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Interdisciplinary videoconference model for identifying potential adverse transition of care events following hospital discharge to postacute care.
- Source :
-
BMJ open quality [BMJ Open Qual] 2024 May 24; Vol. 13 (2). Date of Electronic Publication: 2024 May 24. - Publication Year :
- 2024
-
Abstract
- Discharge from hospitals to postacute care settings is a vulnerable time for many older adults, when they may be at increased risk for errors occurring in their care. We developed the Extension for Community Healthcare Outcomes-Care Transitions (ECHO-CT) programme in an effort to mitigate these risks through a mulitdisciplinary, educational, case-based teleconference between hospital and skilled nursing facility providers. The programme was implemented in both academic and community hospitals. Through weekly sessions, patients discharged from the hospital were discussed, clinical concerns addressed, errors in care identified and plans were made for remediation. A total of 1432 discussions occurred for 1326 patients. The aim of this study was to identify errors occurring in the postdischarge period and factors that predict an increased risk of experiencing an error. In 435 discussions, an issue was identified that required further discussion (known as a transition of care event), and the majority of these were related to medications. In 14.7% of all discussions, a medical error, defined as 'any preventable event that may cause or lead to inappropriate medical care or patient harm', was identified. We found that errors were more likely to occur for patients discharged from surgical services or the emergency department (as compared with medical services) and were less likely to occur for patients who were discharged in the morning. This study shows that a number of errors may be detected in the postdischarge period, and the ECHO-CT programme provides a mechanism for identifying and mitigating these events. Furthermore, it suggests that discharging service and time of day may be associated with risk of error in the discharge period, thereby suggesting potential areas of focus for future interventions.<br />Competing Interests: Competing interests: None declared.<br /> (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
- Subjects :
- Humans
Female
Male
Aged
Aged, 80 and over
Continuity of Patient Care statistics & numerical data
Continuity of Patient Care standards
Skilled Nursing Facilities statistics & numerical data
Skilled Nursing Facilities organization & administration
Medical Errors statistics & numerical data
Medical Errors prevention & control
Patient Transfer methods
Patient Transfer statistics & numerical data
Patient Transfer standards
Patient Discharge statistics & numerical data
Patient Discharge standards
Subacute Care methods
Subacute Care statistics & numerical data
Subacute Care standards
Videoconferencing statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 2399-6641
- Volume :
- 13
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- BMJ open quality
- Publication Type :
- Academic Journal
- Accession number :
- 38789279
- Full Text :
- https://doi.org/10.1136/bmjoq-2023-002508