Pollard Joy, Oliver-McNeil Sandra, Patel Shilpa, Mason Lisa, Baker Harolyn
St Joseph Mercy Oakland, Pontiac, Michigan (Dr Pollard); College of Nursing, Wayne State University, Detroit, Michigan (Dr Oliver-McNeil); American College of Cardiology, Washington, District of Columbia (Ms Patel); Greater Detroit Area Health Council, Southfield, Michigan (Ms Mason); and MPRO, Farmington Hills, Michigan (Ms Baker).
J Nurs Care Qual. 2015 Oct-Dec;30(4):298-305. doi: 10.1097/NCQ.0000000000000116.
Thirty-day heart failure readmissions can be reduced if multiple interventions, such as 7-day postdischarge follow-up, are implemented, but this task is challenging for health systems. Ten hospitals participated in a multisystem collaborative implementing evidence-based strategies. The overall 30-day readmission rate was reduced more in the collaborating hospitals than in the noncollaborating hospitals (from 29.32% to 27.66% vs from 27.66% to 26.03%, P = .008). Regional collaboration between health care systems within a quality improvement project was associated with reduced 30-day readmission.
如果实施多种干预措施，如出院后7天随访，30天心力衰竭再入院率可以降低，但这项任务对卫生系统来说具有挑战性。十家医院参与了一项实施循证策略的多系统协作。协作医院的总体30天再入院率比非协作医院降低得更多（从29.32%降至27.66%，而非协作医院从27.66%降至26.03%，P = 0.008）。质量改进项目中医疗保健系统之间的区域协作与降低30天再入院率相关。
