Patient experiences of transitioning from hospital to home: An ethnographic quality improvement project
Journal of Hospital Medicine, 04/27/2012
Cain CH et al. – 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.



