SMJ articles in the category "transitions of care"

Original Article

Empowering the Community Health Worker Role in the Stroke Continuum of Care: Development of the Florida Stroke Registry CHW Stroke Training Program

Objectives: Community health workers (CHWs) help patients navigate community resources and support healthier lifestyles. Although stroke transitions of care require navigating complex clinical services and behavioral changes, there is no established formal training for CHWs in stroke care across Florida. We describe the impact of a comprehensive stroke training course…

Posted in: community health worker 2 Stroke 16 transitions of care 5

Original Article

Providing Structured Real-Time Feedback on Postdischarge Outcomes Using Electronic Health Record Data

Objectives: Most trainees do not receive information about postdischarge outcomes, despite the importance of external feedback for accurate self-assessment and improvement in discharge planning skills. We aimed to design an intervention to foster reflection and self-assessment by trainees regarding how they can improve transitions of care with minimal investment of…

Posted in: feedback 6 hospital medicine 15 internal medicine 16 medical education 73 transitions of care 5

Original Article

Developing a Transitions of Care Elective for Medical Students during the COVID-19 Pandemic and Beyond

Objectives: Health care in the United States is costly, fragmented, and often ineffective. Transitions of care (TOC), particularly from the inpatient to the outpatient setting, is an especially complicated time and one that is potentially fraught with errors that contribute to negative outcomes. The coronavirus 2019 pandemic exacerbated many of…

Posted in: COVID-19 55 medical education 73 transitions of care 5

Review Article

Improving Transitions of Care for Healthy Adolescents and Young Adults

Objectives: To explore the gaps in care within the transition process from pediatric to adult medicine for healthy and noncomplex adolescents and young adults and to highlight the importance of identifying and adapting interventions to improve transitions for this population.Methods: Three researchers independently completed searches in PubMed, PsychINFO, and CINAHL…

Posted in: transitions of care 5

Original Article

Standardized Physician-Administered Patient-Centered Discharge Protocol Improves Patients’ Comprehension

Objectives: Patients are 30% less likely to be readmitted or visit the emergency department if they have a clear understanding of their discharge instructions. A standardized approach to a hospital discharge plan has not been universally implemented, however. Our goal was to increase patients’ comprehension of discharge instructions by implementing…

Posted in: discharge 5 discharge planning 3 hospital discharge 3 patient centered 2 transitions of care 5
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