scholarly journals Effectiveness of a Telemonitoring and Patient-Centric Health Coach Intervention for Adult Patients with Heart Failure: A Quality Improvement Project in Transitional Care

2014 ◽  
Author(s):  
Linda Tavares
Keyword(s):  
Heart Failure ◽  
Quality Improvement ◽  
Transitional Care ◽  
Quality Improvement Project ◽  
Adult Patients ◽  
Health Coach ◽  
Improvement Project ◽  
Patients With Heart Failure ◽  
Patient Centric

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

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.

A Quality Improvement Project to Reduce Congestive Heart Failure Mortality With Intensive Case Management

CHEST Journal ◽  
2013 ◽  
Vol 144 (4) ◽  
pp. 404A ◽  
Author(s):  
Pratik Dalal ◽  
Shoma Singh ◽  
John Ulahanan ◽  
Changwan Ryu ◽  
Joan Mitchell ◽  
...  
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Quality Improvement ◽  
Case Management ◽  
Quality Improvement Project ◽  
Intensive Case Management ◽  
Improvement Project

scholarly journals 13 Keeping up the beat: a quality improvement project on heart failure monitoring & management

Heart ◽  
2017 ◽  
Vol 103 (Suppl 5) ◽  
pp. A8-A10 ◽  
Author(s):  
Mahvesh Rana Javaid ◽  
Georgina Baca ◽  
Lovesh Dyall ◽  
Rumbi Maka ◽  
Jessica Dillaway ◽  
...  
Keyword(s):  
Heart Failure ◽  
Quality Improvement ◽  
Quality Improvement Project ◽  
Improvement Project ◽  
Failure Monitoring ◽  
Heart Failure Monitoring

P34 Quality improvement project aimed at reducing gentamicin errors in neonates

2018 ◽  
Vol 103 (2) ◽  
pp. e1.38-e1 ◽  
Author(s):  
Calvert Heather ◽  
Makhalira Aubrey
Keyword(s):  
Quality Improvement ◽  
Transitional Care ◽  
Action Plan ◽  
Quality Improvement Project ◽  
Time Interval ◽  
List Type ◽  
Open Communication ◽  
Monthly Basis ◽  
Improvement Project ◽  
High Dependency

AimA level 3 tertiary neonatal unit with a capacity of 40 cots providing intensive care, high dependency care, special care & transitional care services, had 18 gentamicin errors reported between January and June 2017, with 84% errors occurring at prescribing and 16% errors in administration. The majority of errors (67%) were due to the complexity of calculating a 36-hourly time interval between doses. A quality improvement project was undertaken with the aim of reducing the number of gentamicin errors on the unit over a 3 month period.MethodAn overview of all gentamicin errors were presented to the multidisciplinary team (MDT) with a view of gathering ideas for improvement to ensure a team based approach. An action plan was put in place in line with National Patient Safety Agency (NPSA) recommendations1 and initiated in July 2017 based on a plan-do-study-act (PDSA) model.ResultsThe PDSA cycles included:a simplified and standardised dosing interval for dosing of gentamicin after the first dose.an updated local monograph with dosing intervals and example prescription.posters displayed in prescribing areas to promote safe and focused prescribing.a feedback session to the full MDT team regarding improvements made and further feedback.ensure compliance with policy by promoting updated guideline & on going error monitoring.consideration of alternative lower risk antibiotic in low risk babies.incorporation of gentamicin prescribing exercise as part of the new doctor induction. The following interventions will be evaluated in 3 months using Datix reported errors before and after implementation. Sequential PDSA cycles will then be conducted for learning and improvement.ConclusionA team based approach, using open communication with regular feedback and review is essential in order to improve the quality of prescribing and gain engagement from medical and non-medical prescribing colleagues. Further audit will be undertaken on monthly basis to evaluate the implementation of improvement measures.

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