ArticlePediatric quality & safety
Optimizing a Nurse-led Transitional Home Visit Program in Preparation for a Randomized Control Trial.
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Article in Pediatric quality & safety. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 1 paper.
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Hospital to Home Outcomes (H2O): A Study to Improve the Fluidity of Transitions Between Hospital and Home
Supplement to Hospital to Home Outcomes (H2O): A Study to Improve the Fluidity of Transitions Between Hospital and Home
Who cites it
1 citing paper in PubMed.
- Paediatric clinical and social concerns identified by home visit nurses in the immediate postdischarge period.Journal of advanced nursing · 2020Article
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Authors and funding
23 authors.
Hadley S Sauers-FordDivision of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Department of Patient Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Cincinnati Children's Hospital Medical Center, James M. Anderson Center for Health Systems Excellence, Cincinnati, Ohio; The Ohio State University, College of Nursing, Columbus, Ohio; Home Care Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; and Division of Infectious Diseases, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Heather Tubbs-CooleyDivision of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Department of Patient Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Cincinnati Children's Hospital Medical Center, James M. Anderson Center for Health Systems Excellence, Cincinnati, Ohio; The Ohio State University, College of Nursing, Columbus, Ohio; Home Care Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; and Division of Infectious Diseases, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Angela M StatileDivision of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Department of Patient Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Cincinnati Children's Hospital Medical Center, James M. Anderson Center for Health Systems Excellence, Cincinnati, Ohio; The Ohio State University, College of Nursing, Columbus, Ohio; Home Care Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; and Division of Infectious Diseases, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Rita H PicklerDivision of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Department of Patient Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Cincinnati Children's Hospital Medical Center, James M. Anderson Center for Health Systems Excellence, Cincinnati, Ohio; The Ohio State University, College of Nursing, Columbus, Ohio; Home Care Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; and Division of Infectious Diseases, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Christine M WhiteDivision of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Department of Patient Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Cincinnati Children's Hospital Medical Center, James M. Anderson Center for Health Systems Excellence, Cincinnati, Ohio; The Ohio State University, College of Nursing, Columbus, Ohio; Home Care Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; and Division of Infectious Diseases, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Susan Wade-MurphyDivision of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Department of Patient Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Cincinnati Children's Hospital Medical Center, James M. Anderson Center for Health Systems Excellence, Cincinnati, Ohio; The Ohio State University, College of Nursing, Columbus, Ohio; Home Care Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; and Division of Infectious Diseases, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Jennifer M GoldDivision of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Department of Patient Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Cincinnati Children's Hospital Medical Center, James M. Anderson Center for Health Systems Excellence, Cincinnati, Ohio; The Ohio State University, College of Nursing, Columbus, Ohio; Home Care Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; and Division of Infectious Diseases, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Samir S ShahDivision of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Department of Patient Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Cincinnati Children's Hospital Medical Center, James M. Anderson Center for Health Systems Excellence, Cincinnati, Ohio; The Ohio State University, College of Nursing, Columbus, Ohio; Home Care Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; and Division of Infectious Diseases, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Jeffrey M SimmonsDivision of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Department of Patient Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Cincinnati Children's Hospital Medical Center, James M. Anderson Center for Health Systems Excellence, Cincinnati, Ohio; The Ohio State University, College of Nursing, Columbus, Ohio; Home Care Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; and Division of Infectious Diseases, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Katherine A AugerDivision of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Department of Patient Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Cincinnati Children's Hospital Medical Center, James M. Anderson Center for Health Systems Excellence, Cincinnati, Ohio; The Ohio State University, College of Nursing, Columbus, Ohio; Home Care Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; and Division of Infectious Diseases, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
JoAnne BachusDivision of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Department of Patient Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Cincinnati Children's Hospital Medical Center, James M. Anderson Center for Health Systems Excellence, Cincinnati, Ohio; The Ohio State University, College of Nursing, Columbus, Ohio; Home Care Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; and Division of Infectious Diseases, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Andrew F BeckDivision of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Department of Patient Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Cincinnati Children's Hospital Medical Center, James M. Anderson Center for Health Systems Excellence, Cincinnati, Ohio; The Ohio State University, College of Nursing, Columbus, Ohio; Home Care Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; and Division of Infectious Diseases, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Monica L BorellDivision of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Department of Patient Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Cincinnati Children's Hospital Medical Center, James M. Anderson Center for Health Systems