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. 2018 Jan 19;33(5):750–758. doi: 10.1007/s11606-017-4290-9

Table 1.

Summary of Included Studies*

Study Study design Study setting Targeted TPAD type Intervention Unit of analysis Primary outcome(s) Outcome type TPAD outcome
Balaban12 RCT Medicine ward Not described Discharge summary template that includes TPADS, electronic transfer of discharge summary to primary care RN, RN discharge facilitator, PCP feedback on post-discharge care plan Patient 1. No outpatient appointment within 21 days with either an MD or NP at the patient’s primary care site or with a relevant specialist
2. Readmission, for any reason, within 31 days to any of three study hospitals
3. Emergency department visits within 31 days for a problem related to the original admission in any of the 3 CHA hospitals
4. Failure to complete an outpatient workup recommended by a hospital doctor
Patient, process No
Dalal13 RCT Medicine ward Microbiology, radiology, biochemistry, hematology Automated email alerts to discharging physician of finalized test results Physician Self-reported awareness of TPAD results by discharging physician Process Yes
Dinescu14 POS Medicine ward Not described Audit of discharge summary quality (including TPADs) and feedback loop Patient 1. Admission composite score
2. Hospital course composite score
3. Discharge planning composite score
4. Post-discharge care composite score (including test results to follow-up)
Process Yes
El-Kareh15 RCT Medicine ward Microbiology Automated email alerts to discharging physician of finalized microbiology test results of possibly inadequately infections TPAD Documentation in the patient’s outpatient electronic chart of documentation of follow-up action within 3 days of the post-discharge microbiology result finalizing (note contains acknowledgement of the result, follow-up with the patient, or new antibiotic prescription) Process Yes
Graumlich16 RCT Medicine ward Not described Electronic discharge template prompts discharging physician to enter TPADs Patient Proportion of patients readmitted at least once within 6 months after the index hospitalization Patient No
Kantor17 POS Medicine ward Microbiology, hematology, biochemistry, pathology Electronic discharge application prompts to include TPADs from automatically generated list TPAD, discharge summary 1. Proportion of pending studies communicated in discharge summary
2. Proportion of discharge summaries communicated all pending studies
Process Yes
O’Leary18 POS Medicine ward Not described Electronic discharge with template (including TPADs), automated distribution to PCP DSCS, TPAD 1. Discharge Summary Completeness Score (DSCS) (out of 100)
2. Pending tests documented in discharge summary
Process Yes
Cadwallader19 POS Medicine ward Not described Electronic discharge template requires TPADs manual entry Discharge summary Percentage of tests with pending results that were documented in the discharge summaries Process Yes
Jack20 RCT Medicine ward Not described Discharge template includes TPADs, discharge planner to arrange PCP follow-up Patient Total number of emergency department visits and readmissions per participant within 30 days of the index discharge Patient No

*Abbreviations: CHA, Cambridge Health Alliance; DSCS, Discharge Summary Completeness Score; MD, medical doctor; NP, nurse practitioner; PCP, primary care physician; POS, prospective observational study; RCT, randomized controlled trial; RN, registered nurse; TPAD, test pending at discharge