Maintain relationships with
patients after discharge for continuing follow up, as appropriate.
A study that synthesized more than 50 years of research into suicide rates for
patients after discharge from psychiatric facilities suggests the immediate period after discharge was a time of marked risk and that the risk remained high years after discharge, according to a new article published by JAMA Psychiatry.
Researchers said further studies are also planned that use other methods to analyze the relationship between volume and outcomes, follow
patients after discharge from the hospital, and assess how patient outcomes are affected as hospitals gain more experience with TAVR and the technology is refined over time.
¶ Physical contact = home visit, hospital postpartum follow - up visit; active reaching out = follow - up phone call to
patient after discharge; referrals = hospital phone number to call, hospital - based support group, other breastfeeding support group, lactation consultant / specialist, U.S. Department of Agriculture Special Supplemental Nutrition Program for Women, Infants, and Children, outpatient clinic.
Not exact matches
His unit was also fielding waves of calls from
discharged patients asking panicky questions
after the fact.
In addition, the registry contains standard procedural and diagnostic codes of the International Statistical Classification of Diseases and Related Health Problems, 10th revision (ICD - 10), abstracted from
patient records
after discharge.
NHS hospitals will be made responsible for
patients for 30 days
after they are
discharged, Andrew Lansley will announce later.
Under a new pilot scheme that was reportedly considered at Southend Hospital in Essex,
patients who are waiting to be
discharged from hospital could end up staying in a spare room of a stranger's home if they are not well enough to look
after themselves.
About 20 percent of Medicare
patients wind up being readmitted within 30 days
after discharge.
The study, recently published in the journal Resuscitation, found that
patients discharged in «good neurological condition»
after a brief cardiac arrest (when the heart suddenly stops beating normally and can not pump blood effectively) had significant memory problems and a 10 to 20 per cent reduction in size of their brain's memory region, the hippocampus.
The study included 39,140 opioid - naive
patients, of whom 53 percent received 1 or more opioid prescriptions within 90 days
after discharge.
After all, epileptic seizures are hypersynchronized
discharges that engulf the entire cortex in massive rhythmic activity that renders the
patient unconscious.
Following hip fracture surgery (n = 319,804), 10,931
patients (3.4 percent) died before hospital
discharge and 669
patients (0.18 percent) died
after elective THR.
About 20 percent of Medicare
patients wind up being readmitted within 30 days
after discharge, according to government data.
Improving
patients» access to follow - up care
after hospital
discharge is a primary goal.
Still, experts have argued that hospitals could go a long way toward reducing readmissions just by ensuring that
patients receive proper follow - up care
after discharge.
Patients who had visited a primary care physician or cardiologist in the preceding year were more likely to see a physician
after discharge.
The findings reveal that breast cancer
patients who received local anesthetic had superior pain relief, spent less time in recovery rooms
after surgery, and were
discharged an hour earlier than
patients who were put under general anesthesia.
«We find that
patients who go to hospitals that rely more on skilled nursing facilities
after discharge, as opposed to getting them healthy enough to return home, are substantially less likely to survive over the following year,» says Joseph Doyle, the Erwin H. Schell Professor of Management at the MIT Sloan School of Management and co-author of a paper detailing the study.
Patients who didn't seek follow - up care within a month received the lowest rate of care and had the worst health outcomes — demonstrating the need to improve follow - up with high risk chest pain patients after they're discharged from the emergency room,
Patients who didn't seek follow - up care within a month received the lowest rate of care and had the worst health outcomes — demonstrating the need to improve follow - up with high risk chest pain
patients after they're discharged from the emergency room,
patients after they're
discharged from the emergency room, Ko said.
The other important finding from the study is that
patients» level of acuity in the hospital is not a significant predictor of a poor quality of life
after they're
discharged from the hospital.
A new study led by researchers at Boston Medical Center (BMC) found that the proportion of
discharges among minority
patients receiving inpatient care at minority - serving hospitals in Massachusetts increased
after the implementation of health insurance reform measures which expanded access to care in non-safety net hospitals.
A quieter environment is also associated with fewer
patients returning to hospital
after discharge, perhaps because of the additional benefits that sleep brings.
Roy H. Perlis, M.D., M.S., of the Massachusetts General Hospital, Boston, and coauthors examined whether computer - aided natural language processing of narrative hospital
discharge notes could help identify
patients at risk for death by suicide
after medical or surgical
discharge from the hospital.
The pooled estimate
discharge suicide rate was 484 per 100,000 person - years, according to the results, with the suicide rate the highest within three months
after discharge (1,132 per 100,000 person - years) and among those
patients admitted with suicidal ideas or behaviors.
This means that MI could be ruled out in a substantial proportion of
patients after only one blood draw, allowing for safe, early
discharge to outpatient management.
