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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
Descriptive
TitleInfo
Title
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
TitleInfo
(type = alternative)
Title
Discharge checklist
Name
(type = personal)
NamePart
(type = family)
Trocchia Mattessich
NamePart
(type = given)
Nicole
NamePart
(type = date)
1989-
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Nicole Trocchia Mattessich
Role
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(authority = RULIB)
author
Name
(type = personal)
NamePart
(type = family)
Forrester
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(type = given)
Tony
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Tony Forrester
Affiliation
Advisory Committee
Role
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(authority = RULIB)
chair
Name
(type = personal)
NamePart
(type = family)
Musanti
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(type = given)
Rita
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Rita Musanti
Affiliation
Advisory Committee
Role
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(authority = RULIB)
co-chair
Name
(type = corporate)
NamePart
Rutgers University
Role
RoleTerm
(authority = RULIB)
degree grantor
Name
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School of Nursing - RBHS
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school
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Text
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theses
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2019
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2019-01
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2018
Language
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(type = text)
English
Abstract
Purpose: 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.
Subject
(authority = RUETD)
Topic
Post-Master's DNP Practice
Subject
(authority = ETD-LCSH)
Topic
Patient discharge instructions
Subject
(authority = ETD-LCSH)
Topic
Rectum -- Cancer
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Title
Rutgers University Electronic Theses and Dissertations
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ETD
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Title
School of Nursing (RBHS) DNP Projects
Identifier
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rucore10004500001
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ETD_9428
Identifier
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doi:10.7282/t3-qw57-va29
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application/pdf
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text/xml
Extent
1 online resource (75 pages) : illustrations
Note
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DNP
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Includes bibliographical references
Location
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NjNbRU
Genre
(authority = ExL-Esploro)
ETD doctoral
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Rights
RightsDeclaration
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The author owns the copyright to this work.
RightsHolder
(type = personal)
Name
FamilyName
Trocchia Mattessich
GivenName
Nicole
Role
Copyright Holder
RightsEvent
Type
Permission or license
DateTime
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2018-12-13 16:59:21
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Name
Nicole Trocchia Mattessich
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Affiliation
Rutgers University. School of Nursing - RBHS
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Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
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Embargo
DateTime
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2019-01-31
DateTime
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2099-12-31
Detail
Access to this PDF has been restricted at the author's request.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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2019-01-02T14:12:18
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