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Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
Impact of The Daily Plan on Length of Stay and Readmission
Beth King1, Yinong Young-Xu, William J Lee
1National Center for Patient Safety (Mss King and Neily and Dr Young-Xu, Mr Lee, and Drs Shiner and Mills) and Clinical Epidemiology Program (Dr Young-Xu and Mr van Aalst and Ms Eickhoff), Veterans Affairs Medical Center, White River Junction, Vermont; and Department of Psychiatry, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire (Drs Young-Xu and Shiner).
Abstract:
The Veterans Health Administration implemented The Daily Plan (TDP) to improve patient safety. We compared length of stay and readmission between intervention and control units. Length of stay decreased for both groups. Readmission rates increased for controls (21.3%-25.0%, P = .02) and barely changed for TDP units (21.7%-22.5%, P = .37). Although there were no efficiency improvements, TDP's ultimate goal was safety. Not all patient safety actions improve efficiency; nonetheless, their value continues.
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