scholarly journals Stopping the Revolving Door: Reducing 30-Day Psychiatric Readmissions With Post-discharge Telephone Calls

Cureus ◽  
2022 ◽  
Author(s):  
Antonia Phillip ◽  
Garrett Rossi ◽  
Roshi DeSilva
Keyword(s):  
Revolving Door ◽  
Post Discharge ◽  
Telephone Calls

scholarly journals Post-discharge surveillance of wound infections by telephone calls method in a Sudanese Teaching Hospital

2013 ◽  
Vol 6 (5) ◽  
pp. 339-346 ◽  
Author(s):  
Abubaker Ibrahim Elbur ◽  
Yousif MA ◽  
Ahmed S.A. ElSayed ◽  
Manar E. Abdel-Rahman
Keyword(s):  
Teaching Hospital ◽  
Wound Infections ◽  
Post Discharge ◽  
Telephone Calls

scholarly journals Risk Factors for Revolving Door in Children and Adolescents with Psychiatric Disorders

2021 ◽  
Vol 10 (21) ◽  
pp. 5004
Author(s):  
Barbara D’Aiello ◽  
Deny Menghini ◽  
Roberto Averna ◽  
Milena Labonia ◽  
Stefano Vicari
Keyword(s):  
Risk Factors ◽  
Children And Adolescents ◽  
Psychiatric Hospitalization ◽  
Psychiatric Patients ◽  
Severity Of Illness ◽  
Revolving Door ◽  
Psychiatric Ward ◽  
Emotional Symptoms ◽  
Post Discharge ◽  
Clinical Conditions

Revolving Door (RD) is a frequent phenomenon afflicting children and adolescents with psychiatric diagnoses. Nevertheless, risk factors for RD are still a matter of debate. To better understand RD phenomenon, we conducted a retrospective study on 224 children and adolescents (165 females and 59 males, aged 6–16 years) with a psychiatric hospitalization, taking the multiple risk factors together. At this aim, 108 patients with multiple hospitalizations and 116 patients with only one hospitalization were compared on demographic characteristics, clinical conditions, psychiatric ward stay, and post-discharge management factors. More than half of psychiatric patients were readmitted within three months of discharge. RD patients presented greater severity of illness, needed longer stays, and were more frequently placed in residential facilities than non-RD patients. Non-suicidal self-injurious and adoption were the main predictors of RD. Clinical instruments that detected behavioural and emotional symptoms, suicidal ideation severity, and level of impairment of the person’s functioning were useful to identify patients at high risk for RD. In conclusion, our findings pointed out that several risk factors have to be considered to better understand and, in the future, prevent RD phenomenon.

The Impact of a Standardized Discharge Process on 30-Day Readmissions for Patients on Outpatient Parenteral Antibiotic Treatment

2020 ◽  
pp. 001857872098543
Author(s):  
Charnicia E. Huggins ◽  
Tae Eun Park ◽  
Eric Boateng ◽  
Cosmina Zeana
Keyword(s):  
Antibiotic Treatment ◽  
Multidisciplinary Approach ◽  
Hospital Readmissions ◽  
Care Process ◽  
Innovative Technology ◽  
Post Discharge ◽  
Parenteral Antibiotic ◽  
Telephone Calls ◽  
Voice Calls ◽  
The Impact

Introduction: Outpatient parenteral antibiotic treatment (OPAT) is associated with shorter length of hospital stay and reduced cost. Yet, patients discharged home on OPAT are at risk of hospital readmissions due to adverse events and complications. Although the impact of a multidisciplinary approach to readmission has been assessed by previous studies, addition of an innovative technology has not been evaluated for OPAT. This study examines the impact of a multidisciplinary approach including automated voice calls on 30-day readmissions of OPAT patients. Methods: A post-discharge transitional care process (PDTCP) targeting OPAT patients was implemented in fall 2016. This process included an automated telephone patient engagement service and coordination among pharmacy, nursing, medicine, and social work personnel. The patients on OPAT received automated telephone calls at 2, 9, 16, 28, and 40 days post-discharge to ensure medication availability and adherence and to circumvent issues that would otherwise result in an emergency room visit or readmission to the hospital. Results: A total 429 voice calls were made to 148 patients from November 8, 2016 to February 28, 2019. Overall, 61% (n = 90/148) of the patients were successfully reached by the automated voice system. The patients who were reached by the automated voice system were less likely to be readmitted than those not reached (18.9% vs 41.4%; relative risk (RR) 0.46, 95% CI 0.27-0.77, P = .003). Conclusion: Our study demonstrated that a multidisciplinary approach involving the use of automated telephone calls was associated with decreased hospital readmissions.

scholarly journals Assessing the Impact of Nurse Post-Discharge Telephone Calls on 30-Day Hospital Readmission Rates

2014 ◽  
Vol 29 (11) ◽  
pp. 1519-1525 ◽  
Author(s):  
James D. Harrison ◽  
Andrew D. Auerbach ◽  
Kathryn Quinn ◽  
Ellen Kynoch ◽  
Michelle Mourad
Keyword(s):  
Hospital Readmission ◽  
Day Hospital ◽  
Post Discharge ◽  
Readmission Rates ◽  
Hospital Readmission Rates ◽  
Telephone Calls ◽  
The Impact
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