作者: Nathan J. Smischney , Kelly A. Cawcutt , John C. O'Horo , Ronaldo A. Sevilla Berrios , Francis X. Whalen
DOI: 10.1111/JEP.12135
关键词: Quality management 、 Emergency department 、 Emergency medicine 、 Medical emergency 、 Checklist 、 Medicine 、 Observational study 、 Baseline data 、 Unplanned readmission 、 Intensive care unit 、 Initial phase
摘要: Rationale, aims and objectives Checklists have been adopted by various institutions to improve patient outcomes. In particular, readmission prevention checklists may be of potential value care reduce medical costs. As a result, prior quality improvement study was conducted create an intensive unit checklist. The previous pilot demonstrated zero readmissions when the checklist utilized but yielded low compliance (30%). Thus, subsequent initiative undertaken refine with primary aim improved while maintaining reduced rate that observed original study. Method A single-centre, cross-sectional for assessing baseline data prospective observational assess effectiveness refined tool in 20-bed tertiary medical-surgical at academic centre Rochester, MN conducted. Medical patients admitted through emergency department, upon direct transfer from outside facility, post-operative surgical our institution were included. administered during 8-week period patients. Results resulted even lower (10.5%) initial phase likely resulting utilization paper electronic environment. Moreover, 22% unplanned which utilized. Conclusions conclusion, findings current serve rethink process health delivery applies tools