL TO IMPROVE MEDICATION SAFETY IN OLDER ADULTS: RECRUITMENT CHALLENGES HAVE GENERALIZABILITY IMPLICATIONS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S711-S711
Author(s):  
Kathryn Anzuoni ◽  
Terry Field ◽  
Kathleen Mazor ◽  
Yanhua Zhou ◽  
Timothy Konola ◽  
...  
Keyword(s):  
Older Adults ◽  
High Risk ◽  
Odds Ratio ◽  
Adverse Drug Events ◽  
Functional Decline ◽  
Post Discharge ◽  
Recruitment Challenges ◽  
Hospital To Home ◽  
The Impact ◽  
Visiting Nurse

Abstract For older adults, the transition from hospital to home is a high-risk period for adverse drug events, functional decline, and hospital readmission. Randomized trials of interventions to improve this transition must recruit potential subjects immediately after hospital discharge, when people are recovering and tired. Within a randomized trial assessing the impact of a pharmacist home visit to provide medication assistance immediately post-discharge, we determined whether individuals who enrolled were comparable to those who were invited but did not enroll, and described reasons for not enrolling. Individuals ≥50 years of age discharged from the hospital and prescribed a high-risk medication were eligible. We attempted to recruit individuals by phone within 3 days of discharge, and recorded reasons for not enrolling. Of 3,606 eligible individuals reached, 3,147 (87%) declined, 361 (10%) were enrolled, and 98 (3%) were initially recruited but did not complete a consent form. Individuals ≥80 years of age (odds ratio 0.45, CI 0.25, 0.78) and those with an assigned visiting nurse (odds ratio 0.64, CI 0.48, 0.85) were least likely to enroll. Among those who provided a reason for declining (2,473) the most common reason given was the belief they did not need medication assistance (22%). An additional 332 (13%) declined because they were receiving visiting nurse services. Recruiting older adults recently discharged from the hospital is difficult and may under-enroll the oldest individuals, limiting the ability to generalize findings across older patient populations. Researchers planning RCTs among newly discharged older adults may need creative approaches to overcome resistance.

scholarly journals Developing a framework to guide the de-adoption of low-value clinical practices in acute care medicine: a study protocol

2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Jeanna Parsons Leigh ◽  
Daniel J. Niven ◽  
Jamie M. Boyd ◽  
Henry T. Stelfox
Keyword(s):  
Acute Care ◽  
Study Protocol ◽  
Clinical Practices

Costs and Resource Utilization in Prolonged Critical Illness

2014 ◽  
Author(s):  
Christopher E Cox
Keyword(s):  
Health Care ◽  
Critical Illness ◽  
Acute Care ◽  
Patient Population ◽  
Health Care Policy ◽  
Patient Flow ◽  
Prolonged Mechanical Ventilation ◽  
Post Discharge ◽  
Chronic Critical Illness ◽  
Post Acute Care

Patients who have chronic critical illness, operationally defined as those requiring prolonged mechanical ventilation, are markedly increasing in number and commonly experience profound, persistent physical and psychological debilitation. This patient population consumes an extraordinary amount of health care resources attributed to both the acute hospitalization as well as complex post-discharge treatments provided across multiple post-acute care facilities. Currently, the US health care system incentivizes these patient flow dynamics. Health care policy changes addressing post-acute care payment are inevitable. This chapter highlights potential patient, family, physician, and systems targets for current and future interventions, designed to improve quality and reduce costs for this patient population.

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