patient discharge

Summary

Summary: The administrative process of discharging the patient, live or dead, from hospitals or other health facilities.

Top Publications

  1. ncbi Promoting effective transitions of care at hospital discharge: a review of key issues for hospitalists
    Sunil Kripalani
    Emory University School of Medicine, Atlanta, GA 30303, USA
    J Hosp Med 2:314-23. 2007
  2. ncbi Interventions to reduce 30-day rehospitalization: a systematic review
    Luke O Hansen
    Northwestern University Feinberg School of Medicine, Chicago, Illinois 60611, USA
    Ann Intern Med 155:520-8. 2011
  3. pmc A reengineered hospital discharge program to decrease rehospitalization: a randomized trial
    Brian W Jack
    Department of Family Medicine, Boston University School of Medicine, Boston Medical Center, Boston, Massachusetts 02118, USA
    Ann Intern Med 150:178-87. 2009
  4. ncbi Deficits in communication and information transfer between hospital-based and primary care physicians: implications for patient safety and continuity of care
    Sunil Kripalani
    Division of General Medicine, Department of Internal Medicine, Emory University School of Medicine, Atlanta, GA 30303, USA
    JAMA 297:831-41. 2007
  5. ncbi Comprehensive discharge planning and home follow-up of hospitalized elders: a randomized clinical trial
    M D Naylor
    School of Nursing, University of Pennsylvania, Philadelphia 19104, USA
    JAMA 281:613-20. 1999
  6. pmc Assessing validity of ICD-9-CM and ICD-10 administrative data in recording clinical conditions in a unique dually coded database
    Hude Quan
    Department of Community Health Sciences and Centre for Health and Policy Studies, University of Calgary, 3330 Hospital Dr NW, Calgary, AB T2N4N1, Canada
    Health Serv Res 43:1424-41. 2008
  7. pmc Medical errors related to discontinuity of care from an inpatient to an outpatient setting
    Carlton Moore
    Division of General Internal Medicine, Department of Medicine, Mount Sinai School of Medicine, New York, NY, USA
    J Gen Intern Med 18:646-51. 2003
  8. ncbi The iScore predicts poor functional outcomes early after hospitalization for an acute ischemic stroke
    Gustavo Saposnik
    Stroke Outcomes Research Unit, Stroke Outcome Research Canada Working Group, Department of Medicine, St Michael s Hospital, University of Toronto, 55 Queen Street E, Toronto, Ontario, M5C 1R6, Canada
    Stroke 42:3421-8. 2011
  9. ncbi Quality of diagnosis and procedure coding in ICD-10 administrative data
    Toni Henderson
    Victorian Department of Human Services, Melbourne, Australia
    Med Care 44:1011-9. 2006
  10. pmc Recovery of activities of daily living in older adults after hospitalization for acute medical illness
    Cynthia M Boyd
    Department of Medicine, Division of Geriatric Medicine, School of Medicine, John Hopkins University, Baltimore, Maryland 21224, USA
    J Am Geriatr Soc 56:2171-9. 2008

Detail Information

Publications290 found, 100 shown here

  1. ncbi Promoting effective transitions of care at hospital discharge: a review of key issues for hospitalists
    Sunil Kripalani
    Emory University School of Medicine, Atlanta, GA 30303, USA
    J Hosp Med 2:314-23. 2007
    ..By understanding the key challenges and adopting strategies to improve patient care in the transition from hospital to home, hospitalists could significantly reduce medical errors in the postdischarge period...
  2. ncbi Interventions to reduce 30-day rehospitalization: a systematic review
    Luke O Hansen
    Northwestern University Feinberg School of Medicine, Chicago, Illinois 60611, USA
    Ann Intern Med 155:520-8. 2011
    ..About 1 in 5 Medicare fee-for-service patients discharged from the hospital is rehospitalized within 30 days. Beginning in 2013, hospitals with high risk-standardized readmission rates will be subject to a Medicare reimbursement penalty...
  3. pmc A reengineered hospital discharge program to decrease rehospitalization: a randomized trial
    Brian W Jack
    Department of Family Medicine, Boston University School of Medicine, Boston Medical Center, Boston, Massachusetts 02118, USA
    Ann Intern Med 150:178-87. 2009
    ..Emergency department visits and rehospitalization are common after hospital discharge...
  4. ncbi Deficits in communication and information transfer between hospital-based and primary care physicians: implications for patient safety and continuity of care
    Sunil Kripalani
    Division of General Medicine, Department of Internal Medicine, Emory University School of Medicine, Atlanta, GA 30303, USA
    JAMA 297:831-41. 2007
    ..Delayed or inaccurate communication between hospital-based and primary care physicians at hospital discharge may negatively affect continuity of care and contribute to adverse events...
  5. ncbi Comprehensive discharge planning and home follow-up of hospitalized elders: a randomized clinical trial
    M D Naylor
    School of Nursing, University of Pennsylvania, Philadelphia 19104, USA
    JAMA 281:613-20. 1999
    ....
  6. pmc Assessing validity of ICD-9-CM and ICD-10 administrative data in recording clinical conditions in a unique dually coded database
    Hude Quan
    Department of Community Health Sciences and Centre for Health and Policy Studies, University of Calgary, 3330 Hospital Dr NW, Calgary, AB T2N4N1, Canada
    Health Serv Res 43:1424-41. 2008
    ....
  7. pmc Medical errors related to discontinuity of care from an inpatient to an outpatient setting
    Carlton Moore
    Division of General Internal Medicine, Department of Medicine, Mount Sinai School of Medicine, New York, NY, USA
    J Gen Intern Med 18:646-51. 2003
    ..To determine the prevalence of medical errors related to the discontinuity of care from an inpatient to an outpatient setting, and to determine if there is an association between these medical errors and adverse outcomes...
  8. ncbi The iScore predicts poor functional outcomes early after hospitalization for an acute ischemic stroke
    Gustavo Saposnik
    Stroke Outcomes Research Unit, Stroke Outcome Research Canada Working Group, Department of Medicine, St Michael s Hospital, University of Toronto, 55 Queen Street E, Toronto, Ontario, M5C 1R6, Canada
    Stroke 42:3421-8. 2011
    ..The iScore is a prediction tool originally developed to estimate the risk of death after hospitalization for an acute ischemic stroke. Our objective was to determine whether the iScore could also predict poor functional outcomes...
  9. ncbi Quality of diagnosis and procedure coding in ICD-10 administrative data
    Toni Henderson
    Victorian Department of Human Services, Melbourne, Australia
    Med Care 44:1011-9. 2006
    ....
  10. pmc Recovery of activities of daily living in older adults after hospitalization for acute medical illness
    Cynthia M Boyd
    Department of Medicine, Division of Geriatric Medicine, School of Medicine, John Hopkins University, Baltimore, Maryland 21224, USA
    J Am Geriatr Soc 56:2171-9. 2008
    ....
  11. ncbi A randomized, controlled trial of comprehensive geriatric assessment and multidisciplinary intervention after discharge of elderly from the emergency department--the DEED II study
    Gideon A Caplan
    Post Acute Care Services, Prince of Wales Hospital, Randwick, New South Wales, Australia
    J Am Geriatr Soc 52:1417-23. 2004
    ..To study the effects of comprehensive geriatric assessment (CGA) and multidisciplinary intervention on elderly patients sent home from the emergency department (ED)...
  12. ncbi Falls after discharge from hospital: is there a gap between older peoples' knowledge about falls prevention strategies and the research evidence?
    Anne Marie Hill
    School of Physiotherapy, The University of Notre Dame Australia, Australia
    Gerontologist 51:653-62. 2011
    ..The aim of this study was to examine whether older people are prepared to engage in appropriate falls prevention strategies after discharge from hospital...
