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The purpose of this study is to determine whether a post-discharge telephone call to general medical patients discharged home will improve quality of care and adherence, and reduce hospital readmission.
Currently, discharge from hospital in many institutions is a confusing process for patients filled with uncertainty and potential for harm. For instance, 1 in 5 discharges results in a post discharge adverse event, many of which are related to medication errors. These may lead to serious harm and possibly require readmission to hospital. Telephone follow-up calls after discharge has been studied in small single-center trials and as a part of a coordinated, multi-layered discharge process but its direct effectiveness is not known. Understanding the impact of this simple intervention on patient outcomes is an important step towards improving patients' discharge from hospital.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Post-discharge phone call | All patients in this group will receive a phone call within 72-hours of being discharged from hospital. | ||
| Usual care (no phone call) |
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| Measure | Description | Time Frame |
|---|---|---|
| Care Transition Measure-3 score (CTM-3) | 30-days post discharge |
| Measure | Description | Time Frame |
|---|---|---|
| Hospital readmission | 30-day post discharge | |
| Emergency department visit | 30-days post discharge | |
| Patient satisfaction |
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Inclusion Criteria:
Exclusion Criteria:
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Study population is patients admitted to a general internal medicine ward.
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| Name | Affiliation | Role |
|---|---|---|
| Christine Soong, MD | MOUNT SINAI HOSPITAL | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Mount Sinai Hospital | Toronto | Ontario | M5G 1X5 | Canada |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25386678 | Derived | Soong C, Kurabi B, Wells D, Caines L, Morgan MW, Ramsden R, Bell CM. Do post discharge phone calls improve care transitions? A cluster-randomized trial. PLoS One. 2014 Nov 11;9(11):e112230. doi: 10.1371/journal.pone.0112230. eCollection 2014. |
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| 30-days post discharge |
| Treatment plan adherence | 30-days post discharge |
| Outpatient provider follow-up rates | 30-days post discharge |