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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.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
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SBAR II: Application of SBAR01:14

SBAR II: Application of SBAR

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SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
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SBAR I: Understanding the Concept01:29

SBAR I: Understanding the Concept

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Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
Standardized methods of communication have been developed to ensure that information is...
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Rheumatic Heart Disease IV: Nursing Management01:20

Rheumatic Heart Disease IV: Nursing Management

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AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...
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Rapidly Varying Flow01:24

Rapidly Varying Flow

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Rapidly varying flow (RVF) in open channels is characterized by abrupt changes in flow depth over a short distance, with the rate of depth change relative to distance often approaching unity. These flows are inherently complex due to their transient and multi-dimensional nature, making exact analysis difficult. However, approximate solutions using simplified models provide valuable insights into their behavior.Key Features of Rapidly Varying FlowRVF is commonly observed in scenarios involving...
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Assessment of apical radial pulse01:25

Assessment of apical radial pulse

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Apical-Radial (A-R) Pulse Assessment
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
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Related Experiment Video

Updated: Nov 19, 2025

Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum
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Modifying the RAPT Score to Reflect Discharge Destination in Current Practice.

Eric Cohen1, Daniel B C Reid1, Matthew Quinn1

  • 1Department of Orthopaedic Surgery, Warren Alpert Medical School of Brown University, Providence, RI, USA.

Arthroplasty Today
|February 1, 2021
PubMed
Summary
This summary is machine-generated.

The Risk Assessment Prediction Tool (RAPT) requires updated cutoffs for predicting total joint arthroplasty patient discharge. A modified RAPT (mRAPT) system improves accuracy and identifies more patients suitable for home services.

Keywords:
ArthroplastyDischargeLength of stayRAPT

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Area of Science:

  • Orthopedic Surgery
  • Health Services Research

Background:

  • The Risk Assessment Prediction Tool (RAPT) is a validated survey for predicting discharge disposition in primary total joint arthroplasty (TJA) patients.
  • Current RAPT scoring may be outdated due to advancements in rapid-discharge protocols and increased home care utilization.

Purpose of the Study:

  • To evaluate the effectiveness of modified scoring cutoffs for the RAPT (mRAPT) in predicting discharge disposition for TJA patients.
  • To assess if mRAPT improves predictive accuracy in the context of modern discharge trends.

Main Methods:

  • A retrospective chart review of 1264 primary TJA patients was conducted over 14 months.
  • The RAPT score was implemented mid-study, allowing for pre- and post-implementation outcome analysis.
  • Exclusion criteria included revision TJA, complex TJA, and TJA after malignancy resection.

Main Results:

  • The post-RAPT implementation group showed a significant decrease in mean hospital length of stay (2.22 to 1.82 days) and a reduction in facility discharges (21.8% to 15.2%).
  • The modified RAPT system achieved 92% overall predictive accuracy and accurately predicted hospital length of stay.
  • Significant improvements were observed in both total hip arthroplasty and total knee arthroplasty subgroups.

Conclusions:

  • Published RAPT scoring cutoffs are inaccurate for current TJA discharge practices, which increasingly favor home services.
  • Implementing modified RAPT (mRAPT) cutoffs maximizes predictive capabilities for patient discharge disposition.
  • The mRAPT system maintains excellent predictive accuracy while better aligning with contemporary healthcare trends.