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Related Experiment Videos

Decreasing companion usage without negatively affecting patient outcomes: a performance improvement project.

Lisa Salamon1, Maureen Lennon

  • 1Cleveland Clinic Foundation, Orthopedic and Subacute Units, Cleveland, OH, USA.

Medsurg Nursing : Official Journal of the Academy of Medical-Surgical Nurses
|October 1, 2003
PubMed
Summary

Companion use for patient monitoring is costly and inefficient in subacute care. A new protocol reduced companion spending without impacting patient safety or outcomes, offering a financially sustainable solution for healthcare.

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Area of Science:

  • Healthcare management
  • Patient safety protocols
  • Cost-effectiveness in healthcare

Background:

  • Continuous patient observation, often using companions, is standard for high-risk individuals, including those on suicide precautions.
  • While enhancing safety, the practice of employing companions in subacute care settings is resource-intensive and financially burdensome for healthcare systems.

Purpose of the Study:

  • To evaluate the feasibility and impact of a new protocol for assessing at-risk patients.
  • To reduce healthcare expenditure related to companion use in subacute care.
  • To maintain or improve patient safety and outcomes during this process.

Main Methods:

  • Implementation of a standardized protocol for patient risk assessment.
  • Fostering interdisciplinary collaboration among healthcare providers through a performance improvement initiative.

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  • Monitoring patient outcomes and companion expenditure before and after protocol implementation.

    • Main Results:

    • Significant reduction in the financial expenditure associated with patient companions.
    • No adverse impact on patient safety or clinical outcomes was observed.
    • Successful integration of the new protocol into existing care pathways.

    Conclusions:

    • A structured approach to patient risk assessment and care-giver collaboration can effectively reduce costs associated with companion use.
    • This strategy offers a viable method for optimizing resource allocation in subacute care without compromising patient well-being.
    • The findings support the adoption of evidence-based protocols to enhance financial sustainability in healthcare settings.