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A patient-centered goals to discharge checklist and its effect on discharge times and lengths of stay among post-operative, colorectal oncology patients on an ERAS pathway
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Trocchia Mattessich, Nicole. A patient-centered goals to discharge checklist and its effect on discharge times and lengths of stay among post-operative, colorectal oncology patients on an ERAS pathway. Retrieved from https://doi.org/doi:10.7282/t3-qw57-va29

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TitleA patient-centered goals to discharge checklist and its effect on discharge times and lengths of stay among post-operative, colorectal oncology patients on an ERAS pathway
NameTrocchia Mattessich, Nicole (author); Forrester, Tony (chair); Musanti, Rita (co-chair); Rutgers University; School of Nursing - RBHS
Date Created2019
Other Date2019-01 (degree)
SubjectPost-Master's DNP Practice, Patient discharge instructions, Rectum -- Cancer
Extent1 online resource (75 pages) : illustrations
DescriptionPurpose: Fast track or Enhanced Recovery after Surgery (ERAS) pathways promote an earlier return to function with shorter lengths of stay (LOS). Inadequate discharge planning can lead to increased numbers of emergency department visits and adverse events. A patient-centered discharge process allows patients to remain involved in their care and verbalize the needs they have prior to going home. For this reason, a “goals-to- discharge checklist” could be implemented early in the post-operative stay to ensure a safe patient discharge. Methodology: This quality improvement project, evaluated discharge times and LOS of colorectal, ERAS patients before and after the implementation of a “goals-to- discharge checklist.” The setting for this project was a large cancer treatment institution in New York City. A convenience sample of 60 men and women undergoing colorectal oncology surgery was used. Patients received a bedside checklist on postoperative day zero or one between August and September 2018. Discharge time and LOS was recorded on patients who completed the intervention. The intervention group’s results were compared to 60 patients following colorectal surgery between August and September 2017. Results: Average discharge time did not show any significant difference between the two groups. However, 40% of patients left before noon compared to only 10% prior to implementation. The intervention group had a mean LOS of 2.66 days compared to the mean LOS of the control group of 3.13 days. This was statistically significant change in LOS (p<0.05). Implications for Practice: The “goals-to-discharge checklist” improved LOS and compliance to an ERAS pathway which ultimately increases bed turnover. Quicker bed turnover improves hospital utilization and possibly patient satisfaction.
NoteDNP
NoteIncludes bibliographical references
Genretheses, ETD doctoral
Persistent URLhttps://doi.org/doi:10.7282/t3-qw57-va29
LanguageEnglish
CollectionSchool of Nursing (RBHS) DNP Projects
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.
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