Improving the Patient Experience Following Total Knee and Total Hip Arthroplasty: A Practice Development Project.

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 Qual

authors

Burley G,Torres L,Heligman J

doi

10.1097/NCQ.0000000000000420

subject

Has Abstract

pub_date

2020-04-01 00:00:00

pages

171-176

issue

2

eissn

1057-3631

issn

1550-5065

pii

00001786-202004000-00013

journal_volume

35

pub_type

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