In this single institution case-control study, researchers found that none of the discharge processes studied had any effect on 30 day readmission rates, including discharge summary completion / content, discharge instruction completion / content, medication reconciliation, presence of caretaker for discharge instructions, and arranged follow up. Although disappointing that this failed to discern which components of the discharge process are most likely to yield a reduction in 30 day readmission rates, it is ongoing testimony to the difficulty and complexity of the discharge process, the multi-factorial nature of readmissions, and lack of correlation between what care teams document and what they actually do (abstract)
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