Transition of Care for Inpatient Hematology Patients Receiving Chemotherapy: Development of Hospital Discharge Huddle Process and Effects of Implementation.

Purpose: To develop a care model to decrease incidence of preventable errors in the complex multidisciplinary care of hematology inpatients at the time of discharge.

Methods: An interactive, multidisciplinary, structured discharge process was developed. Multiple focus groups were held to establish the strengths and gaps.

Prospective evaluation of a screen for complex discharge planning in hospitalized adults.

Objectives: To test the predictive ability of the Probability of Repeated Admission (PRA) screen for nonroutine discharge planning (requiring new referrals for formal services).

Design: Prospective cohort.

Setting: Two hospitals within a large Midwestern, tertiary care, referral-based system.