Posted: August 23rd, 2022

PICOT: For adults aged 40 and older with heart failure

PICOT: For adults aged 40 and older with heart failure in a major care clinic, does the implementation of the Company for Healthcare Analysis and High quality (AHRQ) Re-Engineered Discharge (RED) Toolkit through telemedicine, in comparison with present apply, affect 30-day readmission charges over 14 weeks?

Heart failure has been a predominant explanation for demise for almost a century (Khan et al., 2020; Schrage et al., 2020). Readmissions associated to the worsening illness course of have important repercussions for healthcare, together with decreased reimbursement. An integrative evaluate was accomplished to reply if using the RED Toolkit coupled with telemedicine lowered heart failure readmissions. Outcomes indicated decreased readmissions by upwards of 30%, improved morbidity and mortality charges, and high quality of life (Hunt‐O’Connor et al., 2021; Jenneve et al., 2020; McKay et al., 2019; Mitchell et al., 2017; Patel & Dickerson, 2017; Roberts et al., 2018; Sullivan et al., 2018).

References

Hunt‐O’Connor, C., Moore, Z., Patton, D., Nugent, L., Avsar, P., & O’Connor, T. (2021). The impact of discharge planning on size of keep and readmission charges of older adults in acute hospitals: A scientific evaluate and meta‐Assessment of systematic critiques. Journal of Nursing Administration, 29(eight), 2697–2706. https://doi.org/10.1111/jonm.13409 (Hyperlinks to an exterior web site.)

Jenneve, A., Lorenzo-Villalba, N., Courdier, G., Talha, S., Séverac, F., Zulfiqar, A.-A., Arnold, P., Lang, P., Roul, G., & Andrès, E. (2020). Good thing about ambulatory administration of sufferers with persistent heart failure by protocolized follow-up therapeutic training and distant monitoring resolution: An unique examine in 159 sufferers. Journal of Scientific Medication, 9(10), 1–13. https://doi.org/10.3390/jcm9103106 (Hyperlinks to an exterior web site.)

Khan, M., Hashim, M., Mustafa, H., Baniyas, M., Al Suwaidi, S., AlKatheeri, R., Alblooshi, F., Almatrooshi, M., Alzaabi, M., Al Darmaki, R., & Lootah, S. (2020). International epidemiology of ischemic heart illness: Outcomes from the worldwide burden of illness examine. Cureus, 1–12. https://doi.org/10.7759/cureus.9349 (Hyperlinks to an exterior web site.)

McKay, C., Park, C., Chang, J., Brackbill, M., Choi, J.-Y., Lee, J., & Kim, S. (2019). Systematic evaluate and meta-analysis of pharmacist-led transitions of care providers on the 30-day all-cause readmission price of sufferers with congestive heart failure. Scientific Drug Investigation, 39(eight), 703–712. https://doi.org/10.1007/s40261-019-00797-2 (Hyperlinks to an exterior web site.)

Mitchell, S. E., Weigel, G. M., Laurens, V., Martin, J., & Jack, B. W. (2017). Implementation and adaptation of the re-engineered discharge (pink) in 5 California hospitals: A qualitative analysis examine. BMC Well being Companies Analysis, 17(1). https://doi.org/10.1186/s12913-017-2242-z (Hyperlinks to an exterior web site.)

Patel, P. H., & Dickerson, Ok. W. (2017). Influence of the implementation of mission re-engineered discharge for heart failure sufferers at a veterans affairs hospital on the central Arkansas veterans healthcare system. Hospital Pharmacy, 53(four), 266–271. https://doi.org/10.1177/0018578717749925 (Hyperlinks to an exterior web site.)

Roberts, S., Moore, L. C., & Jack, B. (2018). Enhancing discharge planning utilizing the re‐engineered discharge programme. Journal of Nursing Administration, 27(three), 609–615. https://doi.org/10.1111/jonm.12719 (Hyperlinks to an exterior web site.)

Schrage, B., Lund, L. H., Benson, L., Stolfo, D., Ohlsson, A., Westerling, R., Westermann, D., Strömberg, A., Dahlström, U., Braunschweig, F., Ferreira, J., & Savarese, G. (2020). Decrease socioeconomic standing predicts greater mortality and morbidity in sufferers with heart failure. Heart, 107(three), 229–236. https://doi.org/10.1136/heartjnl-2020-317216 (Hyperlinks to an exterior web site.)

Sullivan, J. L., Shin, M. H., Engle, R. L., Yaksic, E., VanDeusen Lukas, C., Paasche-Orlow, M. Ok., Starr, L. M., Restuccia, J. D., Holmes, S. Ok., & Rosen, A. Ok. (2018). Evaluating the implementation of mission re-engineered discharge (RED) in 5 veterans well being administration (VHA) hospitals. The Joint Fee Journal on High quality and Affected person Security, 44(11), 663–673. https://doi.org/10.1016/j.jcjq.2018.01.007

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