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Care transitions

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  • Topic: Care transitions
  • Topic: Nurses
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Upcoming Webinar: Transitional Care Model for Persons with Serious Mental Illness

March 22, 2013 | Human Capital Blog Post

RWJF Interdisciplinary Nursing Quality Research Initiative grantees will present their research translating a transitional care nursing intervention for people with serious mental illness for patients in public managed care on March 27, 2013.

Recent Research About Nursing, January 2013

January 10, 2013 | Story

Phone calls from nurses reduce readmissions.

RWJF Scholar Named a MacArthur 'Genius'

October 2, 2012 | Story

Geriatrician Eric Coleman Credits RWJF Clinical Scholars Program's Focus on Becoming a 'Change Agent'

Quality and Cost Analysis of Nurse Staffing, Discharge Preparation, and Postdischarge Utilization

April 21, 2011 | Journal Article

Investments in nursing care hours reduce hospital readmissions by better preparing patients for discharge.

Section 5: How-To Guides

February 4, 2009 | Toolkit

How-to guides supported through TCAB, a national program of RWJF and the Institute for Healthcare Improvement, offer detailed steps to implement select aspects of the program.

Human Capital News Roundup: Care transitions, "chemobrain," medical research funding, and more.

October 4, 2012 | Human Capital Blog Post

Around the country, print, broadcast and online media outlets are covering the groundbreaking work of RWJF leaders, scholars, fellows and grantees.

Human Capital News Roundup: The nurse faculty shortage, discharging homeless patients, “diaper deserts,” and more.

November 23, 2012 | Human Capital Blog Post

Around the country, print, broadcast and online media outlets are covering the groundbreaking work of RWJF leaders, scholars, fellows and grantees.

How the Affordable Care Act Would Have Helped My Father

July 12, 2012 | Human Capital Blog Post

What he needed was transitional care – he needed a nurse to meet with him during a hospitalization to devise a plan for managing chronic illnesses and then follow him into his home setting. He needed a nurse to identify reasons for his instability, ...

Nurse Identified Hospital to Home Medication Discrepancies

May 1, 2010 | Journal Article

In this study, nurse interventionists identified and documented medication discrepancies from two Inland Northwest hospitals. The researchers identified more system-level discrepancies than patient-level ones.

Discharge Nurse Position Description

June 4, 2008 | Toolkit

Staff at the University of Texas M.D. Anderson Cancer Center, Houston, Texas, began using an experienced nurse to support the clinical nurses by coordinating discharge activities, serving as a liaison to other team members and ensuring that all aspects of discharge are complete for patients and families.

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