Identifying risk factors to reduce readmission rates for patients with psychiatric disorders: A quality improvement project

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dc.contributor.authorOlayiwole, Folasade
dc.contributor.authorSancho, Anastasia
dc.date.accessioned2021-01-19T18:19:10Z
dc.date.available2021-01-19T18:19:10Z
dc.date.issued2020
dc.descriptionDNP Projecten_US
dc.description.abstractThis QI project was a response to increased 30-day readmissions at an inpatient psychiatric facility in SW Texas, identified as the project site. The long-term goal is to decrease 30-day readmissions by patients with schizophrenia and/or bipolar disorder at the project site. An audit tool was created for this QI project by combining the READMIT clinical risk index and site-specific variables that were identified by site experts. Findings showed the numbers of repeat readmission (p = .000) and the age (p =.031) demonstrated statistical significance in 30-day readmissions. There was an association between the number of repeat readmissions and the READMIT Tool Score (rs = 0.57, p < .001). The correlation coefficient between the two variables was (rs = .0575), which is moderately significant. There was a significant positive association between the READMIT Tool Score and repeat numbers of readmissions: (rs = 0.57, p < .001). Findings also indicate two statistically significant risk factors (age and number of readmissions). One clinically significant variable (discharge on injectable long-acting antipsychotic medication) and higher READMIT clinical risk index scores were associated with 30-day readmissions. Recommendations include adding the top-three risk factors identified (age, number of readmissions, injectable medications at discharge) to the admission and discharge process implemented by repeated PDSA cycles. Other recommendations are to join a state or national registry to help track 30-day readmissions and to conduct a one-year study, including chart audits, to access changes in the specific population.en_US
dc.identifier.urihttps://hdl.handle.net/11274/12617
dc.language.isoen_USen_US
dc.subjectSchizophreniaen_US
dc.subjectBipolaren_US
dc.subjectQuality improvementen_US
dc.subject30 days’ readmissionsen_US
dc.subjectAudit toolen_US
dc.subjectMedication non-adherenceen_US
dc.subjectLong acting injectable antipsychoticen_US
dc.subjectProject siteen_US
dc.titleIdentifying risk factors to reduce readmission rates for patients with psychiatric disorders: A quality improvement projecten_US
dc.typeDoctoral Projecten_US
thesis.degree.collegeCollege of Nursingen_US
thesis.degree.disciplineNursingen_US
thesis.degree.grantorTexas Woman's Universityen_US
thesis.degree.levelDoctoralen_US
thesis.degree.nameDoctor of Nursing Practiceen_US

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Doctor of Nursing Practice - Scholarly Projects | 2020