7Ps flowchart P - Problem medications Mnemonic Acute Care for Expert group review Evaluation needed (mnemonic) identified barriers Elders Units in developing tool on how tool P - Punk (depression) to communication impacts on clinical Khan et al. Metropolitan No further P - Principal diagnoses outcomes at care 2010 Primary care teaching information about P - Polypharmacy transitions physician in the hospitals reliability and validity P - Poor health literacy discharge summary (55%) P - Patient support Summary was P - Prior hospitalisation transmitted to the primary care physician 73% of the time Patient was seen in clinic 73% of the time 20% of patients received follow-up calls within 72 hours RAPaRT (Rapid Set of seven items: Tool was able to Medical Prospective Evaluation needed Assessment predict when a assessment and evaluation and on how tool Previous regular help Prioritisation referral was planning units consultation with impacts on clinical Hospitalised in past six months and Referral warranted in 80% Delphi outcomes at care Emergency More than three medications prescribed Tool) of situations transitions departments No further Walking aids or assistance McPhail et al. information about Public teaching 2015 reliability and validity Someone else shopping hospital Lost weight recently, eating poorly
7Ps flowchart (mnemonic) Khan et al. 2010 P - Problem medications P - Punk (depression) P - Principal diagnoses P - Polypharmacy P - Poor health literacy P - Patient support P - Prior hospitalisation Mnemonic identified barriers to communication Primary care physician in the discharge summary (55%) Summary was transmitted to the primary care physician 73% of the time Patient was seen in clinic 73% of the time 20% of patients received follow-up calls within 72 hours Acute Care for Elders Units Metropolitan teaching hospitals Expert group review in developing tool No further information about reliability and validity Evaluation needed on how tool impacts on clinical outcomes at care transitions RAPaRT (Rapid Assessment Prioritisation and Referral Tool) McPhail et al. 2015 Set of seven items: Previous regular help Hospitalised in past six months More than three medications prescribed Walking aids or assistance Someone else shopping Lost weight recently, eating poorly Tool was able to predict when a referral was warranted in 80% of situations Medical assessment and planning units Emergency departments Public teaching hospital Prospective evaluation and consultation with Delphi No further information about reliability and validity Evaluation needed on how tool impacts on clinical outcomes at care transitions
Rapid-review-Improving-documentation-at-transitions-of-care-for-complex-patients.docx