Unveiling Pharyngitis: Causes, Symptoms, Diagnosis, and Treatment Strategies.pdf
Fishbone Avoidable Readmissions.pptx
1. Avoidable
Hospital
Readmissions
Process Providers
Patient Materials
Large
patient loads
Experience
Age/Comorbidities
Primary language
Transportation
Support system
Lack of discharge
education in other
languages
Translators
Medication
reconciliation
Discharge
Checklist
Communication
Follow up
appointments
Supplies for home
Staffing
shortages
Limited amount
of time per
patient
Nursing not
aware patient
ready for
discharge
Incorrect
medications
continued at
discharge
Medications
unavailable
Medications
too costly Delayed
recognition of
patients
deterioration
Long wait times
Limited
availability
Expensive
Rationing
supplies/using
them
incorrectly to
make them
last longer
Limited
understanding
of discharge
education
Education provided
in English instead
of native language
Discharge education
not provided in
primary language
Inability to
attend follow
up
appointments
Increased
patient acuity
Home care
done
incorrectly
Unable to provide
thorough education
d/t time constraints
Not effective
patient
educators
Editor's Notes
Avoidable hospital readmissions have many contributing causes, as seen in the above fishbone diagram. Hospital readmissions are costly, contribute to worsening patient conditions and outcomes, and higher patient volumes which means less time each provider can devote to their patients. While there are many different areas for improvement, nurse educators can focus on patient education and education materials that are available and provided. Providing standardized discharge education in some of the most common languages spoken, such as Spanish, Polish, Mandarin, and Arabic, will ensure that patients receive vital information in their primary language. Discharge education in a patients preferred language has been shown to decrease hospital readmission rates (Dols, et al., 2020). This provides them with a reference material to look at and continue to review even after they have been discharged. Nurse educators may also focus on how patient education is happening on their unit. Multiple studies around heart failure patients have shown that patient education provided using the “teach-back method has contributed to significant improvement in medication adherence, hospital readmission, and self-efficacy” (Almquist, 2017; Centrella-Nigro & Alexander, 2017; Ghiasvand et al., 2017, as cited in Caluya, 2021). By educating staff nurses on the teach-back method and other educational strategies to use when educating patients, nurse educators can positively impact hospital readmission rates. Nurse educators assist in facilitating learning for staff and patients in the health care environment and help to create a standardized curriculum to teach staff how to best educate their patients when preparing them for discharge.
Caluya Jr., J. (2021). Impact of Educational Intervention in Reducing 30-Day Heart Failure Readmission. MEDSURG Nursing, 30(5), 309–313.
Dols, J. D., Chargualaf, K. A., Gordon, A., Pomerleau, T., Mendoza, A., Schwarzbach, C., & Gonzalez, M. (2020). Relationship of Nurse-Led Education Interventions to Liver Transplant Early Readmission. Progress in Transplantation (Aliso Viejo, Calif.), 30(2), 88–94. https://doi.org/10.1177/1526924820913511