  13. ncbi Effects of a health-social partnership transitional program on hospital readmission: a randomized controlled trial
    Frances Kam Yuet Wong
    School of Nursing, The Hong Kong Polytechnic University, Hunghom, Kowloon, Hong Kong
    Soc Sci Med 73:960-9. 2011
    ..The study suggests that a health-social partnership, using volunteers as substitutes for some of the professional care, may be effective for general medical patients...
  14. pmc Derivation and validation of an index to predict early death or unplanned readmission after discharge from hospital to the community
    Carl van Walraven
    Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa Hospital, and the Department of Emergency Medicine, University of Ottawa, Ottawa, Ontario
    CMAJ 182:551-7. 2010
    ..We sought to derive and validate an index to predict the risk of death or unplanned readmission within 30 days after discharge from hospital to the community...
  15. ncbi Validation of stroke diagnosis in the National Hospital Discharge Register and the Register of Causes of Death in Finland
    J M Leppälä
    Department of Public Health, University of Helsinki, Finland
    Eur J Epidemiol 15:155-60. 1999
    ..In conclusion, the validity of stroke diagnosis was good in registers of hospital diagnoses and causes of death justifying their use for endpoint assessment in epidemiological studies...
  16. ncbi A systematic review of discharge arrangements for older people
    S G Parker
    Sheffield Institute for Studies on Ageing, University of Sheffield, UK
    Health Technol Assess 6:1-183. 2002
  17. ncbi The incidence and severity of adverse events affecting patients after discharge from the hospital
    Alan J Forster
    University of Ottawa, F654 1053 Carling Avenue, Ottawa, Ontario K1Y 4E9, Canada
    Ann Intern Med 138:161-7. 2003
    ..Studies of hospitalized patients identify safety as a significant problem, but few data are available regarding injuries occurring after discharge. Patients may be vulnerable during this transition period...
  18. ncbi A high positive predictive value algorithm using hospital administrative data identified incident cancer cases
    Ileana Baldi
    Cancer Epidemiology Unit, University of Turin and C P O Piemonte, San Giovanni Battista Hospital, Via Santena 7, 10126 Turin, Italy
    J Clin Epidemiol 61:373-9. 2008
    ..We have developed and validated an algorithm based on Piedmont hospital discharge abstracts for ascertainment of incident cases of breast, colorectal, and lung cancer...
  19. pmc Interventions aimed at reducing problems in adult patients discharged from hospital to home: a systematic meta-review
    Patriek Mistiaen
    NIVEL, Netherlands Institute for Health Services Research, Utrecht, The Netherlands
    BMC Health Serv Res 7:47. 2007
    ..The objective was to synthesize the evidence presented in literature on the effectiveness of interventions aimed to reduce post-discharge problems in adults discharged home from an acute general care hospital...
  20. ncbi Discharge planning from hospital to home for elderly patients: a meta-analysis
    Michele Preyde
    Department of Family Relations and Applied Nutrition, University of Guelph, Guelph, Ontario N1G 2W1, Canada
    J Evid Based Soc Work 6:198-216. 2009
    ..The implications for social work clinicians and researchers are discussed...
  21. ncbi Can home visits help reduce hospital readmissions? Randomized controlled trial
    Frances Kam Yuet Wong
    School of Nursing, The Hong Kong Polytechnic University, Hong Kong, China
    J Adv Nurs 62:585-95. 2008
    ..Home visits after hospital discharge have been introduced to help reduce hospital readmission rates, but the results have not been conclusive...
  22. ncbi C-reactive protein as a predictor of outcome after discharge from the intensive care: a prospective observational study
    N Al-Subaie
    St George s University of London, Cranmer Terrace, London SW17 0RE, UK
    Br J Anaesth 105:318-25. 2010
    ..Plasma albumin and white cell count at discharge were also considered as markers associated with ongoing inflammation...
  23. ncbi 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
    Sylvie Legrain
    Geriatric Unit, l Assistance Publique Hôpitaux de Paris, Paris, France
    J Am Geriatr Soc 59:2017-28. 2011
    ..To determine whether a new multimodal comprehensive discharge-planning intervention would reduce emergency rehospitalizations or emergency department (ED) visits for very old inpatients...
  24. pmc Complex interventions to improve physical function and maintain independent living in elderly people: a systematic review and meta-analysis
    Andrew D Beswick
    Department of Social Medicine, University of Bristol, Bristol, UK
    Lancet 371:725-35. 2008
    ..We did a systematic review to assess the effectiveness of community-based complex interventions in preservation of physical function and independence in elderly people...
  25. pmc Unplanned readmissions after hospital discharge among patients identified as being at high risk for readmission using a validated predictive algorithm
    Andrea Gruneir
    Women s College Research Institute, University of Toronto, Canada
    Open Med 5:e104-11. 2011
    ..The purpose of this study was to describe medical patients identified using a recently published and validated algorithm (the LACE index) as being at high risk for readmission and to examine their actual hospital readmission rates...
  26. pmc Association of hospitalist care with medical utilization after discharge: evidence of cost shift from a cohort study
    Yong Fang Kuo
    Sealy Center on Aging, University of Texas Medical Branch, Galveston, Texas 77555 0177, USA
    Ann Intern Med 155:152-9. 2011
    ..No national studies examining the effect of hospitalist care on hospital costs or on medical utilization and costs after discharge have been done...
  27. ncbi Evaluation of the sustained effect of inpatient falls prevention education and predictors of falls after hospital discharge--follow-up to a randomized controlled trial
    Anne Marie Hill
    School of Physiotherapy, The University of Notre Dame Australia, Fremantle, Western Australia 6959, Australia
    J Gerontol A Biol Sci Med Sci 66:1001-12. 2011
    ..This study aimed to determine (i) risk factors for postdischarge falls and (ii) the effect of inpatient falls prevention education on rates of falls after discharge...
  28. pmc Adverse drug events occurring following hospital discharge
    Alan J Forster
    Division of General Internal Medicine and Ottawa Health Research Institute, University of Ottawa, Ottawa, Ontario, Canada
    J Gen Intern Med 20:317-23. 2005
    ..To describe the incidence of adverse drug events (ADEs), preventable ADEs, and ameliorable ADEs occurring after hospital discharge and their associated risk factors...
  29. ncbi Screening for frailty in elderly emergency department patients by using the Identification of Seniors At Risk (ISAR)
    F Salvi
    Geriatric emergency Department, National Institute of Health and Research on Aging INRCA, Ancona, Italy
    J Nutr Health Aging 16:313-8. 2012
    ..We tested whether a CGA-based approach using the Identification of Seniors At Risk (ISAR) screening tool was associated with the brief deficit accumulation index (DAI) of frailty...
  30. pmc Effectiveness of acute geriatric unit care using acute care for elders components: a systematic review and meta-analysis
    Mary T Fox
    School of Nursing, York University, Toronto, Ontario, Canada
    J Am Geriatr Soc 60:2237-45. 2012
    ..To compare the effectiveness of acute geriatric unit care, based on all or part of the Acute Care for Elders (ACE) model and introduced in the acute phase of illness or injury, with that of usual care...
  31. ncbi Prospective comparison of 6 comorbidity indices as predictors of 1-year post-hospital discharge institutionalization, readmission, and mortality in elderly individuals
    Dina Zekry
    Rehabilitation and Geriatrics Department, Geneva University Hospitals and University of Geneva, Thonex, Switzerland
    J Am Med Dir Assoc 13:272-8. 2012
    ..Older patients often suffer from multiple comorbid conditions. Few comorbidity indices are valid and reliable in the elderly and were rarely compared...
  32. ncbi A consensus on stroke: early supported discharge
    Rebecca J Fisher
    CLAHRC NDL, Stroke Rehabilitation Theme, 9 Triumph Road, Jubilee Campus, University of Nottingham, Nottingham NG7 2GT, UK
    Stroke 42:1392-7. 2011
    ..With the implementation of many national and international stroke initiatives, we felt it timely to reach consensus about ESD among trialists who contributed to the review...
