Results Summary and Professional Abstract
|This project's final research report is expected to be available by September 2019.|
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.
Bridging the Gap of Emergency Department-to-Home Transitions (right)
Donna Carden, MD, and Dawn Rosini, the project's patient stakeholder member, speak about the project, which seeks to improve emergency department (ED)-to-home transitions for elderly patients with chronic conditions.
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 expressed concern about the overinterpretation of findings based on a large number of comparisons. Since statistical comparisons were not adjusted for multiple-hypothesis testing, the researchers revised the text to emphasize that outcomes based on multiple comparisons should be interpreted with caution. They also emphasized against overinterpreting marginally significant findings.
- Given that the tested intervention did not seem to be effective, reviewers asked for insights on why the intervention did not work as hoped. The researchers added comments from patient participants and providers to their report. The researchers also noted that the increase in self-reported patient anxiety associated with the coaching intervention was not a surprise to patient stakeholders. The researchers noted that extra attention may have sensitized patients to their health condition and motivated them to use more healthcare services.
Conflict of Interest Disclosures
View the COI disclosure form.
Other Health Services Interventions
Training and Education Interventions
Low Health Literacy/Numeracy