The LEARNING WISDOM Phase II Scale up Project

NCT04093245

NAINTERVENTIONAL

Laval University

4,000 participants

Started 2019-01-21 · Completed 2022-12-31

Status: Unknown (as of 12-23-2025)

Conditions

TransitionEmergenciesHealth Care UtilizationFrailty

Interventions

BEHAVIORAL: GEM nurse BEHAVIORAL: pre- and post-hospitalization medication list reconciliation BEHAVIORAL: systematic discharge summaries BEHAVIORAL: medical follow-up appointment BEHAVIORAL: follow-up phone call+2 more

Linked Papers (from SciSciNet-V2)

Total Papers72

Background

36

Result

0

Derived

0

Unknown

36

View on ClinicalTrials.gov

Total Citations Per Year

Brief Summary

Inspired by the Acute Care for Elders program at Mount Sinai Hospital, this study aims to improve care for elderly patients in four hospitals of Chaudière-Appalaches. Focusing on improving transitions between hospital and the community, this project will help professionals to adapt best practices to local context in transition of care for the elderly.

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Background Papers70

Developing and evaluating complex interventions: the new Medical Research Council guidance

9,974 citations

Developing and evaluating complex interventions: the new Medical Research Council guidance

9,974 citations

Continuity of care: a multidisciplinary review

2,055 citations

Continuity of care: a multidisciplinary review

2,055 citations

Evidence based medicine: a movement in crisis?

1,530 citations

Evidence based medicine: a movement in crisis?

1,530 citations

Post-Hospital Syndrome — An Acquired, Transient Condition of Generalized Risk

1,099 citations

Post-Hospital Syndrome — An Acquired, Transient Condition of Generalized Risk

1,099 citations

Preventing 30-Day Hospital Readmissions

Preventing 30-Day Hospital Readmissions

Medical errors related to discontinuity of care from an inpatient to an outpatient setting

Medical errors related to discontinuity of care from an inpatient to an outpatient setting

Recovery of Activities of Daily Living in Older Adults After Hospitalization for Acute Medical Illness

Recovery of Activities of Daily Living in Older Adults After Hospitalization for Acute Medical Illness

Change in Disability After Hospitalization or Restricted Activity in Older Persons

Change in Disability After Hospitalization or Restricted Activity in Older Persons

Discharge planning from hospital

Discharge planning from hospital

Structured telephone support or non-invasive telemonitoring for patients with heart failure

Admission avoidance hospital at home

Effect of discharge summary availability during post-discharge visits on hospital readmission

Effect of discharge summary availability during post-discharge visits on hospital readmission

A randomized controlled trial evaluating the impact of knowledge translation and exchange strategies

A randomized controlled trial evaluating the impact of knowledge translation and exchange strategies

Effectiveness of Acute Geriatric Unit Care Using Acute Care for Elders Components: A Systematic Review and Meta‐Analysis

Effectiveness of Acute Geriatric Unit Care Using Acute Care for Elders Components: A Systematic Review and Meta‐Analysis

Development and testing of a measure designed to assess the quality of care transitions

Development and testing of a measure designed to assess the quality of care transitions

Trends in guideline implementation: a scoping systematic review

Trends in guideline implementation: a scoping systematic review

Wikis and Collaborative Writing Applications in Health Care: A Scoping Review

Wikis and Collaborative Writing Applications in Health Care: A Scoping Review

Acute Care for Elders (ACE) Tracker and e‐Geriatrician: Methods to Disseminate ACE Concepts to Hospitals with No Geriatricians on Staff

Acute Care for Elders (ACE) Tracker and e‐Geriatrician: Methods to Disseminate ACE Concepts to Hospitals with No Geriatricians on Staff

Effects of locality based community hospital care on independence in older people needing rehabilitation: randomised controlled trial

Effects of locality based community hospital care on independence in older people needing rehabilitation: randomised controlled trial

Meeting the home-care needs of disabled older persons living in the community: does integrated services delivery make a difference?

Meeting the home-care needs of disabled older persons living in the community: does integrated services delivery make a difference?

Assessing organisational readiness for change: use of diagnostic analysis prior to the implementation of a multidisciplinary assessment for acute stroke care

Assessing organisational readiness for change: use of diagnostic analysis prior to the implementation of a multidisciplinary assessment for acute stroke care

Emerging organisational models of primary healthcare and unmet needs for care: insights from a population-based survey in Quebec province

Emerging organisational models of primary healthcare and unmet needs for care: insights from a population-based survey in Quebec province

Understanding Coordination of Care from the Consumer's Perspective in a Regional Health System

Understanding Coordination of Care from the Consumer's Perspective in a Regional Health System

Measuring Frailty Can Help Emergency Departments Identify Independent Seniors at Risk of Functional Decline After Minor Injuries

Measuring Frailty Can Help Emergency Departments Identify Independent Seniors at Risk of Functional Decline After Minor Injuries

Looking inside the black box: results of a theory-based process evaluation exploring the results of a randomized controlled trial of printed educational messages to increase primary care physicians’ diabetic retinopathy referrals [Trial registration number ISRCTN72772651]

Understanding How to Support Family Caregivers of Seniors with Complex Needs

Understanding How to Support Family Caregivers of Seniors with Complex Needs

Looking inside the black box: results of a theory-based process evaluation exploring the results of a randomized controlled trial of printed educational messages to increase primary care physicians’ diabetic retinopathy referrals [Trial registration number ISRCTN72772651]

Health Care Professionals’ Beliefs About Using Wiki-Based Reminders to Promote Best Practices in Trauma Care

