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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.
Background:
A collaborative and multidisciplinary shared responsibility with providing discharge information to pediatric patients/families can support successful reassimilation to life posthospitalization.
Problem:
An analysis of the current discharge process at an urban pediatric hospital identified variations in discharge practices and instructions.
Approach:
A multidisciplinary taskforce used the Plan-Do-Study-Act methodology to standardize the discharge process including creating a discharge template, adopting a new education platform, enhancing the electronic health record, and implementing strategies to improve discharge.
Outcomes:
There was a reduction in 7-day readmission rate from preintervention 4.58 to postintervention for 4 consecutive quarters of 3.92, 4.20, 3.44, and 3.41, respectively. Percentile ranking and top box scores of the patient satisfaction measure of discharge preparation increased from 12th-62nd to 65th-95th percentile postimplementation and 81% to 88%, respectively.
Conclusions:
A local improvement initiative related to standardization of the discharge process resulted in a reduction in 7-day readmission rate and improved patient satisfaction scores.
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