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The Pediatric Post-Hospital Outreach Needs Evaluation (PHONE) Pilot Study.

Amanda M Klafter1, Michael D Cabana1,2, Lisbel Guzman1

  • 1Department of Pediatrics, Albert Einstein College of Medicine, Bronx, New York.

Hospital Pediatrics
|March 23, 2026
PubMed
Summary

Postdischarge calls reveal key concerns in the first three days, often about medications and logistics. Targeted support during this period can improve pediatric patient safety and care transitions.

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Area of Science:

  • Pediatric Healthcare
  • Patient Safety
  • Communication Studies

Background:

  • Effective hospital discharge communication is vital for safe care transitions.
  • Postdischarge calls offer insights into discharge process improvements, but are understudied in pediatrics.
  • This pilot study examined family calls after pediatric discharge to identify common concerns.

Purpose of the Study:

  • To analyze the content and timing of caregiver-initiated postdischarge calls.
  • To identify common clinical and nonclinical concerns following pediatric hospital discharge.
  • To inform strategies for improving discharge support and patient safety.

Main Methods:

  • Single-center, cross-sectional observational pilot study.
  • Analysis of 32 caregiver-initiated calls over 8 months.

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  • Inductive thematic analysis of call content and comparison with electronic medical record data.

    • Main Results:

    • Calls were evenly split between clinical (symptoms, medications) and nonclinical (system, provider issues) topics.
    • Medication dosing questions were 50% of clinical inquiries.
    • Nonclinical calls, often concerning logistics, peaked around day 3 post-discharge (70% of calls at 3 days were nonclinical).

    Conclusions:

    • The first three days post-discharge represent a critical window for family support.
    • Calls during this period frequently involve medication and system-level issues.
    • Proactive outreach to families can enhance communication and improve pediatric patient safety.