Improvements in the delivery of care cannot prevent some skilled nursing facility patients from being readmitted to hospitals, a new study has concluded.

According to the study, when advanced practice nurses brought best practices to 16 nursing homes participating in a Medicare pilot program, they enjoyed considerable success reducing hospital readmissions but found themselves unable to stop some, including readmissions caused by residents or their families calling ambulances on their own; patients refusing treatment and then demanding hospitalization because of the effects of the denied treatment; and patients in hospice deciding they want surgery.

These were among the findings in a study to be published next month in the Journal of Nursing Care Quality.  For preview, see the McKnight’s Long-Term Care News article “Researchers: More hospital admissions are ‘unavoidable’ than previously thought.”