Participants described common facilitators and barriers related to the four domains of PRISM: Intervention (I), Recipients (R), Implementation and Sustainability Infrastructure (ISI), and External Environment (EE). We used thematic analysis to identify themes from interviews and mapped them to the domains of the PRISM model. Selected nurses conducted (or supervised) post-discharge follow-up calls on behalf of 5 clinical teams (2 primary care 3 cardiology). Guided by the Practical, Robust, Implementation and Sustainability Model (PRISM), we completed semi-structured interviews with 7 nurses and 16 patients in 2020. We also discuss strategies that may help address the identified barriers. This study aimed to assess the facilitators and barriers to evaluating and triaging pain symptoms in cardiovascular patients through follow-up phone calls after their discharge from a large healthcare system in Central Massachusetts. hospitals, serve as an important channel for provider-patient communication about symptoms. Post-discharge follow-up phone calls, which are used for routine transitional care in U.S.
Early evaluation of patients’ post-discharge symptoms by healthcare providers may improve appropriate healthcare utilization and patient safety. After hospital discharge, patients can experience symptoms prompting them to seek acute medical attention.
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