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Care Transitions in Renal Disease Patients — CT  

Renal Disease Clinical Trial

Official title:
Care Transitions in Renal Disease Patients

Clinical Trial Summary

The goal of this pilot is to reduce the 30-day hospital readmission rate for dialysis patients. It is a quality improvement project that consistent of 4 "tracks." Tracks 1 & 2: Implement use of checklists of activities for staff to complete when patients are admitted to the hospital, and post-hospitalization with emphasis on fluid assessment, nutrition management, patient coaching, and communication between institutions. Track 3: Work with physicians to develop process to individualize post-hospitalization dialysis orders and improve medication reconciliation. Track 4: Use a renal Care Transitions Case Manager to follow patients in the hospital and 30 days post-hospitalization to facilitate care and patient coaching.

Clinical Trial Description

n/a

Study Design

Observational Model: Cohort, Time Perspective: Prospective

Related Conditions & MeSH terms

Clinical Trial Details
NCT number NCT01842776
Study type Observational
Source Fresenius Medical Care North America
Contact Rebecca L Wingard, RN, MSN
Phone 615-567-4846
Email rebecca.wingard@fmc-na.com
Status Recruiting
Phase N/A
Start date March 2013
Completion date December 2014
View Details
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