Project RED The ReEngineed Discharge

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ErrorPatientMedication Issues Identifiedat 2-Day Post-dc Calldid not fillmoney/financial barrierintentional non-adherencenon-intentional non-adherencedid not fill, insurance issueSystem ProblemRx given w/ known allergiesconflicting info from different sourcesd/c instructions incomplete/inaccurateduplicationincorrect dosageincorrect quantitypt needed to fill at special pharmacypt does not know how to useno Rx given at d/cFrequency,number (%)n=19716 (3.5)19 (4.1)170 (36.7)57 (12.3)18 (3.9)3 (0.6)111 (24.0)13 (2.8)14 (3.0)8 (1.7)2 (0.4)1 (0.2)2 (0.4)28 (6.0)Total errors 463 (100.0)
• Frequent Fliers• Health Literacy• Depression• Men• Substance Abuse• Elderly• LOS• Co-morbidityWho is at risk ofRehospitalizations?
Page 1 and 2: Project RED: The ReEngineed Dischar
Page 3 and 4: “Perfect Storm”of Patient Safet
Page 5 and 6: Little Time Spent on DischargeAudio
Page 7 and 8: Pending Tests Not FollowedAnnals of
Page 9 and 10: Communication Deficits at HospitalD
Page 11 and 12: Errors Lead to Adverse EventsArch I
Page 13 and 14: “Perfect Storm" of Patient Safety
Page 15 and 16: Two QuestionsWe asked:Can improving
Page 17 and 18: RED ChecklistEleven mutually reinfo
Page 19 and 20: Methods-Randomized Controlled Trial
Page 21 and 22: EACH DAY follow this schedule:Medic
Page 23 and 24: After Hospital Care Plan Maria John
Page 25 and 26: How well did we deliver interventio
Page 27 and 28: Primary Outcome:Hospital Utilizatio
Page 29 and 30: Self-Perceived Readiness forDischar
Page 31: ImplicationsThe components of the R
Page 35 and 36: Elderly: Outcomes For Ages >=65yrs(
Page 37 and 38: Risk Factors for Rehospitalization
Page 39 and 40: RED Effectiveness for RiskStratifie
Page 41 and 42: Dissemination• Website diagnostic
Page 43 and 44: Using Health IT to OvercomeChalleng
Page 45 and 46: Workstation for Data Entry
Page 47 and 48: Patient Interacting with Louise
Page 49: Pilot Study: Self-Report Ratingsof
Page 52 and 53: Agents Could Be MoreEffective Than
Page 54 and 55: ConclusionsHospital Discharge is lo
Page 56 and 57: GENDER: Primary outcomes ≤30days

Project RED The ReEngineed Discharge

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