Account/Shopping Cart (0 items US$0.00)
JCI products and services are based on international standards and regulations
This site uses cookies and other tracking technologies to assist with navigation, providing feedback, analyzing your use of our products and services, assisting with our promotional and marketing efforts, and provide content from third parties. Get more information about cookies and how you can refuse them. Learn more.
Complimentary article from the Journal of Quality and Patient Safety

Deficits in Discharge Documentation in Patients Transferred to Rehabilitation

SKU# FR1001

Anticoagulation is a commonly prescribed and effective therapy for several medical conditions but requires detailed communication among clinicians to avoid adverse patient outcomes following hospital discharge.

For more informative articles like this one, subscribe to The Joint Commission Journal on Quality and Patient Safety.

$0.00
Please login or register to download this free resource.

Article Description

Article Description

Authors: Gandara, Esteban; Moniz, Thomas T.; Ungar, Jonathan; Lee, Jason; Chan-Macrae, Myrna; O'Malley, Terrence; Schnipper, Jeffrey L.

Source: Joint Commission Journal on Quality and Patient Safety, Volume 34, Number 8, August 2008 , pp. 460-463(4)

Publisher: Joint Commission Resources

Background: Anticoagulation is a commonly prescribed and effective therapy for several medical conditions but requires detailed communication among clinicians to avoid adverse patient outcomes following hospital discharge.

Methods: Discharge documentation packets of a sample of patients discharged from all five acute care hospitals of the Partners Healthcare System to 30 subacute facilities in Boston and prescribed anticoagulation for treatment or prophylaxis of thromboembolic disease were evaluated. Required data elements included information on anticoagulation indication, duration, dosing, monitoring, and follow-up. Discharge documentation packets were randomly selected for reviewers at acute sites, whereas reviewers at subacute sites selected which packets to review.

Results: Of 757 patients prescribed anticoagulation at discharge from March 2005 through June 2007, duration of therapy (for unfractionated or low-molecular-weight heparin [UFH/LMWH]) and recent dosing and monitoring information (for warfarin) were the areas with the biggest deficits. Of the patients prescribed UFH/LMWH or warfarin, 45.4% and 16.4%, respectively, had all the required information in the discharge summary. Patients discharged from community hospitals were more likely to be discharged with all the information needed for the use of warfarin (Odds Ratio [OR], 2.56; 95% confidence interval [CI], 1.20-5.46) or UFH/LMWH (OR, 2.97; 95% CI, 1.98-4.44) than patients discharged from academic medical centers.

Discussion: Important information to safely prescribe anticoagulation after discharge was often missing from the discharge summaries of patients transferred from acute hospitals to subacute facilities. Future research should focus on developing, implementing, and evaluating quality improvement interventions to address this gap.

Document Type: Research article

Publication date: 2008-08-01

For more informative articles like this one, subscribe to The Joint Commission Journal on Quality and Patient Safety.

Details

Details

Payments
Payments submitted by check take up to 14 days to process.  If you are registering for a program less than 14 days away, please pay with a credit card or your registration may not be received in time and your seat may not be reserved.



Cancellations, Substitutions, and Transfers

Attendee Cancellations– 30 or more days prior to the event:

If you need to cancel your attendance at a live event, your registration fee, less a $100 processing fee, is refundable, if written notice of cancellation is received via e-mail to the below mailbox 30 days or more prior to the program date. Please include the attendee name, program name, date and order #.

Attendee Cancellations - less than 30 days prior to the event:

If you need to cancel your attendance at a live event less than 30 days prior, you may send an alternate attendee.  Please include the registrant’s name, program name, date, and order number as well as the alternate attendee’s full name, title, credentials, address, phone, and email address. Refunds will not be issued for cancellations received less than 30 days prior to the program or any no-shows. 

Event Cancellations:
Joint Commission Resources reserves the right to cancel or reschedule a program due to an insufficient number of registrants or other unforeseen circumstances. If a program must be cancelled, the registration fee will be refunded in full to each registrant. You may verify current program status on our website or by calling JCR Customer Service at 877.223.6866. Neither Joint Commission Resources nor The Joint Commission is responsible for a registrant's travel expenses in the event a program is cancelled. Participants are encouraged to purchase refundable tickets in case a program is cancelled or rescheduled.

Dietary Restrictions
Should you have any dietary restrictions for an upcoming event, please contact customer service via e-mail with the name and date of the program and any special accommodations that may be needed.  We will work with the catering staff to try to accommodate your needs. In some cases, it may be best to bring some of your own food to supplement what is provided.

Americans with Disabilities Act

If you require any of the auxiliary aids or services identified in the Americans with Disabilities Act in order to attend this Joint Commission Resources program, please e-mail Customer Service.

Conflict of Interest

Joint Commission Resources maintains control over all continuing education content provided to ensure content integrity and minimize educational bias. All education planners, faculty, content reviewers, authors, and others involved with continuing education activities disclose influencing relationships, or lack thereof, including financial or commercial interests. The Joint Commission ensures the accuracy and consistency of the application of accreditation criteria to ensure appropriateness of relationships and affiliations that may impact educational content.

Program Agendas and Faculty

Agendas are subject to change because we are always striving to improve the quality of your educational experience. Joint Commission Resources may substitute faculty with comparable expertise on rare occasions necessitated by illness, scheduling conflicts, and so forth.

Customer Service: 877-223-6866

Email JCR Customer Service

Suggested Attire: Business Casual

Due to the variation in meeting room temperatures and personal preferences, we recommend that you dress in layers for your comfort. 

Payment Options

Payment Options

All Joint Commission Resources products require pre-payment. For your convenience, if you do not have a credit card available, we offer a sales quote/proforma invoice option to assist with initiating your payment. Payments submitted by check take up to 14 days to process. If you are registering for a program less than 14 days away, your registration may not be received in time and your seat may not be reserved. You will not have access to electronic program materials until your payment has been received. We strongly recommend credit card payments for any events less than 14 days away.

To take advantage of this option:

  1. Choose your item(s) and add them to your shopping cart. Select "Proceed to Secure Checkout or Create Proforma Invoice."
  2. Enter your billing and shipping details. Select "Continue."
  3. The next screen will be a full summary of your order.
    1. On the bottom right, there is a section titled "Create Proforma Invoice."
    2. Click the "Proforma Invoice" button. (See image below.) 
    3. Within 5 minutes, a sales quote will be sent to your email address with details about how to complete a check or wire transfer payment.

Or contact Customer Service at 877.223.6866 (+1 770 238 0454 outside the US) or via email at jcrcustomerservice@pbd.com to have a proforma invoice created and emailed directly to you.

check_out_-_proforma_option