Improving Care Transitions: The Patient Perspective

References

• Axon , R. N. , & Williams , M. V. ( 2011 ). Hospital readmission as an accountability measure . JAMA , 305 , 504 – 505 .
   PubMed Web of Science ®Google Scholar
• Berkman , N. D. , Sheridan , S. L. , Donahue , K. E. , Halpern , D. J. , & Crotty , K. ( 2011 ). Low health literacy and health outcomes: An updated systematic review . Annals of Internal Medicine , 155 , 97 – 107 .
   PubMed Web of Science ®Google Scholar
• Bodenheimer , T. ( 2008 ). Coordinating care—A perilous journey through the health care system . New England Journal of Medicine , 358 , 1064 – 1071 .
   PubMed Web of Science ®Google Scholar
• Borson , S. , Scanlan , J. M. , Watanabe , J. , Tu , S. P. , & Lessig , M. ( 2005 ). Simplifying detection of cognitive impairment: Comparison of the Mini-Cog and Mini-Mental State Examination in a multiethnic sample . Journal of the American Geriatrics Society , 53 , 871 – 874 .
   PubMed Web of Science ®Google Scholar
• Chugh , A. , Williams , M. V. , Grigsby , J. , & Coleman , E. A. (2009). Better transitions: Improving comprehension of discharge instructions. Frontiers of Health Services Management , 25, 11–32.
   PubMedGoogle Scholar
• Coleman , E. A. , & Berenson , R. A. ( 2004 ). Lost in transition: Challenges and opportunities for improving the quality of transitional care . Annals of Internal Medicine , 141 , 533 – 536 .
   PubMed Web of Science ®Google Scholar
• Coleman , E. A. , Parry , C. , Chalmers , S. , & Min , S. ( 2006 ). The Care Transitions Intervention: Results of a randomized controlled trial . Archives of Internal Medicine , 166 , 1822 – 1828 .
   PubMed Web of Science ®Google Scholar
• Cua , Y. M. , & Kripalani , S. ( 2008 ). Medication use in the transition from hospital to home . Annals of the Academy of Medicine, Singapore , 37 , 136 – 141 .
   PubMed Web of Science ®Google Scholar
• Executive Summary of the Continuity of Care in Medication Use Summit . ( 2008 ). American Journal of Health-System Pharmacy , 65 , e3 – e9 .
   PubMed Web of Science ®Google Scholar
• Forster , A. J. , Murff , H. J. , Peterson , J. F. , Gandhi , T. K. , & Bates , D. W. ( 2003 ). The incidence and severity of adverse events affecting patients after discharge from the hospital . Annals of Internal Medicine , 138 , 161 – 167 .
   PubMed Web of Science ®Google Scholar
• Graumlich , J. F. , Novotny , N. L. , & Aldag , J. C. ( 2008 ). Brief scale measuring patient preparedness for hospital discharge to home: Psychometric properties . Journal of Hospital Medicine , 3 , 446 – 454 .
   PubMed Web of Science ®Google Scholar
• Greenwald , J. L. , Denham , C. R. , & Jack , B. W. ( 2007 ). The hospital discharge: A review of a high risk care transition with highlights of a reengineered discharge process . Journal of Patient Safety , 3 , 97 – 106 .
   Google Scholar
• Hansen , L. O. , Young , R. S. , Hinami , K. , Leung , A. , & Williams , M. V. ( 2011 ). Interventions to reduce 30-day rehospitalization: A systematic review . Annals of Internal Medicine , 155 , 520 – 528 .
   PubMed Web of Science ®Google Scholar
• Harris , P. A. , Taylor , R. , Thielke , R. , Payne , J. , Gonzalez , N. , & Conde , J. G. ( 2009 ). Research Electronic Data Capture (REDCap)—A metadata-driven methodology and workflow process for providing translational research informatics support . Journal of Biomedical Informatics , 42 , 377 – 381 .
   PubMed Web of Science ®Google Scholar
• Jack , B. W. , Chetty , V. K. , Anthony , D. , Greenwald , J. L. , Sanchez , G. M. , & Johnson , A. E. , … Culpepper , L. ( 2009 ). A reengineered hospital discharge program to decrease rehospitalization: A randomized trial . Annals of Internal Medicine , 150 , 178 – 187 .
   PubMed Web of Science ®Google Scholar
• Jencks , S. F. , Williams , M. V. , & Coleman , E. A. ( 2009 ). Rehospitalizations among patients in the Medicare fee-for-service program . New England Journal of Medicine , 360 , 1418 – 1428 .
   PubMed Web of Science ®Google Scholar
• Kripalani , S. , Jackson , A. T. , Schnipper , J. L. , & Coleman , E. A. ( 2007 ). Promoting effective transitions of care at hospital discharge: A review of key issues for hospitalists . Journal of Hospital Medicine , 2 , 314 – 323 .
