Patient experiences of transitioning from hospital to home: An ethnographic quality improvement project

Journal of Hospital Medicine, 04/27/2012

Reducing readmissions will remain challenging without a broadened understanding of the types of support and coaching patients need after discharge. The authors are piloting strategies such as risk stratification and tailoring of care, a specialized phone number for recently discharged patients, standardized same–day discharge summaries to primary care providers, medication reconciliation, follow–up phone calls, and scheduling appointments before discharge.

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