Reducing Length of Stay and Hospital Readmission for Orthopedic Patients: A Quality Improvement Project.
discharge education
length of stay
nursing
readiness for discharge
readmission
total joint arthroplasty
Journal
Journal of doctoral nursing practice
ISSN: 2380-9426
Titre abrégé: J Dr Nurs Pract
Pays: United States
ID NLM: 101685366
Informations de publication
Date de publication:
29 Oct 2021
29 Oct 2021
Historique:
entrez:
30
10
2021
pubmed:
31
10
2021
medline:
31
10
2021
Statut:
aheadofprint
Résumé
Transitioning patients from the hospital to home after a total hip or knee arthroplasty is challenging. Severe pain, comorbidities and complex medication regimes have the potential to delay readiness for discharge, increase length of stay (LOS), and cause readmissions. The goal of this practice improvement project was to improve patient readiness for discharge after total joint arthroplasty to reduce LOS, prevent emergency department (ED) visits, and prevent hospital readmissions. This quality improvement project was guided by the Iowa Model and implemented a prepost program implementation evaluation design. Nurses incorporated the Registered Nurse Assessment of Readiness for Hospital Discharge Scale (RN-RHDS) to guide and evaluate discharge education efforts. The focused education cohort demonstrated significantly decreased LOS and decreased readmissions compared to the cohort receiving standard education efforts. ED visits were not significantly different amongst cohorts. This practice improvement project demonstrates successful translation of research into practice. The use of focused education and the RN-RHDS tool is recommended for nursing to improve patient readiness for discharge and patient outcomes.
Sections du résumé
BACKGROUND
BACKGROUND
Transitioning patients from the hospital to home after a total hip or knee arthroplasty is challenging. Severe pain, comorbidities and complex medication regimes have the potential to delay readiness for discharge, increase length of stay (LOS), and cause readmissions.
OBJECTIVE
OBJECTIVE
The goal of this practice improvement project was to improve patient readiness for discharge after total joint arthroplasty to reduce LOS, prevent emergency department (ED) visits, and prevent hospital readmissions.
METHODS
METHODS
This quality improvement project was guided by the Iowa Model and implemented a prepost program implementation evaluation design. Nurses incorporated the Registered Nurse Assessment of Readiness for Hospital Discharge Scale (RN-RHDS) to guide and evaluate discharge education efforts.
RESULTS
RESULTS
The focused education cohort demonstrated significantly decreased LOS and decreased readmissions compared to the cohort receiving standard education efforts. ED visits were not significantly different amongst cohorts.
CONCLUSION
CONCLUSIONS
This practice improvement project demonstrates successful translation of research into practice.
IMPLICATIONS FOR NURSING
CONCLUSIONS
The use of focused education and the RN-RHDS tool is recommended for nursing to improve patient readiness for discharge and patient outcomes.
Identifiants
pubmed: 34716277
pii: JDNP-D-20-00060
doi: 10.1891/JDNP-D-20-00060
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© Copyright 2021 Springer Publishing Company, LLC.