Unmet Opportunity: Intensive Care Transition Intervention for Individuals With Serious Medical-Psychiatric Illnesses

2021 ◽  
pp. appi.ps.2020002
Author(s):  
Thomas E. Smith ◽  
Leslie A. Marino ◽  
Mark Olfson
Keyword(s):  
Intensive Care ◽  
Care Transition ◽  
Psychiatric Illnesses ◽  
Transition Intervention

scholarly journals The impact of critical care transition programs on outcomes after intensive care unit (ICU) discharge: can we get there from here?

2016 ◽  
Vol 8 (7) ◽  
pp. 1374-1376 ◽  
Author(s):  
Regis Goulart Rosa ◽  
Juçara Gasparetto Maccari ◽  
Ricardo Viegas Cremonese ◽  
Tulio Frederico Tonietto ◽  
Rafael Viegas Cremonese ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Critical Care ◽  
Intensive Care ◽  
Transition Programs ◽  
Care Transition ◽  
Icu Discharge ◽  
The Impact

Exploring differential response to an emergency department-based care transition intervention

2021 ◽  
Author(s):  
Justine Seidenfeld ◽  
Karen M. Stechuchak ◽  
Cynthia J. Coffman ◽  
Elizabeth P. Mahanna ◽  
Micaela N. Gladney ◽  
...  
Keyword(s):  
Emergency Department ◽  
Differential Response ◽  
Care Transition ◽  
Transition Intervention

scholarly journals Reducing Hospitalizations and Emergency Department Visits in Patients With Venous Thromboembolism Using a Multicomponent Care Transition Intervention

2020 ◽  
Vol 57 ◽  
pp. 004695801990008
Author(s):  
Alok Kapoor ◽  
Sarah Bloomstone ◽  
Saud Javed ◽  
Matt Silva ◽  
Ann Lynch ◽  
...  
Keyword(s):  
Emergency Department ◽  
Venous Thromboembolism ◽  
Incidence Rate ◽  
Incidence Rate Ratio ◽  
Emergency Department Visits ◽  
Care Transition ◽  
Control Group ◽  
Multicomponent Intervention ◽  
Transition Intervention ◽  
Recurrent Venous Thromboembolism

Preventing utilization of hospital and emergency department after diagnosis of venous thromboembolism is a complex problem. The objective of this study is to assess the impact of a care transition intervention on hospitalizations and emergency department visits after venous thromboembolism. We randomized adults diagnosed with a new episode of venous thromboembolism to usual care or a multicomponent intervention that included a home pharmacist visit in the week after randomization (typically occurring at time of discharge), illustrated medication instructions distributed during home visit, and a follow-up phone call with an anticoagulation expert scheduled for 8 to 30 days from time of randomization. Through physician chart review of the 90 days following randomization, we measured the incidence rate of hospital and emergency department visits for each group and their ratio. We also determined which visits were related to recurrent venous thromboembolism, bleeding, or anticoagulation and which where preventable. We enrolled 77 intervention and 85 control patients. The incidence rate was 4.50 versus 6.01 visits per 1000 patient days in the intervention versus control group (incidence rate ratio = 0.71; 95% confidence interval = 0.40-1.27). Most visits in the control group were not related to venous thromboembolism or bleeding (21%) and of those that were, most were not preventable (25%). The adjusted incidence rate ratio for the intervention was 1.05 (95% confidence interval = 0.57-1.91). Our patients had a significant number of hospital and emergency department visits after diagnosis. Most visits were not related to recurrent venous thromboembolism or bleeding and of those that were, most were not preventable. Our multicomponent intervention did not decrease hospitalizations and emergency department visits.

scholarly journals Effect of a care transition intervention by pharmacists: an RCT

2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Karen B Farris ◽  
Barry L Carter ◽  
Yinghui Xu ◽  
Jeffrey D Dawson ◽  
Constance Shelsky ◽  
...  
Keyword(s):  
Care Transition ◽  
Transition Intervention

Formative research in the development of a care transition intervention in breast cancer survivors

2015 ◽  
Vol 19 (4) ◽  
pp. 329-335 ◽  
Author(s):  
Elizabeth A. Kvale ◽  
Karen Meneses ◽  
Wendy Demark-Wahnefried ◽  
Marie Bakitas ◽  
Christine Ritchie
Keyword(s):  
Breast Cancer ◽  
Cancer Survivors ◽  
Breast Cancer Survivors ◽  
Formative Research ◽  
Care Transition ◽  
Transition Intervention

scholarly journals Dexmedetomidine-assisted drug interviews: an observation in psychiatric setting

2018 ◽  
Vol 11 (1) ◽  
pp. e227195 ◽  
Author(s):  
Devalina Goswami ◽  
Harshit Garg ◽  
Hamsenandinie Carounagarane ◽  
Koushik Sinha Deb
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Adverse Events ◽  
Respiratory Depression ◽  
Conscious Sedation ◽  
Psychological Interventions ◽  
Psychiatric Illnesses ◽  
Psychiatric Setting ◽  
Anaesthesia Practice ◽  
Long Time

Drug-assisted interviews are an effective tool in the management of various psychiatric illnesses where psychopharmacological, as well as routine psychological interventions, do not prove beneficial. These have most commonly been done by using barbiturates and benzodiazepines that have given favourable results for a long time. However, they carry the risk of respiratory depression and difficulty in maintaining the plane of sedation where the patient is amenable to interviewing. In our experience of drug-assisted interviews with two patients we used intravenous dexmedetomidine, which is being used in anaesthesia practice for conscious sedation or sedation in the intensive care unit. We found dexmedetomidine to be superior to thiopentone in achieving a level of conscious sedation where the patients were amenable for an interview, with no significant adverse events and faster post-anaesthetic recovery.

Cost-Effectiveness of a Care Transition Intervention Among Multimorbid Patients

2016 ◽  
Vol 39 (5) ◽  
pp. 622-642 ◽  
Author(s):  
Lani Zimmerman ◽  
Fernando A. Wilson ◽  
Myra S. Schmaderer ◽  
Leeza Struwe ◽  
Bunny Pozehl ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Care Transition ◽  
Transition Intervention ◽  
Multimorbid Patients

Brief Report: Adolescents' Reasons for Participating in a Health Care Transition Intervention Study

2015 ◽  
Vol 30 (5) ◽  
pp. e165-e171 ◽  
Author(s):  
Kathryn A. Smith ◽  
Kristy Macias ◽  
Kim Bui ◽  
Cecily L. Betz
Keyword(s):  
Health Care ◽  
Intervention Study ◽  
Care Transition ◽  
Health Care Transition ◽  
Transition Intervention
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