Iatrogenic Injury Clinical Trial
Official title:
Identifying Adverse Events After Discharge From a Community Hospital
The purpose of this study is to:
-Determine the incidence of adverse events, preventable adverse events, and ameliorable
adverse events, and the timeliness of post-discharge ambulatory appointments, affecting
urban and rural patients approximately 3-4 weeks after discharge from a hospitalist-run
medical service of a large community hospital to home.
H1: The incidence of post-discharge adverse events will be higher in rural patients compared
with urban patients discharged from a hospitalist-run medical service of a large community
hospital.
-Identify and classify the types of post-discharge adverse events (e.g., adverse drug
events, procedure-related events, hospital acquired (nosocomial) infections, falls, and
other) affecting urban and rural patients approximately 3-4 weeks after discharge from a
hospitalist-run medical service of a large community hospital to home.
H2: All patients will be at higher risk for adverse drug events than other types of adverse
events.
-Examine the relationships between the population at risk, characteristics of the health
care delivery system, and the utilization of post-discharge health services, and how these
relationships help us understand the incidence of post-discharge adverse events.
H3: Several factors will be independently associated with the incidence of post-discharge
adverse events in rural and urban patients, including patient comorbidity, severity of acute
illness, presence of a primary care physician prior to hospitalization, and a scheduled
timely post-discharge ambulatory follow-up appointment.
Status | Completed |
Enrollment | 684 |
Est. completion date | October 2014 |
Est. primary completion date | October 2012 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 21 Years and older |
Eligibility |
Inclusion Criteria: - age over 21 years - discharged home from TMH general medical service - patients must have a telephone number where they can be reached for an interview - patient or surrogate must be able to interview in Spanish or English Exclusion Criteria: - age less than 21 years - patient or surrogate non-English or Spanish speaking - patients being discharged to an institutionalized care (assisted living facilities, prisons, etc.) - patients not discharged from general medical service |
Observational Model: Cohort, Time Perspective: Prospective
Country | Name | City | State |
---|---|---|---|
United States | Tallahassee Memorial Healthcare | Tallahassee | Florida |
Lead Sponsor | Collaborator |
---|---|
Florida State University | Agency for Healthcare Research and Quality (AHRQ) |
United States,
Tsilimingras D, Schnipper J, Duke A, Agens J, Quintero S, Bellamy G, Janisse J, Helmkamp L, Bates DW. Post-Discharge Adverse Events Among Urban and Rural Patients of an Urban Community Hospital: A Prospective Cohort Study. J Gen Intern Med. 2015 Aug;30(8):1164-71. doi: 10.1007/s11606-015-3260-3. Epub 2015 Mar 31. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | post discharge adverse event | Patients are contacted 3-6 weeks after discharge for a phone interview. They are questioned about potential adverse events following their discharge from the hospital. Interviewers/nurses conduct a review of systems to determine if the patient experienced an adverse event. Potential cases are flagged on the basis of unexpected health care utilization, new/exacerbated symptoms and/or abnormal lab test results. Cases are reviewed by two independent physician reviewers to determine whether the adverse event was preventable, using their implicit judgment. | six weeks after discharge from the hospital | Yes |
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT04990700 -
Effect of Partial Rib Resection On the Control of Post-thoracotomy Pain
|
N/A | |
Enrolling by invitation |
NCT05712850 -
Clinical Outcome and Fusion Results Using the SiJoin® Transfixing Sacroiliac Fusion Device
|
||
Not yet recruiting |
NCT06078527 -
Assessment of Laryngopharyngeal Sensation: Cancer Survivor Cohort
|
N/A |