Bridging the Gap in the Continuum of Care for Spine Surgery Patients: A Quality Improvement Project

5.71
Hdl Handle:
http://hdl.handle.net/10755/621356
Category:
Full-text
Format:
Text-based Document
Type:
Other Graduate Paper
Level of Evidence:
Outcomes Research
Research Approach:
Translational Research/Evidence-based Practice
Title:
Bridging the Gap in the Continuum of Care for Spine Surgery Patients: A Quality Improvement Project
Author(s):
Gold, Coleen C.
Additional Author Information:
Coleen C. Gold, MSN, RN, ONC
Advisors:
Semlow, Melani
Degree:
Master’s
Degree Year:
2016
Grantor:
Sacred Heart University
Abstract:

The purpose of this paper is to discuss the inadequate communication between patient settings and the practice settings, review the literature regarding communication and risks of readmission for spine surgery patients, and present an intervention for this problem using the PDSA cycle.  The change in practice included a literature review to identify patients who were at high-risk for complications after surgery and readmission.  Patients were identified with the use of the operative schedule and chart reviews and those that were identified were communicated using secure email or face-to-face hand-off to the inpatient Clinical Outcomes Leader (COL).  Prior to the initiation of project, 30-day readmission rate mean was 7.4 percent and after the first month of project implementation, the rate decreased to 2.2 percent.  Many components of the first PDSA cycle were successful but need to be modified for optimal compliance and success.  Some patients were not identified when they were in the office for their pre-operative visit or when they signed their surgical consent.  Communication between the RN Patient Navigator (RNPN) and the COL was positive in providing effective patient hand-off.  Clinical Nurse Leaders (CNL) are leaders of healthcare teams of a microsystem and assess for the need for changes in practice.  The project outcomes were successful and contribute to the importance to nursing practice, the role of the CNL, and healthcare in general.

Keywords:
Transitional Care; Clinical Nurse Leader; communication across continuum; Continuity of Care; Handoff; nurse navigator; spine surgery
CINAHL Headings:
Continuity of Patient Care; Hand Off (Patient Safety); Interprofessional Relations; Communication; Patient Navigation; Nursing Role; Quality Improvement
Note:
This work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.
Repository Posting Date:
2017-03-24T18:34:00Z
Date of Publication:
2017-03-24

Full metadata record

DC FieldValue Language
dc.contributor.advisorSemlow, Melanien
dc.contributor.authorGold, Coleen C.en
dc.date.accessioned2017-03-24T18:34:00Z-
dc.date.available2017-03-24T18:34:00Z-
dc.date.issued2017-03-24-
dc.identifier.urihttp://hdl.handle.net/10755/621356-
dc.description.abstract<p>The purpose of this paper is to discuss the inadequate communication between patient settings and the practice settings, review the literature regarding communication and risks of readmission for spine surgery patients, and present an intervention for this problem using the PDSA cycle.  The change in practice included a literature review to identify patients who were at high-risk for complications after surgery and readmission.  Patients were identified with the use of the operative schedule and chart reviews and those that were identified were communicated using secure email or face-to-face hand-off to the inpatient Clinical Outcomes Leader (COL).  Prior to the initiation of project, 30-day readmission rate mean was 7.4 percent and after the first month of project implementation, the rate decreased to 2.2 percent.  Many components of the first PDSA cycle were successful but need to be modified for optimal compliance and success.  Some patients were not identified when they were in the office for their pre-operative visit or when they signed their surgical consent.  Communication between the RN Patient Navigator (RNPN) and the COL was positive in providing effective patient hand-off.  Clinical Nurse Leaders (CNL) are leaders of healthcare teams of a microsystem and assess for the need for changes in practice.  The project outcomes were successful and contribute to the importance to nursing practice, the role of the CNL, and healthcare in general.</p>en
dc.formatText-based Documenten
dc.language.isoen_USen
dc.rights.urihttp://creativecommons.org/licenses/by-sa/4.0/*
dc.subjectTransitional Careen
dc.subjectClinical Nurse Leaderen
dc.subjectcommunication across continuumen
dc.subjectContinuity of Careen
dc.subjectHandoffen
dc.subjectnurse navigatoren
dc.subjectspine surgeryen
dc.titleBridging the Gap in the Continuum of Care for Spine Surgery Patients: A Quality Improvement Projecten_US
dc.typeOther Graduate Paperen
thesis.degree.grantorSacred Heart Universityen
thesis.degree.levelMaster’sen
dc.description.noteThis work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.-
dc.primary-author.detailsColeen C. Gold, MSN, RN, ONCen
thesis.degree.year2016en
dc.type.categoryFull-texten
dc.evidence.levelOutcomes Researchen
dc.research.approachTranslational Research/Evidence-based Practiceen
dc.subject.cinahlContinuity of Patient Careen
dc.subject.cinahlHand Off (Patient Safety)en
dc.subject.cinahlInterprofessional Relationsen
dc.subject.cinahlCommunicationen
dc.subject.cinahlPatient Navigationen
dc.subject.cinahlNursing Roleen
dc.subject.cinahlQuality Improvementen
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