{"id":"https://openalex.org/W2108676889","doi":"https://doi.org/10.7326/0003-4819-150-3-200902030-00007","title":"A Reengineered Hospital Discharge Program to Decrease Rehospitalization: A Randomized Trial","display_name":"A Reengineered Hospital Discharge Program to Decrease Rehospitalization: A Randomized Trial","publication_year":2009,"publication_date":"2009-02-03","ids":{"openalex":"https://openalex.org/W2108676889","doi":"https://doi.org/10.7326/0003-4819-150-3-200902030-00007","mag":"2108676889","pmid":"https://pubmed.ncbi.nlm.nih.gov/19189907","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/2738592"},"language":"en","primary_location":{"id":"doi:10.7326/0003-4819-150-3-200902030-00007","doi":"https://doi.org/10.7326/0003-4819-150-3-200902030-00007","is_oa":false,"landing_page_url":"https://doi.org/10.7326/0003-4819-150-3-200902030-00007","pdf_url":null,"source":{"id":"https://openalex.org/S119722071","display_name":"Annals of Internal Medicine","issn_l":"0003-4819","issn":["0003-4819","1539-3704"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310316812","host_organization_name":"American College of Physicians","host_organization_lineage":["https://openalex.org/P4310316812"],"host_organization_lineage_names":["American College of Physicians"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of Internal Medicine","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/2738592","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5103020688","display_name":"Brian W. Jack","orcid":"https://orcid.org/0000-0002-6497-2437","observed_orcids":["https://orcid.org/0000-0002-6497-2437"]},"institutions":[{"id":"https://openalex.org/I111088046","display_name":"Boston University","ror":"https://ror.org/05qwgg493","country_code":"US","type":"education","lineage":["https://openalex.org/I111088046"]},{"id":"https://openalex.org/I1286490081","display_name":"Boston Medical Center","ror":"https://ror.org/010b9wj87","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1286490081"]},{"id":"https://openalex.org/I27804330","display_name":"Brown University","ror":"https://ror.org/05gq02987","country_code":"US","type":"education","lineage":["https://openalex.org/I27804330"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Brian W. Jack","raw_affiliation_strings":["From Boston University School of Medicine, Boston Medical Center, Boston, Massachusetts, and Brown University Alpert Medical School, Pawtucket, Rhode Island"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From Boston University School of Medicine, Boston Medical Center, Boston, Massachusetts, and Brown University Alpert Medical School, Pawtucket, Rhode Island","institution_ids":["https://openalex.org/I111088046","https://openalex.org/I1286490081","https://openalex.org/I27804330"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5049564736","display_name":"Veerappa K. Chetty","orcid":"https://orcid.org/0000-0002-2640-3874","observed_orcids":["https://orcid.org/0000-0002-2640-3874"]},"institutions":[{"id":"https://openalex.org/I111088046","display_name":"Boston University","ror":"https://ror.org/05qwgg493","country_code":"US","type":"education","lineage":["https://openalex.org/I111088046"]},{"id":"https://openalex.org/I1286490081","display_name":"Boston Medical Center","ror":"https://ror.org/010b9wj87","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1286490081"]},{"id":"https://openalex.org/I27804330","display_name":"Brown University","ror":"https://ror.org/05gq02987","country_code":"US","type":"education","lineage":["https://openalex.org/I27804330"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Veerappa K. Chetty","raw_affiliation_strings":["From Boston University School of Medicine, Boston Medical Center, Boston, Massachusetts, and Brown University Alpert Medical School, Pawtucket, Rhode Island"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From Boston University School of Medicine, Boston Medical Center, Boston, Massachusetts, and Brown University Alpert Medical School, Pawtucket, Rhode Island","institution_ids":["https://openalex.org/I111088046","https://openalex.org/I1286490081","https://openalex.org/I27804330"]}]},{"author_position":"middle","author":{"id":null,"display_name":"David Anthony","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I111088046","display_name":"Boston University","ror":"https://ror.org/05qwgg493","country_code":"US","type":"education","lineage":["https://openalex.org/I111088046"]},{"id":"https://openalex.org/I1286490081","display_name":"Boston Medical Center","ror":"https://ror.org/010b9wj87","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1286490081"]},{"id":"https://openalex.org/I27804330","display_name":"Brown