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Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.

Date of Award

Fall 2018

Document Type

Dissertation

Degree Name

Doctor of Nursing Practice (DNP)

Department

School of Nursing

Advisor(s)

Linda J. Hulton

Margaret Bagnardi

Abstract

Evidence supports an interprofessional approach to patient care reduces readmissions, mortality, costs, and length of stay while simultaneously increasing communication, collaboration, and satisfaction of care providers and patients (Vazirani, S., et al, 2005). The health care team in an acute care setting, especially direct patient care providers such as nurses and ancillary disciplines must assess the discharge needs of patients from admission to the hospital until discharge disposition (Zakzesky, Klink, McAndrew, Schroeter, & Johnson, 2015). The purpose of this study was to determine if interprofessional rounds improved patient satisfaction and reduced readmission rates. The interprofessional team consisted of the hospitalists, case manager, charge nurse, unit coordinator and pharmacist when available. The Institution for Health Improvement’s (IHI) Plan-Do-Study-Act (PDSA) was the framework used for this quality improvement project. Six PDSA cycles took place for evaluation and adjustments as needed. Throughout the project, minimal improvement was seen in both hospital readmission numbers and patient satisfaction over the course of six months. Additional education and training are recommended before replication to other units. Effective communication from different disciplines provides necessary information for patient-centered care on a daily basis. If patients who have a good understanding of their discharge plan, scheduled appointments, transportation, and are discharged with the necessary equipment, a readmission could be avoided

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