A multifaceted intervention to improve the quality of care for patients undergoing total joint arthroplasty
| Autor: | Lori M. Idemoto, Robert S. Mecklenburg, Janet Streifel, C. Craig Blackmore, Barbara Williams, Lyle Sorensen |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty Quality management Joint arthroplasty Leadership and Management shared decision making Process improvement 03 medical and health sciences 0302 clinical medicine Patient satisfaction Intervention (counseling) Medicine 030212 general & internal medicine Quality of care lean management 030222 orthopedics Hospital readmission business.industry Health Policy Public Health Environmental and Occupational Health BMJ Quality Improvement report patient-centred care Physical therapy Skilled Nursing Facility business healthcare quality improvement clinical practice guidelines |
| Zdroj: | BMJ Open Quality |
| ISSN: | 2399-6641 |
| Popis: | Knee and hip arthroplasties vary in cost, quality and outcomes. We developed a Lean quality improvement intervention for knee and hip arthroplasty patients encompassing the recognition, readiness, restoration and recovery phases of care.The intervention included standardised, evidence-based pathways, shared decision making, patient and family member engagement, and transdisciplinary rounding, implemented successively through a series of rapid process improvement workshops. We evaluated the intervention through run charts and time series analysis for 2005–2014. Outcomes included length of stay (LOS), 30-day readmission, discharge disposition, postsurgical complications and patient satisfaction.Included were 4253 total joint arthroplasty procedures, 1659 hip and 2594 knee. LOS decreased from 3.2 to 2.4 days postintervention for both hip and knee patients (pOur standardised multifaceted Lean quality improvement programme was associated with reduced LOS, decreased readmission rates and improved discharge disposition in total knee and hip arthroplasty patients. |
| Databáze: | OpenAIRE |
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