Transitions of Care Coordination Intervention Identifies Barriers to Discharge in Hospitalized Stroke Patients.

ABSTRACT: Background: Prolonged hospital lengths of stay increase costs, delay rehabilitation, and expose acute ischemic stroke patients to hospital-acquired infections. We designed and implemented a nurse-driven transitions of care coordinator (TOCC) program to facilitate the transition of care from the acute care hospital setting to rehabilitation centers and home. Methods: This was a single-blinded, prospective, randomized pilot study of 40 participants to evaluate the feasibility of implementing a TOCC program led by a stroke nurse navigator in hospitalized acute ischemic stroke patients. The intervention consisted of a stroke nurse navigator completing eight specific tasks, including meeting with stroke patients and their families, facilitating communication between team members a

SUBMITTER: Zimmerman WD 

PROVIDER: S-EPMC8165227 | biostudies-literature | 2021

REPOSITORIES: biostudies-literature