MARC details
| 000 -LEADER |
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| fixed length control field |
03009nam a22003737a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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| fixed length control field |
180619s20182018 xxu||||| |||| 00| 0 eng d |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
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| International Standard Serial Number |
2397-5776 |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
10.1136/tsaco-2017-000149 [doi] |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
PMC5887824 [pmc] |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
tsaco-2017-000149 [pii] |
| 040 ## - CATALOGING SOURCE |
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| Original cataloging agency |
Ovid MEDLINE(R) |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
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| PMID |
29766133 |
| 245 ## - TITLE STATEMENT |
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| Title |
Trauma Transitional Care Coordination: protecting the most vulnerable trauma patients from hospital readmission. |
| 251 ## - Source |
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| Source |
Trauma Surgery & Acute Care Open. 3(1):e000149, 2018. |
| 252 ## - Abbreviated Source |
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| Abbreviated source |
Trauma surg. acute care open. 3(1):e000149, 2018. |
| 253 ## - Journal Name |
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| Journal name |
Trauma surgery & acute care open |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Year |
2018 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Manufacturer |
FY2018 |
| 266 ## - Date added to catalog |
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| Date added to catalog |
2018-06-19 |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
Background: Unplanned hospital readmissions increase healthcare costs and patient morbidity. We hypothesized that a program designed to reduce trauma readmissions would be effective. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
Discussion: A nursing-led TTCC program successfully followed patients and was associated with a significant decrease in 30-day readmission rates for patients with high-risk trauma. Targeted outpatient support for these most vulnerable patients can lead to better utilization of outpatient resources, increased patient satisfaction, and more consistent attainment of preinjury level of functioning or better. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
Level of evidence: Level IV. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
Methods: A Trauma Transitional Care Coordination (TTCC) program was created to support patients at high risk for readmission. TTCC interventions included call to patient (or caregiver) within 72hours of discharge to identify barriers to care, complete medication reconciliation, coordination of appointments, and individualized problem solving. Information on all 30-day readmissions was collected. 30-day readmission rates were compared with center-specific readmission rates and population-based, risk-adjusted rates of readmission using published benchmarks. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
Results: 260 patients were enrolled in the TTCC program from January 2014 to September 2015. 30.8% (n=80) of enrollees were uninsured, 41.9% (n=109) reported current substance abuse, and 26.9% (n=70) had a current psychiatric diagnosis. 74.2% (n=193) attended outpatient trauma appointments within 14 days of discharge. 96.3% were successfully followed. Only 6.6% (n=16) of patients were readmitted in the first 30 days after discharge. This was significantly lower than both center-specific readmission rates before start of the program (6.6% vs. 11.3%, P=0.02) and recently published population-based trauma readmission rates (6.6% vs. 27%, P<0.001). |
| 546 ## - LANGUAGE NOTE |
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| Language note |
English |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
IN PROCESS -- NOT YET INDEXED |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
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| Institution |
MedStar Washington Hospital Center |
| 656 ## - INDEX TERM--OCCUPATION |
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| Department |
Surgery |
| 657 ## - INDEX TERM--FUNCTION |
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| Medline publication type |
Journal Article |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Hall, Erin C |
| 790 ## - Authors |
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| All authors |
Hall EC, Scalea TM, Stein DM, Tyrrell R |
| 856 ## - ELECTRONIC LOCATION AND ACCESS |
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| DOI |
<a href="https://dx.doi.org/10.1136/tsaco-2017-000149">https://dx.doi.org/10.1136/tsaco-2017-000149</a> |
| Public note |
https://dx.doi.org/10.1136/tsaco-2017-000149 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
|---|
| Koha item type |
Journal Article |
| Item type description |
Article |
