Reducing 30-Day Readmission Rates for Chronic Obstructive Pulmonary Disease Patients: A Care Standardization & Quality Improvement Project- [electronic resource]
Reducing 30-Day Readmission Rates for Chronic Obstructive Pulmonary Disease Patients: A Care Standardization & Quality Improvement Project- [electronic resource]
- 자료유형
- 학위논문파일 국외
- 최종처리일시
- 20240214101145
- ISBN
- 9798380010535
- DDC
- 610.73
- 서명/저자
- Reducing 30-Day Readmission Rates for Chronic Obstructive Pulmonary Disease Patients: A Care Standardization & Quality Improvement Project - [electronic resource]
- 발행사항
- [S.l.]: : Yale University., 2023
- 발행사항
- Ann Arbor : : ProQuest Dissertations & Theses,, 2023
- 형태사항
- 1 online resource(53 p.)
- 주기사항
- Source: Dissertations Abstracts International, Volume: 85-02, Section: B.
- 주기사항
- Advisor: Camilleri, Mary Ann.
- 학위논문주기
- Thesis (D.N.P.)--Yale University, 2023.
- 사용제한주기
- This item must not be sold to any third party vendors.
- 초록/해제
- 요약Chronic obstructive pulmonary disease (COPD) is a chronic inflammatory lung disease that affects millions of Americans and accounts for close to 700,000 hospitalizations per year. On average, about 20% of patients hospitalized for acute exacerbation of COPD are readmitted to the hospital within 30 days of discharge. The quality of care delivered to COPD patients is often suboptimal and fragmented, contributing to unfavorable patient outcomes, and high rates of readmissions. The purpose of this DNP project was to reduce 30-day readmissions and improve quality of care by developing and implementing a standardized Discharge Care Bundle for COPD patients in the inpatient setting at an urban academic medical center. The COPD Discharge Care Bundle included the following interventions: pulmonary consultation, smoking cessation evaluation, medication reconciliation, spirometry (if not completed within the last year), patient education, and scheduling of a pulmonary follow-up appointment within 14 days of discharge. During the 3-month implementation period, a total of 30 patients were enrolled in the COPD Discharge Care Bundle program. Thirty-day readmissions data were collected for baseline and project timeframes. The readmission rate decreased from 45.5% for the baseline period to 13.3% post-implementation (p=0.01340). This DNP project provides a robust care standardization process that healthcare organizations can adopt and leverage to improve their COPD performance. An opportunity exists to promote best-practice, equitable care, influence clinical behavior, and accelerate the development and implementation of quality improvement efforts by expanding the inclusion of standardized COPD-related measures in all payer pay-for-performance models.
- 일반주제명
- Nursing.
- 일반주제명
- Public health.
- 일반주제명
- Health sciences.
- 일반주제명
- Health care management.
- 키워드
- Lung disease
- 키워드
- COPD patients
- 키워드
- DNP project
- 기타저자
- Yale University Yale University School of Nursing
- 기본자료저록
- Dissertations Abstracts International. 85-02B.
- 기본자료저록
- Dissertation Abstract International
- 전자적 위치 및 접속
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