J 2023

Postdischarge telephone follow-up among chronic disease patients discharged from a vascular surgery service: a best practice implementation project

SOUSA, Pedro, Daniela CARDOSO, Tereza VRBOVÁ, Joao APOSTOLO, Margarida SANTOS et. al.

Basic information

Original name

Postdischarge telephone follow-up among chronic disease patients discharged from a vascular surgery service: a best practice implementation project

Authors

SOUSA, Pedro, Daniela CARDOSO, Tereza VRBOVÁ (203 Czech Republic, belonging to the institution), Joao APOSTOLO, Margarida SANTOS, Gracinda MANSO, Daniel MOURAO, Goreti FERREIRA, Manuela MONTEIRO, Jacinta MANATA, Alexandre VAZ, Jitka KLUGAROVÁ (203 Czech Republic, belonging to the institution) and Miloslav KLUGAR (203 Czech Republic, belonging to the institution)

Edition

JBI EVIDENCE IMPLEMENTATION, PHILADELPHIA, LIPPINCOTT WILLIAMS & WILKINS, 2023, 2691-3321

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30230 Other clinical medicine subjects

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 2.300 in 2022

RIV identification code

RIV/00216224:14110/23:00133703

Organization unit

Faculty of Medicine

UT WoS

001111566500005

Keywords in English

chronic disease; evidence implementation; patient discharge; telephone follow-up; vascular disease

Tags

International impact, Reviewed
Změněno: 29/2/2024 15:00, Mgr. Tereza Miškechová

Abstract

V originále

Objectives:To improve postdischarge telephone follow-up in the context of chronic disease management (peripheral artery disease), in a vascular surgery service.Introduction:Patients with chronic diseases, such as peripheral artery disease, present a higher risk of complications and greater constraints regarding their adherence to treatment, leading to an increasing mortality rate and decreased functional capacity. Comprehensive discharge planning plus postdischarge telephone follow-up may reduce 30-day re-hospitalization rates.Methods:The project used the JBI audit and feedback methodological approach to implement the best available evidence into practice. Two audit criteria were used: existence of comprehensive discharge planning and timely telephone follow-up. A baseline audit was conducted, followed by analysis of barriers, which led to the implementation of several strategies, namely, a targeted training program, the development of educational resources and standardized procedures for the discharge process, and postdischarge telephone follow-up.Results:Results from the baseline and first follow-up audits showed improvement for both criteria. Compliance for criterion 1 (comprehensive discharge planning, including postdischarge telephone follow-up) increased from 0% to 40.7%, and for criterion 2 (patient is followed up by telephone within 2 weeks of discharge) increased from 0% to 44.4%. These two criteria sustained improvements in the second follow-up audit: compliance increased to 45% (criterion 1) and 60% (criterion 2).Conclusions:This implementation project contributed to the optimization of the chronic disease management, including improved compliance with discharge planning and early postdischarge telephone follow-up.