From Hospital to Home and Back Again: A Study in Hospital Admissions and Deaths for Home Care Patients
Home Health Care Management and Practice
home care, quality, death, hospital admissions, health care, falls at home, polypharmacy
In this study, the authors examined causes of deaths or hospitalizations of adult home care patients during an 18-month period using a retrospective medical record audit. The site of the study was the home care program of a three-hospital system. Of 4,303 cases, 101 adult patients met study criteria of hospitalization or death. The death rate in the sample was 0.48%, and the hospitalization rate was 1.9%. Wound deterioration and falling accidents were principal causes for rehospitalizing patients. Increasing age and number of medications were significantly correlated with falls resulting in hospitalization. Patients who died were found to suffer from terminal illnesses and frailty, with care providers having little influence over outcomes. Opportunities to improve clinical care processes (e.g., discharge planning, patient status monitoring, signs and symptoms reporting, interdisciplinary communicating and coordinating) were also identified. The authors concluded that nearly 21% of hospitalizations were potentially preventable.
Taft, Susan Hoefflinger; Pierce, Christine A.; and Gallo, Carrie L. (2005). From Hospital to Home and Back Again: A Study in Hospital Admissions and Deaths for Home Care Patients. Home Health Care Management and Practice 17(6), 467-480. doi: 10.1177/1084822305278129 Retrieved from http://digitalcommons.kent.edu/nurspubs/17