Evaluating Hospital Discharge Planning
A Randomized Clinical Trial
Bibliographic Data
| ID | 9101894 |
|---|---|
| Authors | Ron L Evans (University of Washington), Robert D Hendricks (University of Washington) |
| Year | 1993 |
| Volume | 31 |
| Issue | 4 |
| Pages | 358-370 |
| Publication date | 1993-04-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/00005650-199304000-00007 |
| PMID | 8464252 |
| OpenAlex | W2031860513 |
| Language | EN |
| Citations received | 7 |
To select patients for early discharge planning, a randomized clinical trial evaluated a protocol that used risk factors identified upon hospital admission. The goal of the study was to determine if intervention with high-risk patients could reduce the need for hospital admission or skilled care. Of 13,255 patients screened, 835 study participants were identified as "at risk" for frequent health care resource use. Half of the high-risk patients were randomly assigned to the experimental group (n = 417) and received discharge planning from day 3 of their hospital stay, while the control group (n = 418) received discharge planning only if there was a written physician request. Those patients receiving early, systematic discharge planning experienced an increased likelihood of successful return to home after hospital admission and a decreased chance of unscheduled readmission for the 9-month study period. Length of the index hospital stay was not affected by early planning, however. The major clinical implication is the potential for discharge planners to decrease the need for, and use of, health care resources after hospital admission
Clinical trial · Discharge planning · Health care · Hospital admission · Hospital discharge · Intensive care medicine · Physical therapy · Randomized controlled trial · Resource planning · Emergency and Acute Care Studies · Emergency Medicine · Geriatric Care and Nursing Homes · Heart Failure Treatment and Management · Internal Medicine · Medicine · Nursing · Surgery
Can Early Re-Admission Rates Accurately Detect Poor-Quality Hospitals
Selecting Disease-Outcome Pairs for Monitoring the Quality of Hospital Care
Effect of Educational Level and Minority Status on Nursing Home Choice After Hospital Discharge
Estimation of Excess Risk of Readmission to Hospital After an Index Inpatient Separation
The Association Between the Quality of Inpatient Care and Early Readmission
A conceptual framework for the study of early readmission as an indicator of quality of care
Caregiver's needs as predictors of hospital readmission for the elderly in Taiwan
| Unique citing works | 7 |
|---|---|
| Citations per year | 0,23 |
| Citation span | 1995 - 2006 (12) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 5 |