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Browsing by Subject "discharge"

Now showing 1 - 2 of 2
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    Don’t Leave Without Them: Dispensing asthma medications to pediatric patients upon discharge is associated with decreased hospital readmissions
    (University of Minnesota, College of Pharmacy, 2012-12) Hiteshew, Kelly J.; Franz, Thaddeus; Lamberjack, Kristen; Chen, Aleda M.H.
    Purpose: Asthma exacerbations are a leading cause of hospital and emergency department admissions at pediatric institutions. The objective of this study was to determine if patients who obtain discharge medications from a pediatric institution’s outpatient pharmacy after an admission for asthma have a lower thirty-day readmission rate than those who do not obtain discharge medications from the outpatient pharmacy. Methods: This multi-phase retrospective study included an initial chart review, an intervention period, and a second chart review of the intervention period. The chart reviews included patients ages two years and older with a discharge diagnosis of asthma or wheezing. During the intervention phase, pharmacists promoted use of the outpatient pharmacy by patients admitted for these conditions using multiple methods. In each chart review, the patients readmitted for asthma or wheezing within thirty days were classified as either outpatient pharmacy users (OPP users) or non-OPP users. Differences in readmission rates between OPP users and non-OPP users, as well as differences in overall OPP utilization, were analyzed before and during the intervention phase using a Chi-square test. Results: The initial chart review found no significant difference in thirty day readmission rates between OPP users and non-OPP users (6.2% and 7.5%, respectively; χ2 = 1.15; p = 0.274). The number of OPP users increased significantly from the first chart review to the second (11.8% and 45.9%, respectively; χ2 = 929.04, p < 0.001). The second chart review revealed that OPP users had a significantly lower readmission rate than non-OPP users during the intervention phase (2.3% and 10.9%, respectively; χ2 = 52.5; p < 0.001). Conclusion: Obtaining discharge medications from the OPP was associated with a lower thirty-day readmission rate in children with asthma. Promoting use of the OPP for transitional care should continue to be part of future efforts to decrease hospital readmissions.
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    Spring Characterization Methods & Springshed Mapping
    (Proceedings of the 11th Multidisciplinary Conference on Sinkholes and the Engineering and Environmental Impacts of Karst. © 2008 American Society of Civil Engineers. Published online: June 20, 2012, 2008-09-26) Alexander, Scott C; Luhmann, Andrew J; Alexander Jr., E. Calvin; Green, Jeffrey A; Peters, Andrew J
    Southeastern Minnesota's karst lands support numerous trout streams created by coldwater springs emanating from Paleozoic bedrock. While trout streams have been traditionally managed as surface water resources they are fundamentally supported by clear, relatively constant temperature groundwater. In karst areas this groundwater resource is as vulnerable as surface waters to human activities. Designing Best Management Practices (BMPs) to protect groundwater fed springs should improve the overall protection of Minnesota's trout streams. Dye tracing has been the tool of choice for mapping the recharge area or groundwater basin that feed a particular spring. These karst groundwater basins have been termed "springsheds". In order to accelerate springshed mapping, a two~year study was funded by the Minnesota Environment and Natural Resources Trust Fund as recommended by the Legislative-Citizen Commission on Minnesota Resources (LCCMR). To improve the effectiveness of dye tracing we are applying a variety of new tools to increase our knowledge of the underlying karst systems. Techniques being investigated include temperature and discharge monitoring, detailed structural mapping of the aquifers, unit hydrographs, chemical and isotopic studies. These new methods to define the size and geometry of springsheds can be tested against basins previously defined by dye tracing. In previously untraced basins these predictive tools can be used to design more efficient tracing programs. The following paper demonstrates the application of structural mapping to dye tracing.