Publication Date

2024

Document Type

Other

First Advisor

Cooke, Marcia

Second Advisor

Tanzillo, Tanya

Third Advisor

Goetz, Beth

Degree Name

DNP (Doctor of Nursing Practice)

Department

School of Nursing

Abstract

Background: Despite decades of strategic initiatives, all-cause 30-day heart failure readmissions remain greater than 20% nationwide. Issues with medications post-discharge increases the risk of 30-day readmissions.

Local Problem: Heart failure readmission rates within 30 days of discharge remain above the organizational benchmark.

Methods: Quality improvement project utilizing pre- and post-evaluation readmission data from a convenience sample of hospitalized adult heart failure patients.

Interventions: A follow-up phone call from a nurse within 72 hours of hospital discharge to perform medication reconciliation.

Results: Thirty-day readmissions for heart failure in the project population were no different from the hospital population as there was no statistical significance in 30-day readmissions for heart failure. There was practical and clinical significance considering the improvement the intervention made in patients’ lives.

Conclusions: Medication reconciliation performed by a nurse post-hospital discharge can identify and correct discrepancies early on preventing worsening morbidity, mortality, and hospital readmission in the heart failure population.

Publisher

Northern Illinois University

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