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  1. Article ; Online: Don't anchor on me!

    Tantoco, Ann-Marie / Bhasin, Ajay / Santos, Maria / Kastl, Art / Bracken, Adam

    Journal of hospital medicine

    2024  Volume 19, Issue 4, Page(s) 323–326

    Language English
    Publishing date 2024-02-16
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2233783-0
    ISSN 1553-5606 ; 1553-5592
    ISSN (online) 1553-5606
    ISSN 1553-5592
    DOI 10.1002/jhm.13298
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: A Quality Improvement Approach to Decreasing Postdischarge Acute Care Reuse Among Children With Asthma.

    Bracken, Adam E / Fable, Jacqueline M / Lin, Hilary / Schriefer, Jan / Voter, Karen / Philip, Sherry / Solan, Lauren G / Davis, Colleen / Shipley, Laura Jean / Barker, Erin / Roberts, Anna / Angell, Luke / Flannery, Michael / Muoio, Elise / Noble, Marcy / Frey, Sean M

    Hospital pediatrics

    2021  Volume 11, Issue 5, Page(s) 478–484

    Abstract: Objectives: To reduce 7-day acute care reuse among children with asthma after discharge from an academic children's hospital by standardizing the delivery of clinical care and patient education.: Methods: A diverse group of stakeholders from our ... ...

    Abstract Objectives: To reduce 7-day acute care reuse among children with asthma after discharge from an academic children's hospital by standardizing the delivery of clinical care and patient education.
    Methods: A diverse group of stakeholders from our tertiary care children's hospital and local community agencies used quality improvement methods to implement a series of interventions within inpatient, emergency department (ED), and outpatient settings. These interventions were designed to improve admission, inpatient care, and discharge processes for children hospitalized because of asthma and included a focus on (1) resident education, (2) patient access to medication and asthma education, and (3) gaps in existing asthma clinical care pathways in the ED and ICU. The primary outcome was the rate of 7-day acute care reuse (combined hospital readmissions and ED revisits) after discharge from an index hospitalization for asthma, measured through a monthly review of electronic health record data and compared with a 6-month baseline period of reuse data.
    Results: The mean 7-day reuse rate for asthma after discharge was 3.7% during the 6 months baseline period (
    Conclusions: An interprofessional quality improvement team successfully achieved and sustained a 73% reduction in mean 7-day asthma-related acute care reuse after discharge by standardizing provider training, care processes, and patient education.
    MeSH term(s) Aftercare ; Asthma/therapy ; Child ; Emergency Service, Hospital ; Humans ; Patient Discharge ; Patient Readmission ; Quality Improvement
    Language English
    Publishing date 2021-04-06
    Publishing country United States
    Document type Journal Article
    ISSN 2154-1671
    ISSN (online) 2154-1671
    DOI 10.1542/hpeds.2020-002824
    Database MEDical Literature Analysis and Retrieval System OnLINE

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