045 Post discharge telephone calls from neurology specialist nurses can reduce re-admission rates: a re-audit
| Autor: | Pahalavi Ravindran, Sarah Shanmuganathan, Ajay Boodhoo, Fred Schon, Arani Nitkunan |
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| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Journal of Neurology, Neurosurgery & Psychiatry. 93:A114.4-A115 |
| ISSN: | 1468-330X 0022-3050 |
| Popis: | We carried out audits of all in-patients referred for consultant neurology opinions in a single district general hospital over 2-month periods in 2018 and after relevant adjustments in 2020.In 2018, of 235 patients seen, the overall 30-day re-admission rate was 18.7% (44 patients). Of the 235 patients, the consultant requested post discharge follow-up on 76 (32.3%) but only 42 were contacted (55%) of which 24 (57%) were phoned within 30 days. The re-admission rate was reduced by only 0.5% in those successfully contacted.In 2020, of 252 patients seen, the 30-day re-admission rate was 18.7% (47 patients). Follow up was requested for 52.8% (133 patients). We improved our successful telephone rate to 77% of which 49 (47.6%) were contacted in under 30 days. Re-admission rate for those contacted was reduced to 16.5% compared to 21% amongst those not contacted. The majority of re-admissions (55%) were for non-neurological diagnoses. Patients with multiple co-morbidities were 46% more likely to be re-admitted.NICE guidelines recommend a post discharge telephone follow-up. Our results suggest trying to achieve maximum early contact is likely to reduce re-admission rates.pahalavi@hotmail.co.uk |
| Databáze: | OpenAIRE |
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