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What Researchers Report About The Impact of Project RED

From the article, Assessment of Patient Education Delivered at Time of Hospital Discharge, JAMA Internal Medicine, Trivedi et al, 2023.

"There is substantial opportunity for improved discharge techniques to enhance the safety and quality of care for patients leaving the hospital. Interventions must be implemented to increase transparency of patient education and understanding, particularly among the interprofessional team to clarify assumptions of each other’s roles. Further studies on effective communication strategies as well as systems redesign that foster patient-centered discharge education are imperative".

From the article, Improving Care Transitions from Hospital to Home, MedSurg Nursing, Bumpas and Stuart, March-April 2023. 

"Occurrence of poor care transitions can be reduced with a coordinated, standardized approach to managing patients from hospital to home. A discharge transition program was implemented with a QI team leading the interventions, including the addition of teach-back training for all nursing staff, use of a discharge checklist, and completion of a follow-up telephone call. This program was successful in addressing communication gaps and enabling patients to care better for themselves after discharge".

From the article, Reducing Readmission of Hospitalized Patients With Depressive Symptoms: A Randomized Trial, Annals of Family Medicine, SE Mitchell et al, 2021.

“This study identifies the relative contributions of the brief cognitive behavioral therapy, self-management, and patient navigation components of RED-D. Each component contributes to the decrease in readmission rates with patient navigation being most effective in the first 30 days.”

From the article, Impact of the Implementation of Project Re-Engineered Discharge for Heart Failure patients at a Veterans Affairs Hospital at the Central Arkansas Veterans Healthcare System, Hospital Pharmacy, Patel and Dickerson, 2018.

"Based on the data collected in this study, it appears that post–Project RED patients had a lower rate of 30-day hospital readmission for HF, decreased all-cause mortality, increased follow-up with PCP appointments attended per post discharge instructions, and higher cost saving. While primary outcome of 30-day readmission was not statistically significant, it may still be of clinical significance in practice".

From the article, Project RED Impacts Patient Experience, Journal of Patient Experience, R. Cancino et al. 2017.

“Our analysis shows that those patients who received the RED intervention at an urban academic safety-net hospital scored significantly higher on the Press Ganey Inpatient Survey item “Instructions given about how to care for yourself at home” as compared to patients who did not receive the intervention.”

From the article, Implementation and adaptation of the Re-Engineered Discharge (RED) in five California hospitals: a qualitative research study, BMC Health Services Research, SE Mitchell et al, 2017.

“The sustainability of RED in participating hospitals was only possible when hospitals approached RED implementation as a transformational process rather than a patient safety project, maintained a high level of fidelity to the RED protocol, and had leadership and an implementation team who embraced change and failure in the pursuit of better patient care and outcomes.”

From the article, Project ReEngineered Discharge (RED) Lowers Hospital Readmissions of Patients Discharged From a Skilled Nursing Facility, Journal of the American Medical Directors Association, R. Berkowitz et al, 2013.

“Project RED was successfully adapted and implemented in an SNF and lowered the rate of hospitalization within 30 days of discharge from the SNF from 18.9% to 10.2%. Patients reported seeing their outpatient providers more frequently within 30 days of discharge from the SNF. Patients also reported a higher level of preparedness for discharge.” 

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