Identifying Adverse Events After Discharge From a Community Hospital

Completed

Conditions studied: Iatrogenic Injury

In brief

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.

Key facts

Study ID

NCT01536340

Run by

Florida State University

People needed

684

Starts

2011-09-01

Expected to finish

2014-10-01

Last updated by the study team

2015-05-25

Who can join

Age: 21 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• 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

You may not qualify if…

• 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

Where it is running

• Tallahassee Memorial Healthcare — Tallahassee, Florida, United States

Full record on ClinicalTrials.gov

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