References:
1. Herzig SJ, Schnipper JL, Doctoroff L, et al. Physician Perspectives
on Factors Contributing to Readmissions and Potential Prevention
Strategies: A Multicenter Survey. J Gen Intern Med.2016;31(11):1287-1293.
2. Holleck JL, Gunderson CG, Antony SM, et al. The ”Hand-in” Project:
Jump-starting Communication Between Inpatient and Outpatient Providers.South Med J. 2017;110(11):694-698.
3. Jones CD, Vu MB, O’Donnell CM, et al. A failure to communicate: a
qualitative exploration of care coordination between hospitalists and
primary care providers around patient hospitalizations. J Gen
Intern Med. 2015;30(4):417-424.
4. Misky GJ, Wald HL, Coleman EA. Post-hospitalization transitions:
Examining the effects of timing of primary care provider follow-up.J Hosp Med. 2010;5(7):392-397.
5. Lee KK, Yang J, Hernandez AF, Steimle AE, Go AS. Post-discharge
Follow-up Characteristics Associated With 30-Day Readmission After Heart
Failure Hospitalization. Med Care. 2016;54(4):365-372.
6. Odeh M, Scullin C, Fleming G, Scott MG, Horne R, McElnay JC. Ensuring
continuity of patient care across the healthcare interface: Telephone
follow-up post-hospitalization. Br J Clin Pharmacol.2019;85(3):616-625.
7. Davis MM, Devoe M, Kansagara D, Nicolaidis C, Englander H. ”Did I do
as best as the system would let me?” Healthcare professional views on
hospital to home care transitions. J Gen Intern Med.2012;27(12):1649-1656.
8. Graumlich JF, Novotny NL, Nace GS, Aldag JC. Patient and physician
perceptions after software-assisted hospital discharge: cluster
randomized trial. J Hosp Med. 2009;4(6):356-363.
9. Graumlich JF, Novotny NL, Stephen Nace G, et al. Patient
readmissions, emergency visits, and adverse events after
software-assisted discharge from hospital: cluster randomized trial.J Hosp Med. 2009;4(7):E11-19.
10. Kripalani S, Jackson AT, Schnipper JL, Coleman EA. Promoting
effective transitions of care at hospital discharge: a review of key
issues for hospitalists. J Hosp Med. 2007;2(5):314-323.
11. Kripalani S, LeFevre F, Phillips CO, Williams MV, Basaviah P, Baker
DW. Deficits in communication and information transfer between
hospital-based and primary care physicians: implications for patient
safety and continuity of care. JAMA. 2007;297(8):831-841.
12. Nguyen OK, Kruger J, Greysen SR, Lyndon A, Goldman LE. Understanding
how to improve collaboration between hospitals and primary care in
postdischarge care transitions: a qualitative study of primary care
leaders’ perspectives. J Hosp Med. 2014;9(11):700-706.
13. Burke RE, Kripalani S, Vasilevskis EE, Schnipper JL. Moving beyond
readmission penalties: creating an ideal process to improve transitional
care. J Hosp Med. 2013;8(2):102-109.
14. Lang E, Afilalo M, Vandal AC, et al. Impact of an electronic link
between the emergency department and family physicians: a randomized
controlled trial. CMAJ. 2006;174(3):313-318.
15. Motamedi SM, Posadas-Calleja J, Straus S, et al. The efficacy of
computer-enabled discharge communication interventions: a systematic
review. BMJ Qual Saf. 2011;20(5):403-415.
16. Samal L, Dykes PC, Greenberg J, et al. The current capabilities of
health information technology to support care transitions. AMIA
Annu Symp Proc. 2013;2013:1231.
17. Callen J, Georgiou A, Li J, Westbrook JI. The safety implications of
missed test results for hospitalised patients: a systematic review.BMJ Qual Saf. 2011;20(2):194-199.
18. Leppin AL, Gionfriddo MR, Kessler M, et al. Preventing 30-day
hospital readmissions: a systematic review and meta-analysis of
randomized trials. JAMA Intern Med. 2014;174(7):1095-1107.
19. Moore C, Wisnivesky J, Williams S, McGinn T. Medical errors related
to discontinuity of care from an inpatient to an outpatient setting.J Gen Intern Med. 2003;18(8):646-651.
20. Adams MJD, Umbach PD. Nonresponse and Online Student Evaluations of
Teaching: Understanding the Influence of Salience, Fatigue, and Academic
Environments. Research in Higher Education. 2012;53(5):576-591.
21. Ancker JS, Edwards A, Nosal S, et al. Effects of workload, work
complexity, and repeated alerts on alert fatigue in a clinical decision
support system. BMC Medical Informatics and Decision Making.2017;17(1):36.
22. Baseman JG, Revere D, Painter I, Toyoji M, Thiede H, Duchin J.
Public health communications and alert fatigue. BMC Health
Services Research. 2013;13(1):295.
Acknowledgements : The authors thank the Internal
Medicine Residency Program at Mayo Clinic Florida, the Office of Quality
Improvement Scholarship at Mayo Clinic, Dr. Colt Cowdell, and Dr. John
Matulis for the support of this quality improvement initiative.
Conflict of Interest Statement : Each of the authors
confirms that this manuscript has not been previously published and is
not currently under consideration by any other journal. Each named
author has substantially contributed to conducting the underlying
research and drafting this manuscript. Additionally, all of the named
authors have no conflict of interest, financial or
otherwise.