The value of adding a verbal report to written handoffs on early readmission following prolonged respiratory failure.

摘要: Patients who survive the acute phase of respiratory failure often are transferred to units with specialized expertise. These patients have a high risk being readmitted care hospital. We conducted this study determine whether supplementing written report verbal telephone reduces readmission rates within first 72 h after discharge and decreases hospital costs. The design was observational historical control group that included admitted our unit between November 2003 October 2005. In 2005, we implemented strategy in which at supplemented by physician or nurse practitioner, nurse, therapist. intervention began 2005 continued through 2007. primary end point Massachusetts General Hospital discharge. also determined cost related readmission. 362 patients. OR for if handoff 0.42 (95% CI, 0.17-1.04). total significantly lower where used ($111,723 vs $148,574; P = .002). Supplementing associated significant reduction an average savings ∼ $184,000 every 100 discharged, representing added value delivered care.