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Evaluating 30 Day Rehospitalizations After SBAR Implementation in Rounding

机译：在四舍五入后评估SBAR后的30天重新住院

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摘要

Transferring from an acute care setting to a sub-acute rehabilitation (SAR) setting can be challenging for both patients and providers because communication errors may occur. The purpose of this project was to evaluate the effectiveness of a 2017 quality improvement (QI) initiative that was implemented to reduce 30-day rehospitalization in a SAR setting serving older patients. The project involved an evaluation of the implementation of the Situation, Background, Assessment, and Recommendation (SBAR) tool for patient rounding to decrease the incidence of 30-day re-hospitalizations. Aristotle's linear model of communication, which emphasizes the impact of message delivery on audience response, provided the framework for this project. The evaluation project was conducted using the project organization's internal database to determine if the 2017 QI initiative reduced 30-day readmissions to the hospital. Data were evaluated 3 months before the implementation of the 2017 QI initiative and 3 months after the start of the project. Components reviewed included the length of stay, clinician authorizing the transfer, day of the week, time of transfer, reason, and outcome of the transfer. There was a significant decrease in return-to-hospital for Monday through Friday, but an increase was seen on the weekend (Saturday-Sunday), mainly in the morning and evening. Full-time staff who had participated in the education program worked Monday through Friday. Weekend staff were part-time staff who had not participated in the SBAR training. There was no consistency in the reason for transfer to hospital. The introduction of the SBAR education program had a positive effect on the quality of life of patients readmitting to the hospital.
机译：从急性护理环境向亚急性康复（SAR）环境的转变对患者和医护人员都可能具有挑战性，因为可能会发生通信错误。该项目的目的是评估一项2017年质量改善（QI）计划的有效性，该计划旨在减少服务于老年患者的SAR环境中30天的重新住院治疗。该项目包括对情况，背景，评估和建议（SBAR）工具的实施情况进行评估，以减少患者入院30天的住院次数。亚里斯多德的线性交流模型强调了消息传递对听众响应的影响，为该项目提供了框架。评估项目是使用项目组织的内部数据库进行的，以确定2017年QI计划是否减少了30天的住院率。在实施2017年QI计划之前3个月和项目开始后3个月对数据进行了评估。审查的内容包括住院时间，批准转移的临床医生，一周中的一天，转移的时间，转移的原因和结果。周一至周五，医院的返院率显着下降，但周末（周六至周日）则有所上升，主要是在早晨和晚上。参加教育计划的全职员工在周一至周五工作。周末工作人员是未参加SBAR培训的兼职人员。转移到医院的原因并不一致。 SBAR教育计划的引入对重新入院的患者的生活质量产生了积极影响。

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  • 作者

    Mulberry, Michell.;

  • 作者单位

    Walden University.;

  • 授予单位 Walden University.;
  • 学科 Nursing.
  • 学位 D.N.P.
  • 年度 2018
  • 页码 60 p.
  • 总页数 60
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 建筑科学;
  • 关键词

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