Discharge Handoff Communication and Pediatric Readmissions

Coller, Ryan J.; Klitzner, Thomas S.; Saenz, Adrianna A.; Lerner, Carlos F.; Alderette, L.; Nelson, Bergen B.; Chung, Paul J.

doi:10.1002/jhm.2670

Cited by 24 publications

(23 citation statements)

References 35 publications

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“…The effect of PCIs on subsequent hospital use was evaluated in only 5 studies; in all of these studies, PCIs were pooled with other intervention types. 34,41,43,84,86 Only 2 of these studies revealed a significant effect on use. In their prospective cohort study, Cheney et al 34 found that combining a letter to the patient's primary care provider with CCIs and FEIs reduced readmissions (Table 2).…”

Section: Effects Of Provider Communication On Usementioning

confidence: 99%

“…The impact of PCIs was evaluated in only 5 studies. 34,41,43,84,86 Out of 59 studies in which CCIs were evaluated, postdischarge follow-up (via clinic, home visit, or telephone) was incorporated in 38, * and the impact of intensive discharge planning services was evaluated in 26. † Of 39 studies providing FEIs, ‡ inpatient parental education was incorporated in 29 studies (task-based or teachback learning was specifically noted in 2 of these studies), and 14 studies involved contingency planning in parental education.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…In their prospective cohort study, Cheney et al 34 found that combining a letter to the patient's primary care provider with CCIs and FEIs reduced readmissions (Table 2). On the other hand, the prospective cohort study by Coller et al 84…”

Section: Effects Of Provider Communication On Usementioning

confidence: 99%

“…Of those articles in which the effect of postdischarge follow-up care on readmission was evaluated, 9 studies (including 2 randomized controlled trials [RCTs]) revealed reduced readmissions, ¶ but 3 studies (all observational cohort studies) revealed an increased readmission rate. 30,83,84 In studies with increased use rates, authors often failed to account for potentially important confounders, such as illness severity or technology dependence. also effective in both neonates and patients with chronic illnesses.…”

Section: Effects Of Care Coordination On Readmissionmentioning

confidence: 99%

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Hospital-to-Home Interventions, Use, and Satisfaction: A Meta-analysis

Hamline

Speier

et al. 2018

Pediatrics

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Hospital-to-home transitions are critical opportunities to promote patient safety and high-quality care. However, such transitions are often fraught with difficulties associated with increased health care use and poor patient satisfaction. OBJECTIVE: In this review, we determine which pediatric hospital discharge interventions affect subsequent health care use or parental satisfaction compared with usual care. DATA SOURCES: We searched 7 bibliographic databases and 5 pediatric journals. STUDY SELECTION: Inclusion criteria were: (1) available in English, (2) focused on children <18 years of age, (3) pediatric data reported separately from adult data, (4) not focused on normal newborns or pregnancy, (5) discharge intervention implemented in the inpatient setting, and (6) outcomes of health care use or caregiver satisfaction. Reviews, case studies, and commentaries were excluded. DATA EXTRACTION: Two reviewers independently abstracted data using modified Cochrane data collection forms and assessed quality using modified Downs and Black checklists. RESULTS: Seventy one articles met inclusion criteria. Although most interventions improved satisfaction, interventions variably reduced use. Interventions focused on follow-up care, discharge planning, teach back-based parental education, and contingency planning were associated with reduced use across patient groups. Bundled care coordination and family engagement interventions were associated with lower use in patients with chronic illnesses and neonates. LIMITATIONS: Variability limited findings and reduced generalizability. CONCLUSIONS: In this review, we highlight the utility of a pediatric discharge bundle in reducing health care use. Coordinating follow-up, discharge planning, teach back-based parental education, and contingency planning are potential foci for future efforts to improve hospitalto-home transitions.

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Section: Effects Of Provider Communication On Usementioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Effects Of Provider Communication On Usementioning

confidence: 99%

Section: Effects Of Care Coordination On Readmissionmentioning

confidence: 99%

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Hospital-to-Home Interventions, Use, and Satisfaction: A Meta-analysis

Hamline

Speier

et al. 2018

Pediatrics

View full text Add to dashboard Cite

show abstract

“…Physician-scientists in general, and pediatric physicianscientists in particular, are vanishing. [1][2][3] Rates of National Institutes of Health (NIH) awards to pediatric departments have declined from 23.8% to 16.8% during the past 10 years. 4 Being granted an NIH independent investigator award (R01) is not only a means to support a physician-scientist's research but also is a commonly required milestone for promotion.…”

Section: Name and Characteristics Of National Institutes Of Health R0mentioning

confidence: 99%