Value of Technology to Transfer Discharge Information
Project Final Report (PDF, 83.71 KB) Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services.
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Project Details -
Completed
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Grant NumberR01 HS015084
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Funding Mechanism(s)
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AHRQ Funded Amount$1,256,591
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Principal Investigator(s)
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Organization
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LocationChicagoIllinois
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Project Dates09/01/2004 - 08/31/2007
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Technology
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Care Setting
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Population
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Type of Care
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Health Care Theme
The objective of this project was to measure effects of a discharge software application of computerized physician order entry (CPOE). Discharge communication between inpatient and outpatient physicians is error-prone. Adverse events result from poor discharge communication. The value of discharge software to improve clinically relevant outcomes is unknown. Discharge software was studied at a teaching hospital. Participants were internal medicine hospitalist physicians and patients who had high probability of readmission. The design was cluster-randomized, controlled, with discharging hospitalist as unit of randomization and with allocation concealment. The intervention was discharge software with CPOE versus usual care (handwritten) discharge. Follow-up was six months. Database abstraction and blinded interviews assessed patient readmissions, emergency department visits, and adverse events after discharge. Un-blinded interviews or questionnaires measured patient and physician perceptions of discharge. Hospitalists (n=70) discharged 631 patients to home. When comparing patients assigned to discharge software or usual care, there was no difference in hospital readmission (37.0% vs. 37.8%), emergency department visits (35.4% vs. 40.6%), or adverse events (7.3% vs. 7.3%). Discharge software patients and their outpatient physicians had better perceptions of discharge. Hospitalist users of discharge software reported more effort but no difference in satisfaction with usual care.
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Citation:
Graumlich JF, Novotny NL, Nace GS, et al. Patient and physician perceptions after software-assisted hospital discharge: cluster randomized trial. J Hosp Med 2009 Jul;4(6):356-63.
Principal Investigator:
Graumlich, James
Project Name:
Value of Technology to Transfer Discharge Information
Document Type:
Journal Publication
Research Method:
Randomized Controlled Trial (RCT)
Citation:
Graumlich JF, Novotny NL, Nace GS, et al. Patient readmissions, emergency visits, and adverse events after software-assisted discharge from hospital: cluster randomized trial. J Hosp Med 2009 Sep;4(7):E11-9.
Principal Investigator:
Graumlich, James
Project Name:
Value of Technology to Transfer Discharge Information
Document Type:
Journal Publication
Research Method:
Randomized Controlled Trial (RCT)
Citation:
Novotny NL, Anderson MA. Prediction of early readmission in medical inpatients using the Probability of Repeated Admission instrument. Nurs Res 2008 Nov-Dec;57(6):406-15. PMID: 19018215.
Principal Investigator:
Graumlich, James
Project Name:
Value of Technology to Transfer Discharge Information
Document Type:
Journal Publication
Research Method:
Prospective, Quantitative
Population:
Patient
Citation:
Graumlich JF, Grimmer-Somers K, Aldag JC. Discharge planning scale: community physicians' perspective. J Hosp Med 2008 Nov-Dec;3(6):455-64.
Principal Investigator:
Graumlich, James
Project Name:
Value of Technology to Transfer Discharge Information
Document Type:
Journal Publication
Research Method:
Cross-Sectional (Prevalence) Study
Population:
Adults
Citation:
Graumlich JF, Novotny NL, Aldag JC. Brief scale measuring patient preparedness for hospital discharge to home: psychometric properties. J Hosp Med 2008 Nov-Dec;3(6):446-54.
Principal Investigator:
Graumlich, James
Project Name:
Value of Technology to Transfer Discharge Information
Document Type:
Journal Publication
Research Method:
Prospective
Citation:
Graumlich, J. Value of Technology to Transfer Discharge Information - Final Report. (Prepared by University of Illinois at Chicago under Grant No. R01 HS015084). Rockville, MD: Agency for Healthcare Research and Quality, 2007.
Link:
PDF (83.71 KB)
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services.
Principal Investigator:
Graumlich, James
Project Name:
Value of Technology to Transfer Discharge Information
Document Type:
Report
Population:
Adults
Citation:
Nace GS, Graumlich JF, Aldag JC. Software design to facilitate information transfer at hospital discharge. Inform Prim Care 2006;14(2):109-19.
Principal Investigator:
Graumlich, James
Project Name:
Value of Technology to Transfer Discharge Information
Document Type:
Journal Publication
Research Method:
Descriptive
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