| Interventions to improve transitional care between nursing homes and hospitals: a systematic review. | |
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MedLine Citation:
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PMID: 20398162 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Transitions between healthcare settings are associated with errors in communication of information and treatment plans for frail older patients, but strategies to improve transitional care are lacking. A systematic review was conducted to identify and evaluate interventions to improve communication of accurate and appropriate medication lists and advance directives for elderly patients who transition between nursing homes and hospitals. MEDLINE, ISI Web, and EBSCO Host (from inception to June 2008) were searched for original, English-language research articles reporting interventions to improve communication of medication lists and advance directives. Five studies ultimately met all inclusion criteria. Two described interventions that enhanced transmission of advance directives, two described interventions that improved communication of medication lists, and one intervention addressed both goals. One study was a randomized controlled trial, whereas the remaining studies used historical or no controls. Study results indicate that a standardized patient transfer form may assist with the communication of advance directives and medication lists and that pharmacist-led review of medication lists may help identify omitted or indicated medications on transfer. Although preliminary evidence supports adoption of these methods to improve transitions between nursing home and hospital, further research is needed to define target populations and outcomes measures for high-quality transitional care. |
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Authors:
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Michael A LaMantia; Leslie P Scheunemann; Anthony J Viera; Jan Busby-Whitehead; Laura C Hanson |
Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Review |
Journal Detail:
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Title: Journal of the American Geriatrics Society Volume: 58 ISSN: 1532-5415 ISO Abbreviation: J Am Geriatr Soc Publication Date: 2010 Apr |
Date Detail:
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Created Date: 2010-04-19 Completed Date: 2010-05-14 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7503062 Medline TA: J Am Geriatr Soc Country: United States |
Other Details:
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Languages: eng Pagination: 777-82 Citation Subset: IM |
Affiliation:
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Division of Geriatric Medicine and Center for Aging and Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599, USA. mlamanti@unch.unc.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Advance Directives Aged Checklist Communication Barriers Continuity of Patient Care / organization & administration* Drug Therapy Evidence-Based Practice Frail Elderly Hospitals* Humans Medical Errors / prevention & control Nursing Homes / organization & administration* Patient Discharge Patient Transfer / organization & administration* Patient-Centered Care Research Design Total Quality Management / organization & administration* |
| Grant Support | |
ID/Acronym/Agency:
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2T32AG000272-06A2/AG/NIA NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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