Why Coming Home is the Riskiest Part of Care

The transition from a clinical setting to the home is a period of significant vulnerability [2]. Pre-discharge home assessment visits have been shown to reduce hospital readmission rates by identifying and mitigating specific hazards before a patient returns [2]. When these assessments are conducted effectively, they not only facilitate safer mobility but also increase patient participation in daily activities [2, 3]. Given that fall-related injuries are a primary cause of readmissions, proactive interventions—such as ensuring proper bathroom support and lighting—are vital for preventing the “revolving door” effect and promoting long-term patient and caregiver confidence [2, 3].

 

Clinical References:

  • [1] Campani, D., et al. (2020). Home and environmental hazards modification for fall prevention. Public Health Nursing, 38(3).
  • [2] Kirchner-Heklau, U., et al. (2021). Predischarge home assessments to improve transition of care. BMC Health Services Research, 21(1).
  • [3] Marini, G., et al. (2025). Transitional Care Interventions in Improving Outcomes. Healthcare, 13(3).
  • [4] Stark, S., et al. (2017). Effect of Home Modification Interventions on Participation. AJOT, 71(2).