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Related Concept Videos

Patient-centered Care01:13

Patient-centered Care

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Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
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Introspection, long upheld as a reliable route to self-knowledge, involves examining one's thoughts, emotions, and mental processes. It underpins many psychological practices, from mindfulness meditation to psychotherapy and self-help strategies. However, empirical evidence challenges the accuracy of introspection as a means of understanding oneself.Limitations of Introspective InsightSeminal work by Nisbett and Wilson demonstrated that individuals are frequently unaware of the true causes...
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Guidelines for Writing Outcome01:11

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When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
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Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing01:23

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Focusing involves centering a conversation on a message's critical elements or concepts. Focusing is valuable if the talk is vague or patients begin to repeat themselves. Sometimes, when patients are asked about their symptoms, they may go off-topic and try to tell their entire life story. Respectfully, the nurse should bring the conversation back into focus.
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Healthcare Associated Infections II: Preventive Measures01:22

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Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
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Restorative Care01:19

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Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
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Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum
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Reflective Practice: A Tool for Readmission Reduction.

Deanne T Kashiwagi1, M Caroline Burton2, Fayaz A Hakim3

  • 1Mayo Clinic, Rochester, MN kashiwagi.deanne@mayo.edu.

American Journal of Medical Quality : the Official Journal of the American College of Medical Quality
|February 10, 2015
PubMed
Summary
This summary is machine-generated.

Frontline providers identified local practice factors contributing to 30-day hospital readmissions. Implementing reflective practice led to sustained decreases in readmissions, improving patient care transitions.

Keywords:
hospitalquality improvementreadmissionsreflective practice

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Area of Science:

  • Healthcare Management
  • Patient Safety
  • Clinical Practice Improvement

Background:

  • Unidentified local practice factors contribute to hospital readmissions.
  • Frontline providers possess unique insights into practice system limitations.
  • Reducing 30-day hospital readmissions remains a critical healthcare objective.

Purpose of the Study:

  • To decrease 30-day hospital readmissions.
  • To identify intrinsic local practice factors influencing readmissions.
  • To evaluate the effectiveness of reflective practice by hospitalists.

Main Methods:

  • Hospitalists conducted retrospective chart reviews of their own patients' readmissions.
  • A chart review tool guided reflective practice.
  • Identified factors were categorized into patient characteristics, operational factors, and care transition.

Main Results:

  • Physicians implemented earlier follow-up appointments post-reflection.
  • Advanced practice providers enhanced discharge instructions.
  • A decrease in readmissions was observed during the review period.
  • This reduction in readmissions was sustained for one year.

Conclusions:

  • Reflective practice by hospitalists effectively identified local factors contributing to readmissions.
  • The intervention demonstrated a sustained positive impact on reducing 30-day hospital readmissions.
  • Reflective practice is a viable strategy for improving hospital care transitions and patient outcomes.