Reducing readmission rates through a discharge follow-up service.

Vernon, Duncan, Brown, James E, Griffiths, Eliza, Nevill, Alan M and Pinkney, Martha (2019) Reducing readmission rates through a discharge follow-up service. Future healthcare journal, 6 (2). pp. 114-117. ISSN 2514-6645. This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs

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Official URL: http://futurehospital.rcpjournal.org/content/6/2/1...

Abstract

Approximately 15% of elderly patients are readmitted within 28 days of discharge. This costs the NHS and patients. Previous studies show telephone contact with patients -post-discharge can reduce readmission rates. This service -evaluation used a cohort design and compared 30-day emergency readmission rate in patients identified to receive a community nurse follow-up with patients where no attempt was made. 756 patients across seven hospital wards were -identified; 303 were identified for the intervention and 453 in a -comparison group. Hospital admission and readmission data was extracted over 6 months. Where an attempt to contact a patient was made post-discharge, the readmission rate was 9.24% compared to 15.67% where no attempt to -contact was made (p=0.011). After adjustment for -confounding using logistic regression, there was evidence of reduced readmissions in the 'attempt to contact' group odds ratio = 1.93 (95% c-onfidence interval = 1.06-3.52, p=0.033). Of the patients who community nurses attempted to contact, 288 were contacted, and 202 received a home visit with general practitioner -referral and medications advice being the most common -interventions initiated. This service evaluation shows that a simple intervention where community nurses attempt to contact and visit geriatric patients after discharge causes a significant reduction in 30-day hospital readmissions.

Item Type: Article
Additional Information: This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs
Subjects: WA Patients. Primary care. Medical profession. Forensic medicine
WT Geriatrics. Elderly care
Divisions: Emergency Services > Elderly
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Depositing User: Mrs Yolande Brookes
Date Deposited: 07 Aug 2019 12:49
Last Modified: 07 Aug 2019 12:49
URI: http://www.repository.uhblibrary.co.uk/id/eprint/2284

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