Improving the Patient Experience Via Use of a Video-on-Demand Patient Education Program: A Dietetic Intern Quality Improvement Project

Background:Preoperative education is an important component of preparing patients for surgery. Preoperative anxiety is one of the most important problems for patients, because it causes emotional and psychiatric problems as well as physical problems. Anxiety has been associated with several pathophysiological responses such as hypertension and dysrhythmias, which can increase perioperative morbidity. Estimates suggest that between 11% and 80% of adult presurgical patients experience heightened levels of anxiety.Objective:The purpose of this pilot project was to develop a preoperative education program for thoracic surgery patients and to assess the effectiveness of the program in decreasing patient's self-reported anxiety levels using the validated Patient-Reported Outcomes Measurement Information System (PROMIS) tool.Methods:This quality improvement project used a pre- and posttest improvement design to evaluate patient's self-reported anxiety levels at three different timepoints during the preoperative and postoperative period. A total of 15 patients from a thoracic surgery practice participated in the study.Results:The study showed no statistically significant change in patients' self-reported anxiety levels after completion of the preoperative education program (p = .538). Patients reported improvements in parameters such as expectations, pain, and preparedness.Conclusions:Although some studies have found that preoperative patient education decreases anxiety, this study supports others that indicate that anxiety is not affected by or associated with educational preparation prior to thoracic surgery. Though no statistical improvement in anxiety levels was demonstrated in this study, a majority of patients reported improvements in parameters such as expectations, pain, and preparedness.Implications for Nursing:As patient education is largely provided by the nursing profession, this article will help the profession to better understand what is important for patients to know in the preoperative setting. Setting patient expectations has a great impact on the patient's recovery and satisfaction with their surgical experience. As this is a pilot study, the goal is for continued research in the area of decreasing preoperative anxiety and preparing patients for surgery.

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59. A Novel Virtual Biologics Clinic Leads to Improved Patient Experience, Enhanced Research Recruitment and Cost Savings: Results of A Quality Improvement Project

Rheumatology ◽

10.1093/rheumatology/keu098.014 ◽

2014 ◽

Vol 53 (suppl_1) ◽

pp. i77-i77 ◽

Cited By ~ 1

Author(s):

Karen Kemp ◽

Vanessa Reid ◽

Ben Parker

Keyword(s):

Quality Improvement ◽

Patient Experience ◽

Cost Savings ◽

Quality Improvement Project ◽

Improvement Project ◽

Research Recruitment

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Standardization of Education of Patients With Cancer in a Low- and Middle-Income Country: A Quality Improvement Project Using the Cancer and You Booklet

Journal of Global Oncology ◽

10.1200/jgo.19.00118 ◽

2019 ◽

pp. 1-6

Author(s):

Olivier Habimana ◽

Vestine Mukeshimana ◽

Albertine Ahishakiye ◽

Protais Makuza ◽

Vedaste Hategekimana ◽

...

Keyword(s):

Patient Education ◽

Education Program ◽

Standardized Patient ◽

Middle Income ◽

Improvement Project ◽

Middle Income Countries ◽

Patients With Cancer ◽

Patient Education Program ◽

Level Of Satisfaction ◽

Low And Middle Income

PURPOSE The Butaro Cancer Centre of Excellence is the first comprehensive referral cancer center in Rwanda and at its inception did not have a standardized patient education program. Partners in Health/Inshuti Mu Buzima and the Rwandan Ministry of Health conducted a quality improvement project to increase patient knowledge by implementing a standardized oncology education program using picture-based and culturally appropriate materials designed for patients with cancer in low- and middle-income countries. METHODS Four Rwandan nurses were trained to provide patient education using the Cancer and You education booklet created by Global Oncology. A pre- and post-test design was used to evaluate patients’ knowledge of cancer, treatment, and management of adverse effects. Nurses administered a posteducation questionnaire in Kinyarwanda to determine patients’ level of satisfaction with the education session and booklet. The four nurses were interviewed at the completion of the project for their feedback. A total of 40 oncology patients were included in the pilot project, of which 85% reported completing primary school or less. RESULTS On average, participants improved 19% (95% CI, 13.9% to 24.1%; standard deviation, 16%) from pre- to postevaluation, demonstrating a significant increase in knowledge ( P ≤ .001). Nearly all patients (97.5%) reported that they were either satisfied or very satisfied with the education program. Oncology nurses gave positive feedback, highlighting that it was helpful to have a standard tool for education with descriptive illustrations for those patients with low literacy. CONCLUSION Implementation of a standardized patient education program demonstrated a statistically significant increase in patient knowledge and a high level of satisfaction among patients and nurses. The project serves as an example for other low- and middle-income countries looking to standardize oncology patient education.

