scholarly journals The Health Department of Sicily “Regional recommendations for hospital discharge and communication with patients after admission due to a cardiologic event” Decree

2015 ◽  
Vol 82 (2) ◽  
Author(s):  
Maurizio Giuseppe Abrignani ◽  
Giovanni De Luca ◽  
Michele Gabriele ◽  
Nidal Tourkmani
Keyword(s):  
Primary Care ◽  
Hospital Discharge ◽  
Task Force ◽  
Care Transitions ◽  
Treatment Compliance ◽  
Health Department ◽  
Discharge Process ◽  
Scientific Societies ◽  
Thrombotic Risk ◽  
Discharge Letter

Mortality and rehospitalizations still remain high after discharge for an acute cardiologic event. In this context, hospital discharge represents a potential pitfall for heart disease patients. In the setting of care transitions, the discharge letter is the main instrument of communication between hospital and primary care. Communication, besides, is an integral part of high-quality, patient-centered interventions aimed at improving the discharge process. Inadequate information at discharge significantly affects the quality of treatment compliance and the adoption of lifestyle modifications for an effective secondary prevention. The Health Department of Sicily, in 2013, established a task force with the aim to elaborate “Regional recommendations for hospital discharge and communication with patients after admission due to a cardiologic event”, inviting to participate GICR-IACPR and many other scientific societies of cardiology and primary care, as discharge letter and communication are fundamental junctions of care transitions in cardiology. These recommendations have been published as a specific decree and contain: – a structured model of discharge letter, which includes all of the parameters characterizing patients at high clinical risk, high thrombotic risk and low risk according to the Consensus document ANMCO/GICR-IACPR/GISE; is thus possible to identify these patients, choosing consequently the most appropriate follow-up pathways. A particular attention has been given to the “Medication Reconciliation” and to the identification of therapeutic targets; – an educational Kit, with different forms on cardiac diseases, risk factors, drugs and lifestyle; – a check-list about information given to the patient and caregivers. The “Recommendations” represent, in conclusion, the practical realization of the fruitful cooperation between scientific societies and political-administrative institutions that has been realized in Sicily in the last years.

scholarly journals CARE TRANSTION IN HOSPITAL DISCHARGE FOR ADULT PATIENTS: INTEGRATIVE LITERATURE REVIEW

2021 ◽  
Vol 30 ◽  
Author(s):  
Jociele Gheno ◽  
Alísia Helena Weis
Keyword(s):  
Hospital Discharge ◽  
Continuity Of Care ◽  
Care Transitions ◽  
Hospital Costs ◽  
Experimental Studies ◽  
Adult Patients ◽  
Care Transition ◽  
Discharge Process ◽  
Post Discharge ◽  
Discharge Care

ABSTRACT Objective: to summarize and analyze the scientific production on care transition in the hospital discharge of adult patients. Method: integrative review, conducted from May to July 2020, in four relevant databases in the health area: Public Medline (PubMed); Scientific Electronic Library Online (SciELO); Scopus and Virtual Health Library (VHL). The analysis of the results occurred descriptively and was organized into thematic categories that emerged according to the similarity of the contents extracted from the articles. Results: 46 articles from national and international journals, with a predominance of descriptive/non-experimental studies or qualitative studies, met the inclusion criteria. Five categories were identified: discharge and post-discharge process; Continuity of post-discharge care; Benefits of care transition; Role of nurses in care transition and Experiences of patients on care transition. Hospital discharge and care transitions are interconnected processes as transitions qualify the dehospitalization process. Different strategies for continuity of care should be adopted, as they offer greater safety to the patient. Studies have shown that nurses play a fundamental role in transitions and, in Brazil, this activity still needs to gain more space. Reduced hospitalizations, mortality, hospital costs and patient satisfaction are benefits of transitions. Conclusion: care transition is an effective strategy for the care provided to the patient being discharged. It points out the need for integration between the care network and assists services in decision-making about the continuity of care on discharge.

Beyond Hospital Discharge Mechanics: Managing the Discharge Paradox and Bridging the Care Chasm

2016 ◽  
Vol 27 (8) ◽  
pp. 1225-1235 ◽  
Author(s):  
Heather E. Canary ◽  
Victoria Wilkins
Keyword(s):  
Primary Care ◽  
Hospital Discharge ◽  
Primary Care Providers ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Discharge Process ◽  
Care Providers ◽  
Pediatric Hospital ◽  
Process Improvements ◽  
Analyze Data

Hospital discharge processes are complex and confusing, and can detrimentally affect patients, families, and providers. This qualitative study investigated pediatric hospital discharge experiences from the perspectives of parents of children with acute and chronic health conditions, primary care providers, and hospitalists. Focus groups and interviews with parents, primary care providers, and hospitalists were used to explore discharge experiences and ideas for improvement offered by participants. Using an iterative approach to analyze data resulted in five major themes for discharge experiences: (a) discharge problems, (b) teamwork, (c) ideal discharge, (d) care chasm, and (e) discharge paradox. The first three themes concern practical issues, whereas the last two themes reflect negative emotional experiences as well as practical problems encountered in the discharge process. Improvements in communication were viewed as a primary strategy for improving the discharge process for better outcomes for patients, their families, and providers.

Optimization of the use of outpatient diabetes center through a coordinated task force between primary care and endocrinology unit

2018 ◽  
Author(s):  
Ojeda Schuldt Maria Belen ◽  
Gavira Isabel Mateo ◽  
Lechuga Begona Sanchez ◽  
Escandon Laura Larran ◽  
Rodriguez Mar Roca ◽  
...  
Keyword(s):  
Primary Care ◽  
Task Force ◽  
Diabetes Center

Risk Factors and Recommendations for 230 Adult Primary Care Patients, Based on U.S. Preventive Services Task Force Guidelines

1992 ◽  
Vol 8 (3) ◽  
pp. 150-153 ◽  
Author(s):  
Jim D. Medder ◽  
Norman B. Kahn ◽  
Jeffrey L. Susman
Keyword(s):  
Risk Factors ◽  
Primary Care ◽  
Task Force ◽  
Preventive Services ◽  
Primary Care Patients

The end of the laboratory developed test as we know it? Recommendations from a national multidisciplinary taskforce of laboratory specialists on the interpretation of the IVDR and its complications

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Paul C. D. Bank ◽  
Leo H. J. Jacobs ◽  
Sjoerd A. A. van den Berg ◽  
Hanneke W. M. van Deutekom ◽  
Dörte Hamann ◽  
...  
Keyword(s):  
Clinical Practice ◽  
The Netherlands ◽  
Medical Devices ◽  
Task Force ◽  
Large Impact ◽  
Guidance Document ◽  
Scientific Societies ◽  
Clinical Laboratories ◽  
The Impact

AbstractThe in vitro diagnostic medical devices regulation (IVDR) will take effect in May 2022. This regulation has a large impact on both the manufacturers of in vitro diagnostic medical devices (IVD) and clinical laboratories. For clinical laboratories, the IVDR poses restrictions on the use of laboratory developed tests (LDTs). To provide a uniform interpretation of the IVDR for colleagues in clinical practice, the IVDR Task Force was created by the scientific societies of laboratory specialties in the Netherlands. A guidance document with explanations and interpretations of relevant passages of the IVDR was drafted to help laboratories prepare for the impact of this new legislation. Feedback from interested parties and stakeholders was collected and used to further improve the document. Here we would like to present our approach to our European colleagues and inform them about the impact of the IVDR and, importantly we would like to present potentially useful approaches to fulfill the requirements of the IVDR for LDTs.

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