Complex research, clear communication.
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Almost every slide template on sale was built for a high school classroom or a marketing pitch deck. Neither has to carry a forest plot, a participant flow diagram or a confidence interval. This one is built to.
Swipe through the worked example.
One phone call after discharge cut return visits by nearly half
Introduction: Background
Most people go home with no follow-up at all
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Around three per cent of emergency department visits produce an unscheduled return within 72 hours, and most of those patients were discharged home the first time.
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Comprehension of discharge instructions is worst where it matters most. In older adults, only about four in ten understand their medication instructions.
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Telephone follow-up is cheap and widely recommended, but the controlled evidence sits almost entirely in patients over 65, and it is not encouraging.
Methods
One call, one department, one outcome taken from routine records
Design
Pragmatic parallel-group randomised trial, 1:1, single urban ED
Participants
412 adults discharged home, March to November 2025
Intervention
One structured nurse call within 72 hours, against usual care
Outcome
Unplanned return to our ED within 30 days, from routine records
Results: Supplementary
The call worked by getting people to a GP, not by talking them out of coming back
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Contact with a GP within 14 days rose from 43.2% to 61.4%, a difference of 18.2 percentage points (95% CI 8.6 to 27.8).
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Nurses booked or prompted an appointment in 71% of completed calls. Reassurance alone was recorded in 12%.
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The separation in return visits appeared in the first fortnight, which is the window in which an appointment can actually be made.
The call changed where people went. It did not change how sick they were.
Primary and secondary outcomes, 401 participants
Appendix
Returns separated in the first fortnight and then ran parallel
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By day 14, 20.1% of usual care and 10.4% of the call arm had returned.
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Between day 15 and day 30 the two arms accumulated returns at almost identical rates: the gap at day 14 is 9.7 percentage points, and at day 30 it is also 9.7.
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So this is a prevented fortnight that does not reverse, rather than a change in the later trajectory.
Illustrative worked example built to demonstrate the layouts. The trial, data, authors and affiliations are fictional.
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