Excellence, Cincinnati, Ohio; The Ohio State University, College of Nursing, Columbus, Ohio; Home Care Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; and Division of Infectious Diseases, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Stephanie A BrunswickDivision of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Department of Patient Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Cincinnati Children's Hospital Medical Center, James M. Anderson Center for Health Systems Excellence, Cincinnati, Ohio; The Ohio State University, College of Nursing, Columbus, Ohio; Home Care Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; and Division of Infectious Diseases, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Lenisa ChangDivision of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Department of Patient Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Cincinnati Children's Hospital Medical Center, James M. Anderson Center for Health Systems Excellence, Cincinnati, Ohio; The Ohio State University, College of Nursing, Columbus, Ohio; Home Care Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; and Division of Infectious Diseases, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Judy A HeilmanDivision of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Department of Patient Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Cincinnati Children's Hospital Medical Center, James M. Anderson Center for Health Systems Excellence, Cincinnati, Ohio; The Ohio State University, College of Nursing, Columbus, Ohio; Home Care Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; and Division of Infectious Diseases, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Joseph A JabourDivision of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Department of Patient Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Cincinnati Children's Hospital Medical Center, James M. Anderson Center for Health Systems Excellence, Cincinnati, Ohio; The Ohio State University, College of Nursing, Columbus, Ohio; Home Care Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; and Division of Infectious Diseases, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Jane C KhouryDivision of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Department of Patient Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Cincinnati Children's Hospital Medical Center, James M. Anderson Center for Health Systems Excellence, Cincinnati, Ohio; The Ohio State University, College of Nursing, Columbus, Ohio; Home Care Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; and Division of Infectious Diseases, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Margo J MooreDivision of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Department of Patient Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Cincinnati Children's Hospital Medical Center, James M. Anderson Center for Health Systems Excellence, Cincinnati, Ohio; The Ohio State University, College of Nursing, Columbus, Ohio; Home Care Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; and Division of Infectious Diseases, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Susan N ShermanDivision of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Department of Patient Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Cincinnati Children's Hospital Medical Center, James M. Anderson Center for Health Systems Excellence, Cincinnati, Ohio; The Ohio State University, College of Nursing, Columbus, Ohio; Home Care Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; and Division of Infectious Diseases, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Lauren G SolanDivision of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Department of Patient Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Cincinnati Children's Hospital Medical Center, James M. Anderson Center for Health Systems Excellence, Cincinnati, Ohio; The Ohio State University, College of Nursing, Columbus, Ohio; Home Care Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; and Division of Infectious Diseases, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Heidi J SucharewDivision of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Department of Patient Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Cincinnati Children's Hospital Medical Center, James M. Anderson Center for Health Systems Excellence, Cincinnati, Ohio; The Ohio State University, College of Nursing, Columbus, Ohio; Home Care Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; and Division of Infectious Diseases, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Karen P SullivanDivision of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Department of Patient Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Cincinnati Children's Hospital Medical Center, James M. Anderson Center for Health Systems Excellence, Cincinnati, Ohio; The Ohio State University, College of Nursing, Columbus, Ohio; Home Care Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; and Division of Infectious Diseases, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe Hospital to Home Outcomes study began with the end goal of evaluating the effectiveness of a single, nurse-led transitional home visit (home visit) program, for acutely ill, pediatric patients, which had been piloted at our institution. As part of the overall study design, building on prior randomized control trials that utilized a run-in period prior to the trial, our study team designed an optimization period to test the home visit and study procedures under real-world conditions.
methodsFor this optimization project, there were 3 process improvement goals: to improve the referral process to the home visit, to optimize the home visit content, and to define and operationalize measures of patient- and family-centered outcomes to be used in the subsequent randomized control trial. During the optimization period, a multidisciplinary study team met weekly to review family and stakeholder feedback about the iterative modifications made to the home visit process, content, and outcome measures.
resultsOptimization home visits were completed with 301 families across a variety of discharge diagnoses. The outcomes planned for the clinical trial were tested and refined. Feedback from families and stakeholders indicated that the content changes made to the home visits resulted in increased family knowledge of warning signs to monitor postdischarge. Thirty-one percent of families reported that they altered the care of their child after the home visit.
conclusionThrough iterative testing, informed by multistakeholder feedback, we leveraged patient and family engagement to maximize the effectiveness and generalizability of the home visit intervention.
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Registered trials
NCT02081846ClinicalTrials.gov
NCT03224130ClinicalTrials.gov
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.