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Related Concept Videos

Discharge Summary Forms01:31

Discharge Summary Forms

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The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
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Methods of Documentation VI: Case Management Model01:15

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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
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Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis01:24

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The nursing process provides a clinical decision-making framework for patients and families to establish and implement a personalized care plan. Since part of the nurse's duties is to teach patients, the steps of the nursing process are the most effective way to approach instruction. The nursing process and the teaching-learning process are inextricably linked.
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Methods of Documentation III: PIE01:21

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Nursing Process for Patient and Caregiver Teaching II: Planning and Implementation01:24

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Planning for learning involves the development of a teaching plan. Teaching plans are similar to nursing care plans—both follow the steps of the nursing process. Planning in the teaching process involves setting goals and outcomes. Here, goals identify what a patient needs to achieve to understand a healthcare topic better, whereas the outcomes are the action to be performed by the patient to achieve the goal within a timeframe. For example, if the goal is to educate the patient about...
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The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
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Reducing Pediatric Readmissions: Using a Discharge Bundle Combined With Teach-back Methodology.

Herminia Shermont1, Shelly Pignataro, Kate Humphrey

  • 1Boston Children's Hospital, Boston, Massachusetts.

Journal of Nursing Care Quality
|February 5, 2016
PubMed
Summary

A quality improvement initiative reduced unplanned pediatric readmissions. Combining teach-back with a discharge bundle decreased 7-day readmissions by 8% and 30-day readmissions by 10%.

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Area of Science:

  • Pediatric Healthcare Quality Improvement
  • Patient Safety and Outcomes Research

Background:

  • Unplanned hospital readmissions represent a significant burden on healthcare systems and patient well-being.
  • Pediatric tertiary care settings face unique challenges in managing patient transitions and preventing readmissions.

Purpose of the Study:

  • To describe a quality improvement (QI) initiative focused on reducing unplanned 7- and 30-day readmission rates.
  • To evaluate the effectiveness of a stepwise dissemination of a pilot QI initiative across multiple inpatient units.

Main Methods:

  • A pilot QI initiative was developed and systematically disseminated across 16 inpatient units in an urban, pediatric, tertiary care hospital.
  • The intervention integrated a teach-back methodology with a standardized discharge bundle.
  • Readmission rates were tracked over a 16-month period to assess the initiative's impact.

Main Results:

  • The implemented QI initiative achieved an 8% reduction in 7-day unplanned readmissions.
  • A 10% reduction in 30-day unplanned readmissions was observed over the 16-month study period.
  • The stepwise dissemination strategy facilitated broad adoption of the intervention.

Conclusions:

  • Combining teach-back methodology with a discharge bundle is an effective strategy for reducing pediatric readmissions.
  • Quality improvement initiatives can be successfully scaled across multiple units in a tertiary care setting.
  • This approach offers a promising model for enhancing patient safety and reducing healthcare costs.