Communicating Patient Discharge Readiness: An Implementation Evaluation in an Inpatient Hospital Medicine Setting.
Background: The progression of patients through a hospital from admission to discharge can be slowed by delays in patient discharge, increasing pressure on health care staff. We designed and piloted the Discharge Today tool, with the goal of improving the efficiency of patient discharge; however, ad...
| Publicado en: | Journal of Nursing Care Quality Vol. 39; no. 2; pp. 151 - 159 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Apr-Jun2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=175727016&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 175727016 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10573631 0NZ jtl: Journal of Nursing Care Quality issn: 10573631 maglogo: N pubinfo: dt: Apr-Jun2024 vid: 39 iid: 2 pid: 5086 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 175727016 175727016 175727016 10.1097/NCQ.0000000000000738 175727016 ppf: 151 ppct: 8 formats: tig: atl: Communicating Patient Discharge Readiness: An Implementation Evaluation in an Inpatient Hospital Medicine Setting. aug: au: Keniston, Angela McCreight, Marina S. Burden, Marisha Moore, Susan L. Haugen, Heather Rice, John Battaglia, Catherine affil: Author Affiliations: Division of Hospital Medicine, School of Medicine, University of Colorado, Aurora (Drs Keniston, Burden, and Battaglia) sug: subj: Communication Patient Discharge Hospitalization Implementation Science Program Evaluation Outcomes (Health Care) Human Interprofessional Relations Quality Improvement Electronic Health Records Models, Theoretical Southwestern United States Pilot Studies Questionnaires ab: Background: The progression of patients through a hospital from admission to discharge can be slowed by delays in patient discharge, increasing pressure on health care staff. We designed and piloted the Discharge Today tool, with the goal of improving the efficiency of patient discharge; however, adoption remained low. Purpose: To close this implementation gap, we deployed and evaluated a 4-part implementation strategy bundle. Methods: We measured the success of implementation by evaluating validated implementation outcomes using both quantitative and qualitative methods, grounded in Normalization Process Theory. Results: The implementation strategies used were effective for increasing use of the Discharge Today tool by hospital medicine physicians and advanced practice providers during both the active and passive implementation periods. Conclusions: While the implementation strategies used were effective, qualitative findings indicate that limitations in the functionality of the tool, alongside inconsistent use of the tool across clinical staff, continued to inhibit adoption. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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