University","ror":"https://ror.org/05gq02987","country_code":"US","type":"education","lineage":["https://openalex.org/I27804330"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"David Anthony","raw_affiliation_strings":["From Boston University School of Medicine, Boston Medical Center, Boston, Massachusetts, and Brown University Alpert Medical School, Pawtucket, Rhode Island"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From Boston University School of Medicine, Boston Medical Center, Boston, Massachusetts, and Brown University Alpert Medical School, Pawtucket, Rhode Island","institution_ids":["https://openalex.org/I111088046","https://openalex.org/I1286490081","https://openalex.org/I27804330"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5032075320","display_name":"Jeffrey L. Greenwald","orcid":"https://orcid.org/0000-0002-2793-2663","observed_orcids":["https://orcid.org/0000-0002-2793-2663"]},"institutions":[{"id":"https://openalex.org/I111088046","display_name":"Boston University","ror":"https://ror.org/05qwgg493","country_code":"US","type":"education","lineage":["https://openalex.org/I111088046"]},{"id":"https://openalex.org/I1286490081","display_name":"Boston Medical Center","ror":"https://ror.org/010b9wj87","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1286490081"]},{"id":"https://openalex.org/I27804330","display_name":"Brown University","ror":"https://ror.org/05gq02987","country_code":"US","type":"education","lineage":["https://openalex.org/I27804330"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jeffrey L. Greenwald","raw_affiliation_strings":["From Boston University School of Medicine, Boston Medical Center, Boston, Massachusetts, and Brown University Alpert Medical School, Pawtucket, Rhode Island"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From Boston University School of Medicine, Boston Medical Center, Boston, Massachusetts, and Brown University Alpert Medical School, Pawtucket, Rhode Island","institution_ids":["https://openalex.org/I111088046","https://openalex.org/I1286490081","https://openalex.org/I27804330"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Gail M. Sanchez","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I111088046","display_name":"Boston University","ror":"https://ror.org/05qwgg493","country_code":"US","type":"education","lineage":["https://openalex.org/I111088046"]},{"id":"https://openalex.org/I1286490081","display_name":"Boston Medical Center","ror":"https://ror.org/010b9wj87","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1286490081"]},{"id":"https://openalex.org/I27804330","display_name":"Brown University","ror":"https://ror.org/05gq02987","country_code":"US","type":"education","lineage":["https://openalex.org/I27804330"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Gail M. Sanchez","raw_affiliation_strings":["From Boston University School of Medicine, Boston Medical Center, Boston, Massachusetts, and Brown University Alpert Medical School, Pawtucket, Rhode Island"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From Boston University School of Medicine, Boston Medical Center, Boston, Massachusetts, and Brown University Alpert Medical School, Pawtucket, Rhode Island","institution_ids":["https://openalex.org/I111088046","https://openalex.org/I1286490081","https://openalex.org/I27804330"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Anna E. Johnson","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I111088046","display_name":"Boston University","ror":"https://ror.org/05qwgg493","country_code":"US","type":"education","lineage":["https://openalex.org/I111088046"]},{"id":"https://openalex.org/I1286490081","display_name":"Boston Medical Center","ror":"https://ror.org/010b9wj87","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1286490081"]},{"id":"https://openalex.org/I27804330","display_name":"Brown University","ror":"https://ror.org/05gq02987","country_code":"US","type":"education","lineage":["https://openalex.org/I27804330"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Anna E. Johnson","raw_affiliation_strings":["From Boston University School of Medicine, Boston Medical Center, Boston, Massachusetts, and Brown University Alpert Medical School, Pawtucket, Rhode Island"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From Boston University School of Medicine, Boston Medical Center, Boston, Massachusetts, and Brown University Alpert Medical School, Pawtucket, Rhode Island","institution_ids":["https://openalex.org/I111088046","https://openalex.org/I1286490081","https://openalex.org/I27804330"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Shaula R. Forsythe","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I111088046","display_name":"Boston