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ANMCO Position Paper: hospital discharge planning: recommendations and standards

The hospital discharge is often poorly standardized and affected by discontinuity and fragmentation of care, putting patients at high risk of both post-discharge adverse events and early readmission. The present ANMCO document reviews the modifiable components of the hospital discharge process relat...

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Autores principales: Mennuni, Mauro, Gulizia, Michele Massimo, Alunni, Gianfranco, Francesco Amico, Antonio, Maria Bovenzi, Francesco, Caporale, Roberto, Colivicchi, Furio, Di Lenarda, Andrea, Di Tano, Giuseppe, Egman, Sabrina, Fattirolli, Francesco, Gabrielli, Domenico, Geraci, Giovanna, Gregorio, Giovanni, Francesco Mureddu, Gian, Nardi, Federico, Radini, Donatella, Riccio, Carmine, Rigo, Fausto, Sicuro, Marco, Urbinati, Stefano, Zuin, Guerrino
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5526471/
https://www.ncbi.nlm.nih.gov/pubmed/28751845
http://dx.doi.org/10.1093/eurheartj/sux011
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author Mennuni, Mauro
Gulizia, Michele Massimo
Alunni, Gianfranco
Francesco Amico, Antonio
Maria Bovenzi, Francesco
Caporale, Roberto
Colivicchi, Furio
Di Lenarda, Andrea
Di Tano, Giuseppe
Egman, Sabrina
Fattirolli, Francesco
Gabrielli, Domenico
Geraci, Giovanna
Gregorio, Giovanni
Francesco Mureddu, Gian
Nardi, Federico
Radini, Donatella
Riccio, Carmine
Rigo, Fausto
Sicuro, Marco
Urbinati, Stefano
Zuin, Guerrino
author_facet Mennuni, Mauro
Gulizia, Michele Massimo
Alunni, Gianfranco
Francesco Amico, Antonio
Maria Bovenzi, Francesco
Caporale, Roberto
Colivicchi, Furio
Di Lenarda, Andrea
Di Tano, Giuseppe
Egman, Sabrina
Fattirolli, Francesco
Gabrielli, Domenico
Geraci, Giovanna
Gregorio, Giovanni
Francesco Mureddu, Gian
Nardi, Federico
Radini, Donatella
Riccio, Carmine
Rigo, Fausto
Sicuro, Marco
Urbinati, Stefano
Zuin, Guerrino
author_sort Mennuni, Mauro
collection PubMed
description The hospital discharge is often poorly standardized and affected by discontinuity and fragmentation of care, putting patients at high risk of both post-discharge adverse events and early readmission. The present ANMCO document reviews the modifiable components of the hospital discharge process related to adverse events or re-hospitalizations and suggests the optimal methods for redesigning the whole discharge process. The key principles for proper hospital discharge or transfer of care acknowledge that the hospital discharge: • is not an isolated event, but a process that has to be planned as soon as possible after the admission, ensuring that the patient and the caregiver understand and contribute to the planned decisions, as equal partners; • is facilitated by a comprehensive systemic approach that begins with a multidimensional evaluation process; • must be organized by an operator who is responsible for the coordination of all phases of the hospital patient journey, involving afterward the general practitioner and transferring to them the information and responsibility at discharge; • is the result of an integrated multidisciplinary team approach; • appropriately uses the transitional and intermediate care services; • is carried out in an organized system of care and continuum of services; and • programs the passage of information to after-discharge services.
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spelling pubmed-55264712017-07-27 ANMCO Position Paper: hospital discharge planning: recommendations and standards Mennuni, Mauro Gulizia, Michele Massimo Alunni, Gianfranco Francesco Amico, Antonio Maria Bovenzi, Francesco Caporale, Roberto Colivicchi, Furio Di Lenarda, Andrea Di Tano, Giuseppe Egman, Sabrina Fattirolli, Francesco Gabrielli, Domenico Geraci, Giovanna Gregorio, Giovanni Francesco Mureddu, Gian Nardi, Federico Radini, Donatella Riccio, Carmine Rigo, Fausto Sicuro, Marco Urbinati, Stefano Zuin, Guerrino Eur Heart J Suppl Articles The hospital discharge is often poorly standardized and affected by discontinuity and fragmentation of care, putting patients at high risk of both post-discharge adverse events and early readmission. The present ANMCO document reviews the modifiable components of the hospital discharge process related to adverse events or re-hospitalizations and suggests the optimal methods for redesigning the whole discharge process. The key principles for proper hospital discharge or transfer of care acknowledge that the hospital discharge: • is not an isolated event, but a process that has to be planned as soon as possible after the admission, ensuring that the patient and the caregiver understand and contribute to the planned decisions, as equal partners; • is facilitated by a comprehensive systemic approach that begins with a multidimensional evaluation process; • must be organized by an operator who is responsible for the coordination of all phases of the hospital patient journey, involving afterward the general practitioner and transferring to them the information and responsibility at discharge; • is the result of an integrated multidisciplinary team approach; • appropriately uses the transitional and intermediate care services; • is carried out in an organized system of care and continuum of services; and • programs the passage of information to after-discharge services. Oxford University Press 2017-05 2017-05-02 /pmc/articles/PMC5526471/ /pubmed/28751845 http://dx.doi.org/10.1093/eurheartj/sux011 Text en © The Author 2017. Published on behalf of the European Society of Cardiology. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Articles
Mennuni, Mauro
Gulizia, Michele Massimo
Alunni, Gianfranco
Francesco Amico, Antonio
Maria Bovenzi, Francesco
Caporale, Roberto
Colivicchi, Furio
Di Lenarda, Andrea
Di Tano, Giuseppe
Egman, Sabrina
Fattirolli, Francesco
Gabrielli, Domenico
Geraci, Giovanna
Gregorio, Giovanni
Francesco Mureddu, Gian
Nardi, Federico
Radini, Donatella
Riccio, Carmine
Rigo, Fausto
Sicuro, Marco
Urbinati, Stefano
Zuin, Guerrino
ANMCO Position Paper: hospital discharge planning: recommendations and standards
title ANMCO Position Paper: hospital discharge planning: recommendations and standards
title_full ANMCO Position Paper: hospital discharge planning: recommendations and standards
title_fullStr ANMCO Position Paper: hospital discharge planning: recommendations and standards
title_full_unstemmed ANMCO Position Paper: hospital discharge planning: recommendations and standards
title_short ANMCO Position Paper: hospital discharge planning: recommendations and standards
title_sort anmco position paper: hospital discharge planning: recommendations and standards
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5526471/
https://www.ncbi.nlm.nih.gov/pubmed/28751845
http://dx.doi.org/10.1093/eurheartj/sux011
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