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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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Planning Nursing Care I01:21

Planning Nursing Care I

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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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Role of Communication in the Nursing Process II: Planning and Implementation01:25

Role of Communication in the Nursing Process II: Planning and Implementation

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Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time...
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Communication01:28

Communication

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Sharing information, concepts, and emotions to foster mutual understanding is communication. The sender, recipient, and transaction must be considered in this manner. The sender is the person who shares the message, the recipient is the person who receives and understands the message, and the transaction is the method used to deliver the message and the variables that affect the communication's context and surroundings. The nurse-client connection is built on therapeutic communication.
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Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing01:23

Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing

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Focusing involves centering a conversation on a message's critical elements or concepts. Focusing is valuable if the talk is vague or patients begin to repeat themselves. Sometimes, when patients are asked about their symptoms, they may go off-topic and try to tell their entire life story. Respectfully, the nurse should bring the conversation back into focus.
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
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Role of Communication in the Nursing Process III: Evaluation and Documentation01:08

Role of Communication in the Nursing Process III: Evaluation and Documentation

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A successful patient outcome depends mainly on the evaluation stage of the nursing process. Evaluation determines effectiveness by reviewing what was done previously after the completion of nursing interventions. Every time a healthcare professional steps in or administers treatment, they must reassess or evaluate the action to ensure the intended result. During the evaluation phase, there are three probable patient outcomes:
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Discharge optimization tool to decrease length of stay and improve satisfaction related to advanced practice provider

Sean T Kelly1, Christina Cardy2

  • 1Tampa General Hospital: Cardiothoracic Surgery Department, Tampa, FL, 33606.

Heart & Lung : the Journal of Critical Care
|March 15, 2023
PubMed
Summary
This summary is machine-generated.

Implementing a discharge optimization tool (DOT) reduced length of stay (LOS) for coronary artery bypass grafting (CABG) patients by 16%. This quality improvement project also enhanced communication satisfaction for cardiothoracic surgery advanced practice providers (APP).

Keywords:
Advanced Practice Provider (APP) SatisfactionCardiothoracic SurgeryCommunicationCoronary Artery Bypass Grafting (CABG)Discharge OptimizationLength of Stay (LOS)

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Area of Science:

  • Cardiothoracic Surgery
  • Healthcare Quality Improvement
  • Health Informatics

Background:

  • Prolonged hospital length of stay (LOS) is linked to adverse patient outcomes and increased healthcare costs.
  • Coronary artery bypass grafting (CABG) patients at this urban trauma center had an average LOS of 8.73 days, exceeding the STS benchmark of 7.0 days.
  • Reducing LOS can yield significant clinical, financial, and operational benefits.

Purpose of the Study:

  • To implement an evidence-based discharge optimization tool (DOT) within the Electronic Health Record (EHR).
  • To reduce LOS in patients undergoing isolated CABG.
  • To enhance communication satisfaction among cardiothoracic surgery advanced practice providers (APP).

Main Methods:

  • A discharge optimization tool (DOT) was utilized to facilitate communication of anticipated discharge timelines to the multidisciplinary team.
  • Outcomes measured included postoperative length of stay (LOS) and APP communication satisfaction.
  • Data collected via chart review was statistically analyzed using a one-sample T-test.

Main Results:

  • The mean postoperative LOS for CABG patients decreased by 16%, from 8.73 to 7.31 days (p=0.007).
  • Cardiothoracic surgery APP communication satisfaction showed a significant improvement of 33%.
  • The study included 177 patients (mean age 64 years, 72% male, 66% Caucasian).

Conclusions:

  • The implementation of a discharge optimization tool (DOT) effectively reduces length of stay (LOS) in CABG patients.
  • Utilizing a DOT to standardize discharge communication improves APP satisfaction.
  • This quality improvement initiative demonstrates a positive impact on patient care efficiency and provider communication.