Results Summary and Professional Abstract
|Article Highlight: Families with children who were discharged from the hospital and received a one-time telephone call within four days from a nurse to address postdischarge issues needed urgent health care services within the first 30 days almost as often as families who did not receive a phone call, according to a report in JAMA Pediatrics. However, parents who received the phone call were able to remember more clinical warning signs within the first two weeks of discharge than other parents. The researchers also suggest that the phone call might enhance standard postdischarge information provided to parents. The study involved 966 children and adolescents under the age of 18.|
In Care Transitions, a Chance to Make or Break Patients' Recovery
A narrative on what happens when patients are harmed by poorly executed transitions between healthcare settings.
|This project's final research report is expected to be available by August 2019.|
Peer review of PCORI-funded research helps make sure the report presents complete, balanced, and useful information about the research. It also assesses how the project addressed PCORI’s Methodology Standards. During peer review, experts read a draft report of the research and provide comments about the report. These experts may include a scientist focused on the research topic, a specialist in research methods, a patient or caregiver, and a healthcare professional. These reviewers cannot have conflicts of interest with the study.
The peer reviewers point out where the draft report may need revision. For example, they may suggest ways to improve descriptions of the conduct of the study or to clarify the connection between results and conclusions. Sometimes, awardees revise their draft reports twice or more to address all of the reviewers’ comments.
Peer reviewers commented, and the researchers made changes or provided responses. The comments and responses included the following:
- Reviewers asked for more information on how the researchers determined the outcomes of interest. The researchers explained they planned to examine the reutilization of urgent healthcare services as a primary outcome because of the current health policy climate. The qualitative work with families early in the study, along with literature review, identified additional outcomes of interest to families.
- Reviewers noted that many of the pediatric patients in the study had common illnesses that tend to resolve on their own and do not require further treatment or follow-up. The researchers stated that this was by design because discharges from this population are the most prevalent from children’s hospitalizations. The researchers added text to expand on their rationale and provide additional information about the severity of illness in the children. They also responded to the reviewers that the severity of illness and prevalence of complex chronic conditions were well balanced between the intervention and control groups, reducing the possibility of bias related to these factors.
Conflict of Interest Disclosures
View the COI disclosure form.