  33. pmc A study of machine-learning-based approaches to extract clinical entities and their assertions from discharge summaries
    Min Jiang
    Department of Biomedical Informatics, Vanderbilt University, School of Medicine, Nashville, Tennessee 37232, USA
    J Am Med Inform Assoc 18:601-6. 2011
    ..This project was part of the 2010 Center of Informatics for Integrating Biology and the Bedside/Veterans Affairs (VA) natural-language-processing challenge...
  34. ncbi Patient satisfaction following day surgery
    Paulo Lemos
    Department of Anesthesia, Hospital Geral de Santo Antonio, 4099 001 Porto, Portugal
    J Clin Anesth 21:200-5. 2009
    ..To evaluate patient satisfaction at discharge and 30 days after day surgery, and to identify predictive factors of patient satisfaction...
  35. pmc Avoidable readmission in Hong Kong--system, clinician, patient or social factor?
    Carrie H K Yam
    Division of Health System, Policy and Management, School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong
    BMC Health Serv Res 10:311. 2010
    ..The aim of this study is to identify the magnitude of avoidable readmissions, its contributing factors and costs in Hong Kong...
  36. pmc "I'm going home": discharges against medical advice
    David J Alfandre
    Department of Veterans Affairs National Center for Ethics in Health Care, 423 E 23rd St 10E, New York, NY 10021, USA
    Mayo Clin Proc 84:255-60. 2009
    ....
  37. pmc A predictive score to identify hospitalized patients' risk of discharge to a post-acute care facility
    Martine Louis Simonet
    Service of General Internal Medicine, University Hospitals, Geneva, Switzerland
    BMC Health Serv Res 8:154. 2008
    ..The purposes of the study were to develop and validate a score predicting discharge to a post-acute care (PAC) facility and to determine its best assessment time...
  38. pmc An interactive voice response system to continue a hospital-based smoking cessation intervention after discharge
    Susan Regan
    General Medicine Division, Massachusetts General Hospital, 50 Staniford Street, Boston, MA 02114, USA
    Nicotine Tob Res 13:255-60. 2011
    ..Hospitalized smokers benefit from tobacco counseling received in hospital only if it continues after discharge. Interactive voice response (IVR) technology may be useful in delivering this care...
  39. ncbi Early evaluation of the risk of functional decline following hospitalization of older patients: development of a predictive tool
    Pascale Cornette
    Internal Medecine, Geriatric Unit, St Luc University Hospital, Universite Catholique de Louvain, B 1200 Brussels, Belgium
    Eur J Public Health 16:203-8. 2006
    ..To develop a predictive tool that could be used on admission to identify older hospitalized people at risk of functional decline 3 months after discharge...
  40. pmc Redefining and redesigning hospital discharge to enhance patient care: a randomized controlled study
    Richard B Balaban
    Department of Medicine, Cambridge Health Alliance, Cambridge, MA, USA
    J Gen Intern Med 23:1228-33. 2008
    ..Inadequate communication between Hospitalists and primary care providers can further compromise post-discharge care. Redesigning the discharge process may improve the continuity and the quality of patient care...
  41. ncbi Reduction of 30-day postdischarge hospital readmission or emergency department (ED) visit rates in high-risk elderly medical patients through delivery of a targeted care bundle
    Bruce E Koehler
    Institute for Health Care Research and Improvement, Baylor Health Care System, 8080 North Central Expressway, Dallas, TX 75206, USA
    J Hosp Med 4:211-8. 2009
    ..Care coordination has shown inconsistent results as a mechanism to reduce hospital readmission and postdischarge emergency department (ED) visit rates...
  42. ncbi The validity of the diagnosis of acute myocardial infarction in routine statistics: a comparison of mortality and hospital discharge data with the Danish MONICA registry
    Mette Madsen
    National Institute of Public Health, Svanemøllevej 25, DK 2100 Copenhagen, Denmark
    J Clin Epidemiol 56:124-30. 2003
    ..The combination of the national registries was found to be a valid and powerful tool for monitoring the population incidence of MI...
  43. pmc Improved accuracy of co-morbidity coding over time after the introduction of ICD-10 administrative data
    Jean Marie Januel
    Institute of Social and Preventive Medicine, CHUV and University of Lausanne, Switzerland
    BMC Health Serv Res 11:194. 2011
    ....
  44. pmc Posthospital care transitions: patterns, complications, and risk identification
    Eric A Coleman
    Division of Health Care Policy, University of Colorado Health Sciences Center, 13611 East Colfax Avenue, Suite 100, Aurora, CO 80011, USA
    Health Serv Res 39:1449-65. 2004
    ..To (1) describe patterns of posthospital care transitions; (2) characterize these patterns as uncomplicated or complicated; (3) identify those at greatest risk for complicated transitions...
  45. ncbi Comparison of clinical and administrative data sources for hospital coronary artery bypass graft surgery report cards
    David M Shahian
    Tufts University School of Medicine, Boston, Mass, USA
    Circulation 115:1518-27. 2007
    ..Using logistic regression and hierarchical models, we compared hospital cardiac surgery profiling results based on clinical data with those derived from contemporaneous administrative data...
  46. pmc Classifying and predicting errors of inpatient medication reconciliation
    Jennifer R Pippins
    Division of General Medicine, Brigham and Women s Hospital, Boston, MA 02120 1613, USA
    J Gen Intern Med 23:1414-22. 2008
    ..Failure to reconcile medications across transitions in care is an important source of potential harm to patients. Little is known about the predictors of unintentional medication discrepancies and how, when, and where they occur...
  47. pmc Clostridium difficile infection in patients discharged from US short-stay hospitals, 1996-2003
    L Clifford McDonald
    Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA
    Emerg Infect Dis 12:409-15. 2006
    ..Clinicians should be aware of the increasing risk for CDAD and make efforts to control transmission of C. difficile and prevent disease...
  48. ncbi The identification of seniors at risk screening tool: further evidence of concurrent and predictive validity
    Nandini Dendukuri
    Department of Clinical Epidemiology and Community Studies, St Mary s Hospital, Montreal, Canada
    J Am Geriatr Soc 52:290-6. 2004
    ..To evaluate the validity of the Identification of Seniors at Risk (ISAR) screening tool for detecting severe functional impairment and depression and predicting increased depressive symptoms and increased utilization of health services...
  49. ncbi Validation of the potentially avoidable hospital readmission rate as a routine indicator of the quality of hospital care
    Patricia Halfon
    Institut Universitaire de Medecine Sociale et Preventive, University of Lausanne, Lausanne, Switzerland
    Med Care 44:972-81. 2006
    ..The hospital readmission rate has been proposed as an important outcome indicator computable from routine statistics. However, most commonly used measures raise conceptual issues...
  50. ncbi A proposal for an evidenced-based emergency department discharge form for mild traumatic brain injury
    Michael Fung
    Department of Family Medicine, University of New York, Buffalo, NY, USA
    Brain Inj 20:889-94. 2006
    ....
  51. pmc Effect of discharge instructions on readmission of hospitalised patients with heart failure: do all of the Joint Commission on Accreditation of Healthcare Organizations heart failure core measures reflect better care?
    Monica VanSuch
    Department of Health Sciences Research, Division of Health Care Policy and Research, Mayo Clinic College of Medicine, Mayo Clinic, Rochester, Minnesota 55905, USA
    Qual Saf Health Care 15:414-7. 2006
    ....
  52. pmc Trends and burden of bronchiectasis-associated hospitalizations in the United States, 1993-2006
    Amy E Seitz
    National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD 20892, USA
    Chest 138:944-9. 2010
    ..The objective of the present study was to estimate the trends and burden of bronchiectasis-associated hospitalizations in the United States...
