Evidence map›Paper›PMID 41255830›Full record

ArticleNEJM catalyst innovations in care delivery2025

Reduced Hospital Readmissions Through Personalized Care: Implementation of a Patient, Risk-Focused Hospital-Wide Discharge Care Center.

Jennifer B Barrett, Ashley Trambley, Emily K Blessinger, Mitchell M Sexton, Marcella Lupica, Michele Hasselblad, Kelly E Cunningham, Sunil Kripalani, Neesha N Choma

Abstract read
In one paragraph

Article in NEJM catalyst innovations in care delivery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

9 authors.

Jennifer B BarrettStaff Scientist, Center for Health Services Research, Vanderbilt University Medical Center (VUMC), Nashville, Tennessee, USA.
Ashley TrambleyDirector, Discharge Care Center, VUMC, Nashville, Tennessee, USA.
Emily K BlessingerProgram Director, Vanderbilt Discharge and Transitions, VUMC, Nashville, Tennessee, USA.
Mitchell M SextonPrinciple Analytics Consultant, Enterprise Analytics, VUMC, Nashville, Tennessee, USA.
Marcella LupicaAssociate Nursing Officer, Discharge Care Center, VUMC, Nashville, Tennessee, USA.
Michele HasselbladVice President and Chief Nursing Officer, Adult Ambulatory Nursing Services, VUMC, Nashville, Tennessee, USA.
Kelly E CunninghamAssociate Professor of Medicine, Section of Hospital Medicine, Division of General Internal Medicine & Public Health, VUMC, Nashville, Tennessee, USA; Executive Medical Director, Hospital Medicine Clinical Service Center, VUMC, Nashville, Tennessee, USA.
Sunil KripalaniProfessor of Medicine, Section of Hospital Medicine, Division of General Internal Medicine & Public Health, VUMC, Nashville, Tennessee, USA; Vice President, Health System Sciences, VUMC, Nashville, Tennessee, USA; Director, Center for Health Services Research, VUMC, Nashville, Tennessee, USA.
Neesha N ChomaExecutive Medical Director of Quality & Patient Safety, VUMC Quality, Safety and Risk Prevention, Nashville, Tennessee, USA; Associate Chief of Staff, Vanderbilt University Hospital, Nashville, Tennessee, USA; Associate Professor of Clinical Medicine, Division of General Internal Medicine & Public Health, VUMC, Nashville, Tennessee, USA.

Funding

AHRQ HHS P30 HS029767
6 · The paper itself

Abstract

Hospital readmission remains a common and costly event. For patients, hospital readmission is often associated with adverse outcomes in the short and long term. Despite broad interest in reducing hospital readmissions and the implementation of a wide range of programs to combat unplanned preventable readmissions, progress has been challenging. Multipronged, complex interventions have demonstrated effectiveness in published studies, yet they typically target a particular patient population (e.g., older adults), condition (e.g., heart failure), or hospital unit and are seldom implemented at the whole-hospital level. There is a pressing need for implementation studies of

Indexed as

hospital readmissionimplementationpatient dischargerisk assessmenttransitional care

Identifiers

PMID41255830
PMCPMC12622564

What OpenQuestion holds

Textmetadata
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.