Bridging the gap in the continuum of care for spine surgery patients: A quality improvement project
View File(s)
- Author(s)
Visitor Statistics
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Country | Visits |
---|
Top Visiting Cities
City | Visits |
---|
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Gold, Coleen C. by View
Title | Page Views |
---|
Popular Works for Gold, Coleen C. by Download
Title | Downloads |
---|
View Citations
Citations
The purpose of this paper is to discuss the inadequate communication between patient settings and the practice settings, review the literature regarding communication and risks of readmission for spine surgery patients, and present an intervention for this problem using the PDSA cycle. The change in practice included a literature review to identify patients who were at high-risk for complications after surgery and readmission. Patients were identified with the use of the operative schedule and chart reviews and those that were identified were communicated using secure email or face-to-face hand-off to the inpatient Clinical Outcomes Leader (COL). Prior to the initiation of project, 30-day readmission rate mean was 7.4 percent and after the first month of project implementation, the rate decreased to 2.2 percent. Many components of the first PDSA cycle were successful but need to be modified for optimal compliance and success. Some patients were not identified when they were in the office for their pre-operative visit or when they signed their surgical consent. Communication between the RN Patient Navigator (RNPN) and the COL was positive in providing effective patient hand-off. Clinical Nurse Leaders (CNL) are leaders of healthcare teams of a microsystem and assess for the need for changes in practice. The project outcomes were successful and contribute to the importance to nursing practice, the role of the CNL, and healthcare in general.
This work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.
Type | Other Graduate Paper |
Acquisition | Self-submission |
Review Type | Faculty Approved: Degree-based Submission |
Format | Text-based Document |
Evidence Level | Outcomes Research |
Research Approach | Translational Research/Evidence-based Practice |
Keywords | Transitional Care; Clinical Nurse Leader; Communication Across Continuum; Continuity of Care; Handoff; Nurse Navigator; Spine Surgery |
CINAHL Subject(s) | Continuity of Patient Care; Hand Off (Patient Safety); Interprofessional Relations; Communication; Patient Navigation; Nursing Role; Quality Improvement |
Grantor | Sacred Heart University |
Advisor | Semlow, Melani |
Level | Master’s |
Year | 2016 |
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
License
The following license files are associated with this item:
Related items
Showing items related by title, author, creator and subjects.
-
A quality improvement plan to decrease acute care transfers through better staff communication about status changes among assisted living residents
Eagleton, Hilda (2017-01-12)Elderly residents of assisted living facilities (ALFs) are generally frail and may have multiple comorbidities (National Center for Assisted Living, 2010). Inadequate communication of changes in resident status precludes ... -
Improving Patient Satisfaction with Nursing Communication in an Acute Care Setting
Mohan, Rani (2017-08-28)Organizational Hospital Consumer Assessment of Healthcare Providers and System (HCAHPS) survey results provided evidence to indicate the need for improvement in nursing communication with patients in the telemetry unit. ... -
Improving communication in the clinical environment through bedside shift report (BSR): A quality improvement project
Burk, Karen (2016-10-20)Effective communication is required during the handoff process to ensure essential patient information is relayed for continuity and quality of care. The author conducted a quality improvement initiative at a 380 bed acute ... -
In the acute care setting what is the effect of bedside nursing report on patient safety when compared with traditional reporting methods: An evidence-based project
Rolling, Heather; Pauley, Jessica; Hoyt, Jaclyn (7/24/2015)The purpose of this evidence-based project was to examine the effect of bedside report on patient outcomes and nurse/patient satisfaction. Many key components to the report could be affected if report is done through ... -
Using skilled nurse communication to curb patient aggression: Findings from a quality improvement project
Christensen, Scott S.; Adams, Laura; Wilson, Barbara L.With aggressive patient encounters becoming more common in non-mental health settings, one large academic medical center created a safer patient care environment by implementing a Behavioral Emergency Response Team (BERT) ...