  53. pmc Effect of discharge summary availability during post-discharge visits on hospital readmission
    Carl van Walraven
    Department of Medicine, University of Ottawa, Clinical Epidemiology Unit, Ottawa Health Research Institute, Ottawa, ON, Canada
    J Gen Intern Med 17:186-92. 2002
    ..To determine if the delivery of hospital discharge summaries to follow-up physicians decreases the risk of hospital readmission...
  54. pmc Design and implementation of an application and associated services to support interdisciplinary medication reconciliation efforts at an integrated healthcare delivery network
    Eric G Poon
    Clinical Informatics Research and Development, Suite 201, 93 Worcester St, Wellesley, MA 02481, USA
    J Am Med Inform Assoc 13:581-92. 2006
    ..Results from early pilot testing suggest that this new medication reconciliation process is well accepted by clinicians and has significant potential to prevent medication errors during transitions of care...
  55. ncbi Nursing interventions and other factors associated with discharge disposition in older patients after hip fractures
    Marita Titler
    University of Iowa Hospitals and Clinics, Iowa City, 52238, USA
    Nurs Res 55:231-42. 2006
    ..The research on hip fractures has been focused on surgical procedures for hip fracture repair; little is known about the contribution of nursing interventions to outcomes...
  56. pmc Posttraumatic stress, anxiety and depression symptoms in patients during the first year post intensive care unit discharge
    Hilde Myhren
    Intensive Care Unit, Ulleval, Oslo University Hospital, Kirkeveien 177, 0407 Oslo, Norway
    Crit Care 14:R14. 2010
    ..To study the level and predictors of posttraumatic stress, anxiety and depression symptoms in medical, surgical and trauma patients during the first year post intensive care unit (ICU) discharge...
  57. ncbi A systematic review of comprehensive geriatric assessment to improve outcomes for frail older people being rapidly discharged from acute hospital: 'interface geriatrics'
    Simon Paul Conroy
    University of Leicester School of Medicine, Leicester Royal Infirmary, UK
    Age Ageing 40:436-43. 2011
    ..many frail older people who attend acute hospital settings and who are discharged home within short periods (up to 72 h) have poor outcomes. This review assessed the role of comprehensive geriatric assessment (CGA) for such people...
  58. ncbi Benefit of an extended stroke unit service with early supported discharge: A randomized, controlled trial
    B Indredavik
    Stroke Unit, Department of Medicine, University Hospital of Trondheim Norway
    Stroke 31:2989-94. 2000
    ....
  59. ncbi The reporting of pre-existing maternal medical conditions and complications of pregnancy on birth certificates and in hospital discharge data
    Mona T Lydon-Rochelle
    Department of Family Child Nursing, School of Nursing, University of Washington, Seattle 98195 7262, USA
    Am J Obstet Gynecol 193:125-34. 2005
    ..The purpose of this study was to determine the accuracy of live-birth certificates and hospital discharge data that reported of pre-existing maternal medical conditions and complications of pregnancy...
  60. pmc Measuring and explaining mortality in Dutch hospitals; the hospital standardized mortality rate between 2003 and 2005
    Richard Heijink
    National Institute for Public Health and the Environment, Bilthoven, The Netherlands
    BMC Health Serv Res 8:73. 2008
    ..Indicators of hospital quality, such as hospital standardized mortality ratios (HSMR), have been used increasingly to assess and improve hospital quality. Our aim has been to describe and explain variation in new HSMRs for the Netherlands...
  61. pmc The value of inpatient pharmaceutical counselling to elderly patients prior to discharge
    S A Al-Rashed
    School of Pharmacy, University of Bradford, Bradford BD7 1DP, UK
    Br J Clin Pharmacol 54:657-64. 2002
    ..We have evaluated if these summaries, together with in-patient pharmaceutical counselling backed up with a simple medicine reminder card, may help with the delivery of seamless pharmaceutical care...
  62. ncbi C-reactive protein concentration as a predictor of in-hospital mortality after ICU discharge: a prospective cohort study
    Kwok M Ho
    Department of Intensive Care, Royal Perth Hospital, 6000, Perth, WA, Australia
    Intensive Care Med 34:481-7. 2008
    ..The objective was to assess the ability of potential clinical predictors and inflammatory markers within 24 h of intensive care unit (ICU) discharge to predict subsequent in-hospital mortality...
  63. pmc Extracting principal diagnosis, co-morbidity and smoking status for asthma research: evaluation of a natural language processing system
    Qing T Zeng
    Decision Systems Group, Brigham and Women s Hospital, Boston, MA, USA
    BMC Med Inform Decis Mak 6:30. 2006
    ..The text descriptions in electronic medical records are a rich source of information. We have developed a Health Information Text Extraction (HITEx) tool and used it to extract key findings for a research study on airways disease...
  64. ncbi Assessing the quality of preparation for posthospital care from the patient's perspective: the care transitions measure
    Eric A Coleman
    Division of Health Care Policy and Research, University of Colorado Health Sciences Center, Denver, Colorado 80011, USA
    Med Care 43:246-55. 2005
    ..A valid and reliable self-report measure of the quality of care transitions is needed that is both consistent with the concept of patient-centeredness and useful for the purpose of performance measurement and quality improvement...
  65. pmc Excess child mortality after discharge from hospital in Kilifi, Kenya: a retrospective cohort analysis
    Jennifer C Moïsi
    KEMRI Wellcome Trust Research Programme, PO Box 43640, Nairobi, 00100 Kenya
    Bull World Health Organ 89:725-32, 732A. 2011
    ..To explore excess paediatric mortality after discharge from Kilifi District Hospital, Kenya, and its duration and risk factors...
  66. ncbi Failure to reduce C-reactive protein levels more than 25% in the last 24 hours before intensive care unit discharge predicts higher in-hospital mortality: a cohort study
    Otávio T Ranzani
    Medical Intensive Care Unit, Hospital das Clinicas, Faculdade de Medicina da Universidade de Sao Paulo, Sao Paulo, Brazil 05403 000
    J Crit Care 27:525.e9-15. 2012
    ..Therefore, we evaluated the CRP ratio in the last 24 hours before ICU discharge as a predictor of in-hospital outcomes...
  67. pmc Evaluation of a Medical and Mental Health Unit compared with standard care for older people whose emergency admission to an acute general hospital is complicated by concurrent 'confusion': a controlled clinical trial. Acronym: TEAM: Trial of an Elderly Ac
    Rowan H Harwood
    Division of Rehabilitation and Ageing, University of Nottingham, Nottingham NG7 1RD, UK
    Trials 12:123. 2011
    ..We hypothesise that patients managed on this ward will have better outcomes than those receiving standard care, and that such care will be cost-effective...
  68. ncbi Preventing the rebound: improving care transition in hospital discharge processes
    Ian A Scott
    Princess Alexandra Hospital, Level 5A, Ipswich Road, Brisbane, QLD 4102, Australia
    Aust Health Rev 34:445-51. 2010
    ..Deficiencies in discharge processes contribute to such readmissions, which have prompted experimentation with multiple types of peridischarge interventions...
  69. ncbi Scaling up: bringing the transitional care model into the mainstream
    Mary D Naylor
    University of Pennsylvania School of Nursing, USA
    Issue Brief (Commonw Fund) 103:1-12. 2010
    ..Findings from these projects inform challenges that must be overcome to facilitate the translation of effective care management innovations into mainstream practice...
  70. ncbi Potentially avoidable 30-day hospital readmissions in medical patients: derivation and validation of a prediction model
    Jacques Donzé
    Division of General Medicine and Primary Care, Brigham andWomen s Hospital, Boston, MA 02120, USA
    JAMA Intern Med 173:632-8. 2013
    ..Because effective interventions to reduce hospital readmissions are often expensive to implement, a score to predict potentially avoidable readmissions may help target the patients most likely to benefit...
