Improved 30-Day Heart Failure Readmissions Following Implementation of an Advanced Cardiovascular Education (ACE) Academy.
J Nurs Care Qual
; 37(4): 300-306, 2022.
Article
in English
| MEDLINE | ID: covidwho-2018337
ABSTRACT
BACKGROUND:
Heart failure readmissions are common, though some are preventable through evidence-based management. LOCALPROBLEM:
Despite outperforming national benchmarks for 30-day readmissions, compliance with an evidence-based institutional heart failure management pathway was inconsistent. The purpose of this project was to reduce 30-day heart failure readmission rates through an educational intervention and an electronic health record (EHR) redesign.METHODS:
The cardiac services nursing leadership team conducted an education and documentation needs assessment to identify knowledge gaps and practical barriers to effective utilization of evidence-based interventions for heart failure management.INTERVENTIONS:
This intervention included an Advanced Cardiovascular Education (ACE) Academy and an EHR workflow redesign for clinical and supportive nursing staff.RESULTS:
The 30-day heart failure readmission rates reduced immediately following the intervention, and rates continued to decrease over a 3-year follow-up.CONCLUSIONS:
Even among hospitals outperforming national benchmarks, 30-day heart failure readmissions can be reduced and sustained with enhanced education and EHR redesign.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Patient Readmission
/
Heart Failure
Type of study:
Cohort study
/
Prognostic study
Limits:
Humans
Language:
English
Journal:
J Nurs Care Qual
Journal subject:
Nursing
Year:
2022
Document Type:
Article
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