Key result
Health IT discharge interventions improve patient experience but fail to reduce readmissions or ER visits.
Why the study?
The study was conducted to systematically synthesize and appraise evidence on the effectiveness of health information technology-based discharge care transition interventions on readmissions and emergency room visits.
Do health information technology (HIT)-based discharge care transition interventions reduce hospital readmissions and emergency room visits in patients transitioning from hospital to home?
Systematic Review (n=52,250)
Do health information technology (HIT)-based discharge care transition interventions reduce hospital readmissions and emergency room visits in patients transitioning from hospital to home?
HIT-based discharge care transition interventions improve patient experience, but their cumulative effect on hard clinical outcomes like readmissions remains inconclusive due to significant study heterogeneity.
Enhances patient experience without conclusive readmission or ER visit reduction; leaves open the need for standardized trials to clarify clinical impact.
Objective To systematically synthesize and appraise the evidence on the effectiveness of health information technology (HIT)-based discharge care transition interventions (CTIs) on readmissions and emergency room visits. Materials and Methods We conducted a systematic search on multiple databases (MEDLINE, CINAHL, EMBASE, and CENTRAL) on June 29, 2020, targeting readmissions and emergency room visits. Prospective studies evaluating HIT-based CTIs published as original research articles in English language peer-reviewed journals were eligible for inclusion. Outcomes were pooled for narrative analysis. Results Eleven studies were included for review. Most studies (n = 6) were non-RCTs. Several studies (n = 9) assessed bridging interventions comprised of at least 1 pre- and 1 post-discharge component. The narrative analysis found improvements in patient experience and perceptions of discharge care. Discussion Given the statistical and clinical heterogeneity among studies, we could not ascertain the cumulative effect of CTIs on clinical outcomes. Nevertheless, we found gaps in current research and its implications for future work, including the need for a HIT-based care transition model for guiding theory-driven design and evaluation of HIT-based discharge CTIs. Conclusions We appraised and aggregated empirical evidence on the cumulative effectiveness of HIT-based interventions to support discharge transitions from hospital to home, and we highlighted the implications for evidence-based practice and informatics research.
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Abraham et al. (2022) conducted a systematic review in Hospital discharge care transitions (n=52,250). Health information technology (HIT)-based discharge care transition interventions vs. Usual care without HIT was evaluated on Hospital readmissions and emergency room visits. Health information technology-based discharge care transition interventions improved patient experiences and perceptions of discharge care, but showed no conclusive effect on hospital readmissions or emergency room visits.
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