Health Care Professionals’ Beliefs About Using Wiki-Based Reminders to Promote Best Practices in Trauma Care

The development of guideline implementation tools: a qualitative study

The development of guideline implementation tools: a qualitative study

Differences in Access to Services in Rural Emergency Departments of Quebec and Ontario

From QASC to QASCIP: successful Australian translational scale-up and spread of a proven intervention in acute stroke using a prospective pre-test/post-test study design

Differences in Access to Services in Rural Emergency Departments of Quebec and Ontario

From QASC to QASCIP: successful Australian translational scale-up and spread of a proven intervention in acute stroke using a prospective pre-test/post-test study design

The Older Persons’ Transitions in Care (OPTIC) study: pilot testing of the transition tracking tool

The Older Persons’ Transitions in Care (OPTIC) study: pilot testing of the transition tracking tool

Psychometric Evaluation of the Care Transition Measure in TRACE‐CORE: Do We Need a Better Measure?

Psychometric Evaluation of the Care Transition Measure in TRACE‐CORE: Do We Need a Better Measure?

Implementation and Evaluation of a Wiki Involving Multiple Stakeholders Including Patients in the Promotion of Best Practices in Trauma Care: The WikiTrauma Interrupted Time Series Protocol

Implementation and Evaluation of a Wiki Involving Multiple Stakeholders Including Patients in the Promotion of Best Practices in Trauma Care: The WikiTrauma Interrupted Time Series Protocol

Development of a Decision Aid for Cardiopulmonary Resuscitation Involving Intensive Care Unit Patients' and Health Professionals' Participation Using User-Centered Design and a Wiki Platform for Rapid Prototyping: A Research Protocol

Development of a Decision Aid for Cardiopulmonary Resuscitation Involving Intensive Care Unit Patients' and Health Professionals' Participation Using User-Centered Design and a Wiki Platform for Rapid Prototyping: A Research Protocol

Role of context in care transition interventions for medically complex older adults: a realist synthesis protocol

Role of context in care transition interventions for medically complex older adults: a realist synthesis protocol

Impact of Implementing a Wiki to Develop Structured Electronic Order Sets on Physicians' Intention to Use Wiki-Based Order Sets

Impact of Implementing a Wiki to Develop Structured Electronic Order Sets on Physicians' Intention to Use Wiki-Based Order Sets

Result Papers0

No result papers linked

Derived Papers0

No derived papers linked

Unknown Papers36

Three Approaches to Qualitative Content Analysis

36,406 citations

An Intervention to Decrease Catheter-Related Bloodstream Infections in the ICU

4,116 citations

The Incidence and Severity of Adverse Events Affecting Patients after Discharge from the Hospital

1,819 citations

The Care Transitions Intervention

1,782 citations

Loss of Independence in Activities of Daily Living in Older Adults Hospitalized with Medical Illnesses: Increased Vulnerability with Age

1,545 citations

Five Years After To Err Is Human

1,231 citations

Use of Interrupted Time Series Analysis in Evaluating Health Care Quality Improvements

INTERRUPTED TIME SERIES DESIGNS IN HEALTH TECHNOLOGY ASSESSMENT: LESSONS FROM TWO SYSTEMATIC REVIEWS OF BEHAVIOR CHANGE STRATEGIES

Hospitalization, Restricted Activity, and the Development of Disability Among Older Persons

Evidence-Based Implementation of Evidence-Based Medicine

Population-based interventions for the prevention of fall-related injuries in older people

A randomized trial of comprehensive geriatric assessment and home intervention in the care of hospitalized patients

Accidental Deaths, Saved Lives, and Improved Quality

International Survey Of Older Adults Finds Shortcomings In Access, Coordination, And Patient-Centered Care

Are nonspecific practice guidelines potentially harmful? A randomized comparison of the effect of nonspecific versus specific guidelines on physician decision making.

Unplanned readmissions after hospital discharge among patients identified as being at high risk for readmission using a validated predictive algorithm.

The Combined Effects of Baseline Vulnerability and Acute Hospital Events on the Development of Functional Dependence Among Community-Living Older Persons

Decisions to Transfer Nursing Home Residents to Emergency Departments: A Scoping Review of Contributing Factors and Staff Perspectives

The determinants of informal caregivers' burden in the care of frail older persons: a dynamic and role-related perspective

Cumulative Incidence of Functional Decline After Minor Injuries in Previously Independent Older Canadian Individuals in the Emergency Department

Measuring the impact of informal elderly caregiving: a systematic review of tools

Using the Ottawa Model of Research Use to Implement a Skin Care Program

Postacute Care for Older People in Community Hospitals: A Multicenter Randomized, Controlled Trial

Compliance with medication orders among the elderly after hospital discharge.

Patients' and Caregivers' Transition from Hospital to Home: Needs and Recommendations

Acute Care for the Elderly: A Literature Review

The impact of follow-up telephone calls to patients after hospitalization

A prospective cohort study found that provider and information continuity was low after patient discharge from hospital

Back to the future: home-based primary care for older homebound Canadians: part 1: where we are now.

Practice guidelines need to address the ‘how’ and the ‘what’ of implementation

The application of clinical guidelines for skull radiography in the accident and emergency department: Theory and practice

Do public media campaigns designed to increase skin cancer awareness result in increased skin excision rates?

Psychometric properties of the French Canadian version of the Geriatric Anxiety Inventory

Toward Safer Transitions: How Can We Reduce Post-Discharge Adverse Events?