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Record W4282962326 · doi:10.1097/rnj.0000000000000375

Impact of Reengineered Discharge Toolkit on Patients Undergoing Total Joint Surgeries

2022· article· en· W4282962326 on OpenAlex
Kathleen Mitchell

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenueRehabilitation Nursing · 2022
Typearticle
Languageen
FieldMedicine
TopicHeart Failure Treatment and Management
Canadian institutionsImpact
Fundersnot available
KeywordsMedicineHospital dischargePatient dischargeDischarge planningJoint replacementPhysical therapyEmergency medicineMedical emergencyNursingIntensive care medicineSurgeryMEDLINEArthroplasty

Abstract

fetched live from OpenAlex

ABSTRACT: Poorly coordinated care transitions account for nearly one fifth of Medicare hospital readmissions within 30 days postdischarge. The primary aim of this pilot project was to determine the impact of the Reengineered Discharge (RED) Toolkit on patient knowledge for self-management, satisfaction with the discharge process, readiness for discharge, discharge time, and 30-day readmission rate following hip or knee joint replacement or revision surgeries. Staff adherence with the RED Toolkit was also measured.Thirty adult patients received the intervention of the RED Toolkit. Patient knowledge for self-management ranged from 85.2% to 92.6%; satisfaction with the discharge process scores increased from 33% to 59.2%; patient readiness for discharge scores increased from 2% to 64%. Discharge times decreased. On average, patients left the unit 5.67 (±2.52) hours after the written discharge order. The all-cause 30-day readmission rate was reduced to 3.3%. Staff achieved a RED Toolkit adherence rate of 86.8%. Findings provide a basis for developing a coordinated discharge planning process.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.146
Threshold uncertainty score0.380

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.013
GPT teacher head0.283
Teacher spread0.270 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it