Dissertation/Thesis Abstract

Transitions of Care: Improving the Hospital Discharge Process
by Behan, Kathleen, M.S., University of California, Davis, 2012, 69; 1519650
Abstract (Summary)

Transition out of the hospital is a vulnerable time for patients. Approximately 20% of patients experience an adverse event or re-hospitalization within 30 days of discharge. The lack of continuity of care at the time of hospital discharge negatively impacts clinical care, the patient experience and health care costs. Standardization of hospital discharge through systematic change is pivotal to individual patient success. A process improvement tool for discharging patients in a University Health System setting was designed. Entitled the Continuity of Care Checklist (CCC), its development was based on clinical and professional experience as well as a review of the literature. The checklist was subjected to review and input from a panel of seven experts, a convenience sample of key informants from varied medical and nursing backgrounds. The experts were provided a copy of the CCC and filled out a questionnaire on the design, content and practical implications of the CCC. A follow up debriefing was carried out with each of the key informants; field notes were taken. The data sources were reviewed for key themes; this input was incorporated into a revised final version of the CCC. The seven key informants agreed upon the need for such a checklist and concluded that the CCC could enhance transitions of care at the time of hospital discharge. Changes to the design and content of the seven sections of the checklist were made. Suggestions to enhance practical application were incorporated into the final revised version. Further study using the revised CCC as standardized proforma for hospital discharge and transitioning the patient to the next health care setting is indicated. Further study should include: incorporating the CCC into the current workflow, operationalizing it as part of the EHR, assigning responsibility for the CCC to a member of the hospital based team, and assigning responsibility for post acute care follow up to a member of the patient care team.

Indexing (document details)
Advisor: Ward, Deborah
Commitee: Shaikh, Ulfat, Siegel, Elena
School: University of California, Davis
Department: Nursing
School Location: United States -- California
Source: MAI 51/03M(E), Masters Abstracts International
Subjects: Nursing
Keywords: Transitions of care
Publication Number: 1519650
ISBN: 978-1-267-65636-0
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