Evidence map›Paper›PMID 28396033›Full record

ArticleAmerican journal of surgery2017

Improving transitions of care across the spectrum of healthcare delivery: A multidisciplinary approach to understanding variability in outcomes across hospitals and skilled nursing facilities.

Giana H Davidson, Elizabeth Austin, Lucas Thornblade, Louise Simpson, Thuan D Ong, Hanh Pan, David R Flum

Abstract readConsensus Statement
PubMed Full text at PMC Publisher
In one paragraph

Article in American journal of surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Observational
  8. Article
  9. Advancing Innovation in Skilled Nursing Facilities through Academic Collaborations.Physical therapy journal of policy, administration, and leadership · 2018
    Article
  10. Article
  11. Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Giana H DavidsonDepartment of Surgery, University of Washington, Seattle, WA, USA; Department of Health Services, University of Washington, Seattle, WA, USA. Electronic address: ghd@uw.edu.
Elizabeth AustinDepartment of Surgery, University of Washington, Seattle, WA, USA.
Lucas ThornbladeDepartment of Surgery, University of Washington, Seattle, WA, USA.
Louise SimpsonChief Health Systems Office, University of Washington, Seattle, WA, USA.
Thuan D OngDepartment of Medicine, University of Washington, Seattle, WA, USA.
Hanh PanChief Health Systems Office, University of Washington, Seattle, WA, USA.
David R FlumDepartment of Surgery, University of Washington, Seattle, WA, USA; Department of Health Services, University of Washington, Seattle, WA, USA.

Funding

Renewal: Gastrointestinal Surgery Outcomes Research FellowshipT32DK070555 · NIDDK · UNIVERSITY OF WASHINGTON · PI FLUM, DAVID R · 2010 to 2024
$3.6M
NIDDK NIH HHS T32 DK070555
6 · The paper itself

Abstract

introductionImproving coordination during transitions of care from the hospital to Skilled Nursing Facilities (SNF)s is critical for improving healthcare quality. In 2014, we formed (Improving Nursing Facility Outcomes using Real-Time Metrics, INFORM) to improve transitions of care by identifying structural and process factors that lead to poor clinical outcomes and hospital readmission.

methodsStakeholders from 10 SNFs and 4 hospitals collaborated to assess the current hospital and system-level challenges to safe transitions of care and identify targets for interventions.

resultsThe INFORM collaborative identified areas for improvement including improving accuracy and timeliness of discharge information, facilitating congruent medication reconciliation, and developing care plans to support functional improvement. DISCUSSION: Hospital and SNF stakeholder engagement prioritized the challenges in patient transitions from inpatient to skilled nursing facility settings. Innovative solutions that address barriers to safe and effective transitions of care are critical to improving clinical outcomes, decreasing adverse events and avoiding readmission.

Indexed as

Interdisciplinary CommunicationDelphi TechniqueHospital AdministrationHumansOutcome and Process Assessment, Health CarePatient ReadmissionPatient SafetyPatient TransferPractice Guidelines as TopicQuality ImprovementSkilled Nursing FacilitiesWashington

Identifiers

PMID28396033
PMCPMC5842800

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.