  71. ncbi Discharge delay in acute care: reasons and determinants of delay in general ward patients
    Lixin Ou
    The Simpson Centre for Health Services Research, South Western Sydney Clinical School, UNSW, Sydney, NSW 1871, Australia
    Aust Health Rev 33:513-21. 2009
    ..Elderly patients, those living alone and patients from a non-English-speaking background were more likely to have these reasons for delayed discharge...
  72. ncbi Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study
    Paul C Walker
    College of Pharmacy, The University of Michigan Health System, 1500 E Medical Center Dr, UH B2D301, Ann Arbor, MI 48109 5008, USA
    Arch Intern Med 169:2003-10. 2009
    ..Our objectives were to characterize medication discrepancies at hospital discharge and test the effects of a pharmacist intervention on health care utilization following discharge...
  73. ncbi Increasing incidence of acute pancreatitis at an American pediatric tertiary care center: is greater awareness among physicians responsible?
    Veronique D Morinville
    Division of Pediatric Gastroenterology and Nutrition, Montreal Children s Hospital, McGill University Health Centre, Montreal, Quebec, Canada
    Pancreas 39:5-8. 2010
    ..Studies show an increased incidence of adult acute pancreatitis (AP) in recent decades. The aim was to review pediatric AP incidence...
  74. ncbi How accurate is ICD coding for epilepsy?
    Nathalie Jette
    Division of Neurology, Department of Clinical Neurosciences, University of Calgary, Alberta, Canada
    Epilepsia 51:62-9. 2010
    ..Assess the validity of ICD-9-CM and ICD-10 epilepsy coding from an emergency visit (ER) and a hospital discharge abstract database (DAD)...
  75. ncbi Use of a critical time intervention to promote continuity of care after psychiatric inpatient hospitalization
    Lisa Dixon
    Department of Psychiatry, University of Maryland School of Medicine, 737 West Baltimore St, Baltimore, MD 21201, USA
    Psychiatr Serv 60:451-8. 2009
    ....
  76. ncbi Effects of a postdischarge transitional care programme for patients with coronary heart disease in China: a randomised controlled trial
    Yue Zhao
    School of Nursing, Tianjin Medical University, Tianjin, China
    J Clin Nurs 18:2444-55. 2009
    ..To test the effects of a postdischarge transitional care programme among patients with coronary heart disease...
  77. pmc Prognostic prediction in patients with hip fracture: risk factors predicting difficulties with discharge to own home
    Tetsuo Hagino
    Department of Orthopaedic Surgery, Kofu National Hospital, Yamanashi, Japan
    J Orthop Traumatol 12:77-80. 2011
    ..Little is known about risk factors that may prevent hip fracture patients from being discharged to home. The present study was developed to investigate possible prognostic factors...
  78. ncbi Measuring the participation of elderly patients in the discharge process from hospital: a critical review of existing instruments
    Christina Foss
    Department of Nursing and Health Sciences, Institute of Health and Society, Blindern, Oslo, Norway
    Scand J Caring Sci 24:46-55. 2010
    ..The major finding of the review is that none of the existing instruments capture the full range of participation, nor do they cover those areas of the discharge process identified by elderly patients themselves as the most essential...
  79. ncbi Extent and consequences of misclassified injury diagnoses in a national hospital discharge registry
    Monica Frick Bergström
    Department of Surgical Sciences, Anesthesiology and Intensive Care, Uppsala University, Uppsala, Sweden
    Inj Prev 17:108-13. 2011
    ..Little is known about the characteristics and consequences of primary coding errors and their consequences for such applications...
  80. pmc Clinical characteristics and outcomes of Medicare patients undergoing total hip arthroplasty, 1991-2008
    Peter Cram
    Division of General Internal Medicine, Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA 52242, USA
    JAMA 305:1560-7. 2011
    ..Total hip arthroplasty is a common surgical procedure but little is known about longitudinal trends...
  81. ncbi Acute heart failure in the emergency department: short and long-term outcomes of elderly patients with heart failure
    Justin A Ezekowitz
    Division of Cardiology, Department of Medicine University of Alberta, Canada
    Eur J Heart Fail 10:308-14. 2008
    ..We examined discharge rates, and whether outcomes, including mortality, differed based on admission status in AHF...
  82. ncbi Feasibility of a structured 3-minute walk test as a clinical decision tool for patients presenting to the emergency department with acute dyspnoea
    A M Pan
    Clinical Epidemiology Unit, Ottawa Health Research Institute, The Ottawa Hospital, Ottawa, Canada
    Emerg Med J 26:278-82. 2009
    ..It also aimed to gather evidence and directions for the design of a multicentre study to derive clinical guidelines...
  83. ncbi Predictors of adverse outcomes on an acute geriatric rehabilitation ward
    Inderpal Singh
    Geriatric Medicine, University Hospital Llandough, Penlan Road, Llandough CF64 2XX, UK
    Age Ageing 41:242-6. 2012
    ..multidisciplinary rehabilitation is of proven benefit in the management of older inpatients. However, the identification of patients who will do well with rehabilitation currently lacks a strong evidence base...
  84. pmc Inability of providers to predict unplanned readmissions
    Nazima Allaudeen
    Department of Medicine, VA Palo Alto Healthcare System, 3801 Miranda Ave, MC 111, Palo Alto, CA 94304, USA
    J Gen Intern Med 26:771-6. 2011
    ..We aimed to evaluate how well physicians, case managers, and nurses can predict whether their older patients will be readmitted and to compare their predictions to a standardized risk tool (Probability of Repeat Admission, or P(ra))...
  85. pmc Integrating existing natural language processing tools for medication extraction from discharge summaries
    Son Doan
    Department of Biomedical Informatics, Vanderbilt University, School of Medicine, Nashville, TN, USA
    J Am Med Inform Assoc 17:528-31. 2010
    ..This task required accurate recognition of medication name, dosage, mode, frequency, duration, and reason for drug administration...
  86. ncbi Improved quality in the hospital discharge summary reduces medication errors--LIMM: Landskrona Integrated Medicines Management
    Anna Bergkvist
    Hospital Pharmacy, University Hospital MAS, 205 02 Malmo, Sweden
    Eur J Clin Pharmacol 65:1037-46. 2009
    ..In this study, we focus on improving the quality of the discharge summary including the medication report to reduce medication errors in the transition from hospital to primary and community care...
  87. ncbi A prospective cohort study found that provider and information continuity was low after patient discharge from hospital
    Carl van Walraven
    Ottawa Hospital Research Institute, Ottawa, Ontario, Canada
    J Clin Epidemiol 63:1000-10. 2010
    ..This study is a detailed examination of continuity of care in patients discharged from hospital that simultaneously measured separate components of continuity over time or determined the factors with which they are associated...
  88. ncbi Factors influencing discharge location following hip fracture
    D E Deakin
    Department of Trauma and Orthopaedics, University Hospital, Derby Road, Nottingham NG7 2UH, United Kingdom
    Injury 39:213-8. 2008
    ..Early identification of these patients could reduce these delays. The aim of this study was to determine factors influencing discharge location following hip fracture...
  89. ncbi Admission and discharge of critically ill patients
    Maurizia Capuzzo
    Department of Surgical, Anaesthetic and Radiological Sciences, University Hospital of Ferrara, Ferrara, Italy
    Curr Opin Crit Care 16:499-504. 2010
    ..The intensive care unit (ICU) provides continuous surveillance and specialized care to acutely ill patients. The decisions on patient admission and discharge should be based on common clinical criteria in order to guarantee equity...
  90. ncbi Relationship between early physician follow-up and 30-day readmission among Medicare beneficiaries hospitalized for heart failure
    Adrian F Hernandez
    Duke Clinical Research Institute, PO Box 17969, Durham, NC 27715, USA
    JAMA 303:1716-22. 2010
    ..However, there are limited data describing patterns of follow-up after heart failure hospitalization and its association with readmission rates...
