Improvement in the outcome indicator of readmission of patients with heart failure: a case analysis.
This article describes the process used by one performance improvement committee to analyze comprehensive assessment data, including OASIS data, and relate it to nursing activities described in the clinical nursing notes. The end goal was to improve, or decrease, the hospital readmission rate of their patients with heart failure. The fit between patient characteristics and the plan of care described and delivered in two groups was evaluated. Differences in patient characteristics and nursing documentation of outcomes provided the data for remediation and for testing of a new intervention.
Hoskins
Lois M
LM
School of Nursing, The Catholic University of America, Washington, DC, USA. hoskins@cua.edu
Duffy
Joanne R
JR
D000368:Aged; D003152:Community Health Nursing / Q000592:standards*; D019091:Critical Pathways; D005260:Female; D006333:Heart Failure / Q000451:nursing*; D006699:Home Care Services / Q000592:standards*; D006801:Humans; D008297:Male; D010043:Outcome and Process Assessment, Health Care; D010359:Patient Readmission; D019984:Quality Indicators, Health Care; D014481:United States