探索过渡性护理：改善医护人员沟通及减少再入院率的循证策略
Exploring Transitional Care: Evidence-Based Strategies for Improving Provider Communication and Reducing Readmissions.
作者信息
Mansukhani Rupal Patel, Bridgeman Mary Barna, Candelario Danielle, Eckert Laurie J
出版信息
P T. 2015 Oct;40(10):690-4.
Abstract
The coordination of care as patients move from one health care setting to another is crucial to treatment, but breakdowns in the process lead to poor transitions, fragmented care, hospital readmissions, and increased costs. This article discusses evidence-based strategies for improving communication and reducing readmissions.
摘要
随着患者从一个医疗环境转移到另一个医疗环境，医疗协调对于治疗至关重要，但该过程中的故障会导致过渡不佳、护理碎片化、医院再入院以及成本增加。本文讨论了改善沟通和减少再入院的循证策略。
相似文献
1
2
Transitional care interventions prevent hospital readmissions for adults with chronic illnesses.
Health Aff (Millwood). 2014 Sep;33(9):1531-9. doi: 10.1377/hlthaff.2014.0160.
3
"Did I do as best as the system would let me?" Healthcare professional views on hospital to home care transitions.
J Gen Intern Med. 2012 Dec;27(12):1649-56. doi: 10.1007/s11606-012-2169-3. Epub 2012 Jul 25.
5
Exploring care transitions from patient, caregiver, and health-care provider perspectives.
Clin Nurs Res. 2013 Aug;22(3):258-74. doi: 10.1177/1054773812465084. Epub 2012 Oct 30.
6
Seamless Transitions: Achieving Patient Safety Through Communication and Collaboration.
J Patient Saf. 2018 Mar;14(1):e3-e5. doi: 10.1097/PTS.0000000000000168.
7
Role of Physical Therapists in Reducing Hospital Readmissions: Optimizing Outcomes for Older Adults During Care Transitions From Hospital to Community.
Phys Ther. 2016 Aug;96(8):1125-34. doi: 10.2522/ptj.20150526. Epub 2016 Mar 3.
8
Reducing Unplanned Medical Oncology Readmissions by Improving Outpatient Care Transitions: A Process Improvement Project at the Cleveland Clinic.
J Oncol Pract. 2016 May;12(5):e594-602. doi: 10.1200/JOP.2015.007880. Epub 2016 Apr 5.
9
Disentangling organizational levers and economic benefits in transitional care programs: a systematic review and configurational analysis.
BMC Health Serv Res. 2024 Jan 9;24(1):46. doi: 10.1186/s12913-023-10461-3.
10
The Social Work Role in Reducing 30-Day Readmissions: The Effectiveness of the Bridge Model of Transitional Care.
J Gerontol Soc Work. 2016 Apr;59(3):222-7. doi: 10.1080/01634372.2016.1195781.
引用本文的文献
1
Evidence-based practice utilization and associated factors among nurses in the emergency department of selected public hospitals, Addis Ababa, Ethiopia, 2024: cross-sectional study.
BMC Health Serv Res. 2025 May 1;25(1):628. doi: 10.1186/s12913-025-12810-w.
2
Effects of Implementing an ICU Discharge Readiness Checklist on : A Quasi-Experimental Research Study.
Healthcare (Basel). 2025 Apr 3;13(7):816. doi: 10.3390/healthcare13070816.
3
Implementation of a Faith Community Nursing Transition of Care Program in the USA: A Propensity Score Matching Analysis.
J Relig Health. 2025 Apr;64(2):803-820. doi: 10.1007/s10943-024-02213-2. Epub 2025 Jan 20.
4
Continuity and sustainability of care in family medicine: Assessing its association with quality of life and health outcomes in older populations-A systematic review.
PLoS One. 2024 Dec 23;19(12):e0299283. doi: 10.1371/journal.pone.0299283. eCollection 2024.
