Postdischarge telephone follow-up among chronic disease patients discharged from a vascular surgery service: a best practice implementation project.

IF 2.7 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Pedro Sousa, Daniela Cardoso, Tereza Vrbová, João Apóstolo, Margarida Santos, Gracinda Manso, Daniel Mourão, Goreti Ferreira, Manuela Monteiro, Jacinta Manata, Alexandre Vaz, Jitka Klugarová, Miloslav Klugar
{"title":"Postdischarge telephone follow-up among chronic disease patients discharged from a vascular surgery service: a best practice implementation project.","authors":"Pedro Sousa, Daniela Cardoso, Tereza Vrbová, João Apóstolo, Margarida Santos, Gracinda Manso, Daniel Mourão, Goreti Ferreira, Manuela Monteiro, Jacinta Manata, Alexandre Vaz, Jitka Klugarová, Miloslav Klugar","doi":"10.1097/XEB.0000000000000380","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>To improve postdischarge telephone follow-up in the context of chronic disease management (peripheral artery disease), in a vascular surgery service.</p><p><strong>Introduction: </strong>Patients with chronic diseases, such as peripheral artery disease, present a higher risk of complications and greater constraints regarding their adherence to treatment, leading to an increasing mortality rate and decreased functional capacity. Comprehensive discharge planning plus postdischarge telephone follow-up may reduce 30-day re-hospitalization rates.</p><p><strong>Methods: </strong>The project used the JBI audit and feedback methodological approach to implement the best available evidence into practice. Two audit criteria were used: existence of comprehensive discharge planning and timely telephone follow-up. A baseline audit was conducted, followed by analysis of barriers, which led to the implementation of several strategies, namely, a targeted training program, the development of educational resources and standardized procedures for the discharge process, and postdischarge telephone follow-up.</p><p><strong>Results: </strong>Results from the baseline and first follow-up audits showed improvement for both criteria. Compliance for criterion 1 (comprehensive discharge planning, including postdischarge telephone follow-up) increased from 0% to 40.7%, and for criterion 2 (patient is followed up by telephone within 2 weeks of discharge) increased from 0% to 44.4%. These two criteria sustained improvements in the second follow-up audit: compliance increased to 45% (criterion 1) and 60% (criterion 2).</p><p><strong>Conclusions: </strong>This implementation project contributed to the optimization of the chronic disease management, including improved compliance with discharge planning and early postdischarge telephone follow-up.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":"21 S1","pages":"S19-S27"},"PeriodicalIF":2.7000,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Jbi Evidence Implementation","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/XEB.0000000000000380","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0

Abstract

Objectives: To improve postdischarge telephone follow-up in the context of chronic disease management (peripheral artery disease), in a vascular surgery service.

Introduction: Patients with chronic diseases, such as peripheral artery disease, present a higher risk of complications and greater constraints regarding their adherence to treatment, leading to an increasing mortality rate and decreased functional capacity. Comprehensive discharge planning plus postdischarge telephone follow-up may reduce 30-day re-hospitalization rates.

Methods: The project used the JBI audit and feedback methodological approach to implement the best available evidence into practice. Two audit criteria were used: existence of comprehensive discharge planning and timely telephone follow-up. A baseline audit was conducted, followed by analysis of barriers, which led to the implementation of several strategies, namely, a targeted training program, the development of educational resources and standardized procedures for the discharge process, and postdischarge telephone follow-up.

Results: Results from the baseline and first follow-up audits showed improvement for both criteria. Compliance for criterion 1 (comprehensive discharge planning, including postdischarge telephone follow-up) increased from 0% to 40.7%, and for criterion 2 (patient is followed up by telephone within 2 weeks of discharge) increased from 0% to 44.4%. These two criteria sustained improvements in the second follow-up audit: compliance increased to 45% (criterion 1) and 60% (criterion 2).

Conclusions: This implementation project contributed to the optimization of the chronic disease management, including improved compliance with discharge planning and early postdischarge telephone follow-up.

心血管外科慢性病患者出院后电话随访:最佳实践实施项目
目的:改善血管外科慢性病(外周动脉疾病)的出院后电话随访。慢性疾病(如外周动脉疾病)患者出现并发症的风险更高,并且在坚持治疗方面受到更大的限制,导致死亡率上升和功能下降。综合出院计划加上出院后电话随访可降低30天再住院率。方法:该项目采用JBI审计和反馈方法,将可获得的最佳证据付诸实践。采用两项审计标准:是否有全面的出院计划和及时的电话随访。进行了基线审计,然后分析了障碍,从而实施了几项战略,即有针对性的培训计划,开发出院过程的教育资源和标准化程序,以及出院后的电话随访。结果:基线和第一次随访审计的结果显示两项标准均有改善。标准1(综合出院计划,包括出院后电话随访)的依从性从0%增加到40.7%,标准2(出院后2周内电话随访)的依从性从0%增加到44.4%。这两个标准在第二次随访审计中持续改善:依从性增加到45%(标准1)和60%(标准2)。结论:该实施项目有助于优化慢性病管理,包括提高出院计划的依从性和出院后早期电话随访。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
3.20
自引率
13.00%
发文量
23
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信