   PubMed Web of Science ®Google Scholar
• Kripalani , S. , & Jacobson , K. L. ( 2007 , October ) . Strategies to improve communication between pharmacy staff and patients: A training program for pharmacy staff. Curriculum guide . (AHRQ Publication No. 07(08)-0051–1-EF) . Rockville , MD : Agency for Healthcare Research and Quality . Retrieved from http://www.ahrq.gov/qual/pharmlit/pharmtrain.htm
   Google Scholar
• Kripalani , S. , Jacobson , T. A. , Mugalla , C. I. , Cawthon , R. C. , Niesner , K. J. , & Vaccarino , V. ( 2010 ). Health literacy and the quality of physician–patient communication during hospitalization . Journal of Hospital Medicine , 5 , 269 – 275 .
   PubMed Web of Science ®Google Scholar
• Kripalani , S. , LeFevre , F. , Phillips , C. O. , Williams , M. V. , Basaviah , P. , & Baker , D. W. ( 2007 ). Deficits in communication and information transfer between hospital-based and primary care physicians: Implications for patient safety and continuity of care . JAMA , 297 , 831 – 841 .
   PubMed Web of Science ®Google Scholar
• Kripalani , S. , Roumie , C. L. , Dalal , A. K. , Cawthon , C. , Businger , A. , & Eden , S. K. , … Schnipper , J. L. ( 2012 ). Effect of a pharmacist intervention on clinically important medication errors after hospital discharge: A randomized controlled trial . Annals of Internal Medicine , 157 , 1 – 10 .
   PubMed Web of Science ®Google Scholar
• Kutner , M. , Greenberg , E. , Jin , Y. , & Paulsen , C. ( 2006 ). The health literacy of America's adults: Results from the 2003 National Assessment of Adult Literacy (NCES 2006–483) . Washington , DC : U.S. Department of Education, National Center for Education Statistics .
   Google Scholar
• Lindquist , L. A. , Go , L. , Fleisher , J. , Jain , N. , Friesema , E. , & Baker , D. W. (2011). Relationship of health literacy to intentional and unintentional non-adherence of hospital discharge medications. Journal of General Internal Medicine , 27, 173–178.
   PubMed Web of Science ®Google Scholar
• Marvanova , M. , Roumie , C. L. , Eden , S. K. , Cawthon , C. , Schnipper , J. L. , & Kripalani , S. ( 2011 ). Health literacy and medication understanding among hospitalized adults . Journal of Hospital Medicine , 6 , 488 – 493 .
   PubMed Web of Science ®Google Scholar
• Morisky , D. E. , Green , L. W. , & Levine , D. M. ( 1986 ). Concurrent and predictive validity of a self-reported measure of medication adherence . Medical Care , 24 , 67 – 74 .
   PubMed Web of Science ®Google Scholar
• Naylor , M. D. , Brooten , D. , Campbell , R. , Jacobsen , B. S. , Mezey , M. D. , Pauly , M. V. , … Schwartz , J. S. ( 1999 ). Comprehensive discharge planning and home follow-up of hospitalized elders: A randomized clinical trial . JAMA , 281 , 613 – 620 .
   PubMed Web of Science ®Google Scholar
• Nurss , J. R. , Parker , R. M. , Williams , M. V. , & Baker , D. W. ( 1998 ). Short Test of Functional Health Literacy in Adults . Snow Camp , NC : Peppercorn Books and Press .
   Google Scholar
• Preen , D. B. , Bailey , B. E. , Wright , A. , Kendall , P. , Phillips , M. , Hung , J. , … Williams , E. ( 2005 ). Effects of a multidisciplinary, postdischarge continuance of care intervention on quality of life, discharge satisfaction, and hospital length of stay: A randomized controlled trial . International Journal for Quality in Health Care , 17 , 43 – 51 .
   PubMed Web of Science ®Google Scholar
• Schnipper , J. L. , Roumie , C. L. , Cawthon , C. , Businger , A. , Dalal , A. K. , Mugalla , I. , … Kripalani , S. ( 2010 ). The rationale and design of the Pharmacist Intervention for Low Literacy in Cardiovascular Disease (PILL-CVD) study . Circulation: Cardiovascular Quality & Outcomes , 3 , 212 – 219 .
   PubMed Web of Science ®Google Scholar
• Snow , V. , Beck , D. , Budnitz , T. , Miller , D. C. , Potter , J. , Wears , R. L. , … Williams , M. V. ( 2009 ). Transitions of Care Consensus policy statement: American College of Physicians, Society of General Internal Medicine, Society of Hospital Medicine, American Geriatrics Society, American College Of Emergency Physicians, and Society for Academic Emergency Medicine . Journal of Hospital Medicine , 4 , 364 – 370 .
   PubMed Web of Science ®Google Scholar