2.50
Hdl Handle:
http://hdl.handle.net/10755/151605
Type:
Presentation
Title:
Hospital Readmission Risk Assessment
Abstract:
Hospital Readmission Risk Assessment
Conference Sponsor:Sigma Theta Tau International
Conference Year:2006
Author:Anderson, Mary Ann, PhD, RN
P.I. Institution Name:University of Illinois at Chicago College of Nursing
Title:Associate Professor
Co-Authors:Holly Gaede, BSN, RN; Teri Devine, BSN, RN; Lelia B. Helms, PhD, JD
Heart Failure (HF) is a complex, chronic, debilitating syndrome affecting a significant portion of the population.  Despite significant study and resource allocation, provision of healthcare to patients with HF continues to pose heavy costs to the health care system, particularly through readmission to the hospital.  To date, there are no published risk assessment instruments for clinical nursing use that address this problem.  The purpose of this project was to develop an instrument to assist nurses in assessing the relative risk of hospital readmission for patients with HF.  A mailed survey comprised of 83 evidence-based factors associated with the readmission of patients with HF, was sent to 80 Advanced Practice Nurses (APN) in a Midwestern region.  Respondents were asked to determine the importance of, or to ?weight' each of the 83 factors, using a six point Likert scale.  A total of 59 APNs (74%) responded.  The typical respondent was a 46-year-old female, who had been an RN for 21 years and an APN for six years.  Out of 83 potential evidence-based factors, most important were:  shortness of breath; NYHA Class IV; inability to comply with meds; severity of illness combined with functional status; decreased cognition-acute; weight gain; less than 30 days since discharge; increased edema; increased troponin; willful noncompliance with meds. These factors will serve as the basis for a clinical risk assessment tool to be used in a larger project about predicting the risk of hospital readmission in patients with HF.  Interventions can be tailored to address modifiable factors.  Interventions can be ?dosed' for this patient's unique situation, so as to potentially reduce the risk for the adverse outcome of unplanned hospital readmission.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleHospital Readmission Risk Assessmenten_GB
dc.identifier.urihttp://hdl.handle.net/10755/151605-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Hospital Readmission Risk Assessment</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Anderson, Mary Ann, PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Illinois at Chicago College of Nursing</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">MAA928@uic.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Holly Gaede, BSN, RN; Teri Devine, BSN, RN; Lelia B. Helms, PhD, JD</td></tr><tr><td colspan="2" class="item-abstract">Heart Failure (HF) is a complex, chronic, debilitating syndrome affecting a significant portion of the population.&nbsp; Despite significant study and resource allocation, provision of healthcare to patients with HF continues to pose heavy costs to the health care system, particularly through readmission to the hospital.&nbsp; To date, there are no published risk assessment instruments for clinical nursing use that address this problem.&nbsp; The purpose of this project was to develop an instrument to assist nurses in assessing the relative risk of hospital readmission for patients with HF.&nbsp; A mailed survey comprised of 83 evidence-based factors associated with the readmission of patients with HF, was sent to 80 Advanced Practice Nurses (APN) in a Midwestern region.&nbsp; Respondents were asked to determine the importance of, or to ?weight' each of the 83 factors, using a six point Likert scale.&nbsp; A total of 59 APNs (74%) responded.&nbsp; The typical respondent was a 46-year-old female, who had been an RN for 21 years and an APN for six years.&nbsp; Out of 83 potential evidence-based factors, most important were:&nbsp; shortness of breath; NYHA Class IV; inability to comply with meds; severity of illness combined with functional status; decreased cognition-acute; weight gain; less than 30 days since discharge; increased edema; increased troponin; willful noncompliance with meds. These factors will serve as the basis for a clinical risk assessment tool to be used in a larger project about predicting the risk of hospital readmission in patients with HF.&nbsp; Interventions can be tailored to address modifiable factors.&nbsp; Interventions can be ?dosed' for this patient's unique situation, so as to potentially reduce the risk for the adverse outcome of unplanned hospital readmission.</td></tr></table>en_GB
dc.date.available2011-10-26T11:07:43Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:07:43Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.