Identifying Adverse Events After Discharge From a Community Hospital
| Status: | Completed |
|---|---|
| Conditions: | Hospital |
| Therapuetic Areas: | Other |
| Healthy: | No |
| Age Range: | 21 - Any |
| Updated: | 3/1/2014 |
| Start Date: | September 2011 |
| End Date: | September 2013 |
| Contact: | Ashley Duke, RN |
| Email: | acd07c@my.fsu.edu |
| Phone: | 850-321-1990 |
The purpose of this study is to:
-Determine the incidence of adverse events, preventable adverse events, and ameliorable
adverse events, and the timeliness of post-discharge ambulatory appointments, affecting
urban and rural patients approximately 3-4 weeks after discharge from a hospitalist-run
medical service of a large community hospital to home.
H1: The incidence of post-discharge adverse events will be higher in rural patients compared
with urban patients discharged from a hospitalist-run medical service of a large community
hospital.
-Identify and classify the types of post-discharge adverse events (e.g., adverse drug
events, procedure-related events, hospital acquired (nosocomial) infections, falls, and
other) affecting urban and rural patients approximately 3-4 weeks after discharge from a
hospitalist-run medical service of a large community hospital to home.
H2: All patients will be at higher risk for adverse drug events than other types of adverse
events.
-Examine the relationships between the population at risk, characteristics of the health
care delivery system, and the utilization of post-discharge health services, and how these
relationships help us understand the incidence of post-discharge adverse events.
H3: Several factors will be independently associated with the incidence of post-discharge
adverse events in rural and urban patients, including patient comorbidity, severity of acute
illness, presence of a primary care physician prior to hospitalization, and a scheduled
timely post-discharge ambulatory follow-up appointment.
-Determine the incidence of adverse events, preventable adverse events, and ameliorable
adverse events, and the timeliness of post-discharge ambulatory appointments, affecting
urban and rural patients approximately 3-4 weeks after discharge from a hospitalist-run
medical service of a large community hospital to home.
H1: The incidence of post-discharge adverse events will be higher in rural patients compared
with urban patients discharged from a hospitalist-run medical service of a large community
hospital.
-Identify and classify the types of post-discharge adverse events (e.g., adverse drug
events, procedure-related events, hospital acquired (nosocomial) infections, falls, and
other) affecting urban and rural patients approximately 3-4 weeks after discharge from a
hospitalist-run medical service of a large community hospital to home.
H2: All patients will be at higher risk for adverse drug events than other types of adverse
events.
-Examine the relationships between the population at risk, characteristics of the health
care delivery system, and the utilization of post-discharge health services, and how these
relationships help us understand the incidence of post-discharge adverse events.
H3: Several factors will be independently associated with the incidence of post-discharge
adverse events in rural and urban patients, including patient comorbidity, severity of acute
illness, presence of a primary care physician prior to hospitalization, and a scheduled
timely post-discharge ambulatory follow-up appointment.
This 24-month prospective cohort study will examine the frequency and types of adverse
events experienced by patients 3-4 weeks after discharge from the Tallahassee Memorial
Hospital (TMH), the timeliness of post-discharge ambulatory appointments, and identify the
associations, if any, of readily available patient, system, and patient care factors with
the occurrence of these post-discharge adverse events. Data collection will involve
telephone interviews with patients, and review of inpatient and outpatient health records
for services received, as necessary, within 3-4 weeks after discharge from the hospital.
These data sources will allow study physicians to implicitly (with some explicit guidance)
determine whether an adverse event has occurred, distinguish preventable from ameliorable
adverse events, and determine the types of adverse events. In addition, the study will
determine the timeliness of post-discharge ambulatory appointments by conducting
post-discharge telephone interviews with patients and reviewing health records.
events experienced by patients 3-4 weeks after discharge from the Tallahassee Memorial
Hospital (TMH), the timeliness of post-discharge ambulatory appointments, and identify the
associations, if any, of readily available patient, system, and patient care factors with
the occurrence of these post-discharge adverse events. Data collection will involve
telephone interviews with patients, and review of inpatient and outpatient health records
for services received, as necessary, within 3-4 weeks after discharge from the hospital.
These data sources will allow study physicians to implicitly (with some explicit guidance)
determine whether an adverse event has occurred, distinguish preventable from ameliorable
adverse events, and determine the types of adverse events. In addition, the study will
determine the timeliness of post-discharge ambulatory appointments by conducting
post-discharge telephone interviews with patients and reviewing health records.
Inclusion Criteria:
- age over 21 years
- discharged home from TMH general medical service
- patients must have a telephone number where they can be reached for an interview
- patient or surrogate must be able to interview in Spanish or English
Exclusion Criteria:
- age less than 21 years
- patient or surrogate non-English or Spanish speaking
- patients being discharged to an institutionalized care (assisted living facilities,
prisons, etc.)
- patients not discharged from general medical service
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