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Improving Documentation of Postdischarge Issue Mitigation during Postdischarge Phone Calls

Postdischarge phone calls (PDPCs) are recommended to identify and mitigate postdischarge issues such as missed follow-up appointments, medication errors, and failure to activate contingency plans. A current state assessment showed variability in documenting PDPC content and postdischarge issue mitig...

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Autores principales: Vepraskas, Sarah, Osorio, Snezana Nena, Bauer, Sarah Corey, Stephany, Alyssa, Gage, Sandra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9649269/
https://www.ncbi.nlm.nih.gov/pubmed/36382143
http://dx.doi.org/10.1097/pq9.0000000000000618
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author Vepraskas, Sarah
Osorio, Snezana Nena
Bauer, Sarah Corey
Stephany, Alyssa
Gage, Sandra
author_facet Vepraskas, Sarah
Osorio, Snezana Nena
Bauer, Sarah Corey
Stephany, Alyssa
Gage, Sandra
author_sort Vepraskas, Sarah
collection PubMed
description Postdischarge phone calls (PDPCs) are recommended to identify and mitigate postdischarge issues such as missed follow-up appointments, medication errors, and failure to activate contingency plans. A current state assessment showed variability in documenting PDPC content and postdischarge issue mitigation. Therefore, the primary aim was to improve the postdischarge issue mitigation documentation rate from 65% to 100% over 16 months. METHODS: An interdisciplinary quality improvement team used the Model for Improvement to perform planned sequential interventions over 16 months. The outcome measure was documentation of postdischarge issue mitigation. Process measures included PDPC template use and completion and postdischarge issue identification. Balancing measures included call attempts and caller perceptions of ease of documentation. Interventions included creating a flowsheet note template, creating caller template training sessions, and sharing team data and feedback. We gathered data via reports generated from the electronic medical record, chart review, and survey. Data were analyzed using statistical process control charts and established rules for detecting special cause variation. RESULTS: The postdischarge issue mitigation documentation increased from 65% to 91% over 16 months. Template use and completion increased from 0% to 100% and 98%, respectively. The number of postdischarge issues identified remained unchanged. Call attempts increased from 40% to 59%. Caller perceptions remained unchanged. CONCLUSIONS: Documentation of postdischarge issues and issue mitigation promotes adequate communication with the patient’s care providers, improving the quality and safety of care. Data sharing to promote team engagement was the key factor in improving documentation of postdischarge issue mitigation.
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spelling pubmed-96492692022-11-14 Improving Documentation of Postdischarge Issue Mitigation during Postdischarge Phone Calls Vepraskas, Sarah Osorio, Snezana Nena Bauer, Sarah Corey Stephany, Alyssa Gage, Sandra Pediatr Qual Saf Individual QI projects from single institutions Postdischarge phone calls (PDPCs) are recommended to identify and mitigate postdischarge issues such as missed follow-up appointments, medication errors, and failure to activate contingency plans. A current state assessment showed variability in documenting PDPC content and postdischarge issue mitigation. Therefore, the primary aim was to improve the postdischarge issue mitigation documentation rate from 65% to 100% over 16 months. METHODS: An interdisciplinary quality improvement team used the Model for Improvement to perform planned sequential interventions over 16 months. The outcome measure was documentation of postdischarge issue mitigation. Process measures included PDPC template use and completion and postdischarge issue identification. Balancing measures included call attempts and caller perceptions of ease of documentation. Interventions included creating a flowsheet note template, creating caller template training sessions, and sharing team data and feedback. We gathered data via reports generated from the electronic medical record, chart review, and survey. Data were analyzed using statistical process control charts and established rules for detecting special cause variation. RESULTS: The postdischarge issue mitigation documentation increased from 65% to 91% over 16 months. Template use and completion increased from 0% to 100% and 98%, respectively. The number of postdischarge issues identified remained unchanged. Call attempts increased from 40% to 59%. Caller perceptions remained unchanged. CONCLUSIONS: Documentation of postdischarge issues and issue mitigation promotes adequate communication with the patient’s care providers, improving the quality and safety of care. Data sharing to promote team engagement was the key factor in improving documentation of postdischarge issue mitigation. Lippincott Williams & Wilkins 2022-11-10 /pmc/articles/PMC9649269/ /pubmed/36382143 http://dx.doi.org/10.1097/pq9.0000000000000618 Text en Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Individual QI projects from single institutions
Vepraskas, Sarah
Osorio, Snezana Nena
Bauer, Sarah Corey
Stephany, Alyssa
Gage, Sandra
Improving Documentation of Postdischarge Issue Mitigation during Postdischarge Phone Calls
title Improving Documentation of Postdischarge Issue Mitigation during Postdischarge Phone Calls
title_full Improving Documentation of Postdischarge Issue Mitigation during Postdischarge Phone Calls
title_fullStr Improving Documentation of Postdischarge Issue Mitigation during Postdischarge Phone Calls
title_full_unstemmed Improving Documentation of Postdischarge Issue Mitigation during Postdischarge Phone Calls
title_short Improving Documentation of Postdischarge Issue Mitigation during Postdischarge Phone Calls
title_sort improving documentation of postdischarge issue mitigation during postdischarge phone calls
topic Individual QI projects from single institutions
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9649269/
https://www.ncbi.nlm.nih.gov/pubmed/36382143
http://dx.doi.org/10.1097/pq9.0000000000000618
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