Improving transitions: efficacy of a transfer form to communicate patients' wishes.

Abstract

The objective of this study was to test the efficacy of a standardized form used during transfers between long-term care facilities (LTCFs) and the acute care setting. The intervention consisted of development and implementation of the transfer form and education about its use. Charts from 26 LTCFs and 1 acute care hospital were reviewed at 1 and 6 months prior to initiation of the transfer form (2007) and at 1 and 6 months after initiation of the transfer form (2008); 210 patient charts were reviewed in 2007 and 172 in 2008. There was 79% concordance between documented LTCF advance directives (ADs) and hospital ADs in 2008-an increase from 66.6% in 2007 (P = .038). Inpatient hospice/palliative care admissions rose from 1.5% in 2007 to 7.7% in 2009 (P = .015). The standardized transfer form improved communication of ADs between LTCFs and the hospital. Secondarily, it may have increased admissions to the acute palliative care unit.

DOI: 10.1177/1062860611427413

Cite this paper

@article{Zafirau2012ImprovingTE, title={Improving transitions: efficacy of a transfer form to communicate patients' wishes.}, author={William J Zafirau and Sara S Snyder and Susan E Hazelett and Ankit Bansal and Susan K. McMahon}, journal={American journal of medical quality : the official journal of the American College of Medical Quality}, year={2012}, volume={27 4}, pages={291-6} }