Information Transfer at Hospital Discharge: A Systematic Review

Kattel, Sharma; Manning, Dennis M.; Erwin, Patricia J.; Wood, Harrison F.; Kashiwagi, Deanne T.; Murad, M. Hassan

doi:10.1097/pts.0000000000000248

Cited by 75 publications

(75 citation statements)

References 38 publications

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“…Between 35% and 59% of MRH was preventable in the included studies, and this finding builds on a previous systematic review of MRH in the community (not after discharge) in all age groups which reported that 11% to 27.5% as preventable . Given the high risk around hospital discharge of medication discrepancies, poor communication of medication changes and possible adverse effects, and deficiencies in information transfer to primary care, the higher proportion of preventable MRH that we found is not a surprise.…”

Section: Discussionsupporting

confidence: 80%

Incidence of Medication‐Related Harm in Older Adults After Hospital Discharge: A Systematic Review

Parekh

Ali

Page

et al. 2018

J American Geriatrics Society

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MRH is common after hospital discharge in older adults, but methodological inconsistencies between studies and a paucity of data on risk factors limits clear understanding of the epidemiology. There is a need for international consensus on conducting and reporting MRH studies. Data from large, multicenter studies examining a range of biopsychosocial risk factors could provide insight into this important area of safety.

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Section: Discussionsupporting

confidence: 80%

Incidence of Medication‐Related Harm in Older Adults After Hospital Discharge: A Systematic Review

Parekh

Ali

Page

et al. 2018

J American Geriatrics Society

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“…While such tools may be specifically useful for the German rehabilitation system, the barrier of timely transmission of relevant findings and the translation of findings from one specific setting or expert group to another is well known in health services research. Delayed and/or insufficient transfer of information are especially common in the discharge communication between hospital-based to outpatient health care providers (Kripalani et al 2007a, b; Kattel et al 2016). It is therefore likely that similar solutions may be useful in the rehabilitation systems in other countries.…”

Section: Discussionmentioning

confidence: 99%

“…It is therefore likely that similar solutions may be useful in the rehabilitation systems in other countries. Although not specifically focused on rehabilitation, the international literature supports structured formats and technology solutions as well as standardized language in order to improve availability, completeness, timeliness, and quality of discharge information from hospitals to out-patient health care providers (Kripalani et al 2007a, b; Arora et al 2009; Hesselink et al 2012; Kattel et al 2016). …”

Section: Discussionmentioning

confidence: 99%

Optimizing cooperation between general practitioners, occupational health and rehabilitation physicians in Germany: a qualitative study

Stratil¹,

Rieger²,

Voelter-Mahlknecht³

2017

Int Arch Occup Environ Health

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PurposeTo achieve successful medical rehabilitation and timely return to work, general practitioners, occupational health and rehabilitation physicians need to cooperate effectively. This cooperation, however, can be hampered by organizational, interpersonal, and structural barriers. In this article, we present and discuss suggestions proposed by physicians and patients on how these barriers can be overcome.MethodsWe conducted eight qualitative focus group discussions with general practitioners (GPs), occupational health physicians (OPs), rehabilitation physicians (RPs) and rehabilitation patients, which we analyzed with qualitative content analysis methods.ResultsRoom for improvement exists with regard to (1) regulation (e.g. formalized role and obligatory input of occupational physicians), (2) finance (e.g. financial incentives for physicians based on the quality of the application), (3) technology (e.g. communication by email), (4) organizational procedures (e.g. provision of workplace descriptions to RPs on a routine basis), (5) education and information (e.g. joint educational programs, measures to improve the image of OPs), and (6) promotion of cooperation (e.g. between OPs and GPs in regards to the application process).ConclusionsMany suggestions are practical and could be implemented into the daily routine of physicians, while others demand multi-level, multi-stakeholder approaches. Our findings are supported by numerous international studies (especially from Western Europe). Future quantitative research could assess the relative weight of these findings. Feasibility and effectiveness of the proposed suggestions should be tested in controlled interventional studies.Electronic supplementary materialThe online version of this article (doi:10.1007/s00420-017-1239-6) contains supplementary material, which is available to authorized users.

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“…In stroke/TIA, patients are treated in hospital and general practitioners (GPs) often depend on receiving discharge summaries. However, the transfer of information from hospitals to GPs may be suboptimal . In a previous publication, we introduced the concept of diagnosis recording , a potential marker of physician awareness of a clinical condition in patients transitioning from hospitals to primary care .…”

Section: Introductionmentioning

confidence: 99%

Secondary prevention after stroke/transient ischemic attack: A randomized audit and feedback trial

et al. 2019

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Objectives:The clinical benefits of use of secondary preventive pharmacotherapy in ischemic stroke/TIA have been previously demonstrated. A potential target for facilitating the use of recommended medications is primary care physicians.Therefore, we carried out an audit and feedback intervention aimed at primary care centers. The aim was to improve the use of secondary preventive stroke medications and diagnosis recording in ischemic stroke/TIA. Materials and Methods:The intervention consisted of structured, healthcare database-derived quality reports on secondary preventive medication use and diagnosis recording, sent in 2015 to half of the primary care centers in Stockholm County, with information specific to each primary care center. Medication dispensation (primary outcome) for statins, antihypertensives, antiplatelets, and anticoagulants, as well as diagnosis recording (secondary outcome), was compared between intervention centers and control centers in the 18 months following the intervention. Outcome data were derived from the healthcare databases of Stockholm County (VAL). Results:Dispensation of medications to the 12 766 patients analyzed in the study was high. Over 77% of patients used antihypertensives and antithrombotics, and 65%-68% used statins. After the intervention, no differences in medication dispensation were seen between the intervention and control centers, even after adjusting for potential confounders. Conclusions:A simple audit and feedback intervention directed toward physicians in primary care did not improve medication dispensation to ischemic stroke/TIA patients 18 months later. Any future audit and feedback intervention aimed at improving adherence to guidelines for secondary prevention in primary care should consider multiple and continuous reminders, the graphical appeal, and widening the recipients to include patients. K E Y W O R D Sdiagnosis recording, drug therapy, general practitioners, transient ischemic attack, physicians, primary care, primary health care, secondary prevention, stroke

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Information Transfer at Hospital Discharge: A Systematic Review

Abstract: Delayed or insufficient transfer of discharge information between hospital-based providers and PCPs remains common. Creation of electronic discharge summaries seems to improve timeliness and availability but does not consistently improve quality.

Cited by 75 publications

References 38 publications

Incidence of Medication‐Related Harm in Older Adults After Hospital Discharge: A Systematic Review

Incidence of Medication‐Related Harm in Older Adults After Hospital Discharge: A Systematic Review

Optimizing cooperation between general practitioners, occupational health and rehabilitation physicians in Germany: a qualitative study

Secondary prevention after stroke/transient ischemic attack: A randomized audit and feedback trial

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