University","ror":"https://ror.org/05qwgg493","country_code":"US","type":"education","lineage":["https://openalex.org/I111088046"]},{"id":"https://openalex.org/I1286490081","display_name":"Boston Medical Center","ror":"https://ror.org/010b9wj87","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1286490081"]},{"id":"https://openalex.org/I27804330","display_name":"Brown University","ror":"https://ror.org/05gq02987","country_code":"US","type":"education","lineage":["https://openalex.org/I27804330"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Shaula R. Forsythe","raw_affiliation_strings":["From Boston University School of Medicine, Boston Medical Center, Boston, Massachusetts, and Brown University Alpert Medical School, Pawtucket, Rhode Island"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From Boston University School of Medicine, Boston Medical Center, Boston, Massachusetts, and Brown University Alpert Medical School, Pawtucket, Rhode Island","institution_ids":["https://openalex.org/I111088046","https://openalex.org/I1286490081","https://openalex.org/I27804330"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Julie K. O'Donnell","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I111088046","display_name":"Boston University","ror":"https://ror.org/05qwgg493","country_code":"US","type":"education","lineage":["https://openalex.org/I111088046"]},{"id":"https://openalex.org/I1286490081","display_name":"Boston Medical Center","ror":"https://ror.org/010b9wj87","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1286490081"]},{"id":"https://openalex.org/I27804330","display_name":"Brown University","ror":"https://ror.org/05gq02987","country_code":"US","type":"education","lineage":["https://openalex.org/I27804330"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Julie K. O'Donnell","raw_affiliation_strings":["From Boston University School of Medicine, Boston Medical Center, Boston, Massachusetts, and Brown University Alpert Medical School, Pawtucket, Rhode Island"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From Boston University School of Medicine, Boston Medical Center, Boston, Massachusetts, and Brown University Alpert Medical School, Pawtucket, Rhode Island","institution_ids":["https://openalex.org/I111088046","https://openalex.org/I1286490081","https://openalex.org/I27804330"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5050634387","display_name":"Michael K. Paasche\u2010Orlow","orcid":"https://orcid.org/0000-0002-9276-7190","observed_orcids":["https://orcid.org/0000-0002-9276-7190"]},"institutions":[{"id":"https://openalex.org/I111088046","display_name":"Boston University","ror":"https://ror.org/05qwgg493","country_code":"US","type":"education","lineage":["https://openalex.org/I111088046"]},{"id":"https://openalex.org/I1286490081","display_name":"Boston Medical Center","ror":"https://ror.org/010b9wj87","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1286490081"]},{"id":"https://openalex.org/I27804330","display_name":"Brown University","ror":"https://ror.org/05gq02987","country_code":"US","type":"education","lineage":["https://openalex.org/I27804330"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Michael K. Paasche-Orlow","raw_affiliation_strings":["From Boston University School of Medicine, Boston Medical Center, Boston, Massachusetts, and Brown University Alpert Medical School, Pawtucket, Rhode Island"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From Boston University School of Medicine, Boston Medical Center, Boston, Massachusetts, and Brown University Alpert Medical School, Pawtucket, Rhode Island","institution_ids":["https://openalex.org/I111088046","https://openalex.org/I1286490081","https://openalex.org/I27804330"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Christopher Manasseh","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I111088046","display_name":"Boston University","ror":"https://ror.org/05qwgg493","country_code":"US","type":"education","lineage":["https://openalex.org/I111088046"]},{"id":"https://openalex.org/I1286490081","display_name":"Boston Medical Center","ror":"https://ror.org/010b9wj87","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1286490081"]},{"id":"https://openalex.org/I27804330","display_name":"Brown University","ror":"https://ror.org/05gq02987","country_code":"US","type":"education","lineage":["https://openalex.org/I27804330"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Christopher Manasseh","raw_affiliation_strings":["From Boston University School of Medicine, Boston Medical Center, Boston, Massachusetts, and Brown University Alpert Medical School, Pawtucket, Rhode Island"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From