  91. ncbi Improved outcomes with early collaborative care of ambulatory heart failure patients discharged from the emergency department
    Douglas S Lee
    Institute for Clinical Evaluative Sciences, University of Toronto, Toronto, ON, M4N 3M5, Canada
    Circulation 122:1806-14. 2010
    ..The type of outpatient physician care after an emergency department visit for heart failure may affect patients' outcomes...
  92. ncbi Declining US stroke hospitalization since 1997: National Hospital Discharge Survey, 1988-2004
    Jing Fang
    Division for Heart Disease and Stroke Prevention, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA 30341 3717, USA
    Neuroepidemiology 29:243-9. 2007
    ..This study examines trends in stroke hospitalization from 1988 to 2004...
  93. ncbi Risk of vascular events in emergency department patients discharged home with diagnosis of dizziness or vertigo
    Anthony S Kim
    Department of Neurology, University of California, San Francisco, San Francisco, CA, USA
    Ann Emerg Med 57:34-41. 2011
    ..Given the concern that important diagnoses could be missed, we measure the incidence of subsequent major vascular events in patients after discharge home...
  94. ncbi Predictors of hospital readmission in a cohort of 236 elderly discharged after surgical repair of hip fracture: one-year follow-up
    Andrea Giusti
    Orthogeriatric Unit, Department of Geriatrics and Musculoskeletal Sciences, E O Galliera Hospital, 16128 Genova, Italy
    Aging Clin Exp Res 20:253-9. 2008
    ..Few studies have investigated predictors for hospital readmission after hip fracture repair...
  95. pmc Dialysis-requiring acute renal failure increases the risk of progressive chronic kidney disease
    Lowell J Lo
    Department of Medicine, University of California, San Francisco, 94143 0532, USA
    Kidney Int 76:893-9. 2009
    ....
  96. ncbi Using administrative data to identify and stage breast cancer cases: implications for assessing quality of care
    Elaine Yuen
    Center for Research in Medical Education and Healthcare, Thomas Jefferson University, Philadelphia, PA, USA
    Tumori 97:428-35. 2011
    ..The study evaluated the use of Italian hospital discharge data (SDO, scheda di dimissione ospedaliera) for identifying women with incident breast cancer, determining stage at diagnosis and assessing quality of care...
  97. ncbi Discharge planning: communication, education and patient participation
    Aine Carroll
    Bon Secours Hospital, Renmore, Galway, Ireland
    Br J Nurs 16:882-6. 2007
    ..Smooth and efficient coordination of this process reduces stress and anxiety for the patient, family, nurse, doctor, hospital and community services...
  98. ncbi Omitted and unjustified medications in the discharge summary
    A Perren
    Intensive Care Unit, Ospedale Regionale Bellinzona e Valli, Bellinzona, Switzerland
    Qual Saf Health Care 18:205-8. 2009
    ..Limited information exists in regard to drug omissions and unjustified medications in the hospital discharge summary (DS)...
  99. pmc Electronic versus dictated hospital discharge summaries: a randomized controlled trial
    David M Maslove
    Faculty of Medicine, University of Toronto, Toronto, ON, Canada
    J Gen Intern Med 24:995-1001. 2009
    ..Discharge summaries have been used to communicate essential information between hospital-based physicians and primary care physicians (PCPs), and may reduce rates of adverse events after discharge...
  100. ncbi Creating a better discharge summary: improvement in quality and timeliness using an electronic discharge summary
    Kevin J O'Leary
    Division of Hospital Medicine, Feinberg School of Medicine, Northwestern University, 259 East Erie Street, Chicago, IL 60611, USA
    J Hosp Med 4:219-25. 2009
    ..Deficits in information transfer between inpatient and outpatient physicians are common and potentially dangerous...
  101. ncbi Three-year outcomes for Medicare beneficiaries who survive intensive care
    Hannah Wunsch
    Department of Anesthesiology, Columbia University, 622 W 168th St, PH 527D, New York, NY 10032, USA
    JAMA 303:849-56. 2010
    ..Although hospital mortality has decreased over time in the United States for patients who receive intensive care, little is known about subsequent outcomes for those discharged alive...

Research Grants80

  1. Impact of Heath Information Technology on Delivery and Quality of Patient Care
    AMANDA JANE HESSELS; Fiscal Year: 2012
    ..survey data from more than 7,000 registered nurses working in 72 acute care hospitals in New Jersey, and patient discharge data from approximately one million patients hospitalized during the same time...
  2. System-based Tracking and Treatment for Emergency Patients who Smoke: STTEPS
    Beth C Bock; Fiscal Year: 2013
    ..status tracking, treatment prompts, treatment and prescribing option panels for the ED physician, and patient discharge instructions for quitting smoking...
  3. Disparities in Pediatric Trauma Outcomes: Context, Access and Quality of Care
    Nancy Ewen Wang; Fiscal Year: 2011
    ..Vital Statistics death certificate data, and California Office of Statewide Planning and Development Patient Discharge Database records to identify all injured children admitted to California hospitals or who died prior to ..
  4. Portable 3D ultrasound for bone fracture diagnosis in emergency medicine
    FRANK WILLIAM MAULDIN; Fiscal Year: 2013
    ..imaging device is expected to speed diagnosis of bone fractures in the ED, allowing faster treatment and patient discharge without using valuable radiology resources. It is estimated that the device could save at least 6...
  5. Evaluating and Improving Present-On-Admission for Performance Reporting
    LAUREN ELIZABETH GOLDMAN; Fiscal Year: 2013
    ..In Aim 1, Dr. Goldman will use the California Patient Discharge Data Audit in which 1658 medical records from 2005 were externally reviewed as a gold standard against which ..
  6. Improving Reporting of Race, Ethnicity, and Language in California
    DAVID SCOTT ZINGMOND; Fiscal Year: 2010
    ..The Patient Discharge Database has over 4 million discharges annually and is the largest single constituent database contributing ..
  7. The quality of care in minority serving hospitals explains cancer disparities
    KIM FELDER RHOADS; Fiscal Year: 2013
    ..all-payer administrative data set comprised a linkage between the California Cancer Registry, the California Patient Discharge and Hospital Annual Financial Data...
  8. The Impact of Nursing Workforce Organization on Outcomes of Hospitalized Children
    HEATHER LYNN TUBBS COOLEY; Fiscal Year: 2010
    ..Hospital administrative data, state-level patient discharge data, and previously collected nurse survey data from Registered Nurses in California, Florida, New Jersey, ..
  9. The Effectiveness of an HIT-based Care Transition Information Transfer System to
    Elizabeth L Ciemins; Fiscal Year: 2010
    ..in a large non-profit community health system and will include electronically generated: 1) comprehensive patient discharge instructions, including a patient-friendly medication list, provided to the patient at time of discharge and ..
  10. Lab-on-a-chip for Neonatal Hyperbilirubinemia Screening
    Vijay Srinivasan; Fiscal Year: 2009
    ..for hyperbilirubinemia is often available at the point of care, but results are usually returned after patient discharge. Tests for G6PD and CH are usually done only if the patient does not respond to therapy...
  11. EQUITY OF INPATIENT SURGERY UTILIZATION IN CALIFORNIA
    Mita Giacomini; Fiscal Year: 1992
    ..These questions will be addressed empirically in two phases, using patient discharge abstract, hospital, and census data...
  12. Organizational Climate and Hospital Patient/Nurse Safety
    Sean Clarke; Fiscal Year: 2004
    ..also examine protocols for deriving a number of quality indicators other than risk-adjusted mortality using patient discharge abstracts and study the interrelationships of these indices, including complication measures developed by ..
