Browsing by Author "Turley, Christine B"

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    Feasibility of Post-hospitalization Telemedicine Video Visits for Children With Medical Complexity.
    (Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners, 2022-03) Ming, David Y; Li, Tingxuan; Ross, Melissa H; Frush, Jennifer; He, Jingyi; Goldstein, Benjamin A; Jarrett, Valerie; Krohl, Natalie; Docherty, Sharron L; Turley, Christine B; Bosworth, Hayden B

    Objectives

    To evaluate feasibility and acceptability of post-hospitalization telemedicine video visits (TMVV) during hospital-to-home transitions for children with medical complexity (CMC); and explore associations with hospital utilization, caregiver self-efficacy (CSE), and family self-management (FSM).

    Method

    This non-randomized pilot study assigned CMC (n=28) to weekly TMVV for four weeks post-hospitalization; control CMC (n=20) received usual care without telemedicine. Feasibility was measured by time to connection and proportion of TMVV completed; acceptability was measured by parent-reported surveys. Pre/post-discharge changes in CSE, FSM, and hospital utilization were assessed.

    Results

    64 TMVV were completed; 82 % of patients completed 1 TMVV; 54 % completed four TMVV. Median time to TMVV connection was 1 minute (IQR=2.5). Parents reported high acceptability of TMVV (mean 6.42; 1 -7 scale). CSE and FSM pre/post-discharge were similar for both groups; utilization declined in both groups post-discharge.

    Discussion

    Post-hospitalization TMVV for CMC were feasible and acceptable during hospital-to-home transitions.
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    Statewide Longitudinal Progression of the Whole-Patient Measure of Safety in South Carolina.
    (Journal for healthcare quality : official publication of the National Association for Healthcare Quality, 2018-09) Turley, Christine B; Brittingham, Jordan; Moonan, Aunyika; Davis, Dianne; Chakraborty, Hrishikesh
    Meaningful improvement in patient safety encompasses a vast number of quality metrics, but a single measure to represent the overall level of safety is challenging to produce. Recently, Perla et al. established the Whole-Person Measure of Safety (WPMoS) to reflect the concept of global risk assessment at the patient level. We evaluated the WPMoS across an entire state to understand the impact of urban/rural setting, academic status, and hospital size on patient safety outcomes. The population included all South Carolina (SC) inpatient discharges from January 1, 2008, through to December 31, 2013, and was evaluated using established definitions of highly undesirable events (HUEs). Over the study period, the proportion of hospital discharges with at least one HUE significantly decreased from 9.7% to 8.8%, including significant reductions in nine of the 14 HUEs. Academic, large, and urban hospitals had a significantly lower proportion of hospital discharges with at least one HUE in 2008, but only urban hospitals remained significantly lower by 2013. Results indicate that there has been a decrease in harm events captured through administrative coded data over this 6-year period. A composite measure, such as the WPMoS, is necessary for hospitals to evaluate their progress toward reducing preventable harm.