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At Risk Care Plans: A Way to Reduce Readmissions and Adverse Events

Bahle, Jan MSN, RN, CVN, CTTS; Majercik, Cynthia MSN, RN, ACNS-BC; Ludwick, Ruth PhD, RN-BC, CNS; Bukosky, Heather BSN, RN; Frase, David MBA, FACHE

doi: 10.1097/NCQ.0000000000000106

The purpose of this article is to describe an “At Risk Care Plan.” The goal of an At Risk Care Plan is to improve safety and quality care by proactively anticipating individual safety and care needs of patients at risk and to communicate those needs to the health care team. This innovative intervention has dramatically reduced hospital readmissions, costs, and adverse events for high-risk adult inpatients in a small community hospital.

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Robinson Memorial Hospital, Ravenna, Ohio.

Correspondence: Jan Bahle, MSN, RN, CVN, CTTS, Robinson Memorial Hospital, 6847 N Chestnut St, Ravenna, OH 44266 (

The authors declare no conflict of interest.

Supplemental digital content is available for this article. Direct URL citation appears in the printed text and is provided in the HTML and PDF versions of this article on the journal's Web site (

Accepted for publication: September 22, 2014

Published ahead of print: December 20, 2014

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