Identifying Adverse Events After Discharge From a Community Hospital
|ClinicalTrials.gov Identifier: NCT01536340|
Recruitment Status : Completed
First Posted : February 22, 2012
Last Update Posted : May 25, 2015
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.
|Condition or disease|
|Study Type :||Observational|
|Actual Enrollment :||684 participants|
|Official Title:||Identifying Adverse Events After Discharge From a Community Hospital|
|Study Start Date :||September 2011|
|Primary Completion Date :||October 2012|
|Study Completion Date :||October 2014|
- post discharge adverse event [ Time Frame: six weeks after discharge from the hospital ]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.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01536340
|United States, Florida|
|Tallahassee Memorial Healthcare|
|Tallahassee, Florida, United States, 32301|
|Principal Investigator:||Dennis Tsilimingras, MD, MPH||Wayne State University|
|Study Director:||Ashley Duke||Florida State University College of Medicine|