Patients were followed up by telephone 12 months
after discharge.
The observational study of nearly 9,000
patients found that those prescribed antidepressants at
discharge from hospital
after a heart attack had a 66 % greater risk of mortality one year later than
patients not prescribed the drugs, although they noted the cause is not necessarily related directly to the antidepressants.
Patients who developed heart failure after heart attack were prescribed the same medications at discharge as those who were not, so researchers concluded treatment for heart attack was not likely responsible for the higher rate of cancer in heart failure p
Patients who developed heart failure
after heart attack were prescribed the same medications at
discharge as those who were not, so researchers concluded treatment for heart attack was not likely responsible for the higher rate of cancer in heart failure
patientspatients.
With the passage of the Affordable Care Act, Cutler said, health care providers received new incentives to increase efficiency and reduce costly problems, such as readmitting
patients soon
after discharge and in - hospital infections.
«Our goal here was to get a picture of what is happening when
patients go to a SNF
after hospital
discharge, and we found that some of the assumptions about the impact of nursing home quality on outcomes may have been overstated,» says the study's lead author, Mark Neuman, MD, MSc, an assistant professor of Anesthesiology and Critical Care and Senior Fellow in the Leonard Davis Institute of Health Economics at the Perelman School of Medicine at the University of Pennsylvania.
Ultimately, the investigators focused on 42 reports composed of 4,113
patients, who were assessed for depressive symptoms generally between one and 12 months
after ICU
discharge.
As part of the Follow Your Heart program,
patients received two home visits from an NP in the first week to 10 days
after discharge, a routine surgeon office visit around 10 to 14 days
after discharge, multiple phone calls from the NP, and the assurance that hospital personnel were available around the clock for questions, including an on - call surgeon.
The study indicated that 30.1 percent of CDI
patients were readmitted
after 30 days versus 14.4 percent of all - cause
discharges.
Researchers looked at
patient survival and
discharge 30 days
after the stroke.
«The original study only focused on how blood sugar control affected complications in the hospital, so we were interested in following those same
patients over time to see if blood sugar control had any impact
after discharge from the hospital.»
A team of investigators at Wake Forest University in Winston - Salem, N.C., has developed a tool that accounts for variables such as age and severity of brain injury to help physicians and hospital staff calculate a
patient's likelihood of survival and returning to independence
after hospital
discharge.
Though the early readmission rate in the 30 days
after discharge was initially lower in
patients with diastolic heart failure, this soon increased such that it was similar to those with systolic heart failure.
Strategies that could safely identify a large proportion of
patients suitable for
discharge after a single sample of blood is taken on arrival in the ED would have major benefits to health care systems.
After controlling for severity of disease and surgical complexity, analyses showed that the rate of unplanned 30 - day readmissions was approximately 78 percent for
patients with any complication diagnosed following
discharge from the hospital.
Patients at high risk of complications could also be more closely monitored after they are discharged from the hospital and sent home in order to uncover and treat surgical complications earlier in their course, before patients require re-hospital
Patients at high risk of complications could also be more closely monitored
after they are
discharged from the hospital and sent home in order to uncover and treat surgical complications earlier in their course, before
patients require re-hospital
patients require re-hospitalization.
Post-
discharge assessment and treatment that gets
patients into rehabilitation with physical, occupational and speech therapy shortly
after discharge, and quick referral to therapists if new impairments develop.
«We want to make sure that all
patients, regardless of their social circumstances, receive the support they need
after they are
discharged,» Nagasako said.
Current, standard VTE prevention techniques include the use of an elastic stocking and / or other external compression device upon admittance to the hospital,
patient movement and rehabilitation beginning the first day
after surgery and continuing for several months, and anticoagulant therapy (blood thinning medications) starting the night before surgery and continuing
after the
patient is
discharged.
In 2010, 35.1 million
patients were
discharged from the hospital
after spending an average of 4.8 days as an inpatient.
Some hospitals facing financial penalties from Medicare for readmitting too many
patients soon
after discharge have said they are being unfairly penalized.
TORONTO, May 12, 2016 — A new Canadian study focusing on caregiver outcomes of critically ill
patients reveals that caregivers of intensive care unit (ICU) survivors, who have received mechanical ventilation for a minimum of seven days, are at a high risk of developing clinical depression persisting up to one year
after discharge.
In 2012 he recieved an NIH Director's Early Independence Award to examine why some people die unexpectedly
after being seen and
discharged from emergency rooms, so doctors can identify
patients that are at high risk of dying
after being
discharged.
It involves extensive cleaning and disinfection
after a
patient has been
discharged and before the next
patient has been admitted to the room.
Clinicians should better document aspects of antibiotic use in their notes that can be shared with other providers caring for the same
patient throughout his or her hospital stay and
after discharge