Prehospital Management of Evolving Critical Illness by the Primary Care Provider

Ellis, Kerri A.; Hosseinnezhad, Alireza; Ullah, Ashfaq; Vinagre, Yuka-Marie; Baker, Stephen P.; Lilly, Craig M.

doi:10.1378/chest.12-2906

Cited by 1 publication

(5 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…4 Study staff made up to 3 attempts to contact the patients' PCPs; if all attempts were unsuccessful, that PCP was excluded from the study. Verbal consent was obtained from each PCP before enrollment.…”

Section: Study Participantsmentioning

confidence: 99%

“…1,2 However, research thus far indicates that communication across health care settings is less frequent than expected by PCPs. 3,4 Effective transfer of information about patients when they arrive at the hospital reduces the risk of medication errors, unnecessary diagnostic testing, and rehospitalization rates and is associated with improved quality of life for patients. 1,5 Furthermore, successful communication strengthens relationships among providers and may increase patient referral rates across health care settings.…”

mentioning

confidence: 99%

“…3 It is increasingly clear that the frequency of communication among providers across health care settings is lower than the optimal levels that our patients expect. 4,6 Ineffective communication adds to the patient's disease burden and the costs of care. Cost savings from improved communication, specifically at times of care transitions, were estimated to be $25 to $45 billion for the United States in 2011.…”

mentioning

confidence: 99%

“…Our prior study 4 of the epidemiology of communication among acute care providers and PCPs suggested that communication could be improved by implementing a standardized communication protocol. That study 4 also provided qualitative data that were used to design the intervention that was used for this study and provided a validated instrument to make the required measurements.…”

mentioning

confidence: 99%

“…That study 4 also provided qualitative data that were used to design the intervention that was used for this study and provided a validated instrument to make the required measurements. In the present study, we measured the effects of a novel communication intervention that can be implemented at little incremental cost or effort when it is integrated into daily multiprofessional rounds.…”

mentioning

confidence: 99%

See 4 more Smart Citations

Standardizing Communication From Acute Care Providers to Primary Care Providers on Critically Ill Adults

Ellis

Connolly

Hosseinnezhad

et al. 2015

American Journal of Critical Care

View full text Add to dashboard Cite

Objective To increase the frequency of communication of patient information between acute and primary care providers. A secondary objective was to determine whether higher rates of communication were associated with lower rates of hospital readmission 30 days after discharge. Methods A validated instrument was used for telephone surveys before and after an intervention designed to increase the frequency of communication among acute care and primary care providers. The communication intervention was implemented in 3 adult intensive care units from 2 campuses of an academic medical center. Results The frequency of communication among acute care and primary care providers, the perceived usefulness of the intervention, and its association with 30-day readmission rates were assessed for 202 adult intensive care episodes before and 100 episodes after a communication intervention. The frequency of documented communication increased significantly (5/202 or 2% before to 72/100 or 72% after the intervention; P < .001) and the communication was considered useful by every participating primary care provider. Rates of rehospitalization at 30 days were lower for the intervention group than the preintervention group, but the difference was not statistically significant (41/202 or 23% vs 16/88 or 18% of discharged patients; P = .45; power 0.112 at P = .05). Conclusions The frequency of communication episodes that provide value can be increased through standardized processes. The key aspects of this effective intervention were setting the expectation that communication should occur, documenting when communication has occurred, and reviewing that documentation during multiprofessional rounds.

show abstract

Section: Study Participantsmentioning

confidence: 99%