PMID- 23460101
OWN - NLM
STAT- MEDLINE
DCOM- 20130426
LR  - 20220408
IS  - 1539-3704 (Electronic)
IS  - 0003-4819 (Linking)
VI  - 158
IP  - 5 Pt 2
DP  - 2013 Mar 5
TI  - Hospital-initiated transitional care interventions as a patient safety strategy: 
      a systematic review.
PG  - 433-40
LID - 10.7326/0003-4819-158-5-201303051-00011 [doi]
AB  - Hospitals now have the responsibility to implement strategies to prevent adverse 
      outcomes after discharge. This systematic review addressed the effectiveness of 
      hospital-initiated care transition strategies aimed at preventing clinical 
      adverse events (AEs), emergency department (ED) visits, and readmissions after 
      discharge in general medical patients. MEDLINE, CINAHL, EMBASE, and Cochrane 
      Database of Clinical Trials (January 1990 to September 2012) were searched, and 
      47 controlled studies of fair methodological quality were identified. Forty-six 
      studies reported readmission rates, 26 reported ED visit rates, and 9 reported AE 
      rates. A "bridging" strategy (incorporating both predischarge and postdischarge 
      interventions) with a dedicated transition provider reduced readmission or ED 
      visit rates in 10 studies, but the overall strength of evidence for this strategy 
      was low. Because of scant evidence, no conclusions could be reached on methods to 
      prevent postdischarge AEs. Most studies did not report intervention context, 
      implementation, or cost. The strategies hospitals should implement to improve 
      patient safety at hospital discharge remain unclear.
FAU - Rennke, Stephanie
AU  - Rennke S
AD  - University of California, San Francisco, San Francisco, California, USA. 
      srennke@medicine.ucsf.edu
FAU - Nguyen, Oanh K
AU  - Nguyen OK
FAU - Shoeb, Marwa H
AU  - Shoeb MH
FAU - Magan, Yimdriuska
AU  - Magan Y
FAU - Wachter, Robert M
AU  - Wachter RM
FAU - Ranji, Sumant R
AU  - Ranji SR
LA  - eng
GR  - HHSA-290-2007-10062I/PHS HHS/United States
PT  - Journal Article
PT  - Research Support, U.S. Gov't, P.H.S.
PT  - Review
PT  - Systematic Review
PL  - United States
TA  - Ann Intern Med
JT  - Annals of internal medicine
JID - 0372351
SB  - IM
MH  - Emergency Service, Hospital/statistics & numerical data
MH  - Hospital Administration
MH  - Hospital Costs
MH  - Humans
MH  - Patient Discharge/*standards
MH  - Patient Readmission/statistics & numerical data
MH  - *Patient Safety
MH  - Risk Assessment
MH  - Safety Management/economics/*methods/organization & administration
EDAT- 2013/03/06 06:00
MHDA- 2013/04/27 06:00
CRDT- 2013/03/06 06:00
PHST- 2013/03/06 06:00 [entrez]
PHST- 2013/03/06 06:00 [pubmed]
PHST- 2013/04/27 06:00 [medline]
AID - 1656449 [pii]
AID - 10.7326/0003-4819-158-5-201303051-00011 [doi]
PST - ppublish
SO  - Ann Intern Med. 2013 Mar 5;158(5 Pt 2):433-40. doi: 
      10.7326/0003-4819-158-5-201303051-00011.