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Related Concept Videos

Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

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Planning Nursing Care I01:21

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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Learning From Lawsuits: Using Malpractice Claims Data to Develop Care Transitions Planning Tools.

Alicia I Arbaje, Nicole E Werner, Eileen M Kasda1

  • 1Patient Safety, The Johns Hopkins Hospital, Johns Hopkins Health System.

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|June 14, 2016
PubMed
Summary
This summary is machine-generated.

Malpractice claims reveal critical safety risks during hospital to home care transitions. Developed planning tools are feasible for improving patient safety during these transitions.

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Area of Science:

  • Healthcare safety
  • Patient transitions
  • Medical malpractice

Background:

  • Understanding of hospital to home care transitions is incomplete.
  • Malpractice claims are an underutilized data source for analyzing care transition safety.

Purpose of the Study:

  • Evaluate safety risks during care transitions using malpractice claims data.
  • Develop and pilot test care transition planning tools for hospital to home transitions.

Main Methods:

  • Analyzed 230 closed malpractice claims from 4 hospital sites.
  • Conducted focus groups with stakeholders to identify concerns.
  • Developed patient/caregiver and provider planning tools.
  • Pilot tested tools on 53 patient discharges.

Main Results:

  • Identified 33 risk factors related to hospital systems, transition processes, and outcomes.
  • Tools were reported as easy to use and feasible by providers and patients.
  • Patients often lacked necessary information when using the tools.

Conclusions:

  • Malpractice claims offer valuable insights into suboptimal care transitions.
  • Developed planning tools show feasibility for improving care transition safety.
  • Malpractice data can supplement other methods for identifying system failures.