A New Multimodal Geriatric Discharge-Planning Intervention to Prevent Emergency Visits and Rehospitalizations of Older Adults: The Optimization of Medication in AGEd Multicenter Randomized Controlled Trial

Legrain, S.; Tubach, Florence; Bonnet-Zamponi, Dominique; Lemaire, Aurélie; Aquino, Jean-Pierre; Paillaud, Éléna; Taillandier-Heriche, E.; Thomas, Caroline; Verny, Marc; Pasquet, Blandine; Moutet, Aline Lasserre; Lieberherr, Deborah; Lacaille, Sophie

doi:10.1111/j.1532-5415.2011.03628.x

Cited by 112 publications

(151 citation statements)

References 48 publications

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“…This finding seems particularly relevant in light of the promising results of geriatric drug management and reconciliation programs. 26,27 Finally, although it might seem intuitive that a better social support protect toward readmissions, 28,29 we found the opposite effect. This is in line with recent multifactorial intervention programs considering it as a cause of avoidable transfers from nursing homes.…”

Section: Discussioncontrasting

confidence: 54%

Incidence and Risk Factors for Unplanned Transfers to Acute General Hospitals From an Intermediate Care and Rehabilitation Geriatric Facility

Colprim

Inzitari

2014

Journal of the American Medical Directors Association

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Section: Discussioncontrasting

confidence: 54%

Incidence and Risk Factors for Unplanned Transfers to Acute General Hospitals From an Intermediate Care and Rehabilitation Geriatric Facility

Colprim

Inzitari

2014

Journal of the American Medical Directors Association

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“…Medication reconciliation during care transitions has demonstrated effectiveness in prevention of serious medication errors in multiple studies. [19,28,29] These qualitative data support findings from the literature. Descriptions of near-miss events due to medication mismanagement demonstrated the patients' awareness of the importance of taking medications correctly.…”

Section: Discussionsupporting

confidence: 75%

Post-hospitalization transition to home: Patient perspectives of a personalized approach

Burbach

Cohen

Zimmerman

et al. 2016

JNEP

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Objective: Successful transition from hospital to home for persons having multiple chronic illnesses is vital for improved health and reduction of hospital readmissions. This qualitative study was undertaken to explore patients' experiences with tailored care transition interventions in order to improve future interventions in a planned larger study. Methods: Eighteen patients were interviewed either individually or in focus groups. Patients had previously completed a larger study that evaluated the impact of post-hospital discharge care transitions interventions, which were tailored to cognitive level and patient activation status. Data were analyzed using qualitative, thematic analysis techniques. Results: The overarching theme identified as a result of the qualitative interviews was: Tailoring Interventions to Address the Complexity of Multiple Chronic Illnesses. It included Checking in or checking out: Patient activation and self-management of chronic illness; Increasing complexity: Management of medications for chronic illness; and Paving a path through complexity with caring. These themes were found in all participants, across all groups of the interventions. Conclusions: Tailored interventions, which included individual assessment of needs and development and implementation of a tailored self-management plan, were viewed as effective by patients for self-management of chronic illness, particularly medication reconciliation and weekly goal setting.

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“…Providing patients with information that the patients themselves state is of value may be the easiest refinement to a discharge educational tool, although this was surprisingly uncommon. 6,9,10,17,23,33,37 Only 2 studies were found that engaged patients in the initial stage of design of the discharge tool, by incorporating information of interest to them. 23,32 For example, a study testing the impact of a computer-generated written education package on poststroke outcomes designed the information by asking patients to identify which topics they would like to receive information about (along with the amount of information and font size).…”

Section: Total References 4015mentioning

confidence: 99%

Impact of Patient‐Centered Discharge Tools: A Systematic Review

Okrainec

Lau

Abrams

et al. 2017

Journal of Hospital Medicine

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BACKGROUND: Patient-centered discharge tools provide an opportunity to engage patients, enhance patient understanding, and improve capacity for self-care and postdischarge outcomes. PURPOSE:To review studies that engaged patients in the design or delivery of discharge instruction tools and that tested their effect among hospitalized patients. DATA SOURCES:We conducted a search of 12 databases and journals from January 1994 through May 2014, and references of retrieved studies.STUDY SELECTION: English-language studies that tested discharge tools meant to engage patients were selected. Studies that measured outcomes after 3 months or without a control group or period were excluded.DATA EXTRACTION: Two independent reviewers assessed the full-text papers and extracted data on features of patient engagement.

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A New Multimodal Geriatric Discharge-Planning Intervention to Prevent Emergency Visits and Rehospitalizations of Older Adults: The Optimization of Medication in AGEd Multicenter Randomized Controlled Trial

Cited by 112 publications

References 48 publications

Incidence and Risk Factors for Unplanned Transfers to Acute General Hospitals From an Intermediate Care and Rehabilitation Geriatric Facility

Incidence and Risk Factors for Unplanned Transfers to Acute General Hospitals From an Intermediate Care and Rehabilitation Geriatric Facility

Post-hospitalization transition to home: Patient perspectives of a personalized approach

Impact of Patient‐Centered Discharge Tools: A Systematic Review

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