Household Safety Checklist: A Tool for Preventing Rehospitalization

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Robyn R.M. Gershon, MHS, DrPH; Tara McAlexandar, MPH; Fern Hertzberg, MSW; Diana Nobile-Hernandez

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Household Safety Checklist: A Tool for Preventing Rehospitalization

  1. 1. Household Safety Checklist: A Tool for Preventing Rehospitalization Robyn R.M. Gershon, MHS, DrPH; Tara McAlexandar, MPH; Fern Hertzberg, MSW; Diana Nobile-Hernandez• An estimated 20% of all Medicare beneficiaries discharged from hospitals are rehospitalized within 30 days — 34% within 90 days• Households can be unsafe environments, especially for the elderly• Falls-related injuries are an important risk factor for rehospitalizaiton• Falls are the leading cause of injury-related death in individuals ≥ 75 yrs, followed by burns An easy-to-use household safety checklist – targeting patients discharged to home care is needed To address this gap, and with funding provided by AHRQ, we developed and tested a new safety tool 50 45 40 35 Percentage (%) of Households 30 25 47% 20 15 30% 25% 24% 10 19% 5 0 Lack of Fire Lack of Carbon 3 or more Falls Lack of Cockroaches Extinguisher Monoxide Hazards Emergency Detector Contact List  Easy to use for identifying hazards  High patient acceptability  Adopted by many homecare agencies

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