Quality Improvement Sample Research

Quality improvement as it pertains to management of CHF in African American in the primary care clinics

“Kastner, M., Lillie, E., & Ashoor H et al (2015). Quality improvement strategies to optimize transition of patients with heart failure to independent living: protocol for a scoping review. BMJ Open, 4(11): e005711”. Quality Improvement Sample Research

The strength of the article contributes to knowledge through an examination of the main aspects that enable the efficacy of quality improvement initiatives intended at transitioning CHF patients from clinic to home. The weakness of the study is that the majority of quality improvement initiatives are assessed in non-randomized tests and thus all existing quality improvement interventions might not be captured. Statistical analysis the results can enlighten on the development of novel quality improvement initiatives or adaptation of existing initiatives with the aim of improving care for heart failure patients along with minimization of mortality and hospital readmissions.

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Evidence from the article can be applied to my topic healthcare providers can positively impact patient outcomes with the use of targeted interventions Comin-Colet et al (2016) argue that the management of heart failure is based upon creation of a multidisciplinary scheme that offers integrated care of patients all through the whole disease process, from diagnosis, admission, and discharge into the community, with greater emphasis on consequent follow-up along with transition of care. Zamorano and Lozano (2015) notes that several strategies of improving quality of heart failure care can be implemented during or following hospitalization to minimize rates of readmissions and ensure best outcomes

“Driscoll, A., Meagher, S., & Kennedy, R. (2016).What is the impact of systems of care for heart failure on patients diagnosed with heart failure systematic review. BMC Cardiovascular Disorders, 16: 195”

The strength of the article is that it implemented interventions involving delivery of health service aimed at minimizing mortality and hospital readmissions for heart failure patients. The weakness of the article is that most of the studies done, in addition to being descriptive, they were undertaken at a sole center with limited multicenter randomized controlled tests. Statistical analysis and results can be used in informing systems of care for heart failure with the aim of refining evidence-based practice and creation of flawless transitions throughout the continuum of care.

Evidence from this study can be applied in my topic it is important to enhance evidence-based practice and develop flawless schemes of care all through the continuum of healthcare embracing community, hospital and primary care. According to Devore et al (2015 minimizing length of hospital stay and improving transitional care offers a chance for heart failure care providers and patients to reconsider the way care is delivered at home and in hospital. Quality Improvement Sample Research

References

Comin-Colet, J., Enjuanes, C., & Lupon, J et al. (2016). Transitions of Care Between Acute and Chronic heart Failure: Critical Steps in the Design of a Multidisciplinary Care Model for the Prevention of Rehospitalization. Rev Esp Cardiol, 69(10): 951-961.

Devore, A., Allen, L., & Eapen, Z. (2015).Thinking Outside the Box: Treating Acute Heart Failure Outside the Hospital to improve Care and Reduce Admissions. Journal of Cardiac Failure, 21(8): 667- 673.

Zamorano, L., & Lozana, C. (2015). Impact of Quality of quality improvement initiatives in patients hospitalized for heart failure. Medicographia, 37(2):163-169. Quality Improvement Sample Research

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