  13. THE OUTCOMES OF HOSPITAL OUTCOME STUDIES
    Patrick Romano; Fiscal Year: 1999
    ..The analyses of consumer behavior will use California's Patient Discharge Data Set and New York's Statewide Planning and Research Cooperative System, Cardiac Surgery Reporting System,..
  14. MARKET CHANGE AND ACCESS TO INPATIENT PSYCHIATRIC CARE
    Jack Needleman; Fiscal Year: 2000
    ..Our research will use state patient discharge abstract data sets from 1987 to 1997 to: 1) determine the extent have relative admission rates and patient ..
  15. Midcoast Maine Patient Safety and IT Integration
    MAUREEN BUCKLEY; Fiscal Year: 2004
    ..These areas are medication management, patient discharge, high-level integration of information among the partner organizations, and the development of a new ..
  16. Cancer Surveillance in Patients with Autoimmune Diseases
    Arti Parikh Patel; Fiscal Year: 2005
    ..Specifically, we propose to link data from the 1991-2000 California Patient Discharge Dataset to California Cancer Registry (CCR) and California mortality data in order to identify individuals ..
  17. Pharmacist Intervention for Low Literacy in Cardiovascular Disease (PILL-CVD)
    Sunil Kripalani; Fiscal Year: 2009
    ..Program costs will also be assessed. If successful, this intervention could offer an important means of reducing medication errors in the post-hospitalization period. ..
  18. Training in Medication Compliance and Health Literacy
    Sunil Kripalani; Fiscal Year: 2008
    ..If successful, the proposed research could serve as a model for other interventions to improve compliance and cardiovascular care, particularly among low-literate and underserved populations. ..
  19. Value of Technology to Transfer Discharge Information
    JAMES GRAUMLICH; Fiscal Year: 2006
    ..The cost outcome is the physician time required to use the discharge software. ..
  20. Evaluating Hospital Outcomes for Injured Patients
    David Clark; Fiscal Year: 2008
    ..unreadable] [unreadable] [unreadable]..
  21. Heart failure, chronic kidney disease, and renin-angiotensin system inhibition
    Ali Ahmed; Fiscal Year: 2009
    ....
  22. Heart Failure and Beta-Blocker Use in Older Adults
    Ali Ahmed; Fiscal Year: 2006
    ..abstract_text> ..
  23. Perinatal Regionalization and Quality of Care
    Scott Lorch; Fiscal Year: 2008
    ..unreadable] [unreadable] [unreadable] [unreadable]..
  24. INHALED NO IN PREVENTION OF CHRONIC LUNG DISEASE
    Scott Lorch; Fiscal Year: 2004
    ..In summary, this clinical trial will assess the efficacy and safety of inhaled nitric oxide for amelioration of a major disease of premature infants. ..
  25. Managing Chronic Illness: Telemonitoring vs Telephone
    Kathryn Bowles; Fiscal Year: 2005
    ..Findings regarding health outcomes and advantages and disadvantages of the two interventions will guide the design of a larger clinical trial to compare telemonitoring to telephone disease management. ..
  26. Venous thromboembolism among California cancer patients
    Helen Chew; Fiscal Year: 2003
    ..hospital-reported cases of VTE in this cohort by linking the California Cancer Registry with the California Patient Discharge Data Set; 2) to determine and compare the incidence and time course of incident VTE after diagnosis of the ..
  27. Promoting Self-Care with Telehomecare: Impact on Outcome
    Kathryn Bowles; Fiscal Year: 2008
    ..Findings will help guide optimal use of telehomecare in promoting self-care in the growing population of chronically ill elders whose conditions are characterized by high morbidity, complex therapies and poor quality and cost outcomes. ..
  28. Reducing Fragmentation Across Sites of Geriatric Care
    Eric Coleman; Fiscal Year: 2003
    ..Our third aim is to initiate a randomized controlled trial of this intervention. The results of this research will improve our ability to quantify care fragmentation and subsequently measure the effectiveness of a targeted intervention. ..
  29. Intervention for Stroke Survivors and Spousal Caregivers
    Sharon Ostwald; Fiscal Year: 2005
    ..Depending on the nature of the change function, individual parameter estimates of the intercept, slope, and if necessary, curvature will be compared across groups. ..
  30. Stepped Pharmacotherapy for Aggressive Youth with ADHD
    JOSEPH BLADER; Fiscal Year: 2006
    ..The proposed program will therefore culminate in the awardee's competence as a well-rounded clinical scientist focused on the complex treatment needs of youth with severe behavior disorders. ..
  31. Utility of a New Database to Study Drug Safety during Pregnancy
    SOKO SETOGUCHI IWATA; Fiscal Year: 2008
    ..This database based on large population-based follow-up data with linkable clinical birth data has the potential to enhance the safety of prescription drug use in pregnant women and their children. [unreadable] [unreadable] [unreadable]..
  32. Medication Management Decisions in Schizophrenia
    Mark Olfson; Fiscal Year: 2003
    ..The results will inform quality improvement programs by identifying key modifiable determinants of the quality of medication management in the community treatment of schizophrenia. ..
  33. Caregivers of Prolonged Mechanical Ventilation: Mind-Body Interaction Model
    Jiyeon Choi; Fiscal Year: 2010
    ..Improving caregivers'emotional and physical health may also improve the delivery of care as well as quality of life for the care recipient. ..
  34. Prospective Investigation for Pulmonary Embolism Dx III
    Paul Stein; Fiscal Year: 2008
    ..abstract_text> ..
  35. For-Profit Ownership and End-of-Life Care
    Elizabeth Bradley; Fiscal Year: 2009
    ..Relevance in lay language: We will generate knowledge about the influence of for-profit hospice ownership on the experiences of patients with cancer and their families. ..
  36. Hospital to Home: Cognitively Impaired Elders/Caregivers
    Mary Naylor; Fiscal Year: 2009
    ..Findings have the potential to inform improved care management of these patients and their caregivers, an Institute of Medicine priority for national action. ..
  37. Hospital strategies to improve outcome performance
    ELIZABETH HOWE BRADLEY; Fiscal Year: 2010
    ..We will work on dissemination strategies with CMS, JCAHO, American College of Cardiology (ACC), American Health Association (AHA), the Veteran's Administration (VA), and the VHA. ..
  38. Stroke Recovery in Underserved Populations
    Glenn Ostir; Fiscal Year: 2009
    ..The work is also important as it has the potential to "contribute important insights into why some do well and others do poorly in the face of persistent challenges." ..
  39. Health related quality of life: Elders in long-term care
    Mary D Naylor; Fiscal Year: 2010
    ..The findings from this study will enable policy makers and providers, as well as recipients of long term care services, to evaluate and make informed choices related to long-term care. ..
  40. Alcohol in Aviation and Motor Carriers
    Guohua Li; Fiscal Year: 2010
    ..Findings from theproposed research couldprovide much-neededscientific evidence for informing important policy decisions relevant to transportation safety andprotection of the traveling public. ..
  41. OPTIMAL PREHOSPITAL CARE OF CHILDHOOD CARDIAC ARREST
    Ian Stiell; Fiscal Year: 2004
    ..The PIs propose to conduct a large feasibility review in five urban areas and to conduct four study planning workshops. ..
  42. Positive Emotions and Exceptional Healthy Aging
    Glenn Ostir; Fiscal Year: 2006
    ..S. Findings from this R03 application will generate data for an R01 application examining cross-national differences and similarities in healthy aging for older Hispanics in the U.S., Mexico, and Latin America. [unreadable] [unreadable]..
  43. PROSPECTIVE INVESTIGATION OF PULMONARY EMBOLISM DX-II
    Paul Stein; Fiscal Year: 2003
    ..4) The team of investigators is strong, and has collaborated previously in successful research in PE. ..
  44. Medication Reconciliation: A Team Approach
    Jeffrey Greenwald; Fiscal Year: 2008
    ..unreadable] [unreadable] [unreadable]..
