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RAMPED-UP: The Development and Testing of an Interprofessional Collaboration Model.

Kwame Asante Akuamoah-Boateng¹, Clareen Wiencek, Jill H Esquivel

¹Division of Acute Care Surgery, Department of Surgery, Virginia Commonwealth University, Richmond (Drs Akuamoah-Boateng, Torres, and Whelan); University of Virginia School of Nursing, Charlottesville (Drs Wiencek, Esquivel, and DeGennaro).

Journal of Trauma Nursing : the Official Journal of the Society of Trauma Nurses

|November 13, 2019

Summary

A structured interprofessional collaboration (IPC) model improved patient discharge rates but did not significantly reduce hospital length of stay (LOS) in surgical trauma patients. Further research into incentive spirometry (I/S) as a predictor of LOS is recommended.

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Area of Science:

Healthcare Management
Patient Outcomes
Trauma Care

Background:

Interprofessional collaboration (IPC) is crucial for optimizing patient and system outcomes.
Structured IPC models are being developed to enhance care delivery.
The RAMPED-UP model was implemented to assess its impact on surgical trauma patients.

Purpose of the Study:

To measure the impact of the RAMPED-UP structured IPC model on hospital length of stay (LOS) in surgical trauma patients.
To evaluate secondary outcomes such as discharge disposition and discharge-by-noon (DBN) rates.
To explore correlations between clinical indicators and LOS within the IPC model.

Main Methods:

Prospective cohort study with a historical comparison group at a Level 1 trauma center.
Comparison of trauma patients before (n=98) and during (n=96) the RAMPED-UP intervention.
Analysis of hospital LOS, DBN rates, and correlation with incentive spirometry (I/S) values.

Main Results:

No statistically significant difference in hospital LOS between the RAMPED-UP and pre-RAMPED-UP groups.
The RAMPED-UP group showed significantly higher discharge-by-noon (DBN) rates (18.2%, p = .005).
A significant negative correlation was found between incentive spirometry (I/S) values and both hospital LOS and RAMPED-UP LOS (p < .018).

Conclusions:

The RAMPED-UP IPC model did not reduce overall hospital LOS but improved DBN rates.
Incentive spirometry (I/S) values show potential as predictors for LOS in trauma patients.
Structured IPC models can enhance specific patient outcomes like timely discharge.