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Related Concept Videos

Discharge Summary Forms01:31

Discharge Summary Forms

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The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
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Planning Nursing Care I01:21

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The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
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Acute Coronary Syndrome IV: Interprofessional Care01:28

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IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
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Appendicitis-II: Diagnostic Studies and Management01:29

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Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
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Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
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Patient-centered Care01:13

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Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
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Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
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Does Scheduling a Postdischarge Visit with a Primary Care Physician Increase Rates of Follow-up and Decrease

Felippe O Marcondes1, Paawan Punjabi2, Lauren Doctoroff3,4

  • 1University of Texas Medical Branch, Galveston, Texas.

Journal of Hospital Medicine
|September 19, 2019
PubMed
Summary
This summary is machine-generated.

A postdischarge appointment service significantly increased primary care physician (PCP) follow-up rates. However, its impact on reducing hospital readmissions requires further investigation.

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Area of Science:

  • Health Services Research
  • Quality Improvement in Healthcare
  • Patient Transition Management

Background:

  • Hospitals are enhancing inpatient to outpatient care transitions, driven by programs like Medicare's Hospital Readmissions Reduction Program.
  • Early follow-up with a primary care physician (PCP) is a key focus for improving patient care post-discharge.

Purpose of the Study:

  • To evaluate the effectiveness of a scheduling assistance program in improving PCP follow-up rates.
  • To determine if the program impacts hospital readmission rates.

Main Methods:

  • Retrospective cohort study of 20,918 adult patients at an urban tertiary care center.
  • Implementation of a postdischarge appointment service to facilitate early PCP follow-up.
  • Analysis of PCP follow-up within seven days and hospital readmissions within 30 days, using multivariable and instrumental variable analyses.

Main Results:

  • The appointment service significantly increased PCP follow-up rates by 31.9 percentage points (P < .01).
  • Multivariable analysis showed a decrease in readmissions by 3.8 percentage points (P < .01).
  • Instrumental variable analysis confirmed increased PCP follow-up but found no significant impact on readmissions.

Conclusions:

  • The postdischarge appointment service effectively increased timely PCP follow-up.
  • The program's effect on reducing hospital readmission rates was inconclusive and warrants further study.