Care transtion in hospital discharge for adult patients: integrative literature review

J Gheno, AH Weis - Texto & Contexto-Enfermagem, 2021 - SciELO Brasil
Objective: to summarize and analyze the scientific production on care transition in the
hospital discharge of adult patients. Method: integrative review, conducted from May to July …

The path from big data analytics capabilities to value in hospitals: a scoping review

PY Brossard, E Minvielle, C Sicotte - BMC Health Services Research, 2022 - Springer
Background As the uptake of health information technologies increased, most healthcare
organizations have become producers of big data. A growing number of hospitals are …

Implementing screening for social determinants of health using the Core 5 screening tool

A Bradywood, R Watters, C Blackmore - BMJ open quality, 2021 - bmjopenquality.bmj.com
Social determinants of health (SDOH) have been documented to underpin 80% of overall
health and are being increasingly recognised as key factors in addressing tertiary health …

Augmenting a transitional care model with artificial intelligence decreased readmissions

Z Brown, D Bergman, L Holt, K Miller… - Journal of the American …, 2023 - Elsevier
Objectives Evaluate if augmenting a transitions of care delivery model with insights from
artificial intelligence (AI) that applied clinical and exogenous social determinants of health …

[HTML][HTML] Prevention of unplanned hospital admissions in multimorbid patients using computational modeling: observational retrospective cohort study

R González-Colom, C Herranz, E Vela… - Journal of Medical …, 2023 - jmir.org
Background Enhanced management of multimorbidity constitutes a major clinical challenge.
Multimorbidity shows well-established causal relationships with the high use of health care …

Care Transitions for People With Acquired Neurological Disability in the First 12 Months Following Inpatient Rehabilitation: Health Service Use and Obstacles

Y Xie, M Nielsen, M Kendall, R Jones… - Health & Social Care …, 2023 - Wiley Online Library
Due to their complex and fluctuating needs requiring multiple transitions of care through
different services and systems, the early postdischarge period is one of the vulnerabilities for …

[HTML][HTML] A clinical classification framework for identifying persons with high social and medical needs: The COMPLEXedex-social determinants of health (SDH)

SS Sullivan, KM Ledwin, S Hewner - Nursing outlook, 2023 - Elsevier
Background First-generation algorithms resulted in high-cost features as a representation of
need but unintentionally introduced systemic bias based on prior ability to access care …

Identifying high-need primary care patients using nursing knowledge and machine learning methods

S Hewner, E Smith, SS Sullivan - Applied Clinical Informatics, 2023 - thieme-connect.com
Background Patient cohorts generated by machine learning can be enhanced with clinical
knowledge to increase translational value and provide a practical approach to patient …

Care coordination: A concept analysis

A Anderson, S Hewner - AJN The American Journal of Nursing, 2021 - journals.lww.com
Care Coordination: A Concept Analysis : AJN The American Journal of Nursing Care
Coordination: A Concept Analysis : AJN The American Journal of Nursing Log in or Register …

Big data can help prepare nurses and improve patient outcomes by improving quality, safety, and outcomes

M Ahmad, SHB Hani, MA Sabra, O Almahmoud - Frontiers of Nursing, 2023 - sciendo.com
Objectives Big data has revolutionized nursing and health care and raised concerns. This
research aims to help nurses understand big data sets to provide better patient care …