5
Enhancing Care Coordination in Oncology and Nononcology Thoracic Surgery Care Pathways Through a Digital Health Solution: Mixed Methods Study.
JMIR Form Res. 2024 Nov 26;8:e60222. doi: 10.2196/60222.
6
Nurses' perceptions of patient handoffs and predictors of patient handoff perceptions in tertiary care hospitals in Kelantan, Malaysia: a cross-sectional study.
BMJ Open. 2024 Aug 6;14(8):e087612. doi: 10.1136/bmjopen-2024-087612.
7
Interdisciplinary videoconference model for identifying potential adverse transition of care events following hospital discharge to postacute care.
BMJ Open Qual. 2024 May 24;13(2):e002508. doi: 10.1136/bmjoq-2023-002508.
8
Older adults experience of transition to the community from the emergency department: a qualitative evidence synthesis.
BMC Geriatr. 2024 Mar 6;24(1):233. doi: 10.1186/s12877-024-04751-6.
9
Geriatric Medicine in South Korea: A Stagnant Reality amidst an Aging Population.
Ann Geriatr Med Res. 2023 Dec;27(4):280-285. doi: 10.4235/agmr.23.0199. Epub 2023 Dec 29.
10
Telehealth-based transitional care management programme to improve access to care.
BMJ Open Qual. 2023 Nov;12(4). doi: 10.1136/bmjoq-2023-002495.
本文引用的文献
1
Barriers and facilitators of medication reconciliation processes for recently discharged patients from community pharmacists' perspectives.
Res Social Adm Pharm. 2015 Jul-Aug;11(4):517-30. doi: 10.1016/j.sapharm.2014.10.008. Epub 2014 Oct 25.
2
Pharmacist-managed inpatient discharge medication reconciliation: a combined onsite and telepharmacy model.
Am J Health Syst Pharm. 2014 Dec 15;71(24):2159-66. doi: 10.2146/ajhp130650.
3
Is telemedicine an answer to reducing 30-day readmission rates post-acute myocardial infarction?
Telemed J E Health. 2014 Sep;20(9):816-21. doi: 10.1089/tmj.2013.0346. Epub 2014 Jul 21.
4
The effect of a collaborative pharmacist-hospital care transition program on the likelihood of 30-day readmission.
Am J Health Syst Pharm. 2014 May 1;71(9):739-45. doi: 10.2146/ajhp130457.
5
Project ReEngineered Discharge (RED) lowers hospital readmissions of patients discharged from a skilled nursing facility.
J Am Med Dir Assoc. 2013 Oct;14(10):736-40. doi: 10.1016/j.jamda.2013.03.004. Epub 2013 Apr 20.
6
Effects of an enhanced discharge planning intervention for hospitalized older adults: a randomized trial.
Gerontologist. 2013 Jun;53(3):430-40. doi: 10.1093/geront/gns109. Epub 2012 Sep 7.
7
Telephone follow-up as a primary care intervention for postdischarge outcomes improvement: a systematic review.
Am J Med. 2012 Sep;125(9):915-21. doi: 10.1016/j.amjmed.2012.01.035.
8
Hospitals ineligible for federal meaningful-use incentives have dismally low rates of adoption of electronic health records.
Health Aff (Millwood). 2012 Mar;31(3):505-13. doi: 10.1377/hlthaff.2011.0351.
9
Delays in filling clopidogrel prescription after hospital discharge and adverse outcomes after drug-eluting stent implantation: implications for transitions of care.
Circ Cardiovasc Qual Outcomes. 2010 May;3(3):261-6. doi: 10.1161/CIRCOUTCOMES.109.902031. Epub 2010 Apr 20.
10
Medication reconciliation at an academic medical center: implementation of a comprehensive program from admission to discharge.
Am J Health Syst Pharm. 2009 Dec 1;66(23):2126-31. doi: 10.2146/ajhp080552.
Zotero 插件