  45. ACTION - A CHF Trial Investigating Outcomes of Exercise
    Gregg Fonarow; Fiscal Year: 2006
    ..The trial will take place over 5 years with an initial 6 months for planning, training, and implementation; 3 years of enrollment; 1 year of follow-up; and 6 months for close out, analysis, and presentation. ..
  46. Mechanisms and Treatment of Cancer-Related Symptoms Conf
    Charles Cleeland; Fiscal Year: 2005
    ..The conference should also be of interest to pharmaceutical companies that are developing "pipeline" drugs for symptom control and supportive care. ..
  47. In-Home Caregiving and Use of Medical Services
    Jennifer Wolff; Fiscal Year: 2006
    ..unreadable] [unreadable] [unreadable]..
  48. TAMOXIFEN & BREAST CANCER--ACCEPTANCE/COST EFFECTIVENESS
    Joy Melnikow; Fiscal Year: 2002
    ..abstract_text> ..
  49. Postoperative Cognitive Dysfunction in the Elderly
    Terri Monk; Fiscal Year: 2004
    ..Given the breadth of my proposed training program, I will be able to interact with and serve as a mentor for anesthesiologists and also the broader corpus of scientists, both clinical and basic, interested in aging and neuroscience. ..
  50. MORBIDITY IN SCHIZOPHRENIA--A FOCUS ON DIABETES
    Lisa Dixon; Fiscal Year: 2001
    ..This proposal thus focuses on diabetes and schizophrenia, although our underlying assumption is that our findings will contribute to our understanding of management and outcomes of other medical illnesses in persons with schizophrenia. ..
  51. Molecular Mechanisms in Lymphatic Function & Disease
    Stanley Rockson; Fiscal Year: 2004
    ..The physiology and human genetics of the lymphatic system will be explored and there will be a focus upon mechanisms of cancer metastasis and its relationship to lymphatic function and lymphangiogenesis. ..
  52. Telemonitoring to improve heart failure outcomes
    Harlan Krumholz; Fiscal Year: 2008
    ..abstract_text> ..
  53. Neurohormonal Blockade and Outcomes in Diastolic Heart Failure
    Ali Ahmed; Fiscal Year: 2010
    ..The proposed study will examine the effect of neurohormonal blockade in propensity matched OPTIMIZE-HF participants with diastolic heart failure. ..
  54. Urban Diabetics: Primary Care and Hospitalizations
    Jessica Robbins; Fiscal Year: 2004
    ....
  55. Computer Adaptive Testing of Post-Acute Care Functioning
    Stephen Haley; Fiscal Year: 2004
    ..abstract_text> ..
  56. Improving Ventilator Management and Preventing Injury to Patients with ARF
    Gordon Rubenfeld; Fiscal Year: 2009
    ....
  57. Improving Treatment of Newly Diagnosed Osteoporosis
    Peter Cram; Fiscal Year: 2009
    ..Finally, this work will serve as a model for examining the barriers to and improving treatment of other chronic diseases identified through screening. ..
  58. A Standardized Nursing Intervention Protocol for HCT Patients
    Marcia Grant; Fiscal Year: 2009
    ..Outcomes are evaluated at 3,6 and 12months post hospital discharge. Thestudy builds on over ten years of research collaboration with an interdisciplinary HCT team. ..
  59. PHARMACOLOGIC REHABILITATION OF ATTENTION DEFICITS
    John Whyte; Fiscal Year: 2003
    ..The factor structure will also be compared to that obtained from a control sample. ..
  60. Computer Adaptive Testing of Functional Status
    Stephen Haley; Fiscal Year: 2008
    ..abstract_text> ..
  61. Continuity of Care and Health Outcomes: Does It Really Matter?
    FREDRIC WOLINSKY; Fiscal Year: 2008
    ..unreadable] [unreadable] [unreadable] [unreadable] [unreadable]..
  62. IDENTIFICATION OF CLINICALLY RELEVANT CHANGES IN HRQOL
    FREDRIC WOLINSKY; Fiscal Year: 2002
    ..abstract_text> ..
  63. Prescription Opioid Use and the Risk of Injury among Elderly Americans
    Matthew Miller; Fiscal Year: 2008
    ..Since many older Americans benefit from opioids, a null finding or a finding that risk is concentrated (e.g., in some but not other specific preparations) would also be clinically relevant. [unreadable] [unreadable] [unreadable]..
  64. PS06-003, Opt-out HIV Testing in Emergency Dept settings
    Jason Haukoos; Fiscal Year: 2007
    ..unreadable] [unreadable] [unreadable] [unreadable]..
  65. Impact of statins and ACE inhibitors on outcomes for pneumonia and sepsis
    Eric Mortensen; Fiscal Year: 2009
    ....
  66. OPTIMIZING MANAGEMENT OF TRANSIENT ISCHEMIC ATTACKS
    S Johnston; Fiscal Year: 2005
    ..This research will provide important results for clinicians and policy makers, and will foster the applicant's development as a health services researcher in cerebrovascular disease. ..
  67. ACTION - A CHF Trial Investigating Outcomes of Exercise
    CHRISTOPHER O CONNOR; Fiscal Year: 2008
    ..The trial will take place over 5 years with an initial 6 months for planning, training, and implementation; 3 years of enrollment; 1 year of follow-up; and 6 months for close out, analysis, and presentation. ..
  68. Health and Health Services Use in the HRS/AHEAD
    FREDRIC WOLINSKY; Fiscal Year: 2008
    ..Linear and non-linear regression and random effects models will also be used where appropriate. [unreadable] [unreadable]..
  69. Impact of Nurse Work Environment on Rural Quality of Care and Clinical Outcomes
    Marianne Baernholdt; Fiscal Year: 2009
    ....
  70. Mental-illness stigma and status processes in interpersonal interactions
    Jo Phelan; Fiscal Year: 2008
    ..Results from these studies will inform intervention efforts that seek the best ways to harness the power of interpersonal contact in reducing mental illness stigma. [unreadable] [unreadable] [unreadable]..
  71. Intensive Communication for Chronically Critically Ill
    Barbara Daly; Fiscal Year: 2007
    ..ethnicity); (e) What are the key process characteristics of communication in ICS? ..
  72. 5-Year Survival Following Injury in Geriatric Patients
    Laura Criddle; Fiscal Year: 2006
    ..Contribution: This foundational study will provide basic information about the survival patterns of injured elders as a basis for the development of interventions to improve geriatric survival. [unreadable] [unreadable] [unreadable]..
  73. THE CHRONICALLY ILL--LONG TERM MECHANICAL VENTILATION
    Barbara Daly; Fiscal Year: 2003
    ..4) Are there differences between family members of chronically critically ill patients who participate in a disease management program and family members of those who do not in care-giving burden and depression? ..
  74. Nurse Staffing, Financial Performance, Quality of Care
    Barbara Mark; Fiscal Year: 2009
    ....
  75. A Model of Patient and Nursing Administration Outomes
    Barbara Mark; Fiscal Year: 2006
    ..abstract_text> ..
  76. Strategies for Improving Sedation Outcomes in the ICU
    JOHN KRESS; Fiscal Year: 2005
    ..abstract_text> ..
  77. Genetics and Stigma: The Role of Mass Media
    Jo Phelan; Fiscal Year: 2009
    ..Open-ended responses will be coded quantitatively to assess deviations in recall from the content of the article as well as attitudinal reactions. ..
  78. Understanding and Reducing the Stigma of Mental Illness
    Jo Phelan; Fiscal Year: 2006
    ..These resources will be supplemented with training visits to Stanford University and the University of Akron to consult and collaborate with leading experts in expectation states research. ..
  79. Qualitative Study of Prostate Cancer Symptom Management
    David Latini; Fiscal Year: 2004
    ..abstract_text> ..