Boston University School of Medicine, Boston Medical Center, Boston, Massachusetts, and Brown University Alpert Medical School, Pawtucket, Rhode Island","institution_ids":["https://openalex.org/I111088046","https://openalex.org/I1286490081","https://openalex.org/I27804330"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Stephen Martin","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I111088046","display_name":"Boston University","ror":"https://ror.org/05qwgg493","country_code":"US","type":"education","lineage":["https://openalex.org/I111088046"]},{"id":"https://openalex.org/I1286490081","display_name":"Boston Medical Center","ror":"https://ror.org/010b9wj87","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1286490081"]},{"id":"https://openalex.org/I27804330","display_name":"Brown University","ror":"https://ror.org/05gq02987","country_code":"US","type":"education","lineage":["https://openalex.org/I27804330"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Stephen Martin","raw_affiliation_strings":["From Boston University School of Medicine, Boston Medical Center, Boston, Massachusetts, and Brown University Alpert Medical School, Pawtucket, Rhode Island"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From Boston University School of Medicine, Boston Medical Center, Boston, Massachusetts, and Brown University Alpert Medical School, Pawtucket, Rhode Island","institution_ids":["https://openalex.org/I111088046","https://openalex.org/I1286490081","https://openalex.org/I27804330"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5047943489","display_name":"Larry Culpepper","orcid":"https://orcid.org/0000-0002-7655-0477","observed_orcids":["https://orcid.org/0000-0002-7655-0477"]},"institutions":[{"id":"https://openalex.org/I111088046","display_name":"Boston University","ror":"https://ror.org/05qwgg493","country_code":"US","type":"education","lineage":["https://openalex.org/I111088046"]},{"id":"https://openalex.org/I1286490081","display_name":"Boston Medical Center","ror":"https://ror.org/010b9wj87","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1286490081"]},{"id":"https://openalex.org/I27804330","display_name":"Brown University","ror":"https://ror.org/05gq02987","country_code":"US","type":"education","lineage":["https://openalex.org/I27804330"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Larry Culpepper","raw_affiliation_strings":["From Boston University School of Medicine, Boston Medical Center, Boston, Massachusetts, and Brown University Alpert Medical School, Pawtucket, Rhode Island"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From Boston University School of Medicine, Boston Medical Center, Boston, Massachusetts, and Brown University Alpert Medical School, Pawtucket, Rhode Island","institution_ids":["https://openalex.org/I111088046","https://openalex.org/I1286490081","https://openalex.org/I27804330"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5103020688"],"corresponding_institution_ids":["https://openalex.org/I111088046","https://openalex.org/I1286490081","https://openalex.org/I27804330"],"apc_list":null,"apc_paid":null,"fwci":102.41,"has_fulltext":false,"cited_by_count":1621,"citation_normalized_percentile":{"value":1.0,"is_in_top_1_percent":true,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":99,"max":100},"biblio":{"volume":"150","issue":"3","first_page":"178","last_page":"187"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12174","display_name":"Hospital Admissions and Outcomes","score":0.5576000213623047,"subfield":{"id":"https://openalex.org/subfields/2911","display_name":"Leadership and Management"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12174","display_name":"Hospital Admissions and Outcomes","score":0.5576000213623047,"subfield":{"id":"https://openalex.org/subfields/2911","display_name":"Leadership and Management"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10496","display_name":"Pharmaceutical Practices and Patient Outcomes","score":0.2655999958515167,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11095","display_name":"Emergency and Acute Care Studies","score":0.06210000067949295,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/hospital-discharge","display_name":"hospital discharge","score":0.7710000276565552},{"id":"https://openalex.org/keywords/hospital-readmission","display_name":"hospital readmission","score":0.8500000238418579},{"id":"https://openalex.org/keywords/emergency-department-visits","display_name":"emergency department visits","score":0.9120000004768372},{"id":"https://openalex.org/keywords/medication-reconciliation","display_name":"medication reconciliation","score":0.777999997138977},{"id":"https://openalex.org/keywords/patient-education","display_name":"patient education","score":0.8479999899864197},{"id":"https://openalex.org/keywords/pharmacist-follow-up","display_name":"pharmacist follow-up","score":0.42899999022483826},{"id":"https://openalex.org/keywords/follow-up-visits","display_name":"follow-up visits","score":0.6150000095367432},{"id":"https://openalex.org/keywords/primary-care-providers","display_name":"primary care providers","score":0.3889999985694885},{"id":"https://openalex.org/keywords/hospital-utilization","display_name":"hospital utilization","score":0.628000020980835},{"id":"https://openalex.org/keywords/safety-net-hospitals","display_name":"safety-net hospitals","score":0.8220000267028809},{"id":"https://openalex.org/keywords/discharge-planning","display_name":"discharge planning","score":0.42500001192092896}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9341037273406982},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.6680479645729065},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.5700922608375549},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.5446866750717163},{"id":"https://openalex.org/C2779457091","wikidata":"https://www.wikidata.org/wiki/Q105186","display_name":"Pharmacist","level":3,"score":0.48460254073143005},{"id":"https://openalex.org/C204243189","wikidata":"https://www.wikidata.org/wiki/Q1363085","display_name":"Randomization","level":3,"score":0.4629576802253723},{"id":"https://openalex.org/C2777042776","wikidata":"https://www.wikidata.org/wiki/Q4583103","display_name":"Preparedness","level":2,"score":0.43224310874938965},{"id":"https://openalex.org/C104863432","wikidata":"https://www.wikidata.org/wiki/Q614304","display_name":"Pharmacy","level":2,"score":0.30793797969818115},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.29714202880859375},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.20879459381103516},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.13158321380615234},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001900","descriptor_name":"Boston","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004636","descriptor_name":"Emergency Service, Hospital","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D004636","descriptor_name":"Emergency Service, Hospital","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006760","descriptor_name":"Hospitalization","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006785","descriptor_name":"Hospitals, University","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D006785","descriptor_name":"Hospitals, University","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D006786","descriptor_name":"Hospitals, Urban","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D006786","descriptor_name":"Hospitals, Urban","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010348","descriptor_name":"Patient Care Team","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010351","descriptor_name":"Patient Discharge","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D010353","descriptor_name":"Patient Education as Topic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017046","descriptor_name":"Cost Savings","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017063","descriptor_name":"Outcome Assessment, Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":5,"locations":[{"id":"doi:10.7326/0003-4819-150-3-200902030-00007","doi":"https://doi.org/10.7326/0003-4819-150-3-200902030-00007","is_oa":false,"landing_page_url":"https://doi.org/10.7326/0003-4819-150-3-200902030-00007","pdf_url":null,"source":{"id":"https://openalex.org/S119722071","display_name":"Annals of Internal Medicine","issn_l":"0003-4819","issn":["0003-4819","1539-3704"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310316812","host_organization_name":"American College of Physicians","host_organization_lineage":["https://openalex.org/P4310316812"],"host_organization_lineage_names":["American College of Physicians"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of Internal Medicine","raw_type":"journal-article"},{"id":"pmid:19189907","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/19189907","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of internal medicine","raw_type":"Journal Article"},{"id":"pmh:oai:europepmc.org:1876036","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/2738592","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":null,"raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:2738592","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC2738592/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"Ann Intern Med","raw_type":"Text"},{"id":"mag:2185094638","doi":null,"is_oa":false,"landing_page_url":"http://2012.colloquium.cochrane.org/sites/2012.colloquium.cochrane.org/files/uploads/users/u1299/Example%20trial%201_Jack_Ann%20Int%20Med_2009.pdf","pdf_url":null,"source":{"id":"https://openalex.org/S119722071","display_name":"Annals of Internal Medicine","issn_l":"0003-4819","issn":["0003-4819","1539-3704"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310316812","host_organization_name":"American College of Physicians","host_organization_lineage":["https://openalex.org/P4310316812"],"host_organization_lineage_names":["American College of Physicians"],"type":"journal"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"Annals of Internal Medicine","raw_type":null}],"best_oa_location":{"id":"pmh:oai:europepmc.org:1876036","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/2738592","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":null,"raw_type":"Text"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Randomized Controlled Trial","id":"https://openalex.org/study-designs/randomized-controlled-trial"},{"display_name":"Clinical Trial","id":"https://openalex.org/study-designs/clinical-trial"}],"awards":[{"id":"https://openalex.org/G4705888925","display_name":null,"funder_award_id":"U18 HS015905","funder_id":"https://openalex.org/F4320332177","funder_display_name":"Agency for Healthcare Research and Quality"},{"id":"https://openalex.org/G4713103488","display_name":null,"funder_award_id":"UC1 HS014289","funder_id":"https://openalex.org/F4320332177","funder_display_name":"Agency for Healthcare Research and Quality"},{"id":"https://openalex.org/G5114257023","display_name":"Re-Engineering The Hospital Discharge For Patient Safety","funder_award_id":"1uc1hs014289-01","funder_id":"https://openalex.org/F4320332177","funder_display_name":"Agency for Healthcare Research and Quality"},{"id":"https://openalex.org/G536372960","display_name":"Testing the Re-Engineered Hospital Discharge","funder_award_id":"1u18hs015905-01","funder_id":"https://openalex.org/F4320332177","funder_display_name":"Agency for Healthcare Research and Quality"},{"id":"https://openalex.org/G5522990915","display_name":"A RCT to Reduce Cardiopulmonary Rehospitalizations","funder_award_id":"R01HL081307","funder_id":"https://openalex.org/F4320337338","funder_display_name":"National Heart, Lung, and Blood Institute"}],"funders":[{"id":"https://openalex.org/F4320332161","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88"},{"id":"https://openalex.org/F4320332177","display_name":"Agency for Healthcare Research and Quality","ror":"https://ror.org/03jmfdf59"},{"id":"https://openalex.org/F4320337338","display_name":"National Heart, Lung, and Blood Institute","ror":"https://ror.org/012pb6c26"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":57,"referenced_works":["https://openalex.org/W85237414","https://openalex.org/W1534215117","https://openalex.org/W1570622790","https://openalex.org/W1605189400","https://openalex.org/W1766940943","https://openalex.org/W1924609608","https://openalex.org/W1967871651","https://openalex.org/W1970312404","https://openalex.org/W1981400547","https://openalex.org/W1988813035","https://openalex.org/W1993579510","https://openalex.org/W1994256263","https://openalex.org/W1994299742","https://openalex.org/W1995269300","https://openalex.org/W2000445173","https://openalex.org/W2001307401","https://openalex.org/W2010281071","https://openalex.org/W2012087675","https://openalex.org/W2022923185","https://openalex.org/W2027466257","https://openalex.org/W2028873410","https://openalex.org/W2031860513","https://openalex.org/W2044235480","https://openalex.org/W2045180938","https://openalex.org/W2048353159","https://openalex.org/W2051959227","https://openalex.org/W2054498864","https://openalex.org/W2059534768","https://openalex.org/W2065956002","https://openalex.org/W2089091745","https://openalex.org/W2090455685","https://openalex.org/W2092648747","https://openalex.org/W2094257288","https://openalex.org/W2102511801","https://openalex.org/W2104461281","https://openalex.org/W2115043622","https://openalex.org/W2121242948","https://openalex.org/W2121967952","https://openalex.org/W2128465308","https://openalex.org/W2132322340","https://openalex.org/W2133584801","https://openalex.org/W2134739787","https://openalex.org/W2139121045","https://openalex.org/W2139839572","https://openalex.org/W2142278260","https://openalex.org/W2152890323","https://openalex.org/W2154360526","https://openalex.org/W2157090126","https://openalex.org/W2160943915","https://openalex.org/W2165124193","https://openalex.org/W2172151487","https://openalex.org/W2323535830","https://openalex.org/W2330069695","https://openalex.org/W2499001693","https://openalex.org/W2894788767","https://openalex.org/W3024953632","https://openalex.org/W4231360695"],"related_works":["https://openalex.org/W7095459116","https://openalex.org/W2109863169","https://openalex.org/W2104490698","https://openalex.org/W2054085905","https://openalex.org/W2025929580","https://openalex.org/W2044329231","https://openalex.org/W1968338124","https://openalex.org/W4412378454","https://openalex.org/W7010488121","https://openalex.org/W2789207499"],"abstract_inverted_index":{"BACKGROUND:":[0],"Emergency":[1],"department":[2,150],"visits":[3,151],"and":[4,34,50,100,133,137,152,166,282,309,311,315],"rehospitalization":[5],"are":[6,262],"common":[7],"after":[8,24,126],"hospital":[9,22,91,202,240,297],"discharge.":[10,25,158,177,303],"OBJECTIVE:":[11],"To":[12],"test":[13],"the":[14,59,130,191,243],"effects":[15],"of":[16,32,157,168,176,201,293,302,320],"an":[17,67,105],"intervention":[18,192,233],"designed":[19],"to":[20,93,112,123,128,142,184,227],"minimize":[21],"utilization":[23,203,241,298],"DESIGN:":[26],"Randomized":[27],"trial":[28],"using":[29],"block":[30],"randomization":[31],"6":[33,244],"8.":[35],"Randomly":[36],"arranged":[37],"index":[38,60,247],"cards":[39],"were":[40,52,139,148,161,182,254,259],"placed":[41],"in":[42,190,242,272],"opaque":[43],"envelopes":[44],"labeled":[45],"consecutively":[46],"with":[47,87,104,239],"study":[48,55,185,271],"numbers,":[49],"participants":[51,238],"assigned":[53],"a":[54,198,269],"group":[56,186,193],"by":[57],"revealing":[58],"card.":[61],"SETTING:":[62],"General":[63],"medical":[64],"service":[65],"at":[66],"urban,":[68],"academic,":[69],"safety-net":[70],"hospital.":[71],"PATIENTS:":[72],"749":[73],"English-speaking":[74],"hospitalized":[75],"adults":[76],"(mean":[77],"age,":[78],"49.9":[79],"years).":[80],"INTERVENTION:":[81],"A":[82,117,291],"nurse":[83],"discharge":[84,127,131,165,294],"advocate":[85],"worked":[86],"patients":[88,121,278],"during":[89],"their":[90,113],"stay":[92],"arrange":[94],"follow-up":[95,172,181],"appointments,":[96],"confirm":[97],"medication":[98],"reconciliation,":[99],"conduct":[101],"patient":[102],"education":[103],"individualized":[106],"instruction":[107],"booklet":[108],"that":[109],"was":[110,234,268],"sent":[111],"primary":[114,169],"care":[115,170,208],"provider.":[116],"clinical":[118],"pharmacist":[119],"called":[120],"2":[122],"4":[124],"days":[125,156,175,301],"reinforce":[129],"plan":[132],"review":[134],"medications.":[135],"Participants":[136,189],"providers":[138],"not":[140,255,274],"blinded":[141,183],"treatment":[143],"assignment.":[144,187],"MEASUREMENTS:":[145],"Primary":[146],"outcomes":[147,160],"emergency":[149],"hospitalizations":[153],"within":[154,173,299],"30":[155,174,300],"Secondary":[159],"self-reported":[162],"preparedness":[163],"for":[164,306],"frequency":[167],"providers'":[171],"Research":[178,308],"staff":[179],"doing":[180],"RESULTS:":[188],"(n":[194,209],"=":[195,210,230,250],"370)":[196],"had":[197],"lower":[199],"rate":[200,221],"than":[204],"those":[205],"receiving":[206],"usual":[207],"368)":[211],"(0.314":[212],"vs.":[213],"0.451":[214],"visit":[215],"per":[216,218],"person":[217],"month;":[219],"incidence":[220],"ratio,":[222],"0.695":[223],"[95%":[224],"CI,":[225],"0.515":[226],"0.937];":[228],"P":[229],"0.009).":[231],"The":[232],"most":[235],"effective":[236],"among":[237],"months":[245],"before":[246],"admission":[248],"(P":[249],"0.014).":[251],"Adverse":[252],"events":[253],"assessed;":[256],"these":[257],"data":[258],"collected":[260],"but":[261],"still":[263],"being":[264],"analyzed.":[265],"LIMITATION:":[266],"This":[267],"single-center":[270],"which":[273],"all":[275],"potentially":[276],"eligible":[277],"could":[279],"be":[280],"enrolled,":[281],"outcome":[283],"assessment":[284],"sometimes":[285],"relied":[286],"on":[287],"participant":[288],"report.":[289],"CONCLUSION:":[290],"package":[292],"services":[295],"reduced":[296],"FUNDING:":[304],"Agency":[305],"Healthcare":[307],"Quality":[310],"National":[312,318],"Heart,":[313],"Lung,":[314],"Blood":[316],"Institute,":[317],"Institutes":[319],"Health.":[321]},"counts_by_year":[{"year":2026,"cited_by_count":52},{"year":2025,"cited_by_count":55},{"year":2024,"cited_by_count":47},{"year":2023,"cited_by_count":45},{"year":2022,"cited_by_count":60},{"year":2021,"cited_by_count":108},{"year":2020,"cited_by_count":79},{"year":2019,"cited_by_count":94},{"year":2018,"cited_by_count":113},{"year":2017,"cited_by_count":127},{"year":2016,"cited_by_count":129},{"year":2015,"cited_by_count":134},{"year":2014,"cited_by_count":146},{"year":2013,"cited_by_count":137},{"year":2012,"cited_by_count":116}],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2016-06-24T00:00:00"}