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Patient Experience Improvement in an Electrophysiology Department: A Quality Improvement Project

Western Journal of Nursing Research ◽

10.1177/0193945918785349d ◽

2018 ◽

Vol 40 (10) ◽

pp. 1566-1566

Author(s):

Tara L. Schweitzer ◽

Lisa Burkhart

Keyword(s):

Quality Improvement ◽

Patient Experience ◽

Quality Improvement Project ◽

Improvement Project

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Redesigning Services in a Patient Education Resource Center Setting: A DMAIC Quality Improvement Project

Journal of Hospital Librarianship ◽

10.1080/15323269.2014.888513 ◽

2014 ◽

Vol 14 (2) ◽

pp. 140-148 ◽

Cited By ~ 1

Author(s):

Susan H. Mayer

Keyword(s):

Quality Improvement ◽

Patient Education ◽

Quality Improvement Project ◽

Improvement Project ◽

Resource Center ◽

Education Resource

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Improving heart failure transitional care after hospital discharge: A quality improvement project

Journal of Nursing Education and Practice ◽

10.5430/jnep.v10n11p62 ◽

2020 ◽

Vol 10 (11) ◽

pp. 62

Author(s):

Janelle N. Akomah ◽

Lynn Richards-McDonald ◽

Diana-Lyn Baptiste

Keyword(s):

Heart Failure ◽

Quality Improvement ◽

Education Program ◽

Hospital Readmission ◽

Transitional Care ◽

Health Care Expenditures ◽

The United States ◽

Quality Improvement Project ◽

Improvement Project ◽

Care Clinic

Background and objective: The burden of heart failure is growing, affecting more than 6 million Americans and an estimated of 26 million worldwide. Heart failure is the most common cause of hospital readmission in the United States and is identified as a marker of poor health outcomes. Thirty day readmission contribute to more than $30 billion dollars in health care expenditures, underscoring a need for the development and implementation of programs that reduce readmission and improve outcomes for individuals with heart failure. The purpose of this quality improvement project was to implement a heart failure education program to increase attendance to a transitional care clinic and reduce 30-day readmissions.Methods: We included 22 individuals who received heart failure education, focused on symptom management and transitional care. Descriptive and statistical analyses were performed to examine attendance to the transitional care clinic and 30-day readmission.Results: There was a statistical significance between individuals attending follow-up at the designated transitional care clinic and 30-day hospital readmission (p ≤ .05). Of the (N = 22) participants, 64% were not readmitted into the hospital 30 days after discharge.Conclusions: The findings of this project demonstrate that a nurse-led evidence-based heart failure education program can improve attendance to transitional care programs and reduce 30-day readmissions. A well-designed plan for transitional care remains a critical component of patient care necessary to address complications and optimize continuity of care after discharge.

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Patient Education With Inhaler Technique to Prevent Readmissions and Emergency Room (ER) Visits in Asthma and COPD: A Quality Improvement Project at an Inner-City Hospital

CHEST Journal ◽

10.1016/j.chest.2016.08.724 ◽

2016 ◽

Vol 150 (4) ◽

pp. 632A

Author(s):

Ravneet Riar ◽

Leonel Carrasco ◽

Margaret Olibrice ◽

Raji Ayinla

Keyword(s):

Quality Improvement ◽

Patient Education ◽

Inner City ◽

Emergency Room ◽

Quality Improvement Project ◽

City Hospital ◽

Inhaler Technique ◽

Improvement Project

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Improving the referral rate of universal genetic counseling for pancreatic ductal adenocarcinoma (PDAC) at the Cleveland Clinic Taussig Cancer Center: A quality improvement project.

Journal of Clinical Oncology ◽

10.1200/jco.2020.38.29_suppl.196 ◽

2020 ◽

Vol 38 (29_suppl) ◽

pp. 196-196

Author(s):

Kanika G. Nair ◽

Brandie Leach ◽

Selina Sledge ◽

Megan Kilbane ◽

Jennifer Bates ◽

...

Keyword(s):

Quality Improvement ◽

Genetic Counseling ◽

Patient Education ◽

Germline Mutations ◽

Referral Rate ◽

Quality Improvement Project ◽

Tumor Board ◽

Improvement Project ◽

Referral Rates ◽

Germline Testing

196 Background: While most PDAC are sporadic, up to 10% are inherited. In 2018, ASCO and NCCN guidelines were updated to recommend that all patients with PDAC be considered for genetic counseling (GC) and germline testing. Furthermore, interest in treating patients with targeted therapy, such as olaparib, for germline mutations is increasing. We implemented a quality improvement project to identify the referral rate to GC for patients with PDAC, with the goal of improving the referral rate to 60%. Methods: Barriers to GC referral were identified using quality improvement tools developed at the ASCO Quality Training Program. Three “plan, do, study, act” (PDSA) cycles were implemented: 1) updating the electronic order and tumor board template to include GC recommendation (Aug–Oct 2019), 2) physician education (Nov–Dec 2019) and 3) patient education and physician reinforcement (Jan–Feb 2020). Baseline data to evaluate impact of PDSA intervention (from April to June 2019) on documented discussions about GC and placement of the referral order was completed via chart review. Results: Between April 2019 to January 2020, 199 patients with PDAC were seen in medical oncology clinic as new patient visits. Thirteen patients had previously completed GC. For the remainder, baseline discussion and referral rates were 25% and 9%, respectively. Discussion and referral rates improved to 55% and 30% after PDSA 1, to 73% and 33% after PDSA 2, and to 95% and 58% after PDSA 3, respectively. Forty-nine patients were referred at the first visit and 23 were referred at a subsequent visit. Forty-six patients underwent GC. In patients who completed germline testing 8.9% (4/45) were found to have a pathogenic variant in BRCA2, TP53, ATM, and MUTYH. Conclusions: With increased physician and patient education, we were able to improve the GC discussion rate from 25% to 95% and referral rate from 9% to 58%. While we did not meet our aim of 60% GC referral rate, we identified obstacles and outlined an improved process for early GC referrals. Enacting processes to reinforce GC referrals for patients with PDAC is likely to increase detection of germline mutations in this population.

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