30 closest matches · ranked by relevance
Automated Communication Tools · Complex Medical Patients
Primary: Medication Errors at Hospital Discharge — 645; 359 Errors
Dementia · Acute Medical Event · Hospitalization
Primary: The Barthel Index — 49.2; 54.9; 52.0; 58.7 score on a scale — p=<.05
Alzheimer's Disease and Related Dementias
Primary: Change in Approaches to Dementia Questionnaire (ADQ) Total Score From Baseline to 3 Months — -1.8; -2.3 units on a scale
Diabetes Mellitus, Type 1 · Diabetes Mellitus, Type 2
Primary: Type 2 Diabetes Blood Glucose Time in Range (70-180 mg/dL) — 25.31; 19.89; 26.04 percentage of time during CGM use — p=0.1460
Cigarette Smoking · Tobacco Smoking · Tobacco Use Disorder
Primary: Tobacco Abstinence - 6 Month Follow-up — 105; 113 Participants — p=>0.05
Dementia · Chronic Disease · Neoplasm Metastasis
Primary: Proportion of Patients With EHR Documentation of Goals of Care Discussions — 433; 382; 822; 875 Participants — p=0.027
Alzheimer's Disease and Related Dementias
Primary: Neuropsychiatric Inventory Questionnaire Average Score During Hospital Admission — 5.36; 3.87 score on a scale
Congestive Heart Failure · Chronic Obstructive Pulmonary Disease
Primary: Re-hospitalizations — 27; 26; 8; 14 participants
Smoking Cessation
Primary: Percentage of Participants With 30-day Abstinence — 18.0; 23.4; 22.1; 18.7 percentage of participants
Cardiac Condition
Primary: See Primary Outcome Description Below — 8; 3; 8; 3 participants
Adverse Events · Readmissions · Patient Engagement
Primary: Proportion of Participants With an Adverse Event Within 30 Days After Index Discharge Date — 0.18; 0.23 proportion of participants — p=0.02
Chronic Disease
Primary: Health Care Utilization — 7; 8; 4; 3 events
Alzheimer Disease
Primary: Return to Baseline Physical Function Based on the Barthel Index (Change From 2 Weeks Prior to Admission and Changes at Admission, Discharge, and 2 and 6 Months…
Discharge Follow-up Phone Calls
Primary: Number of Participants With In-patient Re-admissions — 228; 232 Participants — p=.05
Depression · Bipolar Disorder · Anxiety Disorders
Primary: Clinical Global Improvement Scale (CGIS) — 14; 20 Participants
Tobacco Use Cessation · Smoking Cessation · Smoking
Primary: Number of Participants With Exhaled Carbon Monoxide Confirmed Abstinence — 53; 65 participants
Dementia · Chronic Disease · Neoplasm Metastasis
Primary: EHR Documentation of Goals of Care Discussions — 0.271; 0.317; 0.206 Proportion of participants — p=0.023
Chronic Obstructive Pulmonary Disease
Primary: Mean Number of Chronic Obstructive Pulmonary Disease (COPD)-Related Hospitalizations and Emergency Department (ED) Visits Per Patient Within Each Study Arm — 0.72; 1.40…
Diabetes Mellitus, Type 2 · Congestive Heart Failure · Obstructive Pulmonary Disease
Primary: Number of Rehospitalizations Within 60 Days After Hospital Discharge — 807 rehospitalizations
Pneumonia
Primary: Length of Hospital Stay — 7.3; 5.8 Days
Diabetes Mellitus, Type 2
Primary: Hemoglobin A1c — -1.3; -0.4 HbA1c, %
Alzheimer Disease · Dementia
Primary: Hospital Transfers — 1.2; 1.3 number of hospital transfers — p=0.3313
Congestive Heart Failure
Primary: Re-hospitalization or Death — 48; 48 participants
Heart Failure
Primary: Mean Differences in Minnesota Living With Heart Failure Questionnaire (MLHFQ) Results — -4.69; -26.59; -29.36; -4.31 score on a scale
Patients With Principal or Secondary Diagnosis Code of Intrntl Classification of Diseases, 9th Revision, (ICD-9-CM) 410 (Except When 5th Digit Was 2)
Primary: 1 -Year Survival Probability Rate: Vascular Readmissions or Death — .91; .91 proportion of participants
Acute Coronary Syndrome
Primary: Adherence to Cardioprotective Medications (Clopidogrel, Statins, Beta Blockers, ACE-inhibitor/ARB) — 89.3; 73.9 percentage of participants — p=0.003
See One · Do One · Order One
Primary: Percentage of Motivation Interviewing Sessions Audio Recorded — 0.8; 3.0; 20.5 percentage of MI sessions audio recorded — p=0.0009
Central Line-associated Bloodstream Infection (CLABSI) · Ventilator Associated Pneumonia
Primary: CLABSI and VAP Rates — 1.84; 2.42; 2.24; 2.47 events/1000 device days — p=<.05
Hospital Acquired Condition
Primary: In-hospital Mortalities — 181; 265 Participants
Covid19
Primary: Difference in Days Alive and Out of Hospital — 29.5; 29.4 days