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A Multidisciplinary Approach to Improving the Pediatric Discharge Process.
Kayla Jubic1, Emily Dick, Carrie Moelber
1Education and Professional Development Department (Ms Jubic), Clinical Informatics Department (Ms Dick), and Quality Services (Ms Moelber), UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania.
Journal of Nursing Care Quality
|November 14, 2021
Summary
Standardizing pediatric discharge processes reduced 7-day hospital readmissions and improved patient satisfaction. This collaborative approach ensures families receive clear information for successful post-hospital recovery.
Area of Science:
- Pediatric Healthcare
- Quality Improvement Initiatives
- Patient Discharge Management
Background:
- Effective discharge information is crucial for pediatric patients' successful transition home.
- Current discharge practices in pediatric settings often lack standardization.
- Multidisciplinary collaboration is key to improving patient outcomes post-hospitalization.
Purpose of the Study:
- To analyze and identify variations in the pediatric discharge process.
- To implement a standardized discharge protocol in an urban pediatric hospital.
- To evaluate the impact of process standardization on readmission rates and patient satisfaction.
Main Methods:
- Utilized the Plan-Do-Study-Act (PDSA) methodology for process improvement.
- Developed a standardized discharge template and adopted a new patient education platform.
- Enhanced the electronic health record system to support discharge procedures.
Main Results:
- Achieved a reduction in the 7-day readmission rate from 4.58% to a post-intervention average of 3.41%.
- Patient satisfaction scores regarding discharge preparation significantly increased, moving from the 12th-62nd percentile to the 65th-95th percentile.
- Top box scores for patient satisfaction rose from 81% to 88% post-implementation.
Conclusions:
- Standardizing the discharge process is an effective quality improvement strategy in pediatric care.
- The initiative successfully reduced 7-day readmission rates.
- Improved patient and family satisfaction with discharge preparation was a key outcome.
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