For their study, researchers conducted a systematic review of literature and summarized 21 randomized clinical trials of transitional care interventions involving chronically ill adults. They discovered nine common interventions that helped drastically improve healthcare outcomes, including lower readmissions 30 days post-discharge.
The researchers found many of the interventions included some variation of nurse involving, such as appointing a nurse a clinical manager or in-person home visits to discharged patients.
Read the study about nursing.
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