RT Journal Article SR Electronic T1 Discharge planning and home follow up by advanced practice nurses reduced hospital readmissions of elderly patients JF Evidence Based Nursing JO Evid Based Nurs FD BMJ Publishing Group Ltd and RCN Publishing Company Ltd SP 125 OP 125 DO 10.1136/ebn.2.4.125 VO 2 IS 4 YR 1999 UL http://ebn.bmj.com/content/2/4/125.abstract AB