Rekha Aryal
About 6.5 million adults in the United States have heart failure, a condition that was deemed a contributing cause of 1 in 8 deaths in 2017, costing the nation an estimated $30.7 billion in 2012 reflected in healthcare services, missed days of work, and on medications to treat heart failure. Patients with heart failure (HF) who are inappropriately discharged without the proper teaching and follow-up instructions end up being readmitted within 30 days. Research has shown that admissions back to the hospital or emergency department post-discharge for heart failure have been associated with worse outcomes, high costs, and more often than not represent poor quality of care. The goal of our systematic review was to determine if among heart failure patients does the addition of discharge education adjuncts following hospital discharge improve key compliance indicators. Consecutive 150 patients underwent discharge education and follow up between June 2018 to September 2018 at Moses Cone Hospital, North Carolina, USA. Vast majority of patients found lacking knowledge regarding their plan of care and treatment. Discharge education and follow up phone call/email regarding their medicine, diet, exercise, and future appointment with a doctor, has significantly reduced the hospital readmission of heart failure patients within a month. Conclusion: Evidence suggests that the results are relatively consistent that the nurse-driven educational interventions and follow-up to reduce the readmission rate and to decrease mortality among HF patients. This study showed a difference of 1.3% in readmission between the control and intervention group. Despite the outcome of the study, there were lessons learned by staff: Understanding the process of research and being able to conduct an actual research project. The outcome demonstrated there was a reduction in hospital readmission rates within one month from 17% to 14%.
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