Key result
Care transition interventions that incorporated both learning and self-organization characteristics were significantly more likely to effectively reduce hospital readmissions compared to those lacking these characteristics.
Why the study?
Care transitions remain challenging despite improvement efforts, and whether interventions congruent with complex adaptive system theory have better outcomes is unknown.
Does the inclusion of complex adaptive system characteristics (learning and self-organization) in care transition interventions reduce hospital readmissions in adult patients?
Comparison
Interventions scored by complex adaptive system characteristics and system-level interdependencies vs care as usual
Design
Systematic review
Authors
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Interventions incorporating both characteristics may better reduce readmissions; supports integrating complex adaptive system principles into care transition design.
Systematic Review
Does the inclusion of complex adaptive system characteristics (learning and self-organization) in care transition interventions reduce hospital readmissions in adult patients?
p-value: p=0.005
Care transition interventions that incorporate both learning and self-organization components are significantly more likely to effectively reduce hospital readmissions.
Penney et al. (2018) conducted a systematic review in Hospital readmissions. Care transition interventions incorporating learning and self-organization vs. Interventions lacking learning and/or self-organization was evaluated on Significant improvement in hospital readmissions-related outcomes (p=0.005). Care transition interventions that incorporated both learning and self-organization characteristics were significantly more likely to effectively reduce hospital readmissions compared to those lacking these characteristics.
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