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The Vanderbilt-led study will build on the burgeoning national effort to unite ICU clinicians and primary care providers in providing comprehensive care for patients starting when they are discharged from the ICU and continuing through transitional outpatientcare.
Key Takeaways Transitional Care Management (TCM) improves care coordination and significantly reduces hospital readmissions through a structured approach that encompasses patient follow-up and communication. Initiatives such as Project RED and BOOST augment care transitions by conducting follow-up calls with patients.
They monitor patients’ conditions, administer medication, and convey self-care and discharge information. Because nurses are directly involved with patients on a day-to-day — and often hourly — basis, improving their ability to provide high-quality care is critical to a successful patient safety strategy.
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