Abstract:
BACKGROUND:The paradigm shift that has occurred for patients with total hip (THA) and knee (TKA) arthroplasty through enhanced recovery programs underscores the need for redesigning care provision. LOCAL PROBLEM:In this hospital, the patient outcomes and experience anticipated from the implementation of enhanced recovery medical protocols were not fully realized. METHODS:The Practice Development in Nursing and Healthcare model guided this project. INTERVENTIONS:A nurse-led team designed a new care delivery model with patient/family-centered interventions based on the best evidence. RESULTS:Outcomes included an increase in discharges of postoperative day 1 or less of 154% THA and 41.8% TKA and an increase in discharge to home by 24.6% THA and 18.7% TKA. In addition, 90-day readmissions were reduced for both patient groups. CONCLUSIONS:An interprofessional team of clinicians made sustainable improvements in the experience and outcomes for the surgical patients with THA and TKA.
journal_name
J Nurs Care Qualjournal_title
Journal of nursing care qualityauthors
Burley G,Torres L,Heligman Jdoi
10.1097/NCQ.0000000000000420subject
Has Abstractpub_date
2020-04-01 00:00:00pages
171-176issue
2eissn
1057-3631issn
1550-5065pii
00001786-202004000-00013journal_volume
35pub_type
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