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Journal of Nursing Care Quality:
doi: 10.1097/NCQ.0b013e3182a520b6
Articles

Improving Care Transitions From Hospital to Home: Standardized Orders for Home Health Nursing With Remote Telemonitoring

Heeke, Sheila DNP, RN, FNP-BC; Wood, Felecia DSN, RN, CNL; Schuck, Jennifer MBA, LMSW

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Abstract

A task force at a multihospital health care system partnered with home health agencies to improve gaps during the discharge transition process. A standardized order template for home health nursing and remote telemonitoring was developed to decrease discrepancies in communication between hospital health care providers and home health nurses caring for patients with heart failure. Pilot results showed significantly improved communication with no readmissions, using the order template.

© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins

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