Lane et al. Admission tool Communication Explanation of the natural Resuscitation status was **** 201348 residents aged 65 years history of major illnesses documented in 50 (55%) Australia and over presenting to a experienced and family discussion in 38 hospital from residential (42%) of 91 admissions Agreed goals aged care Documented family Limits of care discussion was Key people and associated with involved in care complications or new Patient wishes, if possible events occurring during admission (odds ratio 1.56) Madan et al. INTERACT II tools Involving communication Stop and Tool: 31 transfers took place from **** 201251 USA between health May to September. Four Stop and Watch Early different than usual professionals in hospitals deemed to be preventable Warning Tool, SBAR Talks or communicates less and residential aged care and 27 non-preventable Communication Overall needs more help settings for patients Form, Medication 100% of patients transferring between Pain new or worsening Reconciliation transferred to the ED were – these settings Worksheet, Hospital admitted to the hospital Participated less in activities to Post Acute None of the preventable Ate less than usual Transfer Form, and 33% non-preventable No bowel movement in three to Hospital transfers had end-of-life days, or diarrhoea Transfer Form planning Drank less Weight change Agitated or nervous more than Tired, weak, confused, or drowsy
Lane et al. 201348 Australia Admission tool Communication residents aged 65 years and over presenting to a hospital from residential aged care Explanation of the natural history of major illnesses experienced Agreed goals Limits of care Key people and involved in care Patient wishes, if possible Resuscitation status was documented in 50 (55%) and family discussion in 38 (42%) of 91 admissions Documented family discussion was associated with complications or new events occurring during admission (odds ratio 1.56) **** Madan et al. 201251 USA INTERACT II tools Stop and Watch Early Warning Tool, SBAR Communication Form, Medication Reconciliation Worksheet, Hospital to Post Acute Transfer Form, to Hospital Transfer Form Involving communication between health professionals in hospitals and residential aged care settings for patients transferring between these settings Stop and Tool: different than usual Talks or communicates less Overall needs more help Pain – new or worsening Participated less in activities Ate less than usual No bowel movement in three days, or diarrhoea Drank less Weight change Agitated or nervous more than Tired, weak, confused, or drowsy 31 transfers took place from May to September. Four deemed to be preventable and 27 non-preventable 100% of patients transferred to the ED were admitted to the hospital None of the preventable and 33% non-preventable transfers had end-of-life planning ****
Rapid-review-Improving-documentation-at-transitions-of-care-for-complex-patients.docx