Literature DB >> 22176980

[From the nursing home to hospital and back again… A mixed methods study on hospital transfers from nursing homes].

Olivia Kada1, Eva Brunner, Rudolf Likar, Georg Pinter, Ines Leutgeb, Nina Francisci, Bettina Pfeiffer, Herbert Janig.   

Abstract

Hospital transfers from nursing homes are frequent, costly, often preventable, and can have negative effects on the residents' health. The present study investigated the current situation in Carinthia (Austria) regarding the characteristics of relocated nursing home residents, the proportion of avoidable transfers, the consequences of relocation from the physicians' and nurses' perspectives and ways for improving nursing home care. Retrospectively, the documentations of a regional hospital (N=4149), a rescue service (N=10754), and a social insurance agency (N=7051) were analysed; qualitative interviews with physicians (N=25) and nursing administrators (N=16) were conducted. A considerable proportion of these transports seemed to be avoidable: for example, about 40% of the ambulatory treatments in the emergency department of the investigated hospital were inappropriate. Options for improving the current situation will be discussed.
Copyright © 2011. Published by Elsevier GmbH.

Mesh:

Year:  2011        PMID: 22176980     DOI: 10.1016/j.zefq.2011.03.023

Source DB:  PubMed          Journal:  Z Evid Fortbild Qual Gesundhwes        ISSN: 1865-9217


  12 in total

1.  [Mobile geriatric consultant services for rest homes. Study of the effects of consultations by internal medicine specialists in the medical care of rest home residents].

Authors:  W Schippinger; G Hartinger; A Hierzer; I Osprian; M Bohnstingl; E H Pilgram
Journal:  Z Gerontol Geriatr       Date:  2012-12       Impact factor: 1.281

Review 2.  [Emergency situations and emergency department visits in nursing homes-a scoping review about circumstances and healthcare interventions].

Authors:  Carsten Bretschneider; Juliane Poeck; Antje Freytag; Andreas Günther; Nils Schneider; Sven Schwabe; Jutta Bleidorn
Journal:  Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz       Date:  2022-05-17       Impact factor: 1.595

3.  Budget impact analysis of two pharmaceutical management models in relation to the administration of intravenous anti-infective therapy in a Spanish nursing home.

Authors:  Xavier Martínez-Casal; José Luis Rodriguez-Sánchez; Francisco Javier Otero-Espinar
Journal:  Eur J Hosp Pharm       Date:  2019-08-24

Review 4.  Assessment tools for determining appropriateness of admission to acute care of persons transferred from long-term care facilities: a systematic review.

Authors:  Anna Renom-Guiteras; Lisbeth Uhrenfeldt; Gabriele Meyer; Eva Mann
Journal:  BMC Geriatr       Date:  2014-06-22       Impact factor: 3.921

Review 5.  Age and sex differences in hospitalisation of nursing home residents: a systematic review.

Authors:  Falk Hoffmann; Katharina Allers
Journal:  BMJ Open       Date:  2016-10-08       Impact factor: 2.692

6.  Reducing Avoidable Hospital Transfers From Nursing Homes in Austria: Project Outline and Baseline Results.

Authors:  Olivia Kada; Herbert Janig; Rudolf Likar; Karl Cernic; Georg Pinter
Journal:  Gerontol Geriatr Med       Date:  2017-03-21

7.  Paramedics' Perspectives on the Hospital Transfers of Nursing Home Residents-A Qualitative Focus Group Study.

Authors:  Alexandra Pulst; Alexander Maximilian Fassmer; Falk Hoffmann; Guido Schmiemann
Journal:  Int J Environ Res Public Health       Date:  2020-05-26       Impact factor: 3.390

8.  Patient Transfer Decision Difficulty Scale: Development and psychometric testing of emergency department visits by long-term care residents.

Authors:  Bor-An Chen; Hui-Hui Chien; Chun-Chung Chen; Hui-Tsai Chen; Chii Jeng
Journal:  PLoS One       Date:  2019-02-01       Impact factor: 3.240

9.  Appropriateness of transferring nursing home residents to emergency departments: a systematic review.

Authors:  Sabine E Lemoyne; Hanne H Herbots; Dennis De Blick; Roy Remmen; Koenraad G Monsieurs; Peter Van Bogaert
Journal:  BMC Geriatr       Date:  2019-01-21       Impact factor: 3.921

10.  Effects of strategies to improve general practitioner-nurse collaboration and communication in regard to hospital admissions of nursing home residents (interprof ACT): study protocol for a cluster randomised controlled trial.

Authors:  Christiane Müller; Berit Hesjedal-Streller; Nina Fleischmann; Britta Tetzlaff; Tina Mallon; Martin Scherer; Sascha Köpke; Katrin Balzer; Linda Gärtner; Indre Maurer; Tim Friede; Hans-Helmut König; Eva Hummers
Journal:  Trials       Date:  2020-11-05       Impact factor: 2.279

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