scholarly journals Stopping the Revolving Door: Reducing 30-Day Psychiatric Readmissions With Post-discharge Telephone Calls

Cureus ◽  
2022 ◽  
Author(s):  
Antonia Phillip ◽  
Garrett Rossi ◽  
Roshi DeSilva
2013 ◽  
Vol 6 (5) ◽  
pp. 339-346 ◽  
Author(s):  
Abubaker Ibrahim Elbur ◽  
Yousif MA ◽  
Ahmed S.A. ElSayed ◽  
Manar E. Abdel-Rahman

2021 ◽  
Vol 10 (21) ◽  
pp. 5004
Author(s):  
Barbara D’Aiello ◽  
Deny Menghini ◽  
Roberto Averna ◽  
Milena Labonia ◽  
Stefano Vicari

Revolving Door (RD) is a frequent phenomenon afflicting children and adolescents with psychiatric diagnoses. Nevertheless, risk factors for RD are still a matter of debate. To better understand RD phenomenon, we conducted a retrospective study on 224 children and adolescents (165 females and 59 males, aged 6–16 years) with a psychiatric hospitalization, taking the multiple risk factors together. At this aim, 108 patients with multiple hospitalizations and 116 patients with only one hospitalization were compared on demographic characteristics, clinical conditions, psychiatric ward stay, and post-discharge management factors. More than half of psychiatric patients were readmitted within three months of discharge. RD patients presented greater severity of illness, needed longer stays, and were more frequently placed in residential facilities than non-RD patients. Non-suicidal self-injurious and adoption were the main predictors of RD. Clinical instruments that detected behavioural and emotional symptoms, suicidal ideation severity, and level of impairment of the person’s functioning were useful to identify patients at high risk for RD. In conclusion, our findings pointed out that several risk factors have to be considered to better understand and, in the future, prevent RD phenomenon.


2020 ◽  
pp. 001857872098543
Author(s):  
Charnicia E. Huggins ◽  
Tae Eun Park ◽  
Eric Boateng ◽  
Cosmina Zeana

Introduction: Outpatient parenteral antibiotic treatment (OPAT) is associated with shorter length of hospital stay and reduced cost. Yet, patients discharged home on OPAT are at risk of hospital readmissions due to adverse events and complications. Although the impact of a multidisciplinary approach to readmission has been assessed by previous studies, addition of an innovative technology has not been evaluated for OPAT. This study examines the impact of a multidisciplinary approach including automated voice calls on 30-day readmissions of OPAT patients. Methods: A post-discharge transitional care process (PDTCP) targeting OPAT patients was implemented in fall 2016. This process included an automated telephone patient engagement service and coordination among pharmacy, nursing, medicine, and social work personnel. The patients on OPAT received automated telephone calls at 2, 9, 16, 28, and 40 days post-discharge to ensure medication availability and adherence and to circumvent issues that would otherwise result in an emergency room visit or readmission to the hospital. Results: A total 429 voice calls were made to 148 patients from November 8, 2016 to February 28, 2019. Overall, 61% (n = 90/148) of the patients were successfully reached by the automated voice system. The patients who were reached by the automated voice system were less likely to be readmitted than those not reached (18.9% vs 41.4%; relative risk (RR) 0.46, 95% CI 0.27-0.77, P = .003). Conclusion: Our study demonstrated that a multidisciplinary approach involving the use of automated telephone calls was associated with decreased hospital readmissions.


2014 ◽  
Vol 29 (11) ◽  
pp. 1519-1525 ◽  
Author(s):  
James D. Harrison ◽  
Andrew D. Auerbach ◽  
Kathryn Quinn ◽  
Ellen Kynoch ◽  
Michelle Mourad

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