Dissertation/Thesis Abstract

Modified Interdisciplinary Rounds/Progression of Care Rounds: Decreasing 30-day Unplanned Readmissions
by Britton, Donna Marie, D.N.P., Grand Canyon University, 2018, 170; 10837264
Abstract (Summary)

The continuously growing readmission rates within 30-days of discharge point toward compromising quality outcomes such as fragmented health care. The purpose of this project was to compare the effectiveness of pre-intervention traditional interdisciplinary rounds (IR)/ progression of care rounds (POCR) members, in comparison to the intervention of modified IR/POCR members, by adding a disease-specific educator (DSE) member to the team, as measured by the 30-day unplanned readmissions rate in patients discharged from a single cardiology unit in Galveston, Texas. A comparison of 30-day unplanned readmissions during two different timeframes was performed using the planned readmission tool. The Iowa model of evidence-based practice and the model of collaborative care supported the project. A comparative quantitative methodology was used to analyze the data. The final sample consisted of 50 (N = 50) patients discharged during the pre-intervention and 53 (N = 53) during post-intervention. The data was analyzed using descriptive statistics and an unpaired t-test. The pre-intervention IR/POCR team members period 30-day readmissions were 7 compared to 3 during the post-intervention IR/POCR team members. The standard deviation of pre-intervention IR/POCR and post-intervention was 3.95980 and 2.12132 respectively. The results show a significant value of 0.106 (95% CI, -1.04243 to 5.04243). The implementation of the DSE to the IR/POCR team assisted in identifying and closing the gap associated with quality patient outcomes and reduced 30-day unplanned readmission rates. Further research is needed due to a limited practice site.

Indexing (document details)
Advisor: McDermott, Sandi
Commitee: Armendariz-Batiste, Mary Josette
School: Grand Canyon University
Department: College of Nursing and Health Care Professions
School Location: United States -- Arizona
Source: DAI-B 79/12(E), Dissertation Abstracts International
Subjects: Nursing, Health care management
Keywords: 30-day unplanned readmissions, DSE, IR, Iowa model of evidence-based practice, Model of collaborative care, POCR
Publication Number: 10837264